Therapists in Seattle, WA

View neighborhoods in Seattle
Photo of Melissa Filion, Pre-Licensed Professional in Seattle, WA
Melissa Filion
Pre-Licensed Professional
Verified Verified
1 Endorsed
Seattle, WA 98103
We often place pressure on ourselves to be okay, to power through, and to be strong. Yet we all encounter times when we need extra care and support. You may be navigating a major life transition, experiencing anxiety or overwhelm, or feeling stuck and unsure how to make a change. Asking for help is a sign of remarkable strength. You deserve support, and to feel the power and relief of being seen and accepted just as you are. Therapy offers a space to reconnect with yourself, deepen your self-awareness and understanding, and uncover ways to move forward.
We often place pressure on ourselves to be okay, to power through, and to be strong. Yet we all encounter times when we need extra care and support. You may be navigating a major life transition, experiencing anxiety or overwhelm, or feeling stuck and unsure how to make a change. Asking for help is a sign of remarkable strength. You deserve support, and to feel the power and relief of being seen and accepted just as you are. Therapy offers a space to reconnect with yourself, deepen your self-awareness and understanding, and uncover ways to move forward.
(206) 429-4782 View (206) 429-4782
Photo of Carole Milan Danis, Clinical Social Work/Therapist in Seattle, WA
Carole Milan Danis
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98133
I believe each of us is capable of changing, growing and rising above emotional pain. I invite you to participate in this process, not only to gain relief from your distress, but also to create a life that you truly enjoy. In an atmosphere of hope and support, I will help you move beyond the emotional and psychological barriers that keep you stuck in self-defeating beliefs and behaviors. Likely outcomes are reduction of emotional distress, the ability to act on your own behalf and to engage more fully in life. My clients are women, men, young adults and couples.
I believe each of us is capable of changing, growing and rising above emotional pain. I invite you to participate in this process, not only to gain relief from your distress, but also to create a life that you truly enjoy. In an atmosphere of hope and support, I will help you move beyond the emotional and psychological barriers that keep you stuck in self-defeating beliefs and behaviors. Likely outcomes are reduction of emotional distress, the ability to act on your own behalf and to engage more fully in life. My clients are women, men, young adults and couples.
(206) 633-0101 View (206) 633-0101
Photo of Sauda Porter, Clinical Social Work/Therapist in Seattle, WA
Sauda Porter
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98178  (Online Only)
You may be dealing with anxiety, depression, racialized trauma or generational trauma that make it harder to function. For too long, the idea of mental wellness was viewed as a luxury only allotted to the few. Someone was considered “strong” if they endured a traumatic or life-changing event, regardless of functionality. We are now beginning to understand that those events can change the way we relate to everything. You may continue to engage in your day to day expectations like taking care of children, going to work, going to school, but you may not be sleeping well, may no longer enjoy things that brought you peace or happiness.
You may be dealing with anxiety, depression, racialized trauma or generational trauma that make it harder to function. For too long, the idea of mental wellness was viewed as a luxury only allotted to the few. Someone was considered “strong” if they endured a traumatic or life-changing event, regardless of functionality. We are now beginning to understand that those events can change the way we relate to everything. You may continue to engage in your day to day expectations like taking care of children, going to work, going to school, but you may not be sleeping well, may no longer enjoy things that brought you peace or happiness.
(206) 278-3509 View (206) 278-3509
Photo of Giselle Montemayor Solis, Marriage & Family Therapist Associate in Seattle, WA
Giselle Montemayor Solis
Marriage & Family Therapist Associate, MA, LMFTA, MHP
Verified Verified
1 Endorsed
Seattle, WA 98146  (Online Only)
I am a bilingual therapist offering services in English and Spanish. I am Latinx therapist that enjoys working with people from different backgrounds through lifes challenges. I have a collaborative and empathic approach to therapy while gently challenging clients. I seek to honor the stories and goals of each of my clients. Together, we can explore narratives surrounding sex and sexuality, navigate through experiences of depression, anxiety, guilt, sexual assault, shame, and discuss matters related to gender expression. My ultimate goal is to empower my clients and provide a safe space where they can feel seen and heard.
I am a bilingual therapist offering services in English and Spanish. I am Latinx therapist that enjoys working with people from different backgrounds through lifes challenges. I have a collaborative and empathic approach to therapy while gently challenging clients. I seek to honor the stories and goals of each of my clients. Together, we can explore narratives surrounding sex and sexuality, navigate through experiences of depression, anxiety, guilt, sexual assault, shame, and discuss matters related to gender expression. My ultimate goal is to empower my clients and provide a safe space where they can feel seen and heard.
(206) 800-6644 View (206) 800-6644
Photo of Seung Ah Kim, Clinical Social Work/Therapist in Seattle, WA
Seung Ah Kim
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
1 Endorsed
Seattle, WA 98144
Not accepting new clients
In life, we all experience a variety of life stressors and emotional pain, and we often find ourselves in need of support to cope with them. I provide person-centered therapy with the belief that all people have the capacity and desire for their growth and change. I am committed to providing a safe, comfortable, and trusting space for you to share and explore your thoughts and emotions. You deserve the opportunity to be heard and seen.
In life, we all experience a variety of life stressors and emotional pain, and we often find ourselves in need of support to cope with them. I provide person-centered therapy with the belief that all people have the capacity and desire for their growth and change. I am committed to providing a safe, comfortable, and trusting space for you to share and explore your thoughts and emotions. You deserve the opportunity to be heard and seen.
(206) 889-6129 View (206) 889-6129
Photo of Simon S Connor, Clinical Social Work/Therapist in Seattle, WA
Simon S Connor
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98112
I use a variety of approaches ranging from cognitive reframing, exploration of defense mechanisms and automatic thoughts, training in mindfulness, bodily awareness, and examination of feelings, among others. I am interested in the ways in which we each determine our realities, what our minds say to us, and the insight that can be gained from examining those.
I use a variety of approaches ranging from cognitive reframing, exploration of defense mechanisms and automatic thoughts, training in mindfulness, bodily awareness, and examination of feelings, among others. I am interested in the ways in which we each determine our realities, what our minds say to us, and the insight that can be gained from examining those.
(253) 343-1715 View (253) 343-1715
Photo of Group Therapy Seattle, Counselor in Seattle, WA
Group Therapy Seattle
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98125
If you are experiencing major life changes or transitions, if you want help understanding why you choose the partners you choose, if you want effective means of changing self-defeating behaviors, if you would like help with "emotional & social intelligence" both critical to personal & career success, if you want to learn effective means of communicating & resolving conflict in your relationships, if anxiety or depression interfere with your enjoyment of life, if you had losses or broken attachments while growing up, if you just want a very supportive community for dealing with the stresses of your life, then consider these groups.
If you are experiencing major life changes or transitions, if you want help understanding why you choose the partners you choose, if you want effective means of changing self-defeating behaviors, if you would like help with "emotional & social intelligence" both critical to personal & career success, if you want to learn effective means of communicating & resolving conflict in your relationships, if anxiety or depression interfere with your enjoyment of life, if you had losses or broken attachments while growing up, if you just want a very supportive community for dealing with the stresses of your life, then consider these groups.
(206) 203-2981 View (206) 203-2981
Photo of Laura Meehan, Marriage & Family Therapist in Seattle, WA
Laura Meehan
Marriage & Family Therapist, MA, LMFT
Verified Verified
Seattle, WA 98102
Are you feeling anxious, overwhelmed, stressed-out or depressed? Do you find you keep repeating the same patterns in your life? your work? your relationships? I can help transform your limiting beliefs into an empowered life. I work with a process that is very powerful and I have seen very positive changes in my clients. You don't have to stay stuck and unhappy. You could live a life with meaning and purpose. If you are you experiencing a painful breakup? I work with Individuals and Couples to Uncouple Consciously. I help you heal your resentments and angers.
Are you feeling anxious, overwhelmed, stressed-out or depressed? Do you find you keep repeating the same patterns in your life? your work? your relationships? I can help transform your limiting beliefs into an empowered life. I work with a process that is very powerful and I have seen very positive changes in my clients. You don't have to stay stuck and unhappy. You could live a life with meaning and purpose. If you are you experiencing a painful breakup? I work with Individuals and Couples to Uncouple Consciously. I help you heal your resentments and angers.
(206) 538-2765 View (206) 538-2765
Photo of Natalie Peters, Psychologist in Seattle, WA
Natalie Peters
Psychologist, PsyD
Verified Verified
Seattle, WA 98107
I work with older adults (65+), adults, and teens (17+), and I treat depression, anxiety, chronic pain, post-traumatic stress, grief and loss, and a broad range of adjustment and general life issues. While I take an integrative approach to therapy based on the needs of the individual, my passion lies with Acceptance and Commitment Therapy, my primary treatment modality. In addition to my role as a clinician, I also serve as a Clinical Director (Seattle area) for LifeStance, helping to maintain quality of care and foster a strong clinical milieu via recruitment, retention, consultation, and culture.
I work with older adults (65+), adults, and teens (17+), and I treat depression, anxiety, chronic pain, post-traumatic stress, grief and loss, and a broad range of adjustment and general life issues. While I take an integrative approach to therapy based on the needs of the individual, my passion lies with Acceptance and Commitment Therapy, my primary treatment modality. In addition to my role as a clinician, I also serve as a Clinical Director (Seattle area) for LifeStance, helping to maintain quality of care and foster a strong clinical milieu via recruitment, retention, consultation, and culture.
(206) 312-7572 View (206) 312-7572
Photo of Ashley Fleit - South Seattle Therapy, Marriage & Family Therapist Associate in Seattle, WA
Ashley Fleit - South Seattle Therapy
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Seattle, WA 98118
I am a relationship and sex therapist who works with couples, groups, and individuals. I offer therapy in person in Seward Park, and online. My goal is to create an warm environment that centers your unique lived experience - you are the expert of your life. I hope to support your goals for therapy such as increasing connection, intimacy, knowledge of self, acceptance, growth, and healing. I work with all gender, sexual, romantic and relationship identities. I am sex positive and HAES-aligned.
I am a relationship and sex therapist who works with couples, groups, and individuals. I offer therapy in person in Seward Park, and online. My goal is to create an warm environment that centers your unique lived experience - you are the expert of your life. I hope to support your goals for therapy such as increasing connection, intimacy, knowledge of self, acceptance, growth, and healing. I work with all gender, sexual, romantic and relationship identities. I am sex positive and HAES-aligned.
(206) 401-8276 View (206) 401-8276
Photo of Connie Curlett, Counselor in Seattle, WA
Connie Curlett
Counselor, MA, LMHC, CPCC
Verified Verified
2 Endorsed
Seattle, WA 98112  (Online Only)
I help people find healing, empowerment and harmony in their life and relationships. Whether you have something specific you want to address, or have a general feeling of being stuck and don't know where to start, I can help you move towards the life you want and deserve. I am passionate about relationships, specializing in separation and divorce prevention or recovery. I provide a variety of tools along with nonjudgmental support to help you move towards your goals. Trained as a psychotherapist and life coach I bring a unique blend of counseling and coaching into our work together.
I help people find healing, empowerment and harmony in their life and relationships. Whether you have something specific you want to address, or have a general feeling of being stuck and don't know where to start, I can help you move towards the life you want and deserve. I am passionate about relationships, specializing in separation and divorce prevention or recovery. I provide a variety of tools along with nonjudgmental support to help you move towards your goals. Trained as a psychotherapist and life coach I bring a unique blend of counseling and coaching into our work together.
(253) 248-4280 View (253) 248-4280
Tom Pace
PhD, JD
Verified Verified
Seattle, WA 98116
I have been in private practice in Seattle for thirty years. i have extensive training in numerous therapeutic modalities including client-centered therapy, interpersonal/relational therapy, gestalt therapy, somatic oriented therapy, various approaches to the use of dreams in therapy (including Jungian). I also have extensive training in several different approaches to couples therapy. My practice consists of individuals, couples and groups.
I have been in private practice in Seattle for thirty years. i have extensive training in numerous therapeutic modalities including client-centered therapy, interpersonal/relational therapy, gestalt therapy, somatic oriented therapy, various approaches to the use of dreams in therapy (including Jungian). I also have extensive training in several different approaches to couples therapy. My practice consists of individuals, couples and groups.
(206) 866-2229 View (206) 866-2229
Photo of Lilli Keladry, Counselor in Seattle, WA
Lilli Keladry
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98103
I provide therapy for individuals seeking support around anxiety, self-image, life changes, relationships, identity, systems of oppression, and family of origin issues. As your therapist, I strive to foster emotional safety, curiosity and connection so that we may begin to enter some of the more painful and complex parts of your experience.  Engaging in the therapeutic process will offer you the opportunity to slow down and connect more deeply with your lived experiences, and your own nervous system, as well as bolster greater awareness and ability to navigate the relationships and systems in your life.
I provide therapy for individuals seeking support around anxiety, self-image, life changes, relationships, identity, systems of oppression, and family of origin issues. As your therapist, I strive to foster emotional safety, curiosity and connection so that we may begin to enter some of the more painful and complex parts of your experience.  Engaging in the therapeutic process will offer you the opportunity to slow down and connect more deeply with your lived experiences, and your own nervous system, as well as bolster greater awareness and ability to navigate the relationships and systems in your life.
(206) 472-1038 View (206) 472-1038
Photo of David Sims, Counselor in Seattle, WA
David Sims
Counselor, LMHC
Verified Verified
Seattle, WA 98107
Waitlist for new clients
My passion lies in working with both youth and adults alike and believe that counseling offers an opportunity to reflect on the current challenges that you may be experiencing in life, and working together with you on moving forward. In particular I have a heart and passion for working with youth and young adults of color. I believe that racial identity is linked to every aspect of daily lives for people of color and often leads to ongoing symptoms of stress and anxiety. I love working with individuals of all races and ethnicities, including folks who identify as children of immigrants.
My passion lies in working with both youth and adults alike and believe that counseling offers an opportunity to reflect on the current challenges that you may be experiencing in life, and working together with you on moving forward. In particular I have a heart and passion for working with youth and young adults of color. I believe that racial identity is linked to every aspect of daily lives for people of color and often leads to ongoing symptoms of stress and anxiety. I love working with individuals of all races and ethnicities, including folks who identify as children of immigrants.
(206) 222-1585 View (206) 222-1585
Photo of Joseph S Weiss, Psychologist in Seattle, WA
Joseph S Weiss
Psychologist, PhD
Verified Verified
1 Endorsed
Seattle, WA 98118  (Online Only)
Do you have repetitive thoughts, worry or overthink things and can't perform as well as you could? Do you want to enhance your success socially or at work, on tests, public speaking or at sports? You can achieve your goals by learning the skills that Olympic athletes use to be calmer and more focused. You can be coached to be more consistently relaxed, and to more effectively handle stress. Call me to identify how you can be helped effectively and more rapidly. I have integrated Western & Eastern methods that complement and enhance the speed and quality of your results.
Do you have repetitive thoughts, worry or overthink things and can't perform as well as you could? Do you want to enhance your success socially or at work, on tests, public speaking or at sports? You can achieve your goals by learning the skills that Olympic athletes use to be calmer and more focused. You can be coached to be more consistently relaxed, and to more effectively handle stress. Call me to identify how you can be helped effectively and more rapidly. I have integrated Western & Eastern methods that complement and enhance the speed and quality of your results.
(206) 745-4933 View (206) 745-4933
Photo of Rachel Baska, Marriage & Family Therapist in Seattle, WA
Rachel Baska
Marriage & Family Therapist, MS, MedFT, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98103
Waitlist for new clients
I am a Licensed Marriage and Family Therapist who has a heart for empowering women to live joyfully inside their bodies through liberation-work and self-compassion. I approach therapy from a systemic, person-centered, feminist, sex-positive, and HAES lens that's rooted in social justice. I understand the ways that oppression and trauma influence how we connect with our bodies and I view coping mechanisms as survival strategies that develop in response to our experiences. I believe there is wisdom in our coping and I enjoy helping clients compassionately attune to their body’s needs and connect to their intuition.
I am a Licensed Marriage and Family Therapist who has a heart for empowering women to live joyfully inside their bodies through liberation-work and self-compassion. I approach therapy from a systemic, person-centered, feminist, sex-positive, and HAES lens that's rooted in social justice. I understand the ways that oppression and trauma influence how we connect with our bodies and I view coping mechanisms as survival strategies that develop in response to our experiences. I believe there is wisdom in our coping and I enjoy helping clients compassionately attune to their body’s needs and connect to their intuition.
View
Photo of Catherine Wetzel Larkin, Counselor in Seattle, WA
Catherine Wetzel Larkin
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98107  (Online Only)
I am a licensed Mental Health therapist ( WA license number: 00010994) with twenty five years of experience counseling individuals, couples, families, and adolescents. I have a special interest in neuroscience and attachment theory in the context of helping individuals cope and heal from stress, trauma, and grief. I am also passionate about assisting people in developing healthy, authentic relationships, and in carving out their own unique life course. I believe that the relationship that is built between client and therapist is an important part of therapeutic growth and change.
I am a licensed Mental Health therapist ( WA license number: 00010994) with twenty five years of experience counseling individuals, couples, families, and adolescents. I have a special interest in neuroscience and attachment theory in the context of helping individuals cope and heal from stress, trauma, and grief. I am also passionate about assisting people in developing healthy, authentic relationships, and in carving out their own unique life course. I believe that the relationship that is built between client and therapist is an important part of therapeutic growth and change.
(206) 347-8425 View (206) 347-8425
Photo of Robert L Curtis, Counselor in Seattle, WA
Robert L Curtis
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98115
I am a seasoned therapist with a solid background of training in counseling psychology and I keep a very enthusiastic learning edge on perspectives and developments in psychotherapy. I can always find a way to generate an earnest and stimulative approach to working with clients in therapy. I believe that persons seeking therapy hope to find someone who has a mature range of life experience, sophisticated knowledge of the therapeutic process, a tested repertoire of counseling skills and the ability to provide the anticipatory guidance that fosters self-determination and meaningful life changes. I am confident I have these attributes.
I am a seasoned therapist with a solid background of training in counseling psychology and I keep a very enthusiastic learning edge on perspectives and developments in psychotherapy. I can always find a way to generate an earnest and stimulative approach to working with clients in therapy. I believe that persons seeking therapy hope to find someone who has a mature range of life experience, sophisticated knowledge of the therapeutic process, a tested repertoire of counseling skills and the ability to provide the anticipatory guidance that fosters self-determination and meaningful life changes. I am confident I have these attributes.
(425) 305-4676 View (425) 305-4676
Photo of Jennifer Sveund, Psychologist in Seattle, WA
Jennifer Sveund
Psychologist, PsyD, LMHC, ATR
Verified Verified
1 Endorsed
Seattle, WA 98119
Dr. Sveund completed a doctoral degree in clinical psychology at Antioch University Seattle. She is a Licensed Clinical Psychologist, Art Therapist, and Registered EMDR clinician. Her warm and caring approach focuses on individual strengths, empowerment, and understanding the mind-in-body connection to help navigate trauma, illness, stress, and life transitions for youth and adults. Dr. Sveund has a passion for health psychology and working with survivors of traumatic experiences. She provides guidance towards deeper insight and access to one's full potential using a trauma informed integrative approach.
Dr. Sveund completed a doctoral degree in clinical psychology at Antioch University Seattle. She is a Licensed Clinical Psychologist, Art Therapist, and Registered EMDR clinician. Her warm and caring approach focuses on individual strengths, empowerment, and understanding the mind-in-body connection to help navigate trauma, illness, stress, and life transitions for youth and adults. Dr. Sveund has a passion for health psychology and working with survivors of traumatic experiences. She provides guidance towards deeper insight and access to one's full potential using a trauma informed integrative approach.
(206) 202-6792 View (206) 202-6792
Photo of Jennifer McCabe, Psychologist in Seattle, WA
Jennifer McCabe
Psychologist, PhD
Verified Verified
Seattle, WA 98101  (Online Only)
NOW Accepting New Patients… Your "unhelpful patterns" exist for a reason. They helped you at some point... now, they get in the way. Let's understand the root of the behavior and find something better suited for who you are today... I help you do that. :-)
NOW Accepting New Patients… Your "unhelpful patterns" exist for a reason. They helped you at some point... now, they get in the way. Let's understand the root of the behavior and find something better suited for who you are today... I help you do that. :-)
(206) 651-4441 View (206) 651-4441

How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
87% Depression
79% Relationship Issues
76% Self Esteem
72% Trauma and PTSD
71% Stress
69% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

70% Premera
54% Aetna
47% Regence

How Therapists in Seattle, WA see their clients

51% Online Only
49% In Person and Online

Gender breakdown

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

How can I find a therapist in Seattle?

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.