Therapists in Seattle, WA

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Photo of Tessa Raebeck, Licensed Mental Health Counselor in Seattle, WA
Tessa Raebeck
Licensed Mental Health Counselor, MA, LMHC
Verified Verified
3 Endorsed
Seattle, WA 98117
Telehealth or walk-and-talk therapy available, start with a consultation. If you are hoping to find a space to manage stress and anxiety, process your past, learn about your emotions and defense mechanisms, heal from trauma, abuse, and hurt, and build a healthier sense of self, stronger coping skills, and better relationships, let's get to work. I understand that finding the right therapist can be a daunting process, that's why I respond to all inquiries promptly, offer free consultations, and provide all prospective clients with referrals if we are not the right fit or I do not have availability.
Telehealth or walk-and-talk therapy available, start with a consultation. If you are hoping to find a space to manage stress and anxiety, process your past, learn about your emotions and defense mechanisms, heal from trauma, abuse, and hurt, and build a healthier sense of self, stronger coping skills, and better relationships, let's get to work. I understand that finding the right therapist can be a daunting process, that's why I respond to all inquiries promptly, offer free consultations, and provide all prospective clients with referrals if we are not the right fit or I do not have availability.
(206) 278-3199 View (206) 278-3199
Photo of Claire Biringer, Counselor in Seattle, WA
Claire Biringer
Counselor, MA, LMHC, LPC
Verified Verified
Seattle, WA 98109  (Online Only)
Currently accepting couples! Welcome – I've created my therapeutic practice to help guide my clients towards awareness, curiosity, emotional attunement and expression, and self-compassion, whether you are struggling with an eating disorder, anxiety or depression, unresolved trauma, disconnection, or perfectionism and overcontrol. With couples, I seek to strengthen your existing bond and help each of you feel heard, respected, and connected. If you feel stuck or lost, and want to reclaim your agency and connection with yourself or your partner, it might be time to take this next step.
Currently accepting couples! Welcome – I've created my therapeutic practice to help guide my clients towards awareness, curiosity, emotional attunement and expression, and self-compassion, whether you are struggling with an eating disorder, anxiety or depression, unresolved trauma, disconnection, or perfectionism and overcontrol. With couples, I seek to strengthen your existing bond and help each of you feel heard, respected, and connected. If you feel stuck or lost, and want to reclaim your agency and connection with yourself or your partner, it might be time to take this next step.
(206) 279-9701 View (206) 279-9701
Photo of Mar Galizio, Clinical Social Work/Therapist in Seattle, WA
Mar Galizio
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Seattle, WA 98115  (Online Only)
Do you feel overwhelmed by intense emotions or struggle to be connected to your life? You're not alone. Together we can work to build the skills you need to live a life that fits within your values. Being emotionally sensitive myself, I understand the difficulties many of us face when we feel things deeply. My mission as your therapist will be to support you in cherishing this aspect of yourself, while we work on any negative impacts it might have on your life. My specialty is working with adults with difficulty regulating emotion, as well as anxiety, depression, complex trauma, eating disorders, and mood disorders.
Do you feel overwhelmed by intense emotions or struggle to be connected to your life? You're not alone. Together we can work to build the skills you need to live a life that fits within your values. Being emotionally sensitive myself, I understand the difficulties many of us face when we feel things deeply. My mission as your therapist will be to support you in cherishing this aspect of yourself, while we work on any negative impacts it might have on your life. My specialty is working with adults with difficulty regulating emotion, as well as anxiety, depression, complex trauma, eating disorders, and mood disorders.
(440) 597-2381 View (440) 597-2381
Photo of Doni Kwak, Psychologist in Seattle, WA
Doni Kwak
Psychologist, PhD
Verified Verified
Seattle, WA 98115  (Online Only)
If you are ready for a change and recognize that there are thoughts or worries that are getting in the way of taking the steps you desire, please call me. Your situation is unique and complex, and I will work with you to find a way. I help people build relationships with others and themselves. I utilize evidenced based techniques based on Acceptance and Committment Therapy and Mindfulness to help people identify what they want so that they can take the steps to get there. I will be accepting new ongoing Clients in Fall of 2019.
If you are ready for a change and recognize that there are thoughts or worries that are getting in the way of taking the steps you desire, please call me. Your situation is unique and complex, and I will work with you to find a way. I help people build relationships with others and themselves. I utilize evidenced based techniques based on Acceptance and Committment Therapy and Mindfulness to help people identify what they want so that they can take the steps to get there. I will be accepting new ongoing Clients in Fall of 2019.
(206) 557-6419 View (206) 557-6419
Photo of Marlene Otero, Pre-Licensed Professional in Seattle, WA
Marlene Otero
Pre-Licensed Professional, JD
Verified Verified
Seattle, WA 98104
Are you feeling overwhelmed with the stresses of life? Do you feel like you have lost your sense of self? You are not alone. In today's world, there are a variety of social and societal pressures that influence our decisions. I work with adolescents, college students, and adults to help them find fulfillment and balance in school, work, and life. From maintaining focus, to managing relationships, physical health, life transitions, and future planning. My approach is to assist you in developing improved insights, find your strengths, and identify new habits that can help you achieve your goals.
Are you feeling overwhelmed with the stresses of life? Do you feel like you have lost your sense of self? You are not alone. In today's world, there are a variety of social and societal pressures that influence our decisions. I work with adolescents, college students, and adults to help them find fulfillment and balance in school, work, and life. From maintaining focus, to managing relationships, physical health, life transitions, and future planning. My approach is to assist you in developing improved insights, find your strengths, and identify new habits that can help you achieve your goals.
(425) 517-3929 View (425) 517-3929
Jessica Olstad
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98178  (Online Only)
Therapy can help during different stages of your process to find peace, clarity, and a contented life. Living in chronic fight or flight mode can cause emotional dysregulation and a feeling of losing control or direction in life, as well as being correlated with inflammatory and preventable illness. We will work together to gain an understanding of what issues are impacting everyday life, limiting potential for healthy relationships or a satisfying job, and causing changes in your thoughts and feelings. Choosing to come to therapy to find your empowered self is an act of courage.
Therapy can help during different stages of your process to find peace, clarity, and a contented life. Living in chronic fight or flight mode can cause emotional dysregulation and a feeling of losing control or direction in life, as well as being correlated with inflammatory and preventable illness. We will work together to gain an understanding of what issues are impacting everyday life, limiting potential for healthy relationships or a satisfying job, and causing changes in your thoughts and feelings. Choosing to come to therapy to find your empowered self is an act of courage.
(425) 414-7940 View (425) 414-7940
Photo of Sarah Gibbs, Marriage & Family Therapist Associate in Seattle, WA
Sarah Gibbs
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
3 Endorsed
Seattle, WA 98109
I have a passion for working with people experiencing life transitions, including divorce or loss, forming new step families, co-parenting, or struggling with parenting concerns. My approach is to explore problems systemically, viewing each client within the context of the world around them. In therapy sessions we will explore trans-generational patterns of behavior that exist within you, and within your family of origin and your family of choice.
I have a passion for working with people experiencing life transitions, including divorce or loss, forming new step families, co-parenting, or struggling with parenting concerns. My approach is to explore problems systemically, viewing each client within the context of the world around them. In therapy sessions we will explore trans-generational patterns of behavior that exist within you, and within your family of origin and your family of choice.
(425) 470-6606 View (425) 470-6606
Photo of Ryan J Anderson, Psychologist in Seattle, WA
Ryan J Anderson
Psychologist, PhD
Verified Verified
Seattle, WA 98107  (Online Only)
Waitlist for new clients
Good sleep. It seems like it should be simple to achieve, yet it can be so elusive. You are not alone if you struggle with sleep, but there is help. Currently I am NOT accepting new clients, but I am keeping a wait-list for those who would like help with sleep, including insomnia, circadian rhythm disorders, or other sleep difficulties. As a clinical psychologist, I have been practicing for 14 years and have worked with over 1,400 adults with a wide variety of problems. I am passionate about helping people live in better harmony with their minds and bodies.
Good sleep. It seems like it should be simple to achieve, yet it can be so elusive. You are not alone if you struggle with sleep, but there is help. Currently I am NOT accepting new clients, but I am keeping a wait-list for those who would like help with sleep, including insomnia, circadian rhythm disorders, or other sleep difficulties. As a clinical psychologist, I have been practicing for 14 years and have worked with over 1,400 adults with a wide variety of problems. I am passionate about helping people live in better harmony with their minds and bodies.
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Photo of Loretta Baud, Counselor in Seattle, WA
Loretta Baud
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Seattle, WA 98103
Choosing to see someone for counseling is a courageous step. I believe we all can benefit and grow from having an objective person looking at our lives with us. I am honored to have this role in the lives of others.
Choosing to see someone for counseling is a courageous step. I believe we all can benefit and grow from having an objective person looking at our lives with us. I am honored to have this role in the lives of others.
(206) 759-7703 View (206) 759-7703
Photo of Adam Piddington, LPC Intern in Seattle, WA
Adam Piddington
LPC Intern, MA
Verified Verified
4 Endorsed
Seattle, WA 98121
I work with adults who deal with anxiety, depression, social anxiety, identity formation, grief and loss, relationship issues, and life transitions. My goal is to help you make more intentional decisions about how you live, using your inherent strengths rather than letting outside factors determine your behavior. I am passionate about guiding you through this process, uncovering your true power, and letting your personal growth inspire and drive your progress. I also have a particular specialty and interest in working with artists.
I work with adults who deal with anxiety, depression, social anxiety, identity formation, grief and loss, relationship issues, and life transitions. My goal is to help you make more intentional decisions about how you live, using your inherent strengths rather than letting outside factors determine your behavior. I am passionate about guiding you through this process, uncovering your true power, and letting your personal growth inspire and drive your progress. I also have a particular specialty and interest in working with artists.
(206) 944-5585 x55 View (206) 944-5585 x55
Photo of Carolyn Mathews in Seattle, WA
Carolyn Mathews
PsyD, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98101  (Online Only)
I invite you to bring your strengths and motivation to create change in your life. Does ADHD or anxiety impact your life, personally and/or professionally? Perhaps you are challenged by motivation or organization. Or perhaps you feel "stuck" or experience sleep issues. I will work with you to build skills for executive functioning and help you understand and change the root cause of anxiety to build confidence in your life. I offer teletherapy for clients throughout Washington state or coaching for clients throughout the US. Because I live outside Washington, those with severe mental illness are best served by a local practitioner.
I invite you to bring your strengths and motivation to create change in your life. Does ADHD or anxiety impact your life, personally and/or professionally? Perhaps you are challenged by motivation or organization. Or perhaps you feel "stuck" or experience sleep issues. I will work with you to build skills for executive functioning and help you understand and change the root cause of anxiety to build confidence in your life. I offer teletherapy for clients throughout Washington state or coaching for clients throughout the US. Because I live outside Washington, those with severe mental illness are best served by a local practitioner.
(206) 489-3782 View (206) 489-3782
Photo of Maggie Riley, Clinical Social Work/Therapist in Seattle, WA
Maggie Riley
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Seattle, WA 98107  (Online Only)
There is so much inherent power in who you are as a person, and I am here to bear witness to your process of becoming, with and for you, to help you embrace ways of being that fit with who you want to be and how you want to live. I seek to affirm what you experience now and what you carry with you from the past from an attuned, compassionate, nonjudgmental place. I am committed to my own continuous learning and growing, and firmly believe in the wisdom that you hold as an expert of your own lived experiences.
There is so much inherent power in who you are as a person, and I am here to bear witness to your process of becoming, with and for you, to help you embrace ways of being that fit with who you want to be and how you want to live. I seek to affirm what you experience now and what you carry with you from the past from an attuned, compassionate, nonjudgmental place. I am committed to my own continuous learning and growing, and firmly believe in the wisdom that you hold as an expert of your own lived experiences.
(206) 829-6136 View (206) 829-6136
Photo of Phong Nguyen, Clinical Social Work/Therapist in Seattle, WA
Phong Nguyen
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98115  (Online Only)
I am a Licensed Independent Clinical Social Worker (LICSW) in the State of Washington (LW61263458). I hold my Bachelor’s in Social Welfare and my Master’s in Social Work from the University of Washington. I was born in Germany to Vietnamese refugees and relocated to the United States at the age of ten. Being an immigrant has enriched my lived experiences and exposed me to both the complexity of cultural and generational divides, as well as the importance of embracing one’s own cultural identity.
I am a Licensed Independent Clinical Social Worker (LICSW) in the State of Washington (LW61263458). I hold my Bachelor’s in Social Welfare and my Master’s in Social Work from the University of Washington. I was born in Germany to Vietnamese refugees and relocated to the United States at the age of ten. Being an immigrant has enriched my lived experiences and exposed me to both the complexity of cultural and generational divides, as well as the importance of embracing one’s own cultural identity.
(206) 278-3546 View (206) 278-3546
Photo of Jamaul Jackson, Marriage & Family Therapist Associate in Seattle, WA
Jamaul Jackson
Marriage & Family Therapist Associate
Verified Verified
1 Endorsed
Seattle, WA 98112  (Online Only)
I believe everyone should have a safe space to be their true authentic self without judgment. I work with adults and adolescents and provide individual, couples, family, and group counseling. During our time together, I’ll help improve your quality of life through short-term therapy that empowers you to solve your problems. My approach is nonjudgmental, and our work together focuses on life’s possibilities as you move forward. I can’t guarantee any cure, but I promise I will do what I can to support you throughout the counseling process.
I believe everyone should have a safe space to be their true authentic self without judgment. I work with adults and adolescents and provide individual, couples, family, and group counseling. During our time together, I’ll help improve your quality of life through short-term therapy that empowers you to solve your problems. My approach is nonjudgmental, and our work together focuses on life’s possibilities as you move forward. I can’t guarantee any cure, but I promise I will do what I can to support you throughout the counseling process.
(360) 205-9752 x1 View (360) 205-9752 x1
Photo of Stacy Lewis, Counselor in Seattle, WA
Stacy Lewis
Counselor, LMHC, CHT
Verified Verified
10 Endorsed
Seattle, WA 98109
We are shaped by our life experiences, and most deeply in our early years by our loved ones. Much of our longing stems from three simple but profound needs: We want to be seen, chosen, and understood. There comes a time when it is worth developing insight into ourselves, from a stable standpoint in the here and now. Maybe you are spending a lot of time in self-doubt or self-criticism, or notice that you are often too frenzied or too tired? Maybe you are recovering from difficult life circumstances or oppressive social systems. It is possible to create healthier and more fulfilling ways of relating to yourself and others.
We are shaped by our life experiences, and most deeply in our early years by our loved ones. Much of our longing stems from three simple but profound needs: We want to be seen, chosen, and understood. There comes a time when it is worth developing insight into ourselves, from a stable standpoint in the here and now. Maybe you are spending a lot of time in self-doubt or self-criticism, or notice that you are often too frenzied or too tired? Maybe you are recovering from difficult life circumstances or oppressive social systems. It is possible to create healthier and more fulfilling ways of relating to yourself and others.
(206) 207-9197 View (206) 207-9197
Photo of Cari Seaborne, Counselor in Seattle, WA
Cari Seaborne
Counselor, MA, LMHC
Verified Verified
6 Endorsed
Seattle, WA 98101  (Online Only)
Are you experiencing issues that are impacting life satisfaction, decisions, career, and relationships? You may find yourself experiencing anything from a vague sense of un-ease about your life to an intensely felt anxiety, worry or depression. I am trained in a variety of therapeutic styles that serve to increase awareness and build new understandings so that change may be experienced within a supportive therapeutic relationship.
Are you experiencing issues that are impacting life satisfaction, decisions, career, and relationships? You may find yourself experiencing anything from a vague sense of un-ease about your life to an intensely felt anxiety, worry or depression. I am trained in a variety of therapeutic styles that serve to increase awareness and build new understandings so that change may be experienced within a supportive therapeutic relationship.
(206) 535-1803 View (206) 535-1803
Photo of Dr. Helena Soholm, Counselor in Seattle, WA
Dr. Helena Soholm
Counselor, PhD, LMHC
Verified Verified
Seattle, WA 98107
Healing through Science and Spirituality. I help talented professionals and creatives discover their life purpose and find meaning. We live in an increasingly complex and stressful world. Many people are suffering under the weight of societal pressures and expectations, which separate us from the heart of what it means to be human living an intentional life. I work with people who struggle to make sense of themselves and their lives. Many have achieved a secure and abundant life, having gained success in careers and fields that provide for their material needs, but their souls are feeling restless and craving real nourishment.
Healing through Science and Spirituality. I help talented professionals and creatives discover their life purpose and find meaning. We live in an increasingly complex and stressful world. Many people are suffering under the weight of societal pressures and expectations, which separate us from the heart of what it means to be human living an intentional life. I work with people who struggle to make sense of themselves and their lives. Many have achieved a secure and abundant life, having gained success in careers and fields that provide for their material needs, but their souls are feeling restless and craving real nourishment.
(206) 745-3416 View (206) 745-3416
Photo of Alisa Horwitz, Psychologist in Seattle, WA
Alisa Horwitz
Psychologist, PhD
Verified Verified
1 Endorsed
Seattle, WA 98199  (Online Only)
I primarily provide individual therapy to adults (ages 18-45) who wish to address acute or long-term trauma, specifically childhood sexual abuse/sexual assault but other traumas as well. I approach each client through a developmental lens, understanding that concerns manifest differently depending on one's age and developmental stage at the time of the trauma as well as at the time of treatment. I also am available to work with parents, many who are navigating challenges associated with helping a child who has been traumatized, who wish to explore more positive discipline strategies.
I primarily provide individual therapy to adults (ages 18-45) who wish to address acute or long-term trauma, specifically childhood sexual abuse/sexual assault but other traumas as well. I approach each client through a developmental lens, understanding that concerns manifest differently depending on one's age and developmental stage at the time of the trauma as well as at the time of treatment. I also am available to work with parents, many who are navigating challenges associated with helping a child who has been traumatized, who wish to explore more positive discipline strategies.
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Photo of Andy Kessler, Counselor in Seattle, WA
Andy Kessler
Counselor, LMHCA, MA
Verified Verified
Seattle, WA 98112  (Online Only)
Anxiety, stress, and depression; grief and loss; relationship, work, and family issues; a lack of meaning; trauma, fear, and spiritual crises… are sources of our psychological pain as well as symptoms of incipient growth. It's within the struggling and growing that I may be able to help. I've experienced some considerable wounds in my time and have altered my relationship with, and often overcome them. This usually involved periods of deep reflection; changing how I perceived things; and ultimately, a change in myself. Thus, I’m able to relate to others and accompany them on their journeys in a compassionate, healing manner.
Anxiety, stress, and depression; grief and loss; relationship, work, and family issues; a lack of meaning; trauma, fear, and spiritual crises… are sources of our psychological pain as well as symptoms of incipient growth. It's within the struggling and growing that I may be able to help. I've experienced some considerable wounds in my time and have altered my relationship with, and often overcome them. This usually involved periods of deep reflection; changing how I perceived things; and ultimately, a change in myself. Thus, I’m able to relate to others and accompany them on their journeys in a compassionate, healing manner.
(206) 495-4593 View (206) 495-4593
Photo of Katie P Waller, Counselor in Seattle, WA
Katie P Waller
Counselor, LMHCA, MA
Verified Verified
Seattle, WA 98115
I'm a Licensed Mental Health Counselor Associate (LMHCA), EMDR clinician, School Counselor and owner of Katie Waller Counseling Services, serving the greater Seattle area. I offer compassionate therapy for individuals of all ages struggling with anxiety, depression, and emotional dysregulation. With specialized training in supporting neurodivergent children, I provide tailored interventions to meet their unique needs. My approach focuses on creating a safe space for exploration and growth, empowering clients to navigate their emotions and build resilience.
I'm a Licensed Mental Health Counselor Associate (LMHCA), EMDR clinician, School Counselor and owner of Katie Waller Counseling Services, serving the greater Seattle area. I offer compassionate therapy for individuals of all ages struggling with anxiety, depression, and emotional dysregulation. With specialized training in supporting neurodivergent children, I provide tailored interventions to meet their unique needs. My approach focuses on creating a safe space for exploration and growth, empowering clients to navigate their emotions and build resilience.
(206) 567-7440 View (206) 567-7440

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

71% 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.