Therapists in Tacoma, WA

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Photo of Courtney Putnam, Counselor in Tacoma, WA
Courtney Putnam
Counselor, MA, MFA, LMHCA, LMT, RM
Verified Verified
3 Endorsed
Tacoma, WA 98406
Do you want support in managing the stressors in your life, getting unstuck, expressing yourself, and deepening your relationships with yourself and others? I work with adults (18+) from all walks of life who may be struggling with self-esteem, identity, anxiety, depression, grief/loss, life transitions, chronic pain/illness, college stress, burnout, past trauma, and more. I am also an LGBTQ+ affirming therapist and offer gender-affirming care. I hold an inclusive and anti-oppressive lens and invite clients’ intersecting cultural identities to be acknowledged, respected, and celebrated.
Do you want support in managing the stressors in your life, getting unstuck, expressing yourself, and deepening your relationships with yourself and others? I work with adults (18+) from all walks of life who may be struggling with self-esteem, identity, anxiety, depression, grief/loss, life transitions, chronic pain/illness, college stress, burnout, past trauma, and more. I am also an LGBTQ+ affirming therapist and offer gender-affirming care. I hold an inclusive and anti-oppressive lens and invite clients’ intersecting cultural identities to be acknowledged, respected, and celebrated.
(253) 243-8345 View (253) 243-8345
Photo of Zaydoc Morgan, Clinical Social Work/Therapist in Tacoma, WA
Zaydoc Morgan
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Tacoma, WA 98402
Are you feeling unseen and often misunderstood? Unsure of your identity or how to assert yourself? Do you find that you dislike yourself or wish you were a different person? In today's world it can be easy to feel knocked down, broken and powerless. In therapy together we can explore ways to reclaim your own personal power and back on track to live the life you've always envisioned. We can also work together to help you feel more deeply connected to yourself and who you want to become.
Are you feeling unseen and often misunderstood? Unsure of your identity or how to assert yourself? Do you find that you dislike yourself or wish you were a different person? In today's world it can be easy to feel knocked down, broken and powerless. In therapy together we can explore ways to reclaim your own personal power and back on track to live the life you've always envisioned. We can also work together to help you feel more deeply connected to yourself and who you want to become.
(253) 364-0720 View (253) 364-0720
Photo of The Melanated Therapist, Clinical Social Work/Therapist in Tacoma, WA
The Melanated Therapist
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Tacoma, WA 98408  (Online Only)
Jameela Muhammad owner of The Melanated Therapist is designed for those seeking to rebuild and heal from interpersonal and generational trauma. A focus on Black and Brown adolescents and adults struggling with stress, trauma, interpersonal relationships and life transitions. I hope to engage with individuals to build self-love, empathy and compassion for self, as well as teaching coping strategies to work through obstacles in a holistic and goal oriented way.
Jameela Muhammad owner of The Melanated Therapist is designed for those seeking to rebuild and heal from interpersonal and generational trauma. A focus on Black and Brown adolescents and adults struggling with stress, trauma, interpersonal relationships and life transitions. I hope to engage with individuals to build self-love, empathy and compassion for self, as well as teaching coping strategies to work through obstacles in a holistic and goal oriented way.
(253) 367-3866 View (253) 367-3866
Photo of Sharon Lee, Marriage & Family Therapist in Tacoma, WA
Sharon Lee
Marriage & Family Therapist, MA, LMFT, CMHS
Verified Verified
3 Endorsed
Tacoma, WA 98404  (Online Only)
Do you feel like you've tried everything and you're ready for a change? If you've been feeling stressed, overwhelmed and exhausted lately, you've come to the right place. I use family systems techniques to enable you to access your strengths and achieve relief. Together we will create a plan to get your life back on track. Relationships are complicated and you deserve a specialist to help you navigate life's challenges.
Do you feel like you've tried everything and you're ready for a change? If you've been feeling stressed, overwhelmed and exhausted lately, you've come to the right place. I use family systems techniques to enable you to access your strengths and achieve relief. Together we will create a plan to get your life back on track. Relationships are complicated and you deserve a specialist to help you navigate life's challenges.
(253) 264-0894 View (253) 264-0894
Photo of Ashley A. Orr, Marriage & Family Therapist in Tacoma, WA
Ashley A. Orr
Marriage & Family Therapist, LMFT, MA, MHP, CMHS
Verified Verified
Tacoma, WA 98409  (Online Only)
Not accepting new clients
Everyone deserves to feel supported in their mental health journey and not everyone experiences mental health issues the same way. I would love to support you in the awareness and understanding of your own mental health needs, unique triggers, natural supports, and coping mechanisms. Counseling should be a collaborative effort between the therapist and the client, working towards developing client autonomy and confidence to manage symptoms independently. Through avenues of psychoeducation, talk-therapy, skills development, and behavioral modifications, you can do this!
Everyone deserves to feel supported in their mental health journey and not everyone experiences mental health issues the same way. I would love to support you in the awareness and understanding of your own mental health needs, unique triggers, natural supports, and coping mechanisms. Counseling should be a collaborative effort between the therapist and the client, working towards developing client autonomy and confidence to manage symptoms independently. Through avenues of psychoeducation, talk-therapy, skills development, and behavioral modifications, you can do this!
(253) 400-3936 View (253) 400-3936
Photo of Aleesia Morales, Marriage & Family Therapist Associate in Tacoma, WA
Aleesia Morales
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Tacoma, WA 98402
Hello, my name is Aleesia Morales and I appreciate your curiosity. I believe that if we know better, we can do and be better; in whatever way we define better. I work with people individually or interconnected with others, such as, family member(s)/partner(s). I welcome all people from any race, ethnicity, sexual orientation, gender identity, and religious/spiritual backgrounds.
Hello, my name is Aleesia Morales and I appreciate your curiosity. I believe that if we know better, we can do and be better; in whatever way we define better. I work with people individually or interconnected with others, such as, family member(s)/partner(s). I welcome all people from any race, ethnicity, sexual orientation, gender identity, and religious/spiritual backgrounds.
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Photo of Girasol Counseling, Clinical Social Work/Therapist in Tacoma, WA
Girasol Counseling
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
5 Endorsed
Tacoma, WA 98402
Girasol Counseling is a Latine, women, and queer owned group practice. At Girasol Counseling we are committed to the work of de-stigmatization and decolonization of mental health that advocates for collective healing practices grounded in liberation, culture, and spirituality. We believe that everyone has the inner capacity for healing ignited through self discovery and community. Our role as therapists is to facilitate healing and support your journey in homecoming to your essential self/your tribe/community of trust/sagna.
Girasol Counseling is a Latine, women, and queer owned group practice. At Girasol Counseling we are committed to the work of de-stigmatization and decolonization of mental health that advocates for collective healing practices grounded in liberation, culture, and spirituality. We believe that everyone has the inner capacity for healing ignited through self discovery and community. Our role as therapists is to facilitate healing and support your journey in homecoming to your essential self/your tribe/community of trust/sagna.
(253) 676-9291 View (253) 676-9291
Photo of Counseling by George PLLC, Counselor in Tacoma, WA
Counseling by George PLLC
Counselor, MS, LMHC, LPC, MHP
Verified Verified
Tacoma, WA 98402  (Online Only)
I provide counseling services mostly by telehealth and have offices in Washington and Georgia for divorce mediation. I focus on working with people who want to change their behavior to get better results, to get more of what they want and less of what they don't want. That usually involves changing thinking, dispensing with irrational beliefs, and learning how to let others know what your needs are. You will find me person-centered and non-confrontational. You want to have better consequences in your life, and my job is to help you find them. I also work with couples and families who want to learn how to listen.
I provide counseling services mostly by telehealth and have offices in Washington and Georgia for divorce mediation. I focus on working with people who want to change their behavior to get better results, to get more of what they want and less of what they don't want. That usually involves changing thinking, dispensing with irrational beliefs, and learning how to let others know what your needs are. You will find me person-centered and non-confrontational. You want to have better consequences in your life, and my job is to help you find them. I also work with couples and families who want to learn how to listen.
(509) 955-7167 View (509) 955-7167
Photo of Thomas Roe, Psychologist in Tacoma, WA
Thomas Roe
Psychologist, PsyD
Verified Verified
Tacoma, WA 98467
Dr. Roe works with individuals who are looking to grow, heal, and thrive. He believes intersections of identity and culture are important. Dr. Roe considers social justice an important aspect to his work. He uses a variety of collaborative approaches in therapy depending on the nature of the work, identities present in the room, and cultural considerations. Some of these approaches and interventions include cognitive-behavioral(CBT), psychodynamic, motivational interviewing, interpersonal process, humanistic, and feminist modalities. Dr. Roe is a Brazilian-American father, a dog lover, and PNW local.
Dr. Roe works with individuals who are looking to grow, heal, and thrive. He believes intersections of identity and culture are important. Dr. Roe considers social justice an important aspect to his work. He uses a variety of collaborative approaches in therapy depending on the nature of the work, identities present in the room, and cultural considerations. Some of these approaches and interventions include cognitive-behavioral(CBT), psychodynamic, motivational interviewing, interpersonal process, humanistic, and feminist modalities. Dr. Roe is a Brazilian-American father, a dog lover, and PNW local.
(253) 352-3828 View (253) 352-3828
Photo of Jennifer Jeannette Jost, Counselor in Tacoma, WA
Jennifer Jeannette Jost
Counselor, MA, LMHC, NCC
Verified Verified
Tacoma, WA 98405  (Online Only)
I believe that we all thrive as our best self when we have the tools we need for success. While a diagnosis (when necessary) and a treatment plan help guide the care you receive from me, I also integrate the Wellness Model in your counseling sessions. ​ I utilize individualized therapy to ensure that your goals and objectives are met in a holistic way because "you are the boss of you!" I am Licensed Mental Health Counselor (LMHC) in Washington state and a National Certified Counselor (NCC) in the USA. I received my Master of Arts (MA) in Counseling through CACREP-accredited Adams State University in Colorado.
I believe that we all thrive as our best self when we have the tools we need for success. While a diagnosis (when necessary) and a treatment plan help guide the care you receive from me, I also integrate the Wellness Model in your counseling sessions. ​ I utilize individualized therapy to ensure that your goals and objectives are met in a holistic way because "you are the boss of you!" I am Licensed Mental Health Counselor (LMHC) in Washington state and a National Certified Counselor (NCC) in the USA. I received my Master of Arts (MA) in Counseling through CACREP-accredited Adams State University in Colorado.
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Photo of Brittany Ellmer, Counselor in Tacoma, WA
Brittany Ellmer
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Tacoma, WA 98402  (Online Only)
Not accepting new clients
Have you had experiences that have changed you? Are you wondering how you can heal? Let’s work together to find meaning in your suffering and heal the broken spaces within you. My aim is not to put a bandaid over your wound, let's get down to the roots. This enables us to really heal the wound, though you will be left with a scar. We'll explore the origin of your pain, see how this impacts you currently, and help you better understand your body’s response to adversity. We can also work to resolve common symptoms of depression, anxiety, and stress that are so prevalent among us.
Have you had experiences that have changed you? Are you wondering how you can heal? Let’s work together to find meaning in your suffering and heal the broken spaces within you. My aim is not to put a bandaid over your wound, let's get down to the roots. This enables us to really heal the wound, though you will be left with a scar. We'll explore the origin of your pain, see how this impacts you currently, and help you better understand your body’s response to adversity. We can also work to resolve common symptoms of depression, anxiety, and stress that are so prevalent among us.
(253) 262-0612 View (253) 262-0612
Photo of Georgiana Peters, Clinical Social Work/Therapist in Tacoma, WA
Georgiana Peters
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Tacoma, WA 98405  (Online Only)
Welcome to my cozy corner of the therapy world! I believe that therapy should feel nurturing – a safe space where you can unpack those heavy or distressing thoughts, explore your inner world, and maybe even share a few laughs along the way. You know your story better than anyone else, and I'm here to be your trusty guide, armed with specialized knowledge and a toolbox full of techniques to help ease your burdens and boost your well-being. Whether you're pregnant, navigating the wild world of parenthood, or just trying to make sense of your own journey through life, I'm here to lend a listening ear and a helping hand.
Welcome to my cozy corner of the therapy world! I believe that therapy should feel nurturing – a safe space where you can unpack those heavy or distressing thoughts, explore your inner world, and maybe even share a few laughs along the way. You know your story better than anyone else, and I'm here to be your trusty guide, armed with specialized knowledge and a toolbox full of techniques to help ease your burdens and boost your well-being. Whether you're pregnant, navigating the wild world of parenthood, or just trying to make sense of your own journey through life, I'm here to lend a listening ear and a helping hand.
(253) 893-8447 View (253) 893-8447
Photo of David Kraljevich, Counselor in Tacoma, WA
David Kraljevich
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98402
"You do not have to be good You do not have to walk on your knees for a hundred miles repenting you only have to let the soft animal of your body love what it loves..." -Mary Oliver. Oliver suggests that liberation is always-already present. How do we contact this natural brilliance? How do we walk that liminal space between will and surrender, acceptance and change? Being incarnated in a human body means facing ordeals but how much we suffer becomes a choice. We refine our ability to choose through deep engagement with various inner practices and orientations.
"You do not have to be good You do not have to walk on your knees for a hundred miles repenting you only have to let the soft animal of your body love what it loves..." -Mary Oliver. Oliver suggests that liberation is always-already present. How do we contact this natural brilliance? How do we walk that liminal space between will and surrender, acceptance and change? Being incarnated in a human body means facing ordeals but how much we suffer becomes a choice. We refine our ability to choose through deep engagement with various inner practices and orientations.
(253) 342-4645 View (253) 342-4645
Photo of Allie Peyton, Marriage & Family Therapist Associate in Tacoma, WA
Allie Peyton
Marriage & Family Therapist Associate, LMFTA
Verified Verified
3 Endorsed
Tacoma, WA 98403
Struggling with how to make your relationship and sex satisfying? Our relationships and sex in them can be fulfilling and pleasurable. I see intimacy and sex as layered. I work to enhance strengths, improve communication via attachment work and redefine what works for you/the relationship. Each of us changes in different ways as we grow. With changes in our sexuality, relationship or identity, I also hold space for the grief that we each individually or together experience for what we expected sex would look like or how things used to be. I bring laughter, safety and nonjudgement to each of my clients in our work together.
Struggling with how to make your relationship and sex satisfying? Our relationships and sex in them can be fulfilling and pleasurable. I see intimacy and sex as layered. I work to enhance strengths, improve communication via attachment work and redefine what works for you/the relationship. Each of us changes in different ways as we grow. With changes in our sexuality, relationship or identity, I also hold space for the grief that we each individually or together experience for what we expected sex would look like or how things used to be. I bring laughter, safety and nonjudgement to each of my clients in our work together.
(253) 201-4340 View (253) 201-4340
Photo of Melanie Winskill, Counselor in Tacoma, WA
Melanie Winskill
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98407  (Online Only)
I treat adults (18+) that need support, guidance and insight into their mental health challenges while actively engaging in the work. I work collaboratively with my clients and take a person-centered approach as I believe the therapeutic relationship is a critical component to success in the therapeutic work. Dual engagement in the the therapeutic process leads to clients learning to apply techniques independently and better manage mental health symptoms.
I treat adults (18+) that need support, guidance and insight into their mental health challenges while actively engaging in the work. I work collaboratively with my clients and take a person-centered approach as I believe the therapeutic relationship is a critical component to success in the therapeutic work. Dual engagement in the the therapeutic process leads to clients learning to apply techniques independently and better manage mental health symptoms.
(253) 364-1542 x1 View (253) 364-1542 x1
Photo of Paul Hunziker, Marriage & Family Therapist in Tacoma, WA
Paul Hunziker
Marriage & Family Therapist, MA, LMFT, SUDP
Verified Verified
1 Endorsed
Tacoma, WA 98403
My ideal clients are couples in early recovery from substance use disorders or other addictions. Early recovery can be a critical time for both partners to quickly gain the skills needed to be successful and stay strong as a couple. I also have extensive experience working with youth and young adults with substance use and mental health challenges.
My ideal clients are couples in early recovery from substance use disorders or other addictions. Early recovery can be a critical time for both partners to quickly gain the skills needed to be successful and stay strong as a couple. I also have extensive experience working with youth and young adults with substance use and mental health challenges.
(253) 237-8351 View (253) 237-8351
Photo of Alyshia Collins, Counselor in Tacoma, WA
Alyshia Collins
Counselor, LMHCA, MEd
Verified Verified
Tacoma, WA 98407  (Online Only)
My therapeutic philosophy is rooted in compassion and a person-centered approach, which forms the cornerstone of my practice. I meet clients where they are in their journey, fostering a safe and supportive space for exploration and growth. Utilizing HIPAA-compliant telehealth platforms, I provide convenient and confidential services exclusively through remote sessions. A lifelong learner myself, I am committed to continuous professional development, recognizing the importance of self-improvement, just as my clients endeavor to enhance their lives. My areas of focus include self-esteem, life-transitions, depression, grief, & anxiety.
My therapeutic philosophy is rooted in compassion and a person-centered approach, which forms the cornerstone of my practice. I meet clients where they are in their journey, fostering a safe and supportive space for exploration and growth. Utilizing HIPAA-compliant telehealth platforms, I provide convenient and confidential services exclusively through remote sessions. A lifelong learner myself, I am committed to continuous professional development, recognizing the importance of self-improvement, just as my clients endeavor to enhance their lives. My areas of focus include self-esteem, life-transitions, depression, grief, & anxiety.
(253) 367-4739 View (253) 367-4739
Photo of Jessie Schooley, Counselor in Tacoma, WA
Jessie Schooley
Counselor, MS, LMHC, NCC
Verified Verified
1 Endorsed
Tacoma, WA 98406  (Online Only)
Despite our efforts to be present in our daily life, remnants of our past and stress in our day to day can keep us from being fully able to do so. I will work collaboratively with you, valuing your life experiences and input, to achieve a life with an increased sense of satisfaction. I approach therapy from a holistic, integrative, and humanistic perspective seeking to honor each individual story for its uniqueness. My practice specializes in counseling for adults of all backgrounds seeking relief from past trauma or other life altering experiences, as well as a range of other emotional and relational concerns.
Despite our efforts to be present in our daily life, remnants of our past and stress in our day to day can keep us from being fully able to do so. I will work collaboratively with you, valuing your life experiences and input, to achieve a life with an increased sense of satisfaction. I approach therapy from a holistic, integrative, and humanistic perspective seeking to honor each individual story for its uniqueness. My practice specializes in counseling for adults of all backgrounds seeking relief from past trauma or other life altering experiences, as well as a range of other emotional and relational concerns.
(253) 262-0081 View (253) 262-0081
Photo of Amy Dwyer, Clinical Social Work/Therapist in Tacoma, WA
Amy Dwyer
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98467
I believe in a collaborative approach to therapy. In partnership, we will work to explore your needs and develop a treatment plan to address identified issues. I primarily employ a cognitive-behavioral approach as this treatment modality has been shown to be effective in therapy. In addition, I use a strengths-based framework. Together we will address symptom management, build on your pre-existing strengths, and further develop your coping strategies. In addition, our work will likely include making meaning of important life events.
I believe in a collaborative approach to therapy. In partnership, we will work to explore your needs and develop a treatment plan to address identified issues. I primarily employ a cognitive-behavioral approach as this treatment modality has been shown to be effective in therapy. In addition, I use a strengths-based framework. Together we will address symptom management, build on your pre-existing strengths, and further develop your coping strategies. In addition, our work will likely include making meaning of important life events.
(253) 944-9019 View (253) 944-9019
Photo of Jenny Koning, Clinical Social Work/Therapist in Tacoma, WA
Jenny Koning
Clinical Social Work/Therapist, LCSW
Verified Verified
Tacoma, WA 98402  (Online Only)
Hi, I'm glad you are here! My practice focuses primarily on women with a speciality in working with mothers, pre and postpartum.
Hi, I'm glad you are here! My practice focuses primarily on women with a speciality in working with mothers, pre and postpartum.
(360) 583-4087 View (360) 583-4087

How does your Therapist compare?

Number of Therapists in Tacoma, WA

1,000+

Average cost per session

$150

Therapists in Tacoma, WA who prioritize treating:

93% Anxiety
88% Depression
76% Trauma and PTSD
75% Relationship Issues
75% Self Esteem
71% Stress
67% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

78% Premera
65% Regence
61% Aetna

How Therapists in Tacoma, WA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

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

How can I find a therapist in Tacoma?

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.