Therapists in Van Mall, Vancouver, WA

Photo of Stephanie Sulman, MSW, LSWAIC, Clinical Social Work/Therapist
Stephanie Sulman
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Van Mall, Vancouver, WA 98662  (Online Only)
Not accepting new clients
Not accepting clients - I am passionate about creating a safe, collaborative, and nonjudgemental environment where we work together to meet your goals! I help to illuminate how your family of origin, identities, personal experiences, trauma, and societal norms have interacted with one another to form deeply rooted beliefs and behavior patterns that may not be serving you. I believe you are the expert of your story and innately possess the resources to bring about positive shifts in your life. We will identify and build upon the strengths and supports you already have in order to create a life aligned with your most authentic self.
Not accepting clients - I am passionate about creating a safe, collaborative, and nonjudgemental environment where we work together to meet your goals! I help to illuminate how your family of origin, identities, personal experiences, trauma, and societal norms have interacted with one another to form deeply rooted beliefs and behavior patterns that may not be serving you. I believe you are the expert of your story and innately possess the resources to bring about positive shifts in your life. We will identify and build upon the strengths and supports you already have in order to create a life aligned with your most authentic self.
(360) 495-8238 View (360) 495-8238
Photo of Julie A Russell, MA, LMFT, LPC, LMHC
Julie A Russell
Mental Health Counselor, MA, LMFT, LPC, LMHC
Verified Verified
3 Endorsed
Van Mall, Vancouver, WA 98662
I specialize in couples, children, teens and individuals. I believe that everyone can reach an optimum state of health, counseling helps individuals and families reach healthy functioning in their relationships with others. I employ an integrative approach with a strong reliance on cognitive-behavioral aspects, emotion focused therapy, solution focused therapy, as well as some Jungian methods, such as sand tray therapy, and child centered play therapy. Sand Tray Therapy is a form of expressive therapy. This non-verbal method of therapy is often used with children, but can be applied to adults, teens, couples, families as well.
I specialize in couples, children, teens and individuals. I believe that everyone can reach an optimum state of health, counseling helps individuals and families reach healthy functioning in their relationships with others. I employ an integrative approach with a strong reliance on cognitive-behavioral aspects, emotion focused therapy, solution focused therapy, as well as some Jungian methods, such as sand tray therapy, and child centered play therapy. Sand Tray Therapy is a form of expressive therapy. This non-verbal method of therapy is often used with children, but can be applied to adults, teens, couples, families as well.
(503) 451-6250 View (503) 451-6250
Photo of Andrea Tomoe, LPC, Counselor
Andrea Tomoe
Counselor, LPC
Verified Verified
Van Mall, Vancouver, WA 98662
I am passionate about serving individuals who seek support, a place to be vulnerable and the opportunity to grow. My work focuses on adults who are struggling with trauma, anxiety, depression, body image and eating disorders, or significant life changes, such as a career switch, grief or a relationship shift. Just as many pieces make up the whole of a person's life, there are many components that make up a successful experience with counseling. The therapeutic journey begins from a place of trust and support. My techniques come from a combination of Solutions Focused, DBT, Family Systems and somatic therapy.
I am passionate about serving individuals who seek support, a place to be vulnerable and the opportunity to grow. My work focuses on adults who are struggling with trauma, anxiety, depression, body image and eating disorders, or significant life changes, such as a career switch, grief or a relationship shift. Just as many pieces make up the whole of a person's life, there are many components that make up a successful experience with counseling. The therapeutic journey begins from a place of trust and support. My techniques come from a combination of Solutions Focused, DBT, Family Systems and somatic therapy.
(360) 226-8492 View (360) 226-8492
Photo of Matthew Engelking, MA, LMFT, Marriage & Family Therapist
Matthew Engelking
Marriage & Family Therapist, MA, LMFT
Verified Verified
Van Mall, Vancouver, WA 98662  (Online Only)
Navigating through anxiety and trauma can feel like a relentless storm, leaving you feeling overwhelmed and unsure of where to turn. My approach focuses on creating a safe and supportive space where you can explore these challenges with empathy and understanding. Utilizing Acceptance and Commitment Therapy (ACT), we aim to foster acceptance of your thoughts and feelings, commit to action that aligns with your values, and work towards healing. Additionally, incorporating elements of the Gottman Method enhances our work, particularly in healing relationships affected by trauma and anxiety.
Navigating through anxiety and trauma can feel like a relentless storm, leaving you feeling overwhelmed and unsure of where to turn. My approach focuses on creating a safe and supportive space where you can explore these challenges with empathy and understanding. Utilizing Acceptance and Commitment Therapy (ACT), we aim to foster acceptance of your thoughts and feelings, commit to action that aligns with your values, and work towards healing. Additionally, incorporating elements of the Gottman Method enhances our work, particularly in healing relationships affected by trauma and anxiety.
(360) 300-5516 View (360) 300-5516
Photo of Kenneth Burton, SUDP, Drug & Alcohol Counselor
Kenneth Burton
Drug & Alcohol Counselor, SUDP
Verified Verified
Van Mall, Vancouver, WA 98662
Kenneth works with individuals who are looking to gain insight into themselves and improve their quality of life. He seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Kenneth believes that establishing a strong alliance with his clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, he partners with his clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
Kenneth works with individuals who are looking to gain insight into themselves and improve their quality of life. He seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Kenneth believes that establishing a strong alliance with his clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, he partners with his clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
(360) 203-6852 View (360) 203-6852
Photo of Sara Giza, MSW, LSWAIC, Clinical Social Work/Therapist
Sara Giza
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Van Mall, Vancouver, WA 98662  (Online Only)
After receiving my master’s degree in Social Work from the University of Louisville and obtaining a certification on executive leadership strategy for violence and abuse prevention from the University of Pennsylvania, I moved to Vancouver in June 2021. I spent ten years working in various nonprofits and community organizations’ before going to graduate school. My professional background involves working with both teens and adults on their mental health challenges. My areas of expertise include working heavily with trauma, sexual assault, domestic violence, grief, chronic illness and LGBTQ+ issues.
After receiving my master’s degree in Social Work from the University of Louisville and obtaining a certification on executive leadership strategy for violence and abuse prevention from the University of Pennsylvania, I moved to Vancouver in June 2021. I spent ten years working in various nonprofits and community organizations’ before going to graduate school. My professional background involves working with both teens and adults on their mental health challenges. My areas of expertise include working heavily with trauma, sexual assault, domestic violence, grief, chronic illness and LGBTQ+ issues.
(360) 209-7507 View (360) 209-7507
Photo of Kelly S Anderson, LMHCA, Counselor
Kelly S Anderson
Counselor, LMHCA
Verified Verified
Van Mall, Vancouver, WA 98662
The client/therapist relationship is at the center of positive change. Within the structure and safety of this relationship we will work together to treat anxiety, depression, relationship issues, work issues, goal attainment, and to increase overall life satisfaction. I approach this work with patience, acceptance, humor, and a firmly held believe in the ability for people to make positive change.
The client/therapist relationship is at the center of positive change. Within the structure and safety of this relationship we will work together to treat anxiety, depression, relationship issues, work issues, goal attainment, and to increase overall life satisfaction. I approach this work with patience, acceptance, humor, and a firmly held believe in the ability for people to make positive change.
(360) 245-6470 x9571 View (360) 245-6470 x9571
Photo of Lonnie Stapp, LMHC, Counselor
Lonnie Stapp
Counselor, LMHC
Verified Verified
Van Mall, Vancouver, WA 98662  (Online Only)
I have deep respect for all of my patients. Therapy involves change, openness, and willingness, and is a personal investment. For these reasons, I believe that the treatment you receive should be effective, and I use a blend of established research and your personal goals to ensure that it is.
I have deep respect for all of my patients. Therapy involves change, openness, and willingness, and is a personal investment. For these reasons, I believe that the treatment you receive should be effective, and I use a blend of established research and your personal goals to ensure that it is.
(360) 854-3772 View (360) 854-3772
Photo of Brittni Capps, LSWAIC, Clinical Social Work/Therapist
Brittni Capps
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Van Mall, Vancouver, WA 98662
Have you been struggling with anxiety and intrusive thoughts? Do you notice that your brain is controlling you instead of you controlling your brain? Is your childhood a not-so distant memory? Are you and your significant other struggling with communication, broken trust, or concerns with intimacy? Hi, I’m Brittni a therapist who firmly believes in the human capacity for growth and change. My goal is to compassionately help you explore and understand your struggles and concerns and how to reduce their impact on your life. At your pace, we can process your concerns while learning to navigate your physiological and emotional responses
Have you been struggling with anxiety and intrusive thoughts? Do you notice that your brain is controlling you instead of you controlling your brain? Is your childhood a not-so distant memory? Are you and your significant other struggling with communication, broken trust, or concerns with intimacy? Hi, I’m Brittni a therapist who firmly believes in the human capacity for growth and change. My goal is to compassionately help you explore and understand your struggles and concerns and how to reduce their impact on your life. At your pace, we can process your concerns while learning to navigate your physiological and emotional responses
(360) 512-7340 View (360) 512-7340
Photo of Kimberly Noel, LSWAIC, Clinical Social Work/Therapist
Kimberly Noel
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Van Mall, Vancouver, WA 98662
Being a parent, or caregiver, is no small thing.  There are so many challenges now-a-days.  The child mental health crisis has grown, and with it, the family mental health crisis, which means treatment must include the family as a whole.  My role as a therapist is to assist your child and family as a whole in working towards your goals by offering a supportive and safe space, and providing the opportunity for growth as a family.
Being a parent, or caregiver, is no small thing.  There are so many challenges now-a-days.  The child mental health crisis has grown, and with it, the family mental health crisis, which means treatment must include the family as a whole.  My role as a therapist is to assist your child and family as a whole in working towards your goals by offering a supportive and safe space, and providing the opportunity for growth as a family.
(360) 583-6932 View (360) 583-6932
Photo of Rachel Richards, LMHC, Counselor
Rachel Richards
Counselor, LMHC
Verified Verified
1 Endorsed
Van Mall, Vancouver, WA 98662  (Online Only)
Hi, I'm Rachel Richards, therapist and founder of Four Winds Therapy. At Four Winds we believe that humans have the ability to awaken their highest potential and that authentic individualized therapy and collaborative support can help one to recognize their true inner goodness. Therapy with Four Winds is client centered and we believe that therapy's focus can be whatever you'd like it to be. I am here to address your mental health needs with compassion and respect. I am trauma informed and culturally aware as well as respectful to people of all backgrounds and beliefs and I operate within counseling's strict ethical guidelines.
Hi, I'm Rachel Richards, therapist and founder of Four Winds Therapy. At Four Winds we believe that humans have the ability to awaken their highest potential and that authentic individualized therapy and collaborative support can help one to recognize their true inner goodness. Therapy with Four Winds is client centered and we believe that therapy's focus can be whatever you'd like it to be. I am here to address your mental health needs with compassion and respect. I am trauma informed and culturally aware as well as respectful to people of all backgrounds and beliefs and I operate within counseling's strict ethical guidelines.
(503) 836-8894 View (503) 836-8894
Photo of Adam Hall, LMHCA, Counselor
Adam Hall
Counselor, LMHCA
Verified Verified
Van Mall, Vancouver, WA 98662
Adam Hall is a Licensed Mental Health Counselor Associate in Washington who has been practicing since 2016. He has earned both his Bachelor's and Master's degree in Professional Counseling. Adam works with teens, individuals, and couples to navigate through the storms of life and relationships. This could be the relationship you have with yourself, parent and child relationships, or romantic partnerships. His previous experience includes working with teens from foster care, working in community mental health, and faith-based counseling.
Adam Hall is a Licensed Mental Health Counselor Associate in Washington who has been practicing since 2016. He has earned both his Bachelor's and Master's degree in Professional Counseling. Adam works with teens, individuals, and couples to navigate through the storms of life and relationships. This could be the relationship you have with yourself, parent and child relationships, or romantic partnerships. His previous experience includes working with teens from foster care, working in community mental health, and faith-based counseling.
(360) 777-5267 View (360) 777-5267
Photo of Samantha Boschert, MS, LMHC, Counselor
Samantha Boschert
Counselor, MS, LMHC
Verified Verified
Van Mall, Vancouver, WA 98662
Not accepting new clients
I love working with those who are striving to understand themselves more deeply and who would like to live life more in line with their authentic self. I believe that therapy begins when clients feel seen, understood, and accepted as they are. From here, it is my passion to help clients explore aspects of their life that are causing them pain in some way. Through a non-judgmental lens, I help my clients embrace and cope with all aspects of human existence.
I love working with those who are striving to understand themselves more deeply and who would like to live life more in line with their authentic self. I believe that therapy begins when clients feel seen, understood, and accepted as they are. From here, it is my passion to help clients explore aspects of their life that are causing them pain in some way. Through a non-judgmental lens, I help my clients embrace and cope with all aspects of human existence.
(360) 641-7694 View (360) 641-7694
Photo of Adam Wade-Garrett, LMHC, Counselor
Adam Wade-Garrett
Counselor, LMHC
Verified Verified
1 Endorsed
Van Mall, Vancouver, WA 98662
Counseling has a well-earned reputation for being a messy, frightening process. But you already knew that, and you came here anyway. I've treated a wide variety of struggles and time and time again the one trait I've seen lead to success is the willingness to, as Ms. Frizzle used to say, "take chances, make mistakes and get messy." So, if that's what you're here to do, then let's get to work.
Counseling has a well-earned reputation for being a messy, frightening process. But you already knew that, and you came here anyway. I've treated a wide variety of struggles and time and time again the one trait I've seen lead to success is the willingness to, as Ms. Frizzle used to say, "take chances, make mistakes and get messy." So, if that's what you're here to do, then let's get to work.
(360) 382-4509 View (360) 382-4509
Photo of Christina Moon Warner, LMFTA, Marriage & Family Therapist Associate
Christina Moon Warner
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Van Mall, Vancouver, WA 98662
As the founder of Keep Growing Therapy, I aim to help my clients move through life’s many transitions and challenges, big and small. Whether you need to talk about stress, anxiety, depression, relationship issues, self-esteem, identity, or any other life experiences, I will be here to help you grow through what you go through. I have experience helping adults and teens with a wide range of challenges, including depression, anxiety, relationship struggles, queer identity, ADHD, family conflict, and others.
As the founder of Keep Growing Therapy, I aim to help my clients move through life’s many transitions and challenges, big and small. Whether you need to talk about stress, anxiety, depression, relationship issues, self-esteem, identity, or any other life experiences, I will be here to help you grow through what you go through. I have experience helping adults and teens with a wide range of challenges, including depression, anxiety, relationship struggles, queer identity, ADHD, family conflict, and others.
(916) 571-0319 View (916) 571-0319
Photo of Elizabeth Knight, LCSW, Clinical Social Work/Therapist
Elizabeth Knight
Clinical Social Work/Therapist, LCSW
Verified Verified
Van Mall, Vancouver, WA 98662
Elizabeth is a Licensed Clinical Social Worker, who has been practicing Acceptance and Commitment Therapy (ACT) since 2019. She received her Masters in Social Work from Walla Walla University and worked as a medical social worker before coming to LifeStance. Elizabeth uses Acceptance and Commitment Therapy collaboratively with clients. She believes that using warmth, authenticity, and humor creates an atmosphere of connection, safety and the vulnerability which develops a therapeutic relationship that supports growth.
Elizabeth is a Licensed Clinical Social Worker, who has been practicing Acceptance and Commitment Therapy (ACT) since 2019. She received her Masters in Social Work from Walla Walla University and worked as a medical social worker before coming to LifeStance. Elizabeth uses Acceptance and Commitment Therapy collaboratively with clients. She believes that using warmth, authenticity, and humor creates an atmosphere of connection, safety and the vulnerability which develops a therapeutic relationship that supports growth.
(360) 517-1147 View (360) 517-1147
Photo of Kyra Larson, LMHC, Counselor
Kyra Larson
Counselor, LMHC
Verified Verified
Van Mall, Vancouver, WA 98662  (Online Only)
First responders and veterans face unique stressors that most people never encounter. The intensity and demands of their roles can lead to feelings of isolation, heightened stress, and difficulty adjusting to civilian life. My practice is dedicated to understanding these unique challenges and providing a supportive environment to work through them. By focusing on resilience and coping strategies, I aim to help you find balance and a sense of peace amidst the chaos. My goal is to honor your service by supporting your mental health and well-being on every front.
First responders and veterans face unique stressors that most people never encounter. The intensity and demands of their roles can lead to feelings of isolation, heightened stress, and difficulty adjusting to civilian life. My practice is dedicated to understanding these unique challenges and providing a supportive environment to work through them. By focusing on resilience and coping strategies, I aim to help you find balance and a sense of peace amidst the chaos. My goal is to honor your service by supporting your mental health and well-being on every front.
(360) 774-4341 View (360) 774-4341
Photo of Brianna Devine, Counselor
Brianna Devine
Counselor
Verified Verified
Van Mall, Vancouver, WA 98662
I have been a practicing mental health counselor for over 10 years. I received my bachelors in Psychology from Western Washington University and my graduate degree in Mental Health Counseling from Eastern Washington University. I currently specialize in working with children and adolescents. I utilize a variety of different therapies including: CBT, person-centered, play therapy and mindfulness.
I have been a practicing mental health counselor for over 10 years. I received my bachelors in Psychology from Western Washington University and my graduate degree in Mental Health Counseling from Eastern Washington University. I currently specialize in working with children and adolescents. I utilize a variety of different therapies including: CBT, person-centered, play therapy and mindfulness.
(360) 361-8564 View (360) 361-8564
Photo of Stephanie Horan, LCSW, Clinical Social Work/Therapist
Stephanie Horan
Clinical Social Work/Therapist, LCSW
Verified Verified
Van Mall, Vancouver, WA 98662
Stephanie Horan is a Licensed Clinical Social Worker in Washington who has been practicing since 2018. She received her Master's of Social Work from Brigham Young University with a focus in clinical social work. She also received her Bachelor's Degree in Sociology from Brigham Young University. Since then, she has had maintained training in Suicide Prevention, Crucial Conversations, Acceptance Commitment Therapy, Neurofeedback, Cognitive Behavioral Therapy, Expressive Arts Therapy, Motivational Interviewing, Faith Deconstruction, and working with LGTBQ+ populations.
Stephanie Horan is a Licensed Clinical Social Worker in Washington who has been practicing since 2018. She received her Master's of Social Work from Brigham Young University with a focus in clinical social work. She also received her Bachelor's Degree in Sociology from Brigham Young University. Since then, she has had maintained training in Suicide Prevention, Crucial Conversations, Acceptance Commitment Therapy, Neurofeedback, Cognitive Behavioral Therapy, Expressive Arts Therapy, Motivational Interviewing, Faith Deconstruction, and working with LGTBQ+ populations.
(360) 818-2917 View (360) 818-2917
Photo of Jessica Bettendorf, LMHCA, LPCA, CADCIII, Counselor
Jessica Bettendorf
Counselor, LMHCA, LPCA, CADCIII
Verified Verified
Van Mall, Vancouver, WA 98662
Jessica works with individuals who are looking to gain insight into themselves and improve their quality of life. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Jessica believes that establishing a strong alliance with her clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, she partners with her clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
Jessica works with individuals who are looking to gain insight into themselves and improve their quality of life. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Jessica believes that establishing a strong alliance with her clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, she partners with her clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
(360) 564-7868 View (360) 564-7868

See more therapy options for Van Mall, Vancouver

How does your Therapist compare?

Number of Therapists in Van Mall, Vancouver, WA

100+

Average cost per session

$130

Therapists in Van Mall, Vancouver, WA who prioritize treating:

95% Anxiety
91% Depression
70% Trauma and PTSD
58% Life Transitions
57% Grief
56% Stress
50% ADHD

Average years in practice

8 Years

Top 3 insurances accepted

86% Aetna
79% Cigna and Evernorth
60% PacificSource

How Therapists in Van Mall, Vancouver, WA see their clients

70% In Person and Online
30% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Van Mall, Vancouver?

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.