Therapists in Seattle, WA

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Photo of Molly McGrew, Marriage & Family Therapist Associate in Seattle, WA
Molly McGrew
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
1 Endorsed
Seattle, WA 98103
I work with a wide array of mental health concerns. Including, ADHD, self-harm, defiance, OCD, suicidality, self-harm, emotion regulation, depression, and anxiety. The majority of my career has been spent working in an emergency department and inpatient hospital setting. As an outpatient therapist, I combine these skills with additional therapeutic interventions to complete your treatment goals.
I work with a wide array of mental health concerns. Including, ADHD, self-harm, defiance, OCD, suicidality, self-harm, emotion regulation, depression, and anxiety. The majority of my career has been spent working in an emergency department and inpatient hospital setting. As an outpatient therapist, I combine these skills with additional therapeutic interventions to complete your treatment goals.
(206) 594-3810 View (206) 594-3810
Photo of Cynthia M Seager in Seattle, WA
Cynthia M Seager
MA, LMHC
Verified Verified
Seattle, WA 98125  (Online Only)
My passion/expertise is working with the complex needs of neuro-diverse adults: those with ADHD, Aspergers or mild TBI-induced cognitive symptoms; helping them live more effectively and confidently. People with these issues typically deal with a varied combination of life challenges, executive skill deficits & mood issues. Things like chronic issues with consistency, follow-through, ongoing sleep or self care challenges, as well as co-occurring anxiety, social anxiety, &/or depression, or need better Bipolar management skills. I’m here to help you harness your strengths, build missing skills, & move past your personal stuck points.
My passion/expertise is working with the complex needs of neuro-diverse adults: those with ADHD, Aspergers or mild TBI-induced cognitive symptoms; helping them live more effectively and confidently. People with these issues typically deal with a varied combination of life challenges, executive skill deficits & mood issues. Things like chronic issues with consistency, follow-through, ongoing sleep or self care challenges, as well as co-occurring anxiety, social anxiety, &/or depression, or need better Bipolar management skills. I’m here to help you harness your strengths, build missing skills, & move past your personal stuck points.
(206) 488-0789 View (206) 488-0789
Photo of Bill Soderberg, Clinical Social Work/Therapist in Seattle, WA
Bill Soderberg
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98109
Not accepting new clients
I work with individuals, couples and families to gain insight and to identify the underlying causes to challenges in their lives. I help people to figure out where they are currently at and to find solutions, while building on the strengths of the individual, couple and/or family. With my assistance, clients prioritize their needs and then set simple, realistic, and achievable goals. Clients draw on their experience and learn to appreciate the areas of their life where they are enjoying success. Clients gain the skills and tools needed to meet their goals.
I work with individuals, couples and families to gain insight and to identify the underlying causes to challenges in their lives. I help people to figure out where they are currently at and to find solutions, while building on the strengths of the individual, couple and/or family. With my assistance, clients prioritize their needs and then set simple, realistic, and achievable goals. Clients draw on their experience and learn to appreciate the areas of their life where they are enjoying success. Clients gain the skills and tools needed to meet their goals.
(206) 388-4168 View (206) 388-4168
Photo of Riley Paterson, Counselor in Seattle, WA
Riley Paterson
Counselor, MA, MHP, LMHC
Verified Verified
6 Endorsed
Seattle, WA 98121
Waitlist for new clients
There are so many ways that life can be difficult and so many paths for healing to take. My priority is to be present for you in the unique difficulties of your unique situation. Together we can create a safe, warm, and open environment to work through trauma, depression, anxiety, and the myriad pains that we all encounter. I strive to be warm, friendly, playful, direct, and conversational. I draw from a variety of perspectives ranging from the humanistic to the somatic and neuroscientific. But these various perspectives will always be used in the service of your particular situation and needs.
There are so many ways that life can be difficult and so many paths for healing to take. My priority is to be present for you in the unique difficulties of your unique situation. Together we can create a safe, warm, and open environment to work through trauma, depression, anxiety, and the myriad pains that we all encounter. I strive to be warm, friendly, playful, direct, and conversational. I draw from a variety of perspectives ranging from the humanistic to the somatic and neuroscientific. But these various perspectives will always be used in the service of your particular situation and needs.
(206) 590-7655 x31 View (206) 590-7655 x31
Photo of Alicia Eddy, Counselor in Seattle, WA
Alicia Eddy
Counselor, MA, EdM, LMHC
Verified Verified
Seattle, WA 98109  (Online Only)
Are you looking for a safe, nonjudgmental haven to explore what might be preventing you from living a fulfilling life? May it be depression, anxiety, stress, family/relationship issues, when life is unbalanced it can seem overwhelming. I will embrace your unique background and qualities to provide support and guidance through periods of stress, searching, or imbalance. I believe that forming a trusting relationship with each client is the foundation for personal growth. We will work as a team to help you reach your personal goals and to overcome any obstacles along the way.
Are you looking for a safe, nonjudgmental haven to explore what might be preventing you from living a fulfilling life? May it be depression, anxiety, stress, family/relationship issues, when life is unbalanced it can seem overwhelming. I will embrace your unique background and qualities to provide support and guidance through periods of stress, searching, or imbalance. I believe that forming a trusting relationship with each client is the foundation for personal growth. We will work as a team to help you reach your personal goals and to overcome any obstacles along the way.
(206) 208-6736 View (206) 208-6736
Photo of Lauren Alfieri, Counselor in Seattle, WA
Lauren Alfieri
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98133  (Online Only)
Life can be painful and we may feel stuck sometimes. Maybe you are finding yourself or your relationships feeling disconnected, unfulfilled, or hopeless. My goal is to build an authentic and trustworthy therapeutic relationship where you can work through your life experiences, past or present, in order to live life more freely. I offer individual or couples therapy and have particular experience focusing on issues of identity development and self-esteem, relationships, trauma, depression, anxiety, and sexuality.
Life can be painful and we may feel stuck sometimes. Maybe you are finding yourself or your relationships feeling disconnected, unfulfilled, or hopeless. My goal is to build an authentic and trustworthy therapeutic relationship where you can work through your life experiences, past or present, in order to live life more freely. I offer individual or couples therapy and have particular experience focusing on issues of identity development and self-esteem, relationships, trauma, depression, anxiety, and sexuality.
(206) 278-8866 View (206) 278-8866
Photo of Ryan Kopyar Holistic Healing and Counseling, Counselor in Seattle, WA
Ryan Kopyar Holistic Healing and Counseling
Counselor, LMHCA, MA, RH, CPT
Verified Verified
1 Endorsed
Seattle, WA 98107  (Online Only)
Being able to engage in relationships and experience love without the past trauma effecting you. Enjoying time with your family and friends, not constantly worried about work. Actually, allowing yourself to take that beach vacation and not feeling guilty about it. No longer being defined by your past, and instead sharing it with others to pay it forward and help them. This is the life that's waiting for you, the life that's possible for you. If it was possible for me to achieve, then it's possible for you to and I'm going to show you how!
Being able to engage in relationships and experience love without the past trauma effecting you. Enjoying time with your family and friends, not constantly worried about work. Actually, allowing yourself to take that beach vacation and not feeling guilty about it. No longer being defined by your past, and instead sharing it with others to pay it forward and help them. This is the life that's waiting for you, the life that's possible for you. If it was possible for me to achieve, then it's possible for you to and I'm going to show you how!
(360) 502-7659 View (360) 502-7659
Photo of Daley Ruthven, Counselor in Seattle, WA
Daley Ruthven
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98134
I enjoy interacting with clients who are courageous enough to seek counseling. I am passionate about providing an authentic, compassionate foundation to allow clients to get the help they need. Systemic, cultural, or societal expectations might leave you with your head spinning, and I welcome the opportunity to help you investigate ways in which you might control your own destiny. I am committed to working from an anti-oppression lens, meaning that I see and acknowledge your unique identity and recognize the impact society has on your daily well-being. Your individuality and diversity will be embraced.
I enjoy interacting with clients who are courageous enough to seek counseling. I am passionate about providing an authentic, compassionate foundation to allow clients to get the help they need. Systemic, cultural, or societal expectations might leave you with your head spinning, and I welcome the opportunity to help you investigate ways in which you might control your own destiny. I am committed to working from an anti-oppression lens, meaning that I see and acknowledge your unique identity and recognize the impact society has on your daily well-being. Your individuality and diversity will be embraced.
(206) 745-4892 View (206) 745-4892
Photo of Mary Vargas, Counselor in Seattle, WA
Mary Vargas
Counselor, MS, MSW, LMHCA, LSWAIC
Verified Verified
1 Endorsed
Seattle, WA 98112  (Online Only)
I have experience working with children, adolescents, couples, single parents, and the elderly. I also have experience that includes, but is not limited to, grief and loss, domestic violence, substance abuse, and career counseling. I prefer to use the humanistic and strengths-based approach but can change the therapy approach to fit your needs.
I have experience working with children, adolescents, couples, single parents, and the elderly. I also have experience that includes, but is not limited to, grief and loss, domestic violence, substance abuse, and career counseling. I prefer to use the humanistic and strengths-based approach but can change the therapy approach to fit your needs.
(360) 774-4162 x1 View (360) 774-4162 x1
Photo of Alyssa Adwell, Clinical Social Work/Therapist in Seattle, WA
Alyssa Adwell
Clinical Social Work/Therapist, MSW, LICSW, SUDPT
Verified Verified
Seattle, WA 98101  (Online Only)
I am a Licensed Independent Clinical Social Worker in Washington State. I have expertise in working with adolescents and adults experiencing change, behavioral health concerns, grief, chronic illness, pain, and disabilities.
I am a Licensed Independent Clinical Social Worker in Washington State. I have expertise in working with adolescents and adults experiencing change, behavioral health concerns, grief, chronic illness, pain, and disabilities.
(206) 278-3430 View (206) 278-3430
Photo of Elizabeth Hough, Counselor in Seattle, WA
Elizabeth Hough
Counselor, LMHC, R-DMT
Verified Verified
2 Endorsed
Seattle, WA 98103
Waitlist for new clients
The world is real rough sometimes isn't it? Let's find a gentle place for you to land. Maybe you're struggling with a relationship that's not working out or you find yourself feeling anxious or irritable without knowing why. Let me help you find more flow in your life, to move through past difficulties and reconnect with your body and your creative self. I strive towards anti-oppressive work and am queer and neurodivergent affirming . You'll set the goals that feel most important to you with my guidance and support. You set the course and I'll be your guide along the way.
The world is real rough sometimes isn't it? Let's find a gentle place for you to land. Maybe you're struggling with a relationship that's not working out or you find yourself feeling anxious or irritable without knowing why. Let me help you find more flow in your life, to move through past difficulties and reconnect with your body and your creative self. I strive towards anti-oppressive work and am queer and neurodivergent affirming . You'll set the goals that feel most important to you with my guidance and support. You set the course and I'll be your guide along the way.
(206) 565-0189 View (206) 565-0189
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 Lara McSherry, Marriage & Family Therapist Associate in Seattle, WA
Lara McSherry
Marriage & Family Therapist Associate
Verified Verified
2 Endorsed
Seattle, WA 98103
I am currently accepting new couples clients! Whether you are entering a difficult season, wanting to connect and know your true self, or needing help to find a new perspective, therapy can be a remarkable journey of self-discovery and connection. In our sessions, you'll find a non-judgmental therapeutic environment where you are safe to be authentic, honest, and open.
I am currently accepting new couples clients! Whether you are entering a difficult season, wanting to connect and know your true self, or needing help to find a new perspective, therapy can be a remarkable journey of self-discovery and connection. In our sessions, you'll find a non-judgmental therapeutic environment where you are safe to be authentic, honest, and open.
(206) 752-3547 View (206) 752-3547
Photo of Cynthia Castro Martinez, Clinical Social Work/Therapist in Seattle, WA
Cynthia Castro Martinez
Clinical Social Work/Therapist, SWAICL, MSW
Verified Verified
Seattle, WA 98101  (Online Only)
Healing the mind, body, and soul through meaningful long-lasting change can result from effective therapeutic solutions. I have a well-rounded background in trauma-informed therapy and refined talents in addictions treatment and mood disorders assessment/treatment. High level experience working with multi-cultural clients/patients, victims of abuse to develop service needs; I am bilingual. I strongly believe in strength-based client focused therapy by identifying his or her strength, needs, abilities, and preferences.
Healing the mind, body, and soul through meaningful long-lasting change can result from effective therapeutic solutions. I have a well-rounded background in trauma-informed therapy and refined talents in addictions treatment and mood disorders assessment/treatment. High level experience working with multi-cultural clients/patients, victims of abuse to develop service needs; I am bilingual. I strongly believe in strength-based client focused therapy by identifying his or her strength, needs, abilities, and preferences.
(360) 295-9997 View (360) 295-9997
Photo of Therese Soudant, Marriage & Family Therapist in Seattle, WA
Therese Soudant
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98115
Not accepting new clients
I believe that healthy relationships are the foundation to a happy and successful life. As humans we are ever changing, and as we move through the stages of life we are sometimes faced with unexpected challenges. In my practice, clients and I explore issues with which they are struggling. I provide helpful tools and strategies by offering my clients a fresh perspective on the issues they may be facing. Together we explore obstacles that can become barriers in a healthy functioning system. In each session, we explore ways to improve communication and build stronger, more fulfilling relationships with others.
I believe that healthy relationships are the foundation to a happy and successful life. As humans we are ever changing, and as we move through the stages of life we are sometimes faced with unexpected challenges. In my practice, clients and I explore issues with which they are struggling. I provide helpful tools and strategies by offering my clients a fresh perspective on the issues they may be facing. Together we explore obstacles that can become barriers in a healthy functioning system. In each session, we explore ways to improve communication and build stronger, more fulfilling relationships with others.
(206) 455-9893 View (206) 455-9893
Photo of Seimy Briones, Counselor in Seattle, WA
Seimy Briones
Counselor, MA, LMHCA
Verified Verified
Seattle, WA 98108  (Online Only)
Not accepting new clients
I love working with teens, younger and middle-aged adults, and males from different populations and cultural backgrounds who are going through difficult life changes such as independence exploration, career path discovery, relationship issues, anxiety, depression, grief, and trauma. I believe healing takes place in a safe and supportive environment where individuals can be their true selves. The way I do therapy is based on the value of learning “Once we learn something you can’t unlearn it”, and growth “by learning what skills you have or want to learn to become your true self”.
I love working with teens, younger and middle-aged adults, and males from different populations and cultural backgrounds who are going through difficult life changes such as independence exploration, career path discovery, relationship issues, anxiety, depression, grief, and trauma. I believe healing takes place in a safe and supportive environment where individuals can be their true selves. The way I do therapy is based on the value of learning “Once we learn something you can’t unlearn it”, and growth “by learning what skills you have or want to learn to become your true self”.
(206) 279-1323 View (206) 279-1323
Photo of Emily Preston, MA, LMHC, PLLC, Counselor in Seattle, WA
Emily Preston, MA, LMHC, PLLC
Counselor, MA, LMHC, PLLC
Verified Verified
Seattle, WA 98136  (Online Only)
Your uncomfortable symptoms may be what send you to therapy, but they can also serve you. You may feel overwhelmed or confused, and yet this is also an invitation for hope, curiosity, insight, and self-compassion. It is an opportunity to be able to access some of the deepest realms of yourself, to heal, and to move forward with greater confidence in your life. I work with individuals of all ages, and provide support for people experiencing anxiety, depression, relationship issues, adoption, trauma, body image and eating disorders, life transitions, individuation, co-dependence, overall work and family stress, and multicultural issues.
Your uncomfortable symptoms may be what send you to therapy, but they can also serve you. You may feel overwhelmed or confused, and yet this is also an invitation for hope, curiosity, insight, and self-compassion. It is an opportunity to be able to access some of the deepest realms of yourself, to heal, and to move forward with greater confidence in your life. I work with individuals of all ages, and provide support for people experiencing anxiety, depression, relationship issues, adoption, trauma, body image and eating disorders, life transitions, individuation, co-dependence, overall work and family stress, and multicultural issues.
(425) 276-7073 View (425) 276-7073
Photo of Dr. Emily L. Andresen- Seattle Couples Counseling, Psychologist in Seattle, WA
Dr. Emily L. Andresen- Seattle Couples Counseling
Psychologist, PsyD
Verified Verified
Seattle, WA 98105
MAY 2024- Accepting new clients. Welcome! I am a Stanford trained clinical psychologist who specializes in working with couples struggling with communication, a lack of physical intimacy or emotional connection, a difference in attachment style or issues related to trust. I also work with couples in their second marriage as they navigate the challenges of a blended family and with married couples contemplating divorce or couples who would like support as they decouple.
MAY 2024- Accepting new clients. Welcome! I am a Stanford trained clinical psychologist who specializes in working with couples struggling with communication, a lack of physical intimacy or emotional connection, a difference in attachment style or issues related to trust. I also work with couples in their second marriage as they navigate the challenges of a blended family and with married couples contemplating divorce or couples who would like support as they decouple.
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Photo of Karen Acheson, Clinical Social Work/Therapist in Seattle, WA
Karen Acheson
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98101
Not accepting new clients
Perhaps you have a great deal going on in your life, are experiencing a lot of stress, and you’re finding that the usual ways of dealing with stress aren’t working. Or you are going through a period of transition or crisis in your life and wonder how you will get through it. Maybe you have experienced trauma, recently or a long time ago, and are experiencing its aftereffects. I offer a place where we can work through these and other issues together—a place of compassion, support, and warmth. There we can collaborate to find the self-understanding and self-acceptance that produces the change you seek.
Perhaps you have a great deal going on in your life, are experiencing a lot of stress, and you’re finding that the usual ways of dealing with stress aren’t working. Or you are going through a period of transition or crisis in your life and wonder how you will get through it. Maybe you have experienced trauma, recently or a long time ago, and are experiencing its aftereffects. I offer a place where we can work through these and other issues together—a place of compassion, support, and warmth. There we can collaborate to find the self-understanding and self-acceptance that produces the change you seek.
(206) 203-9092 View (206) 203-9092
Photo of Kelly White, Counselor in Seattle, WA
Kelly White
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98122
I enjoy helping clients move through stuck points in their lives. Whether you are struggling with anxiety, career dissatisfaction, relationship issues, low self-esteem, or other life transitions, I can help you identify what is holding you back and create an action plan to help you build the kind of life you want and deserve. Working collaboratively, I will help you enhance your self-awareness, pinpoint unhelpful thought and behavior patterns, build skills necessary to handle life more effectively, and develop values-guided actions to reach your goals. Difficulties don't have to stop you.
I enjoy helping clients move through stuck points in their lives. Whether you are struggling with anxiety, career dissatisfaction, relationship issues, low self-esteem, or other life transitions, I can help you identify what is holding you back and create an action plan to help you build the kind of life you want and deserve. Working collaboratively, I will help you enhance your self-awareness, pinpoint unhelpful thought and behavior patterns, build skills necessary to handle life more effectively, and develop values-guided actions to reach your goals. Difficulties don't have to stop you.
(206) 210-3657 View (206) 210-3657

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
86% 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.