Therapists in Burien, WA

Photo of Lisa Cowden, Psychologist in Burien, WA
Lisa Cowden
Psychologist, PhD
Verified Verified
Burien, WA 98166
I believe in tailoring the therapy to meet each client's individual. I primarily use psychodynamic therapy which helps the client gain self-insight but also use a variety of therapeutic techniques including cognitive and behavioral methods. Being able to stand back from one's self and gain perspective about one's personality, choices and actions are important in helping an individual work through issues. I help the client explore what issues from the past or present may be contributing to depression or anxiety.
I believe in tailoring the therapy to meet each client's individual. I primarily use psychodynamic therapy which helps the client gain self-insight but also use a variety of therapeutic techniques including cognitive and behavioral methods. Being able to stand back from one's self and gain perspective about one's personality, choices and actions are important in helping an individual work through issues. I help the client explore what issues from the past or present may be contributing to depression or anxiety.
(206) 241-9068 View (206) 241-9068
Photo of Katy A Schumaker, Counselor in Burien, WA
Katy A Schumaker
Counselor, MA, LMHC, ATR-BC
Verified Verified
Burien, WA 98166
I am a nationally registered art therapist. Using creative processes helps us develop new ways of thinking and new insights into our actions, reactions, and behaviors...and know that if you don't want to make art, you don't have to. It's always an option and never required.
I am a nationally registered art therapist. Using creative processes helps us develop new ways of thinking and new insights into our actions, reactions, and behaviors...and know that if you don't want to make art, you don't have to. It's always an option and never required.
(206) 535-1630 View (206) 535-1630
Photo of Kevin Ward, Counselor in Burien, WA
Kevin Ward
Counselor, MEd, LMHC, NCC
Verified Verified
1 Endorsed
Burien, WA 98166
Waitlist for new clients
When we feel that we belong to the world, then we can move through it with confidence and courage, open to growth and happiness. There are plenty of things to worry about as a kid, and today’s culture does not necessarily make it easier. But children do not have to go at it alone! Feelings of despair, loneliness, and inauthenticity are completely normal for many kids and young adults. No one lives alone with these feelings, even though it may feel this way. Through a genuine counseling relationship, kids can begin to believe much deeper in their strengths than in their shortcomings.
When we feel that we belong to the world, then we can move through it with confidence and courage, open to growth and happiness. There are plenty of things to worry about as a kid, and today’s culture does not necessarily make it easier. But children do not have to go at it alone! Feelings of despair, loneliness, and inauthenticity are completely normal for many kids and young adults. No one lives alone with these feelings, even though it may feel this way. Through a genuine counseling relationship, kids can begin to believe much deeper in their strengths than in their shortcomings.
(206) 984-4770 View (206) 984-4770
Photo of Teryn Sahagún, Clinical Social Work/Therapist in Burien, WA
Teryn Sahagún
Clinical Social Work/Therapist, LICSW
Verified Verified
Burien, WA 98166  (Online Only)
I view therapy as a partnership between client and therapist and approach issues from a behavior change perspective. I work with clients to identify areas that are causing distress, understand how they may be contributing to these problems, and identify changes they can actively make to yield the results they want to see. Because of the many positions I have held in the mental health field during the past 17 years, I am able to pull from a variety of evidenced-based treatment modalities and easily adjust course in order to best meet a client’s needs. Please refer to my website bio for more. Initial inquiries preferred via email.
I view therapy as a partnership between client and therapist and approach issues from a behavior change perspective. I work with clients to identify areas that are causing distress, understand how they may be contributing to these problems, and identify changes they can actively make to yield the results they want to see. Because of the many positions I have held in the mental health field during the past 17 years, I am able to pull from a variety of evidenced-based treatment modalities and easily adjust course in order to best meet a client’s needs. Please refer to my website bio for more. Initial inquiries preferred via email.
(206) 385-4075 View (206) 385-4075
Photo of Claire L. Schaffer, Marriage & Family Therapist Associate in Burien, WA
Claire L. Schaffer
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Burien, WA 98166
Not accepting new clients
As a systemic therapist, I believe in the exploration of all cultural and societal messages, norms, and values that have shaped my clients into who they are today. Making the brave decision to begin therapy is often preceded by many obstacles and challenges, and it is important to me to take the necessary time to walk through clients' stories and reflect on their experiences. I work to create a safe, trusting, and open environment where my clients and I can exchange constructive feedback. I believe that the therapy room is a space for emotional vulnerability, reflection, and growth.
As a systemic therapist, I believe in the exploration of all cultural and societal messages, norms, and values that have shaped my clients into who they are today. Making the brave decision to begin therapy is often preceded by many obstacles and challenges, and it is important to me to take the necessary time to walk through clients' stories and reflect on their experiences. I work to create a safe, trusting, and open environment where my clients and I can exchange constructive feedback. I believe that the therapy room is a space for emotional vulnerability, reflection, and growth.
(425) 428-6712 x227 View (425) 428-6712 x227
Photo of Bipolar Disorder And Burnout Specialist Michelle Solomon, Clinical Social Work/Therapist in Burien, WA
Bipolar Disorder And Burnout Specialist Michelle Solomon
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
3 Endorsed
Burien, WA 98166  (Online Only)
Are you struggling to achieve work-life balance as someone with bipolar disorder or in a high performing job? Do you feel exhausted and overwhelmed trying to manage your mood or stressors of daily life? Sometimes it feels impossible to prioritize your needs and happiness, no matter what you do. Maybe you feel pressure to be “on” all the time, leaving you little room to breathe and relax. It's time to put yourself first. You're ready to advocate for yourself and have your own back. You crave balance in your routine. Let's work together to rediscover joy and pleasure in your life once again. I'm here to help you every step of the way.
Are you struggling to achieve work-life balance as someone with bipolar disorder or in a high performing job? Do you feel exhausted and overwhelmed trying to manage your mood or stressors of daily life? Sometimes it feels impossible to prioritize your needs and happiness, no matter what you do. Maybe you feel pressure to be “on” all the time, leaving you little room to breathe and relax. It's time to put yourself first. You're ready to advocate for yourself and have your own back. You crave balance in your routine. Let's work together to rediscover joy and pleasure in your life once again. I'm here to help you every step of the way.
(206) 752-3559 View (206) 752-3559
Photo of Chase Torbergson, Counselor in Burien, WA
Chase Torbergson
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Burien, WA 98166
I see a wide range of clients, although I specialize in relationships, anxiety, frustration, ADHD, and problems with focus and motivation. I see both couples and individuals, as well as adolescents. Counseling focus may include relationship satisfaction, anxiety control, focus and motivational problems with both personal life and work, as well as general ADHD management. I've helped countless clients move from a place of feeling stuck and dissatisfied, to one of happiness and flourishing. I offer both short-term counseling (8-10 weeks) and long-term counseling. I also offer coaching related to focus and motivation.
I see a wide range of clients, although I specialize in relationships, anxiety, frustration, ADHD, and problems with focus and motivation. I see both couples and individuals, as well as adolescents. Counseling focus may include relationship satisfaction, anxiety control, focus and motivational problems with both personal life and work, as well as general ADHD management. I've helped countless clients move from a place of feeling stuck and dissatisfied, to one of happiness and flourishing. I offer both short-term counseling (8-10 weeks) and long-term counseling. I also offer coaching related to focus and motivation.
(206) 203-0671 View (206) 203-0671
Photo of Mindy M Maxwell, Counselor in Burien, WA
Mindy M Maxwell
Counselor, LMHC
Verified Verified
Burien, WA 98166  (Online Only)
Are you feeling stuck where you are currently? Often, how we present to the world is driven by how we learned to survive in it. At our core, we seek to feel seen, heard, loved, and valued. However, our own beliefs that we are unworthy or undeserving of these basic desires lead us to feel anxious or depressed, lonely, disconnected, misunderstood or overwhelmed. Such beliefs about ourselves are built on years of messaging that tell us who we "should" be and bring us further away from who we are at our core. By exploring these beliefs, we can work together to heal and to bring you closer to your truest, most authentic self.
Are you feeling stuck where you are currently? Often, how we present to the world is driven by how we learned to survive in it. At our core, we seek to feel seen, heard, loved, and valued. However, our own beliefs that we are unworthy or undeserving of these basic desires lead us to feel anxious or depressed, lonely, disconnected, misunderstood or overwhelmed. Such beliefs about ourselves are built on years of messaging that tell us who we "should" be and bring us further away from who we are at our core. By exploring these beliefs, we can work together to heal and to bring you closer to your truest, most authentic self.
(206) 203-1823 View (206) 203-1823
Photo of Counseling Services for Wellbeing, Marriage & Family Therapist in Burien, WA
Counseling Services for Wellbeing
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Burien, WA 98166
Often the goal of therapy is for clients to develop the capacity to resolve personal problems with the support of a therapist. The clinicians at Counseling Services for Wellbeing work collaboratively with the clients to build on their existing strengths, enhance relationships, increase and procure a support system and obtain the necessary skills and tools to lead a happier and more fulfilling life. We strive to work in a comfortable and supportive atmosphere, tailoring to each client’s individual needs and goals to help achieve the personal growth they are striving for.
Often the goal of therapy is for clients to develop the capacity to resolve personal problems with the support of a therapist. The clinicians at Counseling Services for Wellbeing work collaboratively with the clients to build on their existing strengths, enhance relationships, increase and procure a support system and obtain the necessary skills and tools to lead a happier and more fulfilling life. We strive to work in a comfortable and supportive atmosphere, tailoring to each client’s individual needs and goals to help achieve the personal growth they are striving for.
(206) 426-0366 View (206) 426-0366
Photo of Kathryn Kong, Clinical Social Work/Therapist in Burien, WA
Kathryn Kong
Clinical Social Work/Therapist, MSW, LICSW, SUDP
Verified Verified
1 Endorsed
Burien, WA 98166  (Online Only)
Hi, I'm Kathryn! I'm glad you're here. I consider it an honor to be invited into my clients' lives to help them navigate uncertainty, make meaning of challenging experiences, and regain purpose and hope. I specialize in working with individuals over the age of 18 who have experienced depression, anxiety, trauma, and substance use. I have expertise in working with individuals navigating religious trauma and cultural challenges, including cultural identity issues and generational trauma.
Hi, I'm Kathryn! I'm glad you're here. I consider it an honor to be invited into my clients' lives to help them navigate uncertainty, make meaning of challenging experiences, and regain purpose and hope. I specialize in working with individuals over the age of 18 who have experienced depression, anxiety, trauma, and substance use. I have expertise in working with individuals navigating religious trauma and cultural challenges, including cultural identity issues and generational trauma.
(206) 736-1484 x215 View (206) 736-1484 x215
Photo of Sean P Humphrey, Drug & Alcohol Counselor in Burien, WA
Sean P Humphrey
Drug & Alcohol Counselor, MA, LMHC, CDP, MAC
Verified Verified
Burien, WA 98166
Are you struggling to make sense of your life and your relationship to others? Do you suffer from addiction, depression or anxiety? Do you wish you had better control of your circumstances? Through coaching and guidance you can develop the tools you need to be more successful in your life. I have been guiding people successfully for over 10 years.
Are you struggling to make sense of your life and your relationship to others? Do you suffer from addiction, depression or anxiety? Do you wish you had better control of your circumstances? Through coaching and guidance you can develop the tools you need to be more successful in your life. I have been guiding people successfully for over 10 years.
(253) 234-5171 View (253) 234-5171
Photo of Luís Merced, Counselor in Burien, WA
Luís Merced
Counselor, MS, LMHC, NCC, CCTP-II, AF-EMDR
Verified Verified
6 Endorsed
Burien, WA 98166  (Online Only)
Waitlist for new clients
My preferred initial communication is email. Serving in the army for 10 years, I have worked with many different cultural backgrounds, as well as those with differing spiritual beliefs. Since attaining my Master's in Clinical Mental Health Counseling, I have pursued many therapeutic techniques to help my clients. My clinical interests include treating trauma, neuroaffirming as well as providing LGBTQIA+ affirmative psychotherapy to sexual minorities. If you're struggling with anxiety, depression or past experiences are negatively affecting you, feel free to reach out to see if we are a good fit to work together.
My preferred initial communication is email. Serving in the army for 10 years, I have worked with many different cultural backgrounds, as well as those with differing spiritual beliefs. Since attaining my Master's in Clinical Mental Health Counseling, I have pursued many therapeutic techniques to help my clients. My clinical interests include treating trauma, neuroaffirming as well as providing LGBTQIA+ affirmative psychotherapy to sexual minorities. If you're struggling with anxiety, depression or past experiences are negatively affecting you, feel free to reach out to see if we are a good fit to work together.
(206) 401-9751 View (206) 401-9751
Photo of Nick Farkas, Counselor in Burien, WA
Nick Farkas
Counselor, LMHC, CMHS
Verified Verified
Burien, WA 98166
Are you having increased anxiety or depression during the COVID-19 pandemic? Are particular relationships proving to be difficult? Are you looking for something to change? I believe in deep goodness and healing that occurs when we share our brokenness with one another to grieve the past, accept the present, and voice hope for the future. We will spend time making sense of your past and how it impacts your relationships. I will work with you, your children, or your family to develop relational and coping skills, with the ultimate goal of developing self-compassion. I will approach our work with empathy and compassion.
Are you having increased anxiety or depression during the COVID-19 pandemic? Are particular relationships proving to be difficult? Are you looking for something to change? I believe in deep goodness and healing that occurs when we share our brokenness with one another to grieve the past, accept the present, and voice hope for the future. We will spend time making sense of your past and how it impacts your relationships. I will work with you, your children, or your family to develop relational and coping skills, with the ultimate goal of developing self-compassion. I will approach our work with empathy and compassion.
(206) 203-7091 View (206) 203-7091
Photo of Vanessa Davis, Marriage & Family Therapist in Burien, WA
Vanessa Davis
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Burien, WA 98166
Thank you for taking the time to put you and your family first in finding a therapist that will best meet your needs in navigating through your present concerns, or life challenges you and your family are presently experiencing. For the past six years I have provided a wide range of psychotherapy services to children, families, individuals, and couples who have experienced depression, perinatal/postpartum difficulties, anxiety, grief, trauma, adverse stress, relationship conflicts, behavioral and developmental related concerns. My approach to therapy is always strength based, warm, non-judgmental, and collaborative.
Thank you for taking the time to put you and your family first in finding a therapist that will best meet your needs in navigating through your present concerns, or life challenges you and your family are presently experiencing. For the past six years I have provided a wide range of psychotherapy services to children, families, individuals, and couples who have experienced depression, perinatal/postpartum difficulties, anxiety, grief, trauma, adverse stress, relationship conflicts, behavioral and developmental related concerns. My approach to therapy is always strength based, warm, non-judgmental, and collaborative.
(206) 752-5892 x102 View (206) 752-5892 x102
Photo of Rosemary Bannon Tyksinski, PhD, LLC, Counselor in Burien, WA
Rosemary Bannon Tyksinski, PhD, LLC
Counselor, PhD, LMHC, NBCMC , BCC
Verified Verified
2 Endorsed
Burien, WA 98166
Awarded Bellevue's Best Mental Health & Counseling Business for 8 consecutive years. Because your life isn't like anyone else's your therapy shouldn't be either. Your therapy is designed to fit your needs, strengths, vulnerabilities, and personality. I offer a flexible array of therapeutic approaches providing both short-term problem-focused therapy and long-term attachment-based therapy. Your therapy is approached holistically because every part of your life and health are important to your well being.
Awarded Bellevue's Best Mental Health & Counseling Business for 8 consecutive years. Because your life isn't like anyone else's your therapy shouldn't be either. Your therapy is designed to fit your needs, strengths, vulnerabilities, and personality. I offer a flexible array of therapeutic approaches providing both short-term problem-focused therapy and long-term attachment-based therapy. Your therapy is approached holistically because every part of your life and health are important to your well being.
(206) 590-4516 View (206) 590-4516
Photo of Geramy Michael Hudson, Counselor in Burien, WA
Geramy Michael Hudson
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Burien, WA 98166  (Online Only)
Life sometimes presents with challenges and obstacles that seem impossible to get through. One may often times feel alone and that there's nowhere to turn; but there truly is. I look at the whole individual and their experience as unique and focus on helping the person reveal their true self; the person they always wanted to be.
Life sometimes presents with challenges and obstacles that seem impossible to get through. One may often times feel alone and that there's nowhere to turn; but there truly is. I look at the whole individual and their experience as unique and focus on helping the person reveal their true self; the person they always wanted to be.
(206) 278-2885 View (206) 278-2885
Photo of Marilyn Baker, Counselor in Burien, WA
Marilyn Baker
Counselor, MA, LMHCA, NCC
Verified Verified
6 Endorsed
Burien, WA 98166
Waitlist for new clients
Marilyn Baker is a Licensed Mental Health Counselor Associate with experience in corporate and nonprofit sectors working with diverse populations and internationally. She has been involved in Christian ministry since 2016 and received her graduate degree from Western Seminary. She focuses on providing direct counseling services to those in high-stress work environments and those struggling with chronic physical or emotional burdens.
Marilyn Baker is a Licensed Mental Health Counselor Associate with experience in corporate and nonprofit sectors working with diverse populations and internationally. She has been involved in Christian ministry since 2016 and received her graduate degree from Western Seminary. She focuses on providing direct counseling services to those in high-stress work environments and those struggling with chronic physical or emotional burdens.
(206) 594-5075 View (206) 594-5075
Photo of MS LMHC, LLC., Pre-Licensed Professional in Burien, WA
MS LMHC, LLC.
Pre-Licensed Professional, MA, LMHCA, NCC
Verified Verified
1 Endorsed
Burien, WA 98166
Have you found yourself thinking that there has to be more than feeling like this? Life is both wonderful and chaotic, and sometimes we need extra support and guidance to get through the fog. Whether you are finally ready to face a traumatic or adverse situation, improve on how you view yourself and others, learn better ways to cope and regulate yourself, or if you just want a safe and compassionate place to share, then let's get in touch.
Have you found yourself thinking that there has to be more than feeling like this? Life is both wonderful and chaotic, and sometimes we need extra support and guidance to get through the fog. Whether you are finally ready to face a traumatic or adverse situation, improve on how you view yourself and others, learn better ways to cope and regulate yourself, or if you just want a safe and compassionate place to share, then let's get in touch.
(206) 539-0369 View (206) 539-0369
Photo of Michael D Phillips, Clinical Social Work/Therapist in Burien, WA
Michael D Phillips
Clinical Social Work/Therapist, LICSWA, LMSW
Verified Verified
Burien, WA 98166  (Online Only)
I work with all clients who are 18 years and older. I deliver both individual therapy as well as services for families. I work with a variety of clients who want to work on depression, anxiety, trauma, and abuse issues from the past to the present. The goal of therapy is to help each client develop coping skills to help manage their mental health symptoms. While my approach tends to be eclectic, I draw from different evidence-based interventions to provide tailored sessions for my clients. Some of the modalities I use include CBT, DBT, ACT, and Narrative therapy to help my clients become the best version of themselves.
I work with all clients who are 18 years and older. I deliver both individual therapy as well as services for families. I work with a variety of clients who want to work on depression, anxiety, trauma, and abuse issues from the past to the present. The goal of therapy is to help each client develop coping skills to help manage their mental health symptoms. While my approach tends to be eclectic, I draw from different evidence-based interventions to provide tailored sessions for my clients. Some of the modalities I use include CBT, DBT, ACT, and Narrative therapy to help my clients become the best version of themselves.
(206) 944-5079 View (206) 944-5079
Photo of Bobbie Catton, Counselor in Burien, WA
Bobbie Catton
Counselor, MA, LMHC, SUDP, C-DBT, CPC
Verified Verified
1 Endorsed
Burien, WA 98146  (Online Only)
Are you feeling "stuck", disconnected, or having trouble with stressors in your life? When we are stuck it changes the way we think about ourselves and how we view the world around us. This leads to disconnection to those around us. Every person can experience blind spots in the narrative they tell themselves, this creates challenges in our relationships with our "favorite people." I invite you, your partner, or children a safe space to reconnect with yourself and / or those around you. Together we will work collaboratively to develop strategies that promote healing, resilience, and personal growth which will increase peace in life.
Are you feeling "stuck", disconnected, or having trouble with stressors in your life? When we are stuck it changes the way we think about ourselves and how we view the world around us. This leads to disconnection to those around us. Every person can experience blind spots in the narrative they tell themselves, this creates challenges in our relationships with our "favorite people." I invite you, your partner, or children a safe space to reconnect with yourself and / or those around you. Together we will work collaboratively to develop strategies that promote healing, resilience, and personal growth which will increase peace in life.
(206) 278-1408 View (206) 278-1408

How does your Therapist compare?

Number of Therapists in Burien, WA

90+

Average cost per session

$150

Therapists in Burien, WA who prioritize treating:

94% Anxiety
88% Depression
82% Relationship Issues
75% Self Esteem
74% Grief
72% Trauma and PTSD
71% Stress

Average years in practice

8 Years

Top 3 insurances accepted

85% Premera
74% Regence
62% Aetna

How Therapists in Burien, WA see their clients

57% In Person and Online
43% Online Only

Gender breakdown

76% Female
19% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Burien?

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.