Therapists in Vancouver Heights, Vancouver, WA
Alissa Schober
Mental Health Counselor, MS, LMHC
Verified Verified
2 Endorsed
Vancouver Heights, Vancouver, WA 98664 (Online Only)
Hello! My name is Alissa Schober. I am passionate about helping children, teens, adults, and parent-child relationships heal and grow through their trauma and chronic stress experiences. My practice focuses on helping those I work with heal from trauma, such as sexual and physical abuse, neglect, and witnessing domestic violence. I also help clients learn to cope with mood disorders, such as anxiety and depression. I use evidence-based practices such as EMDR, trauma-focused cognitive behavioral therapy and child-parent psychotherapy, focusing on nurturing a sense of safety, self-compassion, understanding, and connection.
Hello! My name is Alissa Schober. I am passionate about helping children, teens, adults, and parent-child relationships heal and grow through their trauma and chronic stress experiences. My practice focuses on helping those I work with heal from trauma, such as sexual and physical abuse, neglect, and witnessing domestic violence. I also help clients learn to cope with mood disorders, such as anxiety and depression. I use evidence-based practices such as EMDR, trauma-focused cognitive behavioral therapy and child-parent psychotherapy, focusing on nurturing a sense of safety, self-compassion, understanding, and connection.
Collaborative Counseling
Counselor, NBCC, LMHC
Verified Verified
Vancouver Heights, Vancouver, WA 98664 (Online Only)
For many years I struggled with shame and doubt about who I was, often feeling lost and hopeless. I would exercise my feelings through control or passivity in relations with others. It wasn't until I received help from a counselor that I started my journey of healing that lead to my discovery of an authentic self who could practice healthy relationships, acceptance, love, and feel worthy from the inside out. At that point I chose to become a Counselor so as to assist others in their journeys of self discovery.
For many years I struggled with shame and doubt about who I was, often feeling lost and hopeless. I would exercise my feelings through control or passivity in relations with others. It wasn't until I received help from a counselor that I started my journey of healing that lead to my discovery of an authentic self who could practice healthy relationships, acceptance, love, and feel worthy from the inside out. At that point I chose to become a Counselor so as to assist others in their journeys of self discovery.
Roseway Counseling Services
Marriage & Family Therapist, LMFT, MS
Verified Verified
3 Endorsed
Vancouver Heights, Vancouver, WA 98664
Not accepting new clients
Sometimes life just gets confusing, feels hopeless and becomes hard to find your way. I can offer the experience of thousands of hours with other people who were in similar situations and found renewed hope and a better way. I work with you where you are and together we can make the journey to where you want to be.
I offer counseling with individuals and couples. I offer counseling from a Christian perspective and respect the perspective you offer.
Sometimes life just gets confusing, feels hopeless and becomes hard to find your way. I can offer the experience of thousands of hours with other people who were in similar situations and found renewed hope and a better way. I work with you where you are and together we can make the journey to where you want to be.
I offer counseling with individuals and couples. I offer counseling from a Christian perspective and respect the perspective you offer.
Roberta Dianne
Counselor, MC, LMHC
Verified Verified
Vancouver Heights, Vancouver, WA 98664
Not accepting new clients
When you are looking for a therapist you want someone who will listen, and who will hear your story without passing judgment. Once your story is told you hope your therapist can help you look at your situation from some different perspectives, and help you identify the limiting filters that you may use to view your world, so that you have more choices and possibilities in confronting and moving through tough times.
When you are looking for a therapist you want someone who will listen, and who will hear your story without passing judgment. Once your story is told you hope your therapist can help you look at your situation from some different perspectives, and help you identify the limiting filters that you may use to view your world, so that you have more choices and possibilities in confronting and moving through tough times.
Rhena Miller
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Vancouver Heights, Vancouver, WA 98664 (Online Only)
Do you wish to make changes in your life? People team with me to live more fully: with enthusiasm, passion and greater satisfaction. As your therapist, I offer you presence that is non-judgmental, caring and compassionate. Everyone deserves to have someone who is fully present with them. I am an insightful listener, and will meet you where you are at, in whatever moment you are in. As we partner together, we can unlock the key to achieving your personal goals and the aspirations you wish to accomplish. The Acceptance and Commitment Therapy Model, ACT, is my primary approach.
Do you wish to make changes in your life? People team with me to live more fully: with enthusiasm, passion and greater satisfaction. As your therapist, I offer you presence that is non-judgmental, caring and compassionate. Everyone deserves to have someone who is fully present with them. I am an insightful listener, and will meet you where you are at, in whatever moment you are in. As we partner together, we can unlock the key to achieving your personal goals and the aspirations you wish to accomplish. The Acceptance and Commitment Therapy Model, ACT, is my primary approach.
In a world that is habitually fast-paced and anonymous, it is easy to lose connection with ourselves and each other. Are you feeling disconnected or stuck? Like the parts of your life are out of sync? Having difficulties in relationships? Typically, I work with people experiencing disconnection and "stuck" feelings which often show up during times of transition and change within the context of significant relationships including parents, partners, children and friends. I also work with people around the stuck places connected to various trauma experiences.
In a world that is habitually fast-paced and anonymous, it is easy to lose connection with ourselves and each other. Are you feeling disconnected or stuck? Like the parts of your life are out of sync? Having difficulties in relationships? Typically, I work with people experiencing disconnection and "stuck" feelings which often show up during times of transition and change within the context of significant relationships including parents, partners, children and friends. I also work with people around the stuck places connected to various trauma experiences.
Tired of starting with eMail and ending up watching porn half the night? Tired of finding yourself in a strip club or adult bookstore when you were on your way to Home Depot, or, worse yet, to the kids' sporting event? Tired of lying? Keeping secrets? I'd like to help you find freedom from pornography and other forms of sex addiction. The reason is simple: life is full of opportunities to flourish, but addictive behaviors can hijack the ability to engage in those opportunities. Don't settle for less.
Tired of starting with eMail and ending up watching porn half the night? Tired of finding yourself in a strip club or adult bookstore when you were on your way to Home Depot, or, worse yet, to the kids' sporting event? Tired of lying? Keeping secrets? I'd like to help you find freedom from pornography and other forms of sex addiction. The reason is simple: life is full of opportunities to flourish, but addictive behaviors can hijack the ability to engage in those opportunities. Don't settle for less.
Peter Gold Phd
Counselor, PhD, LMHC, LPC
Verified Verified
6 Endorsed
Vancouver Heights, Vancouver, WA 98664 (Online Only)
People come to me usually for one of two reasons: (1) things are going well but they want to grow and evolve, (2) things are hard because of a past traumatic experience or a current situation, and healing and change is needed. Symptoms often include anxiety, depression, issues related to trauma, anger, grief and relationship issues. I work from a depth psychological perspective which means that I address the cause of symptoms as much as the symptoms themselves.
People come to me usually for one of two reasons: (1) things are going well but they want to grow and evolve, (2) things are hard because of a past traumatic experience or a current situation, and healing and change is needed. Symptoms often include anxiety, depression, issues related to trauma, anger, grief and relationship issues. I work from a depth psychological perspective which means that I address the cause of symptoms as much as the symptoms themselves.
Tina L Powell
Counselor, MA, MS, LMHC, NCC, DVTP
Verified Verified
Vancouver Heights, Vancouver, WA 98664
Reflecting on my own counseling practice, I have discovered the overwhelming strength and healing power of human connectedness which is an essential cornerstone of my therapeutic counseling relationships. Life is a journey filled with both opportunities and challenges. When daily life and/or life transitions seem too overwhelming, the guidance and support provided from a trusted professional who is empathetic and objective can be informative, empowering, and restorative. I use cognitive-behavioral and psychodynamic interventions to help clients discover how conscious and unconscious thoughts impact emotions and behaviors. In addition, I draw from a variety of counseling theories to meet each client's individual needs.
Reflecting on my own counseling practice, I have discovered the overwhelming strength and healing power of human connectedness which is an essential cornerstone of my therapeutic counseling relationships. Life is a journey filled with both opportunities and challenges. When daily life and/or life transitions seem too overwhelming, the guidance and support provided from a trusted professional who is empathetic and objective can be informative, empowering, and restorative. I use cognitive-behavioral and psychodynamic interventions to help clients discover how conscious and unconscious thoughts impact emotions and behaviors. In addition, I draw from a variety of counseling theories to meet each client's individual needs.
Nancy Kyrie Campbell
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Vancouver Heights, Vancouver, WA 98664
I have worked with individuals, couples, families, and groups. My current focus is primarily on people dealing with anxiety, depression, grief, attachment, life transitions, trauma, family and other interpersonal issues. I use a highly respectful approach in helping my clients address their issues and build effective coping and communication skills. This can include identifying and shifting limiting patterns (based on experiences of the past) that have continued to influence their present-day emotions, attitudes, interactions, expectations, and decisions. I work with each individual in a way that empowers them to stay in charge of their own therapeutic process.
I have worked with individuals, couples, families, and groups. My current focus is primarily on people dealing with anxiety, depression, grief, attachment, life transitions, trauma, family and other interpersonal issues. I use a highly respectful approach in helping my clients address their issues and build effective coping and communication skills. This can include identifying and shifting limiting patterns (based on experiences of the past) that have continued to influence their present-day emotions, attitudes, interactions, expectations, and decisions. I work with each individual in a way that empowers them to stay in charge of their own therapeutic process.
Khristina Williams
Counselor, LMHC, LPC
Verified Verified
1 Endorsed
Vancouver Heights, Vancouver, WA 98664
As a counselor, my role is to create a safe environment where you can feel secure and supported. My style is respectful, warm and interactive. I value a strong therapeutic alliance as a basis for personal and behavioral change and emotional growth. When working with teens, I find collaborating with caregivers to be most effective in fostering growth and positive change. I also find it essential working with adolescents to build a strong rapport as a foundation to further enhance the therapeutic process.
As a counselor, my role is to create a safe environment where you can feel secure and supported. My style is respectful, warm and interactive. I value a strong therapeutic alliance as a basis for personal and behavioral change and emotional growth. When working with teens, I find collaborating with caregivers to be most effective in fostering growth and positive change. I also find it essential working with adolescents to build a strong rapport as a foundation to further enhance the therapeutic process.
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Heaven Sent Counseling
Counselor, MS, CDP, LMHC
Verified Verified
1 Endorsed
Vancouver Heights, Vancouver, WA 98664 (Online Only)
Immediate Openings in KS and WA. I have been a counselor for almost 20 years. I have worked in the addiction field and with couples and families helping them to resolve issues between couples and family members. I also have worked with people who have co-dependency issues, anxiety issues, post traumatic stress disorder, and depression. I am moved into my own private practice in June 2015. I am currently a Licensed Mental Health Counselor and a Chemical Dependency Professional, in Washington State and now am licensed in Kansas and have moved my practice to Kansas, but can continue to work with people in Washington State online.
Immediate Openings in KS and WA. I have been a counselor for almost 20 years. I have worked in the addiction field and with couples and families helping them to resolve issues between couples and family members. I also have worked with people who have co-dependency issues, anxiety issues, post traumatic stress disorder, and depression. I am moved into my own private practice in June 2015. I am currently a Licensed Mental Health Counselor and a Chemical Dependency Professional, in Washington State and now am licensed in Kansas and have moved my practice to Kansas, but can continue to work with people in Washington State online.
Judatha Kline
Marriage & Family Therapist, PhD, MFT
Verified Verified
4 Endorsed
Vancouver Heights, Vancouver, WA 98664
Waitlist for new clients
Are you often sad, stuck, angry, or anxious? Do to struggle with intrusive thoughts, hopelessness, alienation, or addictive behaviors? Is your relationship in crisis? Through therapy, you can find new perspectives and coping strategies, freedom from old hurts, and a greater sense of well being. I provide a confidential relationship and compassionate expertise to help you heal and grow through mental and emotional pain. I will help you tap into your innate capacity for healing to find greater joy and compassion for yourself and others.
Are you often sad, stuck, angry, or anxious? Do to struggle with intrusive thoughts, hopelessness, alienation, or addictive behaviors? Is your relationship in crisis? Through therapy, you can find new perspectives and coping strategies, freedom from old hurts, and a greater sense of well being. I provide a confidential relationship and compassionate expertise to help you heal and grow through mental and emotional pain. I will help you tap into your innate capacity for healing to find greater joy and compassion for yourself and others.
Malinda Trujillo
Psychologist, PhD
Verified Verified
3 Endorsed
Vancouver Heights, Vancouver, WA 98664
I am a licensed psychologist who specializes in trauma, anxiety, multicultural counseling, and women's health. I provide psychotherapy to adults, and couples who are coping with a variety of different concerns including PTSD, trauma, anxiety, depression, grief, spirituality, and other life transitions. I believe in providing a safe, open, and collaborative environment for you to approach and explore your concerns. Therapy is a journey. You choose your destination, but I can help you develop the tools you need to overcome your barriers, move towards holistic wellness, and find a value driven authentic life path.
I am a licensed psychologist who specializes in trauma, anxiety, multicultural counseling, and women's health. I provide psychotherapy to adults, and couples who are coping with a variety of different concerns including PTSD, trauma, anxiety, depression, grief, spirituality, and other life transitions. I believe in providing a safe, open, and collaborative environment for you to approach and explore your concerns. Therapy is a journey. You choose your destination, but I can help you develop the tools you need to overcome your barriers, move towards holistic wellness, and find a value driven authentic life path.
Kathryn Williams
Licensed Professional Counselor, LPC
Verified Verified
Vancouver Heights, Vancouver, WA 98664 (Online Only)
You're a highly sensitive, creative soul in the second half of life or beyond, and finding yourself confronted with challenging transitions, unmet creative desires, troubling patterns of relating, or emerging, unfamiliar emotions. You sense, from nightly dreams, your unconscious calling for your attention. You suspect or know that listening to them will lead to increased mental, emotional, and spiritual growth and well-being. Yet, making meaning of dreams' myriad images on your own feels frustrating or out of reach. With support, you want to free those inner parts lost in Shadow, that they may join in realizing your full wholeness.
You're a highly sensitive, creative soul in the second half of life or beyond, and finding yourself confronted with challenging transitions, unmet creative desires, troubling patterns of relating, or emerging, unfamiliar emotions. You sense, from nightly dreams, your unconscious calling for your attention. You suspect or know that listening to them will lead to increased mental, emotional, and spiritual growth and well-being. Yet, making meaning of dreams' myriad images on your own feels frustrating or out of reach. With support, you want to free those inner parts lost in Shadow, that they may join in realizing your full wholeness.
Rebecca Lomeland
Counselor, LMHC
Verified Verified
3 Endorsed
Vancouver Heights, Vancouver, WA 98664
Do you find yourself struggling to break unhealthy cycles of toxic relationships, mood swings, or generational patterns, no matter what you do? You may be fed up with your own inability to cope and connect well with others, feeling full of shame and regret. You might not even remember a time when things didn’t feel this way. But one thing is for sure: you’re ready for some relief. You’re ready to find some clarity. You’re ready to start feeling confident and secure in your own skin. Most of all, you’re ready to find the empowerment you need to turn over a new leaf.
Do you find yourself struggling to break unhealthy cycles of toxic relationships, mood swings, or generational patterns, no matter what you do? You may be fed up with your own inability to cope and connect well with others, feeling full of shame and regret. You might not even remember a time when things didn’t feel this way. But one thing is for sure: you’re ready for some relief. You’re ready to find some clarity. You’re ready to start feeling confident and secure in your own skin. Most of all, you’re ready to find the empowerment you need to turn over a new leaf.
Ollie Gibson-Lavell
Clinical Social Work/Therapist, LCSW
Verified Verified
Vancouver Heights, Vancouver, WA 98664
Ollie Gibson-Lavell, LCSW Ollie Gibson-Lavell is a Licensed Clinical Social Worker in Washington who has been practicing since 2022. Ollie believes in focusing on the positive aspects of your reality as you creatively engage with the challenges of daily life. She utilizes a humanist, integrative, solution focus, trauma-informed approach to enhance the daily living experience of those impacted with Co-Occurring Disorders (Mental Health and SUD and other Disorders) and their families. Outside of work, Ollie enjoys engaging with others and watching plants and butterflies transform on their journey.
Ollie Gibson-Lavell, LCSW Ollie Gibson-Lavell is a Licensed Clinical Social Worker in Washington who has been practicing since 2022. Ollie believes in focusing on the positive aspects of your reality as you creatively engage with the challenges of daily life. She utilizes a humanist, integrative, solution focus, trauma-informed approach to enhance the daily living experience of those impacted with Co-Occurring Disorders (Mental Health and SUD and other Disorders) and their families. Outside of work, Ollie enjoys engaging with others and watching plants and butterflies transform on their journey.
As a Recovery Coach my aim is to meet you where you are, and to let you know that wherever you are is normal. I am able to engage clients outside the confines of traditional clinical practice, providing support where there might currently be gaps in your care. This can look like: Meeting in the community—whether you need support going to a recovery meeting or you want encouragement while eating a meal. Sharing my own experiences with mental health, sobriety, and eating disorder recovery. Long and short-term goal setting, and hands-on support taking steps to achieve those goals.
As a Recovery Coach my aim is to meet you where you are, and to let you know that wherever you are is normal. I am able to engage clients outside the confines of traditional clinical practice, providing support where there might currently be gaps in your care. This can look like: Meeting in the community—whether you need support going to a recovery meeting or you want encouragement while eating a meal. Sharing my own experiences with mental health, sobriety, and eating disorder recovery. Long and short-term goal setting, and hands-on support taking steps to achieve those goals.
Jessalyn Jackson
Counselor, MA, LMHC
Verified Verified
Vancouver Heights, Vancouver, WA 98664 (Online Only)
I have a special interest in helping you discover what is truly possible for yourself and your life. Maybe you've found yourself in a cycle that you can't seem to get out of, missing out on what makes your life truly vital. I work closely with individuals who are struggling with life transitions, work-related stress, relationship issues, depression and anxiety. My goal is to walk alongside you as you reflect and make connections that propel your life forward in the direction that you want while gaining the tools to sustain it.
I have a special interest in helping you discover what is truly possible for yourself and your life. Maybe you've found yourself in a cycle that you can't seem to get out of, missing out on what makes your life truly vital. I work closely with individuals who are struggling with life transitions, work-related stress, relationship issues, depression and anxiety. My goal is to walk alongside you as you reflect and make connections that propel your life forward in the direction that you want while gaining the tools to sustain it.
Grief/Loss Trauma ADHD Tinamarie Fish LMHC
Counselor, LMHC, MHP, CMHS, CCTP
Verified Verified
1 Endorsed
Vancouver Heights, Vancouver, WA 98664 (Online Only)
We have availability! I am the owner and Clinical Supervisor of Magnolia Behavioral and Holistic Health. As your clinician, I will provide a warm, safe, non judgmental space. My therapeutic perspective is a holistic and health minded approach to counseling while focusing on client’s individual needs. My approach may include some humor (at appropriate times), validate clients, witness their feelings, and to truly hear what they are experiencing. My specializations include trauma, grief/loss, women’s and teen issues.
We have availability! I am the owner and Clinical Supervisor of Magnolia Behavioral and Holistic Health. As your clinician, I will provide a warm, safe, non judgmental space. My therapeutic perspective is a holistic and health minded approach to counseling while focusing on client’s individual needs. My approach may include some humor (at appropriate times), validate clients, witness their feelings, and to truly hear what they are experiencing. My specializations include trauma, grief/loss, women’s and teen issues.
See more therapy options for Vancouver Heights, Vancouver
Nearby Searches for Vancouver Heights, Vancouver
- Airport Green
- Arnada
- Bagley Downs
- Cascade Highlands
- Countryside Woods
- Fircrest
- Hearthwood
- Hudsons Bay
- North Image
- Shumway
- Van Mall
- West Minnehaha
How does your Therapist compare?
Number of Therapists in Vancouver Heights, Vancouver, WA
70+
Average cost per session
$155
Therapists in Vancouver Heights, Vancouver, WA who prioritize treating:
95% | Anxiety |
89% | Depression |
74% | Grief |
74% | Trauma and PTSD |
46% | Life Transitions |
43% | Relationship Issues |
39% | Bipolar Disorder |
Average years in practice
11 Years
Top 3 insurances accepted
84% | Aetna |
79% | Cigna and Evernorth |
69% | UnitedHealthcare UHC | UBH |
How Therapists in Vancouver Heights, Vancouver, WA see their clients
83% | In Person and Online | |
17% | Online Only |
Gender breakdown
82% | Female | |
18% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in Vancouver Heights, 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
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.
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.
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.