Therapists in Spokane County, WA

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Photo of Tori Carroll, MS, LMHC, CMHS, Counselor
Tori Carroll
Counselor, MS, LMHC, CMHS
Verified Verified
Spokane, WA 99205  (Online Only)
I have over 15 years experience working with individuals looking to improve their daily lives by learning new skills and perspectives. I have extensive experience working with individuals struggling with anxiety, depression, obsessive compulsive issues, trauma, and attention deficit/hyperactivity. I do have experience working with current and past members of the armed forces and law enforcement.
I have over 15 years experience working with individuals looking to improve their daily lives by learning new skills and perspectives. I have extensive experience working with individuals struggling with anxiety, depression, obsessive compulsive issues, trauma, and attention deficit/hyperactivity. I do have experience working with current and past members of the armed forces and law enforcement.
(509) 588-0238 View (509) 588-0238
Photo of Lisa Estelle, PsyD, Psychologist
Lisa Estelle
Psychologist, PsyD
Verified Verified
Spokane, WA 99208
With over 30 years of experience in providing mental health services, my approach integrates varied perspectives in supporting people in finding relief from emotional and relational pain. Symptoms are often expressing deeper experiences that have wounded your sense of trust in yourself, in others, in life in general, and may have left you struggling with knowing your own sense of meaning, purpose, and hope. You deserve an authentic, compassionate, safe, and hopeful place to reflect, and to seek help and healing. I am committed to providing effective, genuine, and meaningful help primarily to adults and teens.
With over 30 years of experience in providing mental health services, my approach integrates varied perspectives in supporting people in finding relief from emotional and relational pain. Symptoms are often expressing deeper experiences that have wounded your sense of trust in yourself, in others, in life in general, and may have left you struggling with knowing your own sense of meaning, purpose, and hope. You deserve an authentic, compassionate, safe, and hopeful place to reflect, and to seek help and healing. I am committed to providing effective, genuine, and meaningful help primarily to adults and teens.
(509) 774-3980 View (509) 774-3980
Photo of LaTasha B Frazier - Symp Way Counseling, LPCA, LMHCA, AADC, CS, SAP, Counselor
Symp Way Counseling
Counselor, LPCA, LMHCA, AADC, CS, SAP
Verified Verified
Spokane, WA 99201  (Online Only)
Stimulating Yielded Masterful Persistence (SYMP) Whether you feel overwhelmed, anxious, depressed, or that life has become dull and uninspiring, our mission is to support you in working toward your goals. We will work together to build new skills and begin to uncover what has kept you feeling stuck. It may be that you are unsatisfied in the way you've been managing your life and relationships and wondering if a new approach would be helpful. Our services include counseling for a range of mental health concerns, including substance abuse, depression, anxiety, trauma, ADHD, anger management, and grief counseling.
Stimulating Yielded Masterful Persistence (SYMP) Whether you feel overwhelmed, anxious, depressed, or that life has become dull and uninspiring, our mission is to support you in working toward your goals. We will work together to build new skills and begin to uncover what has kept you feeling stuck. It may be that you are unsatisfied in the way you've been managing your life and relationships and wondering if a new approach would be helpful. Our services include counseling for a range of mental health concerns, including substance abuse, depression, anxiety, trauma, ADHD, anger management, and grief counseling.
(509) 642-6875 View (509) 642-6875
Photo of Jeannie Dalton, LICSW, Clinical Social Work/Therapist
Jeannie Dalton
Clinical Social Work/Therapist, LICSW
Verified Verified
Liberty Lake, WA 99019
Whether you are struggling with an overwhelming challenge or simply feel you could use an extra hand in your journey toward mental health, you are a unique person with strength and courage and I would be honored to work with you. Together, we'll address issues like trauma, anxiety, and depression. I will support you in releasing emotional burdens, finding peace and gaining new perspectives for greater happiness.
Whether you are struggling with an overwhelming challenge or simply feel you could use an extra hand in your journey toward mental health, you are a unique person with strength and courage and I would be honored to work with you. Together, we'll address issues like trauma, anxiety, and depression. I will support you in releasing emotional burdens, finding peace and gaining new perspectives for greater happiness.
(509) 790-6816 View (509) 790-6816
Photo of Angela Dee Peters, MSW, LICSW, Clinical Social Work/Therapist
Angela Dee Peters
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Let’s nourish and find clarity within ourselves by healing. Through your life experiences you have gained the ability to manage these life challenges. Today you may find yourself struggling with the skills that once helped you overcome your Anxiety, Depression, Grief, and Traumatic Event’s. Through therapeutic approach’s together we can find your healing. Together we will learn and process these life challenges no matter what your life-stage might be. Let’s empower your deeper scene of hope, purpose, and positive self-esteem. Allowing yourself to live your best possible life.
Let’s nourish and find clarity within ourselves by healing. Through your life experiences you have gained the ability to manage these life challenges. Today you may find yourself struggling with the skills that once helped you overcome your Anxiety, Depression, Grief, and Traumatic Event’s. Through therapeutic approach’s together we can find your healing. Together we will learn and process these life challenges no matter what your life-stage might be. Let’s empower your deeper scene of hope, purpose, and positive self-esteem. Allowing yourself to live your best possible life.
(509) 213-1704 View (509) 213-1704
Photo of Lindsay Anne Daehlin, MSW, LICSW, Clinical Social Work/Therapist
Lindsay Anne Daehlin
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Spokane, WA 99201
Not accepting new clients
Life is challenging and even harder when we have large and small traumas that get in the way of our wellness and growth. I find it a great honor to help people overcome life's inevitable difficulties to improve their lives and strengthen their families. I teach skills and build upon strengths as clients reconnect with and live into their highest and best self. Spiritual growth and healing is a specialty of mine, and an optional part of therapy.
Life is challenging and even harder when we have large and small traumas that get in the way of our wellness and growth. I find it a great honor to help people overcome life's inevitable difficulties to improve their lives and strengthen their families. I teach skills and build upon strengths as clients reconnect with and live into their highest and best self. Spiritual growth and healing is a specialty of mine, and an optional part of therapy.
(509) 416-5461 View (509) 416-5461
Photo of Stacey Durland, MA, LMHC, NCC, Counselor
Stacey Durland
Counselor, MA, LMHC, NCC
Verified Verified
Spokane, WA 99204
Do you want to be happier? Does your life feel unbalanced? I can help you with a variety of issues including anxiety, depression, grief and loss, relationship issues, and trauma. Together, we can work to identify the issues that are holding you back, work through them, and help you to start leading a happier, healthier life. During your therapy, I will use cognitive behavioral therapy, EMDR, and other approaches tailored to meet your needs.
Do you want to be happier? Does your life feel unbalanced? I can help you with a variety of issues including anxiety, depression, grief and loss, relationship issues, and trauma. Together, we can work to identify the issues that are holding you back, work through them, and help you to start leading a happier, healthier life. During your therapy, I will use cognitive behavioral therapy, EMDR, and other approaches tailored to meet your needs.
(509) 822-6553 View (509) 822-6553
Photo of Kaitlyn Chapman, MS, LMHC, NCC, Counselor
Kaitlyn Chapman
Counselor, MS, LMHC, NCC
Verified Verified
1 Endorsed
Spokane, WA 99201
Waitlist for new clients
My counseling approach is relational, creating a foundation of unconditional positive regard, resilience and empowerment. I believe counseling can offer a sense of safety and warmth that allows for personal growth to unveil, fostering positive changes in all aspects of life. This can be particularly powerful during times of suffering and adversity that can affect us all. The therapeautic journey, while challenging, may offer time to heal, promoting wellness in the mind and the body.
My counseling approach is relational, creating a foundation of unconditional positive regard, resilience and empowerment. I believe counseling can offer a sense of safety and warmth that allows for personal growth to unveil, fostering positive changes in all aspects of life. This can be particularly powerful during times of suffering and adversity that can affect us all. The therapeautic journey, while challenging, may offer time to heal, promoting wellness in the mind and the body.
(509) 822-5602 View (509) 822-5602
Photo of David Wilson, LICSW, Clinical Social Work/Therapist
David Wilson
Clinical Social Work/Therapist, LICSW
Verified Verified
Not accepting new clients
I am passionate about working with older teens as they make their way into the world and adults as they build healthy, successful lives. I partners with clients who struggle with unresolved trauma, anxiety, depression, self-esteem /or ADHD. My goals is to help them process their past, gain coping skills, and find a new perspective on the way to healing and inner peace. I provide a lot is a lot of psychoeducation and vocabulary as I have found that sometimes clients (to no fault of their own) just don’t have the words to describe what is causing the distress. I love to utilize EMDR to help process hopefully resolve the distress
I am passionate about working with older teens as they make their way into the world and adults as they build healthy, successful lives. I partners with clients who struggle with unresolved trauma, anxiety, depression, self-esteem /or ADHD. My goals is to help them process their past, gain coping skills, and find a new perspective on the way to healing and inner peace. I provide a lot is a lot of psychoeducation and vocabulary as I have found that sometimes clients (to no fault of their own) just don’t have the words to describe what is causing the distress. I love to utilize EMDR to help process hopefully resolve the distress
(509) 740-0237 View (509) 740-0237
Photo of Gracie Klontz, MA, LMHCA, NBCC, Counselor
Gracie Klontz
Counselor, MA, LMHCA, NBCC
Verified Verified
1 Endorsed
It is a great privilege to be entrusted with the sacred work of helping individuals navigate life's issues. The therapeutic relationship is unlike any relationship. In this space, you are unconditionally valued and empathically listened to with your best interests in mind- free from hidden agendas, discrimination, or personal gain. In this safe environment, we collaboratively work toward your personalized goals and develop compassionate curiosity toward the pieces of your story, which help us gain insight into past and current functioning. I would be honored to help you on this journey.
It is a great privilege to be entrusted with the sacred work of helping individuals navigate life's issues. The therapeutic relationship is unlike any relationship. In this space, you are unconditionally valued and empathically listened to with your best interests in mind- free from hidden agendas, discrimination, or personal gain. In this safe environment, we collaboratively work toward your personalized goals and develop compassionate curiosity toward the pieces of your story, which help us gain insight into past and current functioning. I would be honored to help you on this journey.
(509) 486-7962 View (509) 486-7962
Photo of Mileva Yant, MS, LMHC, NCC, Counselor
Mileva Yant
Counselor, MS, LMHC, NCC
Verified Verified
1 Endorsed
Spokane, WA 99202
Life – with all its beauty – is filled with adversity. Struggles may be opportunities for growth and development. Without hardship our capacity to reach our full potential is limited. I encourage clients to look inward, recognize their emotions, and explore their current thought and behavior patterns. My goal is to help clients clarify their values, shift their thinking in a self-compassionate way, and practice new behaviors. My approach includes a blend of cognitive behavioral therapy, motivational interviewing techniques, an experiential creative process (e.g., art, play, sand play), and when appropriate, an existential approach.
Life – with all its beauty – is filled with adversity. Struggles may be opportunities for growth and development. Without hardship our capacity to reach our full potential is limited. I encourage clients to look inward, recognize their emotions, and explore their current thought and behavior patterns. My goal is to help clients clarify their values, shift their thinking in a self-compassionate way, and practice new behaviors. My approach includes a blend of cognitive behavioral therapy, motivational interviewing techniques, an experiential creative process (e.g., art, play, sand play), and when appropriate, an existential approach.
(509) 519-4297 View (509) 519-4297
Photo of John Estelle, PhD, MDiv, Psychologist
John Estelle
Psychologist, PhD, MDiv
Verified Verified
Spokane, WA 99204
I am interested in religious issues and resources in therapy, marital and pre-marital counseling, adolescents and their families, gender roles, gender identity issues, fathering, and adult development. I have worked extensively over the last 30 years with adolescents, couples, and families. My therapy consists of looking at present and past ways of thinking, feeling, and behaving so as to nurture hope, find solutions, and create meaning.
I am interested in religious issues and resources in therapy, marital and pre-marital counseling, adolescents and their families, gender roles, gender identity issues, fathering, and adult development. I have worked extensively over the last 30 years with adolescents, couples, and families. My therapy consists of looking at present and past ways of thinking, feeling, and behaving so as to nurture hope, find solutions, and create meaning.
(509) 774-3486 View (509) 774-3486
Photo of Amber Pitre, LMHCA, Pre-Licensed Professional
Amber Pitre
Pre-Licensed Professional, LMHCA
Verified Verified
Spokane, WA 99201  (Online Only)
I am deeply passionate about assisting individuals in understanding and overcoming their unique challenges. Each of us has encountered experiences that have shaped our identities and perspectives. My objective is to establish a secure environment for clients to delve into their emotions, recognize the correlation between their experiences and behaviors, and cultivate effective coping mechanisms. I specialize in working with individuals who have faced trauma, depression, anxiety, grief, and relationship difficulties.
I am deeply passionate about assisting individuals in understanding and overcoming their unique challenges. Each of us has encountered experiences that have shaped our identities and perspectives. My objective is to establish a secure environment for clients to delve into their emotions, recognize the correlation between their experiences and behaviors, and cultivate effective coping mechanisms. I specialize in working with individuals who have faced trauma, depression, anxiety, grief, and relationship difficulties.
(509) 512-1869 View (509) 512-1869
Photo of Andrea Duncan - Better Self, PLLC, MA, LMHCA, NCC
Better Self, PLLC
Licensed Mental Health Counselor Associate, MA, LMHCA, NCC
Verified Verified
Spokane, WA 99204  (Online Only)
Congratulations in taking the first step in finding a therapist. It is not an easy task and it takes a lot of vulnerability to ask for help. I am here to help, to listen and to guide you in the direction that you want your life to go (it's ok if you still don't know the direction). That's what I am here for. Let's work together! I have worked with many modalities and populations. I have experience in ABA, CBT, and DBT as well as experience in coordination of care. I have worked with patients struggling with mild to more severe symptoms and challenges. I can offer a collection of techniques and modalities that best serve you.
Congratulations in taking the first step in finding a therapist. It is not an easy task and it takes a lot of vulnerability to ask for help. I am here to help, to listen and to guide you in the direction that you want your life to go (it's ok if you still don't know the direction). That's what I am here for. Let's work together! I have worked with many modalities and populations. I have experience in ABA, CBT, and DBT as well as experience in coordination of care. I have worked with patients struggling with mild to more severe symptoms and challenges. I can offer a collection of techniques and modalities that best serve you.
(509) 636-8404 View (509) 636-8404
Photo of Jacquelyn Sajovic, LMHCA
Jacquelyn Sajovic
Mental Health Counselor Associate, LMHCA
Verified Verified
Spokane, WA 99201
Not accepting new clients
Jacquelyn is a therapist with Wellness Therapies Spokane. Are you seeking clarity in life and finding that this journey is often rocky? Maybe you are struggling with thoughts that won't settle or emotions that leave you feeling too dysregulated to get things done. Therapy is a journey of learning what triggers these more intense feelings and thoughts, what creates tension in our bodies and our relationships, and what we need to feel empowered to make healthy, grounded, lasting changes. The healing journey that is therapy comes from a place of curiosity and helps us explore our vulnerabilities so that we heal, grow, and flourish.
Jacquelyn is a therapist with Wellness Therapies Spokane. Are you seeking clarity in life and finding that this journey is often rocky? Maybe you are struggling with thoughts that won't settle or emotions that leave you feeling too dysregulated to get things done. Therapy is a journey of learning what triggers these more intense feelings and thoughts, what creates tension in our bodies and our relationships, and what we need to feel empowered to make healthy, grounded, lasting changes. The healing journey that is therapy comes from a place of curiosity and helps us explore our vulnerabilities so that we heal, grow, and flourish.
(509) 481-9629 View (509) 481-9629
Photo of Steffie Genevieve, MSW, LICSW, SUDP, SAP, Clinical Social Work/Therapist
Steffie Genevieve
Clinical Social Work/Therapist, MSW, LICSW, SUDP, SAP
Verified Verified
Spokane Valley, WA 99037  (Online Only)
Good therapy recognizes that we are greater than the problem believing people grow, heal, and transform. Change occurs when we experience grace through awareness of self, challenging old beliefs, learning new skills, and letting go of pain. My task and privilege is to assist you in the process. So to that end I will work with you in a collaborative way in a human to human connection to provide the foundation for change. I take a holistic approach viewing the body, mind, and spirit as interrelated.
Good therapy recognizes that we are greater than the problem believing people grow, heal, and transform. Change occurs when we experience grace through awareness of self, challenging old beliefs, learning new skills, and letting go of pain. My task and privilege is to assist you in the process. So to that end I will work with you in a collaborative way in a human to human connection to provide the foundation for change. I take a holistic approach viewing the body, mind, and spirit as interrelated.
(509) 774-2568 View (509) 774-2568
Photo of Jessica M Evans, LMFTA, Marriage & Family Therapist Associate
Jessica M Evans
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Spokane, WA 99202
As a licensed Marriage and Family Therapist Associate, I specialize in helping individuals, couples, and families navigate the complexities of relationships and personal growth. My approach is grounded in empathy, active listening, and evidence-based therapeutic techniques designed to foster understanding, healing, and positive change, while including a faith-based perspective. I hold a Master’s degree in Marriage and Family Therapy from Whitworth University and am a member of the American Association for Marriage and Family Therapy (AAMFT).
As a licensed Marriage and Family Therapist Associate, I specialize in helping individuals, couples, and families navigate the complexities of relationships and personal growth. My approach is grounded in empathy, active listening, and evidence-based therapeutic techniques designed to foster understanding, healing, and positive change, while including a faith-based perspective. I hold a Master’s degree in Marriage and Family Therapy from Whitworth University and am a member of the American Association for Marriage and Family Therapy (AAMFT).
(509) 286-2820 View (509) 286-2820
Photo of Cody Mildebrandt, MA, Intern, Pre-Licensed Professional
Cody Mildebrandt
Pre-Licensed Professional, MA, Intern
Verified Verified
1 Endorsed
Spokane, WA 99201
My ideal client is someone who knows they need or want help with their issue(s) or goal(s). They will be motivated to engage in counseling to improve and overcome their issue(s) and meet their goal(s).
My ideal client is someone who knows they need or want help with their issue(s) or goal(s). They will be motivated to engage in counseling to improve and overcome their issue(s) and meet their goal(s).
(509) 284-9374 View (509) 284-9374
Photo of Jared Tawney, LMFTA, Marriage & Family Therapist Associate
Jared Tawney
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Spokane Valley, WA 99212  (Online Only)
In the past I've worked with clients who struggle with communication in their relationships, feeling disconnected and stuck in negative cycles. They seek practical ways to improve dialogue, resolve conflicts, and rebuild trust. Their goals are to enhance their relationships for greater support and satisfaction. Sessions are online, providing flexibility for those with busy schedules or preferring the privacy of home. Through virtual therapy, clients learn effective communication skills and strategies to foster understanding and emotional well-being in a supportive environment.
In the past I've worked with clients who struggle with communication in their relationships, feeling disconnected and stuck in negative cycles. They seek practical ways to improve dialogue, resolve conflicts, and rebuild trust. Their goals are to enhance their relationships for greater support and satisfaction. Sessions are online, providing flexibility for those with busy schedules or preferring the privacy of home. Through virtual therapy, clients learn effective communication skills and strategies to foster understanding and emotional well-being in a supportive environment.
(509) 400-5025 View (509) 400-5025
Photo of Sheree Lobdell, Lynn, Clinical Social Work/Therapist
Sheree Lobdell
Clinical Social Work/Therapist, Lynn
Verified Verified
Spokane, WA 99201
Sheree Lobdell, LICSW Sheree Lobdell is a Licensed Independent Clinical Social Worker in Washington who has been practicing since 2019. She has a Master's in Social Work from Eastern Washington University. Sheree's theoretical approach includes Cognitive Behavioral Therapy, Solution-Focused, Strength-Based, Gotten therapy, boundary setting, and supportive practice. She assists in helping clients finding emotional and spiritual healing through mindfulness, meditation, and breathing.
Sheree Lobdell, LICSW Sheree Lobdell is a Licensed Independent Clinical Social Worker in Washington who has been practicing since 2019. She has a Master's in Social Work from Eastern Washington University. Sheree's theoretical approach includes Cognitive Behavioral Therapy, Solution-Focused, Strength-Based, Gotten therapy, boundary setting, and supportive practice. She assists in helping clients finding emotional and spiritual healing through mindfulness, meditation, and breathing.
(509) 567-3020 View (509) 567-3020
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How does your Therapist compare?

Number of Therapists in Spokane County, WA

1,000+

Average cost per session

$140

Therapists in Spokane County, WA who prioritize treating:

92% Anxiety
86% Depression
74% Self Esteem
73% Trauma and PTSD
72% Relationship Issues
72% Stress
69% Coping Skills

Average years in practice

7 Years

Top 3 insurances accepted

75% Aetna
71% Premera Blue Cross
64% Regence

How Therapists in Spokane County, WA see their clients

51% In Person and Online
49% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Spokane County?

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.