Therapists in Lewis County, WA

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Photo of Rylee M Erwin-Larson, MA, LMFTA, Marriage & Family Therapist Associate
Rylee M Erwin-Larson
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
2 Endorsed
Chehalis, WA 98532  (Online Only)
Life can feel overwhelming, and reaching out for support is a big step—I’m here to walk alongside you. As a systemic therapist, I’ll help you navigate challenges, strengthen relationships, and create meaningful change. Whether it's stress, boundaries, self-discovery, or processing trauma, we’ll find tools and insights that support your growth. My approach is compassionate, open-minded, and inclusive, focusing on connection and trust. My goal is to make therapy feel personal and relatable. If you're looking for a knowledgeable therapist with whom you can be authentic and share a good laugh or cry with, I'm your gal!
Life can feel overwhelming, and reaching out for support is a big step—I’m here to walk alongside you. As a systemic therapist, I’ll help you navigate challenges, strengthen relationships, and create meaningful change. Whether it's stress, boundaries, self-discovery, or processing trauma, we’ll find tools and insights that support your growth. My approach is compassionate, open-minded, and inclusive, focusing on connection and trust. My goal is to make therapy feel personal and relatable. If you're looking for a knowledgeable therapist with whom you can be authentic and share a good laugh or cry with, I'm your gal!
(360) 614-4962 View (360) 614-4962
Photo of Trish Geist - Avoiding the Couch, PLLC, MA, LMHC, DBTC, Counselor
Avoiding the Couch, PLLC
Counselor, MA, LMHC, DBTC
Verified Verified
2 Endorsed
Centralia, WA 98531
I seek to provide support for healthy change, personal growth, and healing. Together we will identify specific areas to explore and then create a plan to work towards positive lasting change. We will focus on building healthy coping skills to manage current symptoms and future challenges. Specializing in Dialectical Behavior Therapy (DBT), working across a variety of mental health symptoms, assisting to increase focus, flexibility, ability to cope with pain, building interpersonal effectiveness, emotional intelligence, and problem solving.
I seek to provide support for healthy change, personal growth, and healing. Together we will identify specific areas to explore and then create a plan to work towards positive lasting change. We will focus on building healthy coping skills to manage current symptoms and future challenges. Specializing in Dialectical Behavior Therapy (DBT), working across a variety of mental health symptoms, assisting to increase focus, flexibility, ability to cope with pain, building interpersonal effectiveness, emotional intelligence, and problem solving.
(360) 227-6909 View (360) 227-6909
Photo of Emily Lutz, LMHCA, Counselor
Emily Lutz
Counselor, LMHCA
Verified Verified
Centralia, WA 98531  (Online Only)
Do you find it difficult to set boundaries for fear of potential conflict or rejection? Maybe you default to people pleasing when feeling overwhelmed? Perhaps you feel like you've sacrificed your sense of self to maintain harmony in your relationships. Or maybe you find it difficult to recognize your own desires, passions, preferences or opinions. These traits can stem from various factors, but no matter their origin you most likely find yourself overcommitted, resentful and stressed. The journey to overcoming people-pleasing begins with self-awareness and the acknowledgment of one's worth independent of others' approval.
Do you find it difficult to set boundaries for fear of potential conflict or rejection? Maybe you default to people pleasing when feeling overwhelmed? Perhaps you feel like you've sacrificed your sense of self to maintain harmony in your relationships. Or maybe you find it difficult to recognize your own desires, passions, preferences or opinions. These traits can stem from various factors, but no matter their origin you most likely find yourself overcommitted, resentful and stressed. The journey to overcoming people-pleasing begins with self-awareness and the acknowledgment of one's worth independent of others' approval.
(360) 498-7449 View (360) 498-7449
Photo of Elisa Stepp, MA, LMFT, Marriage & Family Therapist
Elisa Stepp
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Centralia, WA 98531
All are welcome at Abundance Family Therapy! Everyone has times that seem too hard to bear. Life can seem pretty heavy at times, and we just need our load lightened. Sometimes the heaviness comes from feelings of anxiety, depression, life transitions, loneliness, spiritual challenges, communication issues or even relationship fractures. If you find yourself feeling the weight of these things or perhaps other things in your life, please come on in and let me help lighten your load. Although experiencing these feelings or situations remind us, we are human, it is the overcoming that brings peace and growth.
All are welcome at Abundance Family Therapy! Everyone has times that seem too hard to bear. Life can seem pretty heavy at times, and we just need our load lightened. Sometimes the heaviness comes from feelings of anxiety, depression, life transitions, loneliness, spiritual challenges, communication issues or even relationship fractures. If you find yourself feeling the weight of these things or perhaps other things in your life, please come on in and let me help lighten your load. Although experiencing these feelings or situations remind us, we are human, it is the overcoming that brings peace and growth.
(360) 230-7817 View (360) 230-7817
Photo of Dr. Holli Schoonover, PhD, Pastoral Counselor
Dr. Holli Schoonover
Pastoral Counselor, PhD
Verified Verified
Chehalis, WA 98532
Accepting new clients. Life can be hard, challenging, and at times can feel truly hopeless. There IS hope! Learn to implement key changes and create shifts to overcome even the most challenging of obstacles. As a Therapist/Licensed Clinical Pastoral Counselor, I am trained in both psychology and theology, and provide psychological as well as spiritual guidance as requested by clients.
Accepting new clients. Life can be hard, challenging, and at times can feel truly hopeless. There IS hope! Learn to implement key changes and create shifts to overcome even the most challenging of obstacles. As a Therapist/Licensed Clinical Pastoral Counselor, I am trained in both psychology and theology, and provide psychological as well as spiritual guidance as requested by clients.
(360) 300-8540 View (360) 300-8540
Photo of Melissa Good, MA, LMHC, MHP, CPC, SUDPt, Counselor
Melissa Good
Counselor, MA, LMHC, MHP, CPC, SUDPt
Verified Verified
2 Endorsed
Centralia, WA 98531
Not accepting new clients
I have experience working with Anxiety, Depression, and Life Transitions. Life can get heavy and it can feel like there is no way through. I am here to help you along the path that you choose is best for your needs.
I have experience working with Anxiety, Depression, and Life Transitions. Life can get heavy and it can feel like there is no way through. I am here to help you along the path that you choose is best for your needs.
(360) 526-6597 View (360) 526-6597
Photo of Shannon Vega, MSW, LICSW, CMHS, MHP, Clinical Social Work/Therapist
Shannon Vega
Clinical Social Work/Therapist, MSW, LICSW, CMHS, MHP
Verified Verified
1 Endorsed
Centralia, WA 98531
Not accepting new clients
Not sure what to do? Feeling desperate and hopeless? Struggling with letting go of the past? Don't know what to do about your child's out of control behaviors? We all come to a point in our lives when things seem unbearable. Sometimes we need a little help for a short amount of time, and sometimes we need a huge assist for an indefinite amount of time. My hope is that you begin to gain the confidence and stability to live life, not simply survive this world. I have an eclectic approach and pull from many therapeutic modalities to meet people where they are in their therapeutic journey.
Not sure what to do? Feeling desperate and hopeless? Struggling with letting go of the past? Don't know what to do about your child's out of control behaviors? We all come to a point in our lives when things seem unbearable. Sometimes we need a little help for a short amount of time, and sometimes we need a huge assist for an indefinite amount of time. My hope is that you begin to gain the confidence and stability to live life, not simply survive this world. I have an eclectic approach and pull from many therapeutic modalities to meet people where they are in their therapeutic journey.
(360) 230-5852 View (360) 230-5852
Photo of Valery Byrd, MSW, MHP, LICSW, Clinical Social Work/Therapist
Valery Byrd
Clinical Social Work/Therapist, MSW, MHP, LICSW
Verified Verified
Centralia, WA 98531
Maybe you tried therapy and it didn't help, or maybe you're hesitant to try it for the first time. Whatever the case, allow me the opportunity to change your mind! in the 6 years I've been in practice, I've had wonderful feedback from my clients. Each person is a unique individual who needs customized treatment. My goal is to get to know and understand YOU, and walk alongside you in the journey of self discovery. Do you need someone to listen and care? Looking for new tools and practical solutions? Seeking healing? I can help!
Maybe you tried therapy and it didn't help, or maybe you're hesitant to try it for the first time. Whatever the case, allow me the opportunity to change your mind! in the 6 years I've been in practice, I've had wonderful feedback from my clients. Each person is a unique individual who needs customized treatment. My goal is to get to know and understand YOU, and walk alongside you in the journey of self discovery. Do you need someone to listen and care? Looking for new tools and practical solutions? Seeking healing? I can help!
(360) 800-4267 View (360) 800-4267
Photo of Patty Dean, MA, LMHC, CASDCS
Patty Dean
Mental Health Counselor, MA, LMHC, CASDCS
Verified Verified
1 Endorsed
Centralia, WA 98531
I'm here to offer a safe, comfortable, accepting environment to process your goals, needs, and challenges. I affirm and celebrate everyone's identity and values. Your goals are the ones that matter in therapy. I want you to be comfortable while connecting with someone who authentically cares about you. I believe we are all doing the best we can. Whether age 2, 102, or anywhere in between, I am here to support you. I love working with children, teens, and adults both on and off the autism spectrum. I have also worked as a grief counselor with Hospice, and walked beside many people on their journey of grief.
I'm here to offer a safe, comfortable, accepting environment to process your goals, needs, and challenges. I affirm and celebrate everyone's identity and values. Your goals are the ones that matter in therapy. I want you to be comfortable while connecting with someone who authentically cares about you. I believe we are all doing the best we can. Whether age 2, 102, or anywhere in between, I am here to support you. I love working with children, teens, and adults both on and off the autism spectrum. I have also worked as a grief counselor with Hospice, and walked beside many people on their journey of grief.
(360) 469-0563 View (360) 469-0563
Photo of Alyssa Isabel Ely, LSWAIC, MSW, Clinical Social Work/Therapist
Alyssa Isabel Ely
Clinical Social Work/Therapist, LSWAIC, MSW
Verified Verified
Centralia, WA 98531
Looking to start therapy can feel so overwhelming and clinical! Are you looking for a therapist you can personally connect with? I tailor each therapy session to YOU so you can feel empowered and supported. Do any of the following sound familiar: you're motivated and goal-driven but stuck on where to go next? You demonstrate a strong desire for personal growth and healing but have mental barriers that arise? Have you experienced grief or trauma and don't know how to process it or feel like it's 'too heavy' to share with other people? You're in the right place!
Looking to start therapy can feel so overwhelming and clinical! Are you looking for a therapist you can personally connect with? I tailor each therapy session to YOU so you can feel empowered and supported. Do any of the following sound familiar: you're motivated and goal-driven but stuck on where to go next? You demonstrate a strong desire for personal growth and healing but have mental barriers that arise? Have you experienced grief or trauma and don't know how to process it or feel like it's 'too heavy' to share with other people? You're in the right place!
(360) 488-0521 View (360) 488-0521
Photo of Niston Franco, CAAR, SUDP, Counselor
Niston Franco
Counselor, CAAR, SUDP
Verified Verified
Chehalis, WA 98532
Never stop dreaming in reaching your full potential. Give yourself the opportunity to move forward and let go of the past.
Never stop dreaming in reaching your full potential. Give yourself the opportunity to move forward and let go of the past.
(360) 667-1612 View (360) 667-1612
Photo of Darren Hunt, LICSW, LCSW, CADC, Clinical Social Work/Therapist
Darren Hunt
Clinical Social Work/Therapist, LICSW, LCSW, CADC
Verified Verified
1 Endorsed
Toledo, WA 98591
I currently have a waitlist. Hello, my name is Darren (he/him). I provide counseling to individuals & couples. I have worked in the mental health field for fourteen years and have been a counselor for over five years. I strive to provide an environment that is authentic, non-judgmental, warm, and collaborative. I subscribe to a humanistic approach to working therapeutically, meeting people where they are in the moment and building a strong alliance. Using modalities with ACT-informed skills and DBT-informed skills.
I currently have a waitlist. Hello, my name is Darren (he/him). I provide counseling to individuals & couples. I have worked in the mental health field for fourteen years and have been a counselor for over five years. I strive to provide an environment that is authentic, non-judgmental, warm, and collaborative. I subscribe to a humanistic approach to working therapeutically, meeting people where they are in the moment and building a strong alliance. Using modalities with ACT-informed skills and DBT-informed skills.
(360) 526-6753 View (360) 526-6753
Photo of Whe, LMHC, Counselor
Whe Whe
Counselor, LMHC
Verified Verified
Chehalis, WA 98532
We all possess the capacity to heal and thrive through the processes of self exploration and discovery. Whether you are experiencing the repercussions of trauma, navigating identity, needing assistance with balancing mood and resolving anxieties, or establishing a sense of meaning in life, we work together to determine your needs and desires and develop a plan for meeting those.
We all possess the capacity to heal and thrive through the processes of self exploration and discovery. Whether you are experiencing the repercussions of trauma, navigating identity, needing assistance with balancing mood and resolving anxieties, or establishing a sense of meaning in life, we work together to determine your needs and desires and develop a plan for meeting those.
(509) 260-3107 View (509) 260-3107
Photo of David A Jones, MA, LMFT, NCC, Marriage & Family Therapist
David A Jones
Marriage & Family Therapist, MA, LMFT, NCC
Verified Verified
3 Endorsed
Chehalis, WA 98532
Waitlist for new clients
It often starts with the unexpected. Unexpected news, unanticipated turns, unforeseen circumstances, and sometimes the unimaginable. It is at these times we can often feel powerless, afraid, confused, and uncertain. Change for some can be unwelcomed and for other’s change doesn’t seem to come soon enough. We cannot always choose what we go through, but we can choose how we go through it. Many seek therapy due to hard-fought battles with a variety of life issues, such as depression, trauma, anxiety, relationship problems, parenting challenges, and experiences from the past that keep them from moving forward.
It often starts with the unexpected. Unexpected news, unanticipated turns, unforeseen circumstances, and sometimes the unimaginable. It is at these times we can often feel powerless, afraid, confused, and uncertain. Change for some can be unwelcomed and for other’s change doesn’t seem to come soon enough. We cannot always choose what we go through, but we can choose how we go through it. Many seek therapy due to hard-fought battles with a variety of life issues, such as depression, trauma, anxiety, relationship problems, parenting challenges, and experiences from the past that keep them from moving forward.
(360) 996-1140 View (360) 996-1140
Photo of Matthew A Johnson, PsyD, MSW, Psychologist
Matthew A Johnson
Psychologist, PsyD, MSW
Verified Verified
Chehalis, WA 98532
I have worked in the Mental Health Field for 42 years. I've been a Licensed Clinical Psychologist for 29 of those 42 years. I work with children, adolescents, couples, and families. I work with clients of all ages who struggle with ADD/ADHD, Anxiety, Depression, Bipolar Disorder, Traumatic Brain Injury (TBI), PTSD, Alcohol/Drug Addictions, Family/Parenting, Marital, Sex Abuse, Sexual Addiction, Career Concerns, Self-Esteem Issues, Spirituality Issues, Law Enforcement Personnel Issues, Military Personnel Issues, Athletics, and much more.
I have worked in the Mental Health Field for 42 years. I've been a Licensed Clinical Psychologist for 29 of those 42 years. I work with children, adolescents, couples, and families. I work with clients of all ages who struggle with ADD/ADHD, Anxiety, Depression, Bipolar Disorder, Traumatic Brain Injury (TBI), PTSD, Alcohol/Drug Addictions, Family/Parenting, Marital, Sex Abuse, Sexual Addiction, Career Concerns, Self-Esteem Issues, Spirituality Issues, Law Enforcement Personnel Issues, Military Personnel Issues, Athletics, and much more.
(360) 226-7339 View (360) 226-7339
Photo of Rudy D Hernandez, MA MFT, LMHC, Counselor
Rudy D Hernandez
Counselor, MA MFT, LMHC
Verified Verified
1 Endorsed
Chehalis, WA 98532
Through a person-centered humanistic approach, Rudy hopes to meet people where they are at. He is honored to support those doing the hard work of facing their challenges and be a part of the healing process. He also draws from Cognitive Behavioral Therapy (CBT), Solution-Focused Brief Therapy (SFBT), and Emotion-Focused Therapy (EFT) and strength-based therapy to help guide those seeking to connect thoughts and behaviors and encourage self-efficacy. Play therapy also informs his work with children, teens, and families.
Through a person-centered humanistic approach, Rudy hopes to meet people where they are at. He is honored to support those doing the hard work of facing their challenges and be a part of the healing process. He also draws from Cognitive Behavioral Therapy (CBT), Solution-Focused Brief Therapy (SFBT), and Emotion-Focused Therapy (EFT) and strength-based therapy to help guide those seeking to connect thoughts and behaviors and encourage self-efficacy. Play therapy also informs his work with children, teens, and families.
(360) 469-6673 View (360) 469-6673
Photo of Dodi S Forgione, PsyD, LMHCA, Counselor
Dodi S Forgione
Counselor, PsyD, LMHCA
Verified Verified
1 Endorsed
Chehalis, WA 98532
The world can be a scary place. Things can happen to us where the scars are not visible to the world. These scars can show up as depression, anxiety, anger, and even thoughts of suicide. In our sessions together, we will work together to find relief from these scars. I want to provide a safe space where you can tell your story and be heard. I am specialized to work with trauma, depression, anxiety, and feelings of intense anger. I incorporate Emotion Focus Therapy (EFT), Attachment, and LIfespan Integration (for trauma).
The world can be a scary place. Things can happen to us where the scars are not visible to the world. These scars can show up as depression, anxiety, anger, and even thoughts of suicide. In our sessions together, we will work together to find relief from these scars. I want to provide a safe space where you can tell your story and be heard. I am specialized to work with trauma, depression, anxiety, and feelings of intense anger. I incorporate Emotion Focus Therapy (EFT), Attachment, and LIfespan Integration (for trauma).
(425) 212-1979 View (425) 212-1979
Photo of George Okoth Otura, MA LMHC, LPC, NCC
George Okoth Otura
Mental Health Counselor, MA LMHC, LPC, NCC
Verified Verified
Centralia, WA 98531  (Online Only)
I am an eclectic therapist, I apply the most suitable evident based techniques tailored to meet my client’s personalized treatment plan needs, this approach generally fits most clients from multicultural backgrounds. I offer acceptable atmosphere and safe space that promote change and healing. I respect everyone beliefs system and will utilize therapeutical methodologies on your preference.
I am an eclectic therapist, I apply the most suitable evident based techniques tailored to meet my client’s personalized treatment plan needs, this approach generally fits most clients from multicultural backgrounds. I offer acceptable atmosphere and safe space that promote change and healing. I respect everyone beliefs system and will utilize therapeutical methodologies on your preference.
(425) 640-7009 x1 View (425) 640-7009 x1
Photo of Angelina L Bowen, MA, LMFT, Marriage & Family Therapist
Angelina L Bowen
Marriage & Family Therapist, MA, LMFT
Verified Verified
Morton, WA 98356  (Online Only)
Waitlist for new clients
I work to meet my clients where they are at with compassion, empathy and nonjudgement. Feel free to call or email me to discuss the right treatment approach for your unique needs.
I work to meet my clients where they are at with compassion, empathy and nonjudgement. Feel free to call or email me to discuss the right treatment approach for your unique needs.
(360) 226-7972 View (360) 226-7972
Photo of Dr. Hughes; Schoonover - Renew Refocus Counseling, PhD, Licensed Professional Counselor
Renew Refocus Counseling
Licensed Professional Counselor, PhD
Verified Verified
Chehalis, WA 98532
Accepting new clients. Life can be hard, challenging, and at times can feel truly hopeless. There are times you may experience life controlled by intense emotions or paralyzing anxiety/fear and detached numbness takes over. Traumatic memories that are overwhelming, causing insomnia or night terrors. Relationships suffering from conflict, lack of intimacy, and distraction are inevitable. Teen conflict, locked in power struggles without solutions that result in endless frustration dominating your time. There IS hope! Learn to implement key changes and create shifts to overcome even the most challenging obstacles.
Accepting new clients. Life can be hard, challenging, and at times can feel truly hopeless. There are times you may experience life controlled by intense emotions or paralyzing anxiety/fear and detached numbness takes over. Traumatic memories that are overwhelming, causing insomnia or night terrors. Relationships suffering from conflict, lack of intimacy, and distraction are inevitable. Teen conflict, locked in power struggles without solutions that result in endless frustration dominating your time. There IS hope! Learn to implement key changes and create shifts to overcome even the most challenging obstacles.
(360) 585-4993 View (360) 585-4993
1

See more therapy options for Lewis County

How does your Therapist compare?

Number of Therapists in Lewis County, WA

50+

Average cost per session

$142

Therapists in Lewis County, WA who prioritize treating:

95% Depression
90% Anxiety
76% Trauma and PTSD
76% Self Esteem
71% Relationship Issues
67% Stress
62% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

79% Aetna
74% Regence
67% UnitedHealthcare UHC | UBH

How Therapists in Lewis County, WA see their clients

63% In Person and Online
37% Online Only

Gender breakdown

72% Female
27% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lewis 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.

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