Therapists in Seattle, WA

View neighborhoods in Seattle
Photo of Jessica Piziali, Counselor in Seattle, WA
Jessica Piziali
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Seattle, WA 98103  (Online Only)
Hi, I'm Jessica! I help folx with ADHD in adulthood better understand themselves, find a sense of peace, and thrive. I know living with ADHD can be challenging, do any of these sound familiar? You’re a people-pleaser and struggle to advocate for yourself. You seem to have it “all together” from the outside but internally are struggling with anxiety, loneliness, self-doubt, or burnout. You struggle with procrastination, keeping track of all the tasks on your plate, leading to overwhelm. You feel like no one quite fully understands you. It feels like it’s so much easier for everyone else to accomplish goals.
Hi, I'm Jessica! I help folx with ADHD in adulthood better understand themselves, find a sense of peace, and thrive. I know living with ADHD can be challenging, do any of these sound familiar? You’re a people-pleaser and struggle to advocate for yourself. You seem to have it “all together” from the outside but internally are struggling with anxiety, loneliness, self-doubt, or burnout. You struggle with procrastination, keeping track of all the tasks on your plate, leading to overwhelm. You feel like no one quite fully understands you. It feels like it’s so much easier for everyone else to accomplish goals.
(206) 590-3936 View (206) 590-3936
Photo of Ronay Pagan, Counselor in Seattle, WA
Ronay Pagan
Counselor, LMHCA
Verified Verified
Seattle, WA 98119
I believe that therapy is a collaborative process and that the client steers the direction. Internal motivation and a willingness to ask yourself the difficult questions are essential to success. The beauty is that the power lies in your hands at all times. I am happy to help facilitate the process and smooth the path along your way. I have training in cognitive behavioral therapy, rational emotive behavior therapy, dialectical behavior therapy (both the original and radically open subsets), holistic health, humanistic approaches, and existential approaches.
I believe that therapy is a collaborative process and that the client steers the direction. Internal motivation and a willingness to ask yourself the difficult questions are essential to success. The beauty is that the power lies in your hands at all times. I am happy to help facilitate the process and smooth the path along your way. I have training in cognitive behavioral therapy, rational emotive behavior therapy, dialectical behavior therapy (both the original and radically open subsets), holistic health, humanistic approaches, and existential approaches.
(206) 339-3574 View (206) 339-3574
Photo of David Shirk, Clinical Social Work/Therapist in Seattle, WA
David Shirk
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98101  (Online Only)
I am a Licensed Independent Clinical Social Worker in Washington State. I've been working for 25 years with people struggling with mental health issues including depression, anxiety, bipolar, and personality disorders. I help people with stress, relationships, and finding meaning in their life.
I am a Licensed Independent Clinical Social Worker in Washington State. I've been working for 25 years with people struggling with mental health issues including depression, anxiety, bipolar, and personality disorders. I help people with stress, relationships, and finding meaning in their life.
(206) 736-1008 View (206) 736-1008
Photo of Suzanne Astley in Seattle, WA
Suzanne Astley
ARNP
Verified Verified
1 Endorsed
Seattle, WA 98134
Chances are you've been feeling symptoms of anxiety, depression, and/or ADHD. Life feels overwhelming, getting out of bed is hard, you feel fearful over seemingly small things, you can’t seem to focus, you constantly lose things, you feel out of control, and what’s even worse: all of these symptoms and feelings are negatively interfering with your quality of life. You want help, but finding a primary care provider or mental health professional seems overwhelming and waits are too long.
Chances are you've been feeling symptoms of anxiety, depression, and/or ADHD. Life feels overwhelming, getting out of bed is hard, you feel fearful over seemingly small things, you can’t seem to focus, you constantly lose things, you feel out of control, and what’s even worse: all of these symptoms and feelings are negatively interfering with your quality of life. You want help, but finding a primary care provider or mental health professional seems overwhelming and waits are too long.
(206) 800-6014 View (206) 800-6014
Photo of Matthew Nordin, Clinical Social Work/Therapist in Seattle, WA
Matthew Nordin
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98107  (Online Only)
People often come to me after spending years with other therapists, feeling like they haven't made any progress with issues of trauma from childhood or past relationships or things they've witnessed on-the-job if they're a first responder, medical provider, journalist, etc. However, "trauma" can result from emotional abuse, too, not just physical and sexual abuse. It can stem from any authority figure, as well, not just your parents. Many of my clients learn for the first time that they have PTSD or a similar trauma-related disorder. They tell me that they thought only military service members got PTSD. But when we go over symptoms
People often come to me after spending years with other therapists, feeling like they haven't made any progress with issues of trauma from childhood or past relationships or things they've witnessed on-the-job if they're a first responder, medical provider, journalist, etc. However, "trauma" can result from emotional abuse, too, not just physical and sexual abuse. It can stem from any authority figure, as well, not just your parents. Many of my clients learn for the first time that they have PTSD or a similar trauma-related disorder. They tell me that they thought only military service members got PTSD. But when we go over symptoms
(206) 558-0312 View (206) 558-0312
Photo of Samantha Stone, Counselor in Seattle, WA
Samantha Stone
Counselor, LMHC
Verified Verified
Seattle, WA 98104  (Online Only)
Waitlist for new clients
Hello, I'm Samantha. In my clinical practice - I work with clients to discover their strengths, hold space for hope, and build personal agency. I believe in talking about where you're at, where youʼve come from and where youʼre going - helping you heal and return to a sense of wholeness.
Hello, I'm Samantha. In my clinical practice - I work with clients to discover their strengths, hold space for hope, and build personal agency. I believe in talking about where you're at, where youʼve come from and where youʼre going - helping you heal and return to a sense of wholeness.
(206) 309-6068 View (206) 309-6068
Photo of Emily Dachman, Counselor in Seattle, WA
Emily Dachman
Counselor, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98121
Two Chairs was founded in 2017 with a mission to build a world where everyone has access to exceptional mental healthcare. We're creating a better experience for both patients and clinicians by starting with an in-depth, research-backed matching process to ensure the ideal patient-therapist fit, offering hybrid care that gives patients and clinicians flexibility between in-person and virtual sessions, and measuring outcomes to ensure patients get better faster.
Two Chairs was founded in 2017 with a mission to build a world where everyone has access to exceptional mental healthcare. We're creating a better experience for both patients and clinicians by starting with an in-depth, research-backed matching process to ensure the ideal patient-therapist fit, offering hybrid care that gives patients and clinicians flexibility between in-person and virtual sessions, and measuring outcomes to ensure patients get better faster.
(206) 309-5748 View (206) 309-5748
Photo of Sara Bekele, Clinical Social Work/Therapist in Seattle, WA
Sara Bekele
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Seattle, WA 98109
Navigating life’s pressures can be challenging, especially when compounded with the impact of painful live events, intergenerational trauma, and broken systems. It can be daunting to seek help, particularly when our identities are targeted or misunderstood. My passion is supporting women of Color, queer people of Color, and people with immigrant backgrounds in a safe, affirming and warm therapeutic environment in which you can unpack your life story, learn tools for growth, and forge a path towards healing.
Navigating life’s pressures can be challenging, especially when compounded with the impact of painful live events, intergenerational trauma, and broken systems. It can be daunting to seek help, particularly when our identities are targeted or misunderstood. My passion is supporting women of Color, queer people of Color, and people with immigrant backgrounds in a safe, affirming and warm therapeutic environment in which you can unpack your life story, learn tools for growth, and forge a path towards healing.
(206) 752-5177 View (206) 752-5177
Photo of Joseph C Manaway, Counselor in Seattle, WA
Joseph C Manaway
Counselor, BSc/P, MACC, LMHCA
Verified Verified
Seattle, WA 98104  (Online Only)
I firmly believe in the inherent capacity for personal growth and change within each individual. It is my purpose to guide you in realizing and harnessing this power. By embracing this philosophy of empowerment, we recognize that the individual is the catalyst for transformative change. This approach yields lasting and meaningful outcomes, as individuals tap into their inner reservoirs of strength and talents, enabling them to overcome life's obstacles independently. Empowerment, in my view, is a lifelong gift. I eagerly anticipate assisting clients in their journey towards achieving their aspirations and objectives.
I firmly believe in the inherent capacity for personal growth and change within each individual. It is my purpose to guide you in realizing and harnessing this power. By embracing this philosophy of empowerment, we recognize that the individual is the catalyst for transformative change. This approach yields lasting and meaningful outcomes, as individuals tap into their inner reservoirs of strength and talents, enabling them to overcome life's obstacles independently. Empowerment, in my view, is a lifelong gift. I eagerly anticipate assisting clients in their journey towards achieving their aspirations and objectives.
(206) 202-4187 View (206) 202-4187
Photo of Melia Beccard, Pre-Licensed Professional in Seattle, WA
Melia Beccard
Pre-Licensed Professional, BS
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
Hello! My name is Melia and I specialize in working with people who are in their late teens and early adult years. As a transracial adoptee myself, I am passionate about working with adoptees struggling with identity related issues, anxiety, depression, and relationships. Often, navigating life changes can leave us feeling confused about ourselves and our relationships. I want to help support you through these changes with compassion and cultural sensitivity. I am grounded in a social justice framework rooted in racial equity and empowerment in order to help create a safe space where we can better explore your goals and needs.
Hello! My name is Melia and I specialize in working with people who are in their late teens and early adult years. As a transracial adoptee myself, I am passionate about working with adoptees struggling with identity related issues, anxiety, depression, and relationships. Often, navigating life changes can leave us feeling confused about ourselves and our relationships. I want to help support you through these changes with compassion and cultural sensitivity. I am grounded in a social justice framework rooted in racial equity and empowerment in order to help create a safe space where we can better explore your goals and needs.
(425) 434-8902 View (425) 434-8902
Photo of Lily Gordon, Counselor in Seattle, WA
Lily Gordon
Counselor, MAEd, LMHCA
Verified Verified
5 Endorsed
Seattle, WA 98121  (Online Only)
Welcome! I’m so glad you’re here. I know first-hand the vulnerability it takes to seek support, and the courage it takes to make change. Together, we can navigate anxiety, trauma, grief and loss, life transitions, existential crises, and relationship difficulties. I’m here to help you develop self-awareness, nurture self-compassion, and cultivate resilience so you can realign with your true self and thrive. It would be an honor to walk alongside you on your journey of self-discovery, healing, and fulfillment.
Welcome! I’m so glad you’re here. I know first-hand the vulnerability it takes to seek support, and the courage it takes to make change. Together, we can navigate anxiety, trauma, grief and loss, life transitions, existential crises, and relationship difficulties. I’m here to help you develop self-awareness, nurture self-compassion, and cultivate resilience so you can realign with your true self and thrive. It would be an honor to walk alongside you on your journey of self-discovery, healing, and fulfillment.
(206) 899-0804 View (206) 899-0804
Photo of Erica Van Leuven, Counselor in Seattle, WA
Erica Van Leuven
Counselor, LPC
Verified Verified
Seattle, WA 98104  (Online Only)
My commitment to you, is that you will feel completely heard, understood, and feel that we are working together to accomplish your goals. When we are done with our time together, I aim for you to feel encouraged, ready to move forward toward your goals, and that you have the tools with which to accomplish that. No matter what you might be facing, I can offer support and likely more tools with which to successfully cope. Together, I know we can get you to a point of peace and enjoying life just as you should be able to. And you will feel capable to deal with life moving forward.
My commitment to you, is that you will feel completely heard, understood, and feel that we are working together to accomplish your goals. When we are done with our time together, I aim for you to feel encouraged, ready to move forward toward your goals, and that you have the tools with which to accomplish that. No matter what you might be facing, I can offer support and likely more tools with which to successfully cope. Together, I know we can get you to a point of peace and enjoying life just as you should be able to. And you will feel capable to deal with life moving forward.
(571) 200-1176 View (571) 200-1176
Photo of Ian Scheiner Counseling PLLC, Marriage & Family Therapist in Seattle, WA
Ian Scheiner Counseling PLLC
Marriage & Family Therapist, MA, LMFT
Verified Verified
Seattle, WA 98103  (Online Only)
Are you facing a change in your life, or some obstacle that leaves you feeling tired, defeated, overwhelmed, constantly stressed, and alone? Do you feel stuck in your current struggles like your tires are spinning but you aren’t going anywhere? I work with my clients to explore how their experiences in life have shaped their relationships with themselves and how to improve that self-relationship. I help my clients find new, constructive ways to channel difficult emotions to feel better in daily life. I help my clients explore healthier ways of relating to themselves and to others.
Are you facing a change in your life, or some obstacle that leaves you feeling tired, defeated, overwhelmed, constantly stressed, and alone? Do you feel stuck in your current struggles like your tires are spinning but you aren’t going anywhere? I work with my clients to explore how their experiences in life have shaped their relationships with themselves and how to improve that self-relationship. I help my clients find new, constructive ways to channel difficult emotions to feel better in daily life. I help my clients explore healthier ways of relating to themselves and to others.
(206) 792-1195 View (206) 792-1195
Photo of Janaki Tremaglio, Clinical Social Work/Therapist in Seattle, WA
Janaki Tremaglio
Clinical Social Work/Therapist, MA, MSW, LICSW
Verified Verified
Seattle, WA 98103
Waitlist for new clients
Are you looking for attuned support to explore your struggles? Do you wish to become mindful of how your life history impacts your present experience? Are you interested in intuitive and spiritual practices, and holistic supports (including food, herbs)? If these questions resonate with you, reach out to me! I offer relationship-focused therapy, drawing from wisdom traditions and holistic approaches.
Are you looking for attuned support to explore your struggles? Do you wish to become mindful of how your life history impacts your present experience? Are you interested in intuitive and spiritual practices, and holistic supports (including food, herbs)? If these questions resonate with you, reach out to me! I offer relationship-focused therapy, drawing from wisdom traditions and holistic approaches.
(206) 589-2437 View (206) 589-2437
Photo of Dianne Graham, Counselor in Seattle, WA
Dianne Graham
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98103
Emotional pain, fear, and problems in life can propel someone into therapy. Distress can feel deep-rooted, and in actuality, often does reflect early, 'ancient' issues. I believe that also in our deepest roots, we may tap into powers of resilience and of amazing, unique selfhood that nourish us in development toward our human potentialities. In courageous exploration of, and work through life's challenges, we can find, and bring to light, marvelous, hard-won gifts of self-actualization, and well-being.
Emotional pain, fear, and problems in life can propel someone into therapy. Distress can feel deep-rooted, and in actuality, often does reflect early, 'ancient' issues. I believe that also in our deepest roots, we may tap into powers of resilience and of amazing, unique selfhood that nourish us in development toward our human potentialities. In courageous exploration of, and work through life's challenges, we can find, and bring to light, marvelous, hard-won gifts of self-actualization, and well-being.
(206) 489-3174 View (206) 489-3174
Photo of Columbia City MIndfulness and DBT, Clinical Social Work/Therapist in Seattle, WA
Columbia City MIndfulness and DBT
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98118  (Online Only)
I welcome people who are facing any number of challenges including life transitions such as divorce, job loss, illness, death of a loved one; all shifting the ground beneath us in dramatic ways. What worked no longer works. My trMy training as a Mindfulness Meditation Teacher complements training and practice in psychotherapy addressing a dysregulated emotion system resulting in various symptoms such as anxiety, panic, depression, and identity disturbance and sometimes even a desire to die or hurt oneself. There can be a painful sense of isolation and feeling unmoored. There is a way out; first understanding, then tools to heal.
I welcome people who are facing any number of challenges including life transitions such as divorce, job loss, illness, death of a loved one; all shifting the ground beneath us in dramatic ways. What worked no longer works. My trMy training as a Mindfulness Meditation Teacher complements training and practice in psychotherapy addressing a dysregulated emotion system resulting in various symptoms such as anxiety, panic, depression, and identity disturbance and sometimes even a desire to die or hurt oneself. There can be a painful sense of isolation and feeling unmoored. There is a way out; first understanding, then tools to heal.
(206) 752-6263 View (206) 752-6263
Photo of Joshua Cohen, Counselor in Seattle, WA
Joshua Cohen
Counselor, MA/LMHC
Verified Verified
1 Endorsed
Seattle, WA 98112
I have been working in the mental health field for over twenty years. Throughout that time I have worked in a variety of settings, all of which have given me a wealth of experience to draw upon. I have always had a passion for the work of psychotherapy, which I feel is ultimately about inner exploration and transformation. Most people come to psychotherapy because they feel like they are stuck in some way. Having another mind and perspective can help to get things moving where they once were stuck. With a spirit of curiosity and collaboration I work with my patients to seek out what may be obstructing their continued growth.
I have been working in the mental health field for over twenty years. Throughout that time I have worked in a variety of settings, all of which have given me a wealth of experience to draw upon. I have always had a passion for the work of psychotherapy, which I feel is ultimately about inner exploration and transformation. Most people come to psychotherapy because they feel like they are stuck in some way. Having another mind and perspective can help to get things moving where they once were stuck. With a spirit of curiosity and collaboration I work with my patients to seek out what may be obstructing their continued growth.
(206) 339-9174 View (206) 339-9174
Photo of Jessica Bahr, Marriage & Family Therapist Associate in Seattle, WA
Jessica Bahr
Marriage & Family Therapist Associate, LMFTA, MA
Verified Verified
3 Endorsed
Seattle, WA 98119  (Online Only)
I am a therapist with ADHD, so I love working with clients who have ADHD. I think our similar brains strengthen our understanding of each other and therefore our therapeutic connection. I will never tell you to just “try harder” or “buy a planner” or other things that neurotypicals have said to you (although I do love some good office supplies). Everyone with ADHD is different and deserves personalized exploration of their needs and barriers to help manage symptoms and achieve functioning goals. I also love working with couples who have ADHD, including mixed neurotype couples who are working to better understand one another.
I am a therapist with ADHD, so I love working with clients who have ADHD. I think our similar brains strengthen our understanding of each other and therefore our therapeutic connection. I will never tell you to just “try harder” or “buy a planner” or other things that neurotypicals have said to you (although I do love some good office supplies). Everyone with ADHD is different and deserves personalized exploration of their needs and barriers to help manage symptoms and achieve functioning goals. I also love working with couples who have ADHD, including mixed neurotype couples who are working to better understand one another.
(206) 309-6709 View (206) 309-6709
Photo of Mark Lins, Counselor in Seattle, WA
Mark Lins
Counselor, MS, NCC
Verified Verified
Seattle, WA 98188
Mark’s first love has always been in practice with family and individual counseling. After managing, he decided to enter into private practice, currently with the Mindful Therapy Group. Mark provides individual, couples, family and group psychotherapy services to people with a variety of mental and emotional difficulties including depression, anxiety, attention deficit, multiple personality, anti-social and other personality issues. Mark has experience working with children, adolescents, and adults from different backgrounds, cultures, and unique circumstances.
Mark’s first love has always been in practice with family and individual counseling. After managing, he decided to enter into private practice, currently with the Mindful Therapy Group. Mark provides individual, couples, family and group psychotherapy services to people with a variety of mental and emotional difficulties including depression, anxiety, attention deficit, multiple personality, anti-social and other personality issues. Mark has experience working with children, adolescents, and adults from different backgrounds, cultures, and unique circumstances.
(206) 594-3515 View (206) 594-3515
Photo of Tracy Jordan Adams, Counselor in Seattle, WA
Tracy Jordan Adams
Counselor, MA, LMHC, NCC
Verified Verified
1 Endorsed
Seattle, WA 98103
Waitlist for new clients
It takes courage to ask for help. Life seems to throw us one challenge after another and we can feel weighed down by the stress of daily living. Sometimes we can lose sight of what makes us feel special and valued. I am here to work with your individual needs. Feelings of anxiety, depression, anger, and loneliness can leave us feeling disconnected from others. If we do not take the time to understand where these feelings stem from and how they affect us, we cannot begin to heal and feel whole again. I value you as an individual and want to understand your unique experiences. I want to help you to feel safe and accepted at all times.
It takes courage to ask for help. Life seems to throw us one challenge after another and we can feel weighed down by the stress of daily living. Sometimes we can lose sight of what makes us feel special and valued. I am here to work with your individual needs. Feelings of anxiety, depression, anger, and loneliness can leave us feeling disconnected from others. If we do not take the time to understand where these feelings stem from and how they affect us, we cannot begin to heal and feel whole again. I value you as an individual and want to understand your unique experiences. I want to help you to feel safe and accepted at all times.
(206) 823-0816 View (206) 823-0816

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.