Therapists in Tacoma, WA

View neighborhoods in Tacoma
Photo of Tara Hollander, Clinical Social Work/Therapist in Tacoma, WA
Tara Hollander
Clinical Social Work/Therapist, MSW, ACSW, LICSW
Verified Verified
2 Endorsed
Tacoma, WA 98407
I am a LICSW with a focus on psychotherapy with adults, children and families. I have been a practitioner for 48 years, in private practice for 12 1/2 years and had been a psychotherapist for 26 years in the Behavioral Health Department at Group Health. While there, in addition to a general caseload that included Medicare patients, I ran a Children's Therapy Group, served on a county-wide child abuse oversight committee, co-chaired an inter-disciplinary case consultation team, and managed an intern program.
I am a LICSW with a focus on psychotherapy with adults, children and families. I have been a practitioner for 48 years, in private practice for 12 1/2 years and had been a psychotherapist for 26 years in the Behavioral Health Department at Group Health. While there, in addition to a general caseload that included Medicare patients, I ran a Children's Therapy Group, served on a county-wide child abuse oversight committee, co-chaired an inter-disciplinary case consultation team, and managed an intern program.
(253) 336-8720 View (253) 336-8720
Photo of Anita Rachel Trevino, LPC Intern in Tacoma, WA
Anita Rachel Trevino
LPC Intern
Verified Verified
1 Endorsed
Tacoma, WA 98402
I am a clinical mental health counseling student. I have completed coursework in counseling and helping relationships, theories of personality and clinical practice, social and cultural counseling, crisis and trauma, professional ethics and clinical practice, group counseling, and psychopathology and diagnostic practice. I currently provide mental health counseling services for individuals and groups as a student intern with my qualified clinical supervisor, Joshua Talbert, LMHC. I, as your counselor, will come alongside you as you strive to set and attain your goals.
I am a clinical mental health counseling student. I have completed coursework in counseling and helping relationships, theories of personality and clinical practice, social and cultural counseling, crisis and trauma, professional ethics and clinical practice, group counseling, and psychopathology and diagnostic practice. I currently provide mental health counseling services for individuals and groups as a student intern with my qualified clinical supervisor, Joshua Talbert, LMHC. I, as your counselor, will come alongside you as you strive to set and attain your goals.
(360) 854-3529 View (360) 854-3529
Photo of Anna Lise Carolan, Counselor in Tacoma, WA
Anna Lise Carolan
Counselor, LMHCA
Verified Verified
2 Endorsed
Tacoma, WA 98401  (Online Only)
Clients typically come to me with concerns regarding relationship difficulties, LBGTQ+ challenges, codependency, anxiety, depression, trauma, gender identity, sexual identity, self-esteem, interpersonal relationship challenges, breakups/divorce, career change, and grief and loss. My ideal client is someone looking to build a long-term therapeutic relationship that centers their wellbeing.
Clients typically come to me with concerns regarding relationship difficulties, LBGTQ+ challenges, codependency, anxiety, depression, trauma, gender identity, sexual identity, self-esteem, interpersonal relationship challenges, breakups/divorce, career change, and grief and loss. My ideal client is someone looking to build a long-term therapeutic relationship that centers their wellbeing.
(206) 672-1725 View (206) 672-1725
Photo of Anicia A Williams, Marriage & Family Therapist in Tacoma, WA
Anicia A Williams
Marriage & Family Therapist, BS, MS, MFT
Verified Verified
4 Endorsed
Tacoma, WA 98402  (Online Only)
I specialize in anxiety, depression, trauma, multicultural issues, addictions & the relationships that suffer as a result. I love helping anyone willing, to (learn to) love and honor the person they are today & recognize their story’s ending is one that they get to choose. I enjoy helping clients who found ways to manage their mental health issues in ways that are no longer serving them. My practice is a safe space and provides equality of services and care to everyone, regardless of age, gender, gender identity, race, disability, religion, or belief or sexual orientation.
I specialize in anxiety, depression, trauma, multicultural issues, addictions & the relationships that suffer as a result. I love helping anyone willing, to (learn to) love and honor the person they are today & recognize their story’s ending is one that they get to choose. I enjoy helping clients who found ways to manage their mental health issues in ways that are no longer serving them. My practice is a safe space and provides equality of services and care to everyone, regardless of age, gender, gender identity, race, disability, religion, or belief or sexual orientation.
(415) 991-1428 View (415) 991-1428
Photo of Michael Wong, Counselor in Tacoma, WA
Michael Wong
Counselor, MEd, LMHC
Verified Verified
1 Endorsed
Tacoma, WA 98405
Waitlist for new clients
The moment we start to think "who am I," "why am I like this," or "is this the true version of who I am" are moments I consider to be breakthroughs. Moments of self-reflection can be difficult to understand, difficult to seek answers, and just the thought seems bizarre or confusing. At times it may not even be self-reflection. Instead, it is the feeling of guilt, shame, worthlessness, or insecurities. It can also show up as anxiety, depression, emotional dysregulation, somatic symptoms, interpersonal challenges, or strain in quality of life. This is the result of exposure to or experiences of neglect and abuse during our lifetime.
The moment we start to think "who am I," "why am I like this," or "is this the true version of who I am" are moments I consider to be breakthroughs. Moments of self-reflection can be difficult to understand, difficult to seek answers, and just the thought seems bizarre or confusing. At times it may not even be self-reflection. Instead, it is the feeling of guilt, shame, worthlessness, or insecurities. It can also show up as anxiety, depression, emotional dysregulation, somatic symptoms, interpersonal challenges, or strain in quality of life. This is the result of exposure to or experiences of neglect and abuse during our lifetime.
(253) 364-6302 View (253) 364-6302
Photo of Moore Counseling Services, Marriage & Family Therapist in Tacoma, WA
Moore Counseling Services
Marriage & Family Therapist, MS, LMFT
Verified Verified
Tacoma, WA 98422
Greg is currently accepting new clients, for in person sessions only. He works with men on life transitions, anxiety and depression, relationship challenges, work issues and spiritual questions. He also works with couples, using Prepare/Enrich as an assessment tool and a broad assortment of therapeutic techniques. Greg serves as Chaplain to the Washington State Patrol. He has specialized training in the issues faced by first responders and veterans. He offers compassion, safety, and respect to his clients. Clients for whom spiritual faith is important will find him able and happy to integrate that into their work together.
Greg is currently accepting new clients, for in person sessions only. He works with men on life transitions, anxiety and depression, relationship challenges, work issues and spiritual questions. He also works with couples, using Prepare/Enrich as an assessment tool and a broad assortment of therapeutic techniques. Greg serves as Chaplain to the Washington State Patrol. He has specialized training in the issues faced by first responders and veterans. He offers compassion, safety, and respect to his clients. Clients for whom spiritual faith is important will find him able and happy to integrate that into their work together.
(253) 785-3949 View (253) 785-3949
Photo of MyNest Therapy, PLLC, Marriage & Family Therapist in Tacoma, WA
MyNest Therapy, PLLC
Marriage & Family Therapist, LMFT
Verified Verified
Tacoma, WA 98402
Not accepting new clients
(253) 262-0356 View (253) 262-0356
Photo of Spring Hecht, Clinical Social Work/Therapist in Tacoma, WA
Spring Hecht
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Tacoma, WA 98407
I am an Approved Clinical Supervisor and I offer Individual Psychotherapy, Couples and Family Therapy to help people heal and develop skills for improving relationships and communication, find new ways to cope with stress, depression and anxiety, and create healthier and more adaptive patterns. My treatment approach is psychodynamic and client-centered, offered in a safe, compassionate and supportive environment. Attachment focused therapy can help strengthen bonds by resolving old patterns of interacting, and creating space for healthy, rewarding connections.
I am an Approved Clinical Supervisor and I offer Individual Psychotherapy, Couples and Family Therapy to help people heal and develop skills for improving relationships and communication, find new ways to cope with stress, depression and anxiety, and create healthier and more adaptive patterns. My treatment approach is psychodynamic and client-centered, offered in a safe, compassionate and supportive environment. Attachment focused therapy can help strengthen bonds by resolving old patterns of interacting, and creating space for healthy, rewarding connections.
(206) 855-3709 View (206) 855-3709
Photo of Danielle Trottier, Social Worker Associate in Tacoma, WA
Danielle Trottier
Social Worker Associate, MSW, LICSWA
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
I'm Danielle, a clinical social worker and licensed therapist, and I’m here to support you in what you’re going through. My passion is helping people navigate challenges related to anxiety, overwhelm, and neurodivergent experiences including ADHD, AuDHD, and autism. As a Queer woman who has personally lived with clinical anxiety, heightened sensory sensitivity, and undiagnosed ADHD, I feel privileged and excited to support others like me in realizing their aspirations. I specialize in working with women and Queer folks, age 18 and older, who are neurodivergent, neurotypical, or just curious about their place on the spectrum.
I'm Danielle, a clinical social worker and licensed therapist, and I’m here to support you in what you’re going through. My passion is helping people navigate challenges related to anxiety, overwhelm, and neurodivergent experiences including ADHD, AuDHD, and autism. As a Queer woman who has personally lived with clinical anxiety, heightened sensory sensitivity, and undiagnosed ADHD, I feel privileged and excited to support others like me in realizing their aspirations. I specialize in working with women and Queer folks, age 18 and older, who are neurodivergent, neurotypical, or just curious about their place on the spectrum.
(509) 567-2504 View (509) 567-2504
Photo of Quiana S Roberts, Counselor in Tacoma, WA
Quiana S Roberts
Counselor, LMHC, NCC, MHP
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
Not accepting new clients
Do you strive to be the best, the best partner, the best parent, the best friend, the best at work, but you always feel like you fall short. Will life always be like this? Chaotic. Exhausting. Endless to-do lists. Despite your best efforts, there never seems to be enough time in the day. After caring for so many others in your life, you struggle to care for yourself. You're constantly running on empty. In the past, you've tried to make changes on your own, but nothing seems to work. You're stuck and not sure what to do next. You do not have to do this alone. I would love to help you on your journey to a healthier you!
Do you strive to be the best, the best partner, the best parent, the best friend, the best at work, but you always feel like you fall short. Will life always be like this? Chaotic. Exhausting. Endless to-do lists. Despite your best efforts, there never seems to be enough time in the day. After caring for so many others in your life, you struggle to care for yourself. You're constantly running on empty. In the past, you've tried to make changes on your own, but nothing seems to work. You're stuck and not sure what to do next. You do not have to do this alone. I would love to help you on your journey to a healthier you!
(206) 537-0093 View (206) 537-0093
Photo of Hannah Fleming, Counselor in Tacoma, WA
Hannah Fleming
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98406  (Online Only)
Reaching out for help is one of the most vulnerable and difficult things we do in life. You may want to learn more about your patterns, your identity, or your relationships. You may feel stuck, confused, alone, overwhelmed, or totally lost. Finding a safe place to land and unpack whatever is getting in your way is so important, and all of us need (and deserve) help along the way.
Reaching out for help is one of the most vulnerable and difficult things we do in life. You may want to learn more about your patterns, your identity, or your relationships. You may feel stuck, confused, alone, overwhelmed, or totally lost. Finding a safe place to land and unpack whatever is getting in your way is so important, and all of us need (and deserve) help along the way.
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Photo of Freda Carda, Counselor in Tacoma, WA
Freda Carda
Counselor, MEd, LMHC
Verified Verified
1 Endorsed
Tacoma, WA 98407
I believe everyone has a right to live a calm, happy and fulfilled life. For some, that is easier said than done. For those who are having a more challenging time finding the life they want, counseling may be the right choice to help guide those who are ready for change. I work with adults, couples and families who are struggling with life's challenges. I offer researched based systems, therapies and support for the individual, as well as resources for the entire family, to help bring function and joy to their lives.
I believe everyone has a right to live a calm, happy and fulfilled life. For some, that is easier said than done. For those who are having a more challenging time finding the life they want, counseling may be the right choice to help guide those who are ready for change. I work with adults, couples and families who are struggling with life's challenges. I offer researched based systems, therapies and support for the individual, as well as resources for the entire family, to help bring function and joy to their lives.
(253) 299-8062 View (253) 299-8062
Photo of Ellen Benezra, Counselor in Tacoma, WA
Ellen Benezra
Counselor, MACP, LMHCA
Verified Verified
5 Endorsed
Tacoma, WA 98401  (Online Only)
I’m a Couples Therapist and Individual Therapist as well as the Co-founder of The Wellness Collective Therapy Group. In therapy, I utilize evidence-based techniques such as Cognitive-Behavioral Therapy, Mindfulness, Gottman, Emotionally Focused Therapy, and Neuroscience. Through a collaborative approach, I work with clients to overcome obstacles and achieve their goals. Together, we explore thoughts and feelings surrounding sex and relationships, while ensuring a supportive environment for growth.
I’m a Couples Therapist and Individual Therapist as well as the Co-founder of The Wellness Collective Therapy Group. In therapy, I utilize evidence-based techniques such as Cognitive-Behavioral Therapy, Mindfulness, Gottman, Emotionally Focused Therapy, and Neuroscience. Through a collaborative approach, I work with clients to overcome obstacles and achieve their goals. Together, we explore thoughts and feelings surrounding sex and relationships, while ensuring a supportive environment for growth.
(425) 517-1013 View (425) 517-1013
Photo of Dylan Tizon, Counselor in Tacoma, WA
Dylan Tizon
Counselor, MA, LMHCA
Verified Verified
5 Endorsed
Tacoma, WA 98407  (Online Only)
Waitlist for new clients
Someone casually asked, “How are you?” when you were out running errands. You're tired of this empty question and a part of you wanted to tell the truth. Honestly, you're f-cking exhausted. Struggling to juggle your grief/anger about the current state of the world, the demands of work, your relationships, and self-care... while also trying to heal from trauma and break toxic generational cycles. It's a LOT. Instead, you answered, “I’m good. You?" This is your life now; pretending everything's fine while, deep down, you know you've got parts of yourself you still don't understand and negative patterns you're ready to leave behind.
Someone casually asked, “How are you?” when you were out running errands. You're tired of this empty question and a part of you wanted to tell the truth. Honestly, you're f-cking exhausted. Struggling to juggle your grief/anger about the current state of the world, the demands of work, your relationships, and self-care... while also trying to heal from trauma and break toxic generational cycles. It's a LOT. Instead, you answered, “I’m good. You?" This is your life now; pretending everything's fine while, deep down, you know you've got parts of yourself you still don't understand and negative patterns you're ready to leave behind.
(206) 678-0889 View (206) 678-0889
Photo of Jennifer M Sampson, Marriage & Family Therapist in Tacoma, WA
Jennifer M Sampson
Marriage & Family Therapist, PhD, LMFT
Verified Verified
3 Endorsed
Tacoma, WA 98402
Are you in a relationship that is lacking connection or trust? Are you struggling with sexual concerns in your relationship(s)? Are you an adult who is dealing with conflict in your own family of origin, even though you left home long ago? I can help. I work with intimate relationships and adult individuals in my practice. We focus on healing past hurts and moving forward to achieve a more fulfilling sense of self, connection, and communication.
Are you in a relationship that is lacking connection or trust? Are you struggling with sexual concerns in your relationship(s)? Are you an adult who is dealing with conflict in your own family of origin, even though you left home long ago? I can help. I work with intimate relationships and adult individuals in my practice. We focus on healing past hurts and moving forward to achieve a more fulfilling sense of self, connection, and communication.
(206) 855-3478 View (206) 855-3478
Photo of Laura M Schulz, Counselor in Tacoma, WA
Laura M Schulz
Counselor, PhD, MA, LMHC
Verified Verified
7 Endorsed
Tacoma, WA 98401  (Online Only)
Life can be hard; therapy can help you remove roadblocks & work toward a happier you. Many people have answers to their challenges within them but are blocked by overwhelm & self-doubt. For many, our childhood wasn't perfect. Examining that foundation, deciding what parts of it you want to continue carrying, and what parts you want to let go of can help you toward a calmer and happier life. If you're feeling stressed out or stuck, let's find out what's at the root of those emotions so you can get to a happier & healthier life.
Life can be hard; therapy can help you remove roadblocks & work toward a happier you. Many people have answers to their challenges within them but are blocked by overwhelm & self-doubt. For many, our childhood wasn't perfect. Examining that foundation, deciding what parts of it you want to continue carrying, and what parts you want to let go of can help you toward a calmer and happier life. If you're feeling stressed out or stuck, let's find out what's at the root of those emotions so you can get to a happier & healthier life.
(425) 276-6479 View (425) 276-6479
Photo of Alia Paget, Clinical Social Work/Therapist in Tacoma, WA
Alia Paget
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Tacoma, WA 98416  (Online Only)
Are you a teen or young adult feeling overwhelmed by life transitions, struggling with an eating disorder, facing burnout from managing a chronic health condition, or struggling to find your way after high school or college? I'm here to provide a safe haven where you can freely explore your challenges and discover your inner strengths. With over seven years of experience, I specialize in supporting individuals like you as you navigate the ups and downs of life. Whether you are dealing with depression, anxiety, or burnout, I'm dedicated to walking alongside you on your journey towards healing and growth.
Are you a teen or young adult feeling overwhelmed by life transitions, struggling with an eating disorder, facing burnout from managing a chronic health condition, or struggling to find your way after high school or college? I'm here to provide a safe haven where you can freely explore your challenges and discover your inner strengths. With over seven years of experience, I specialize in supporting individuals like you as you navigate the ups and downs of life. Whether you are dealing with depression, anxiety, or burnout, I'm dedicated to walking alongside you on your journey towards healing and growth.
(206) 899-3763 View (206) 899-3763
Photo of Ariana Valentina Rukeyser, Counselor in Tacoma, WA
Ariana Valentina Rukeyser
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Tacoma, WA 98402
I hold Master's degree in Counseling from Seattle University. I work with clients on relationship issues, co-dependency, separation, divorce and co-parenting, anxiety and depression, grief and loss, sexual trauma and major life transitions. It is my belief that the ultimate human need is connection and meaningful relationships. My desire is to help clients clarify feelings, improve communication, and strengthen and deepen connections.
I hold Master's degree in Counseling from Seattle University. I work with clients on relationship issues, co-dependency, separation, divorce and co-parenting, anxiety and depression, grief and loss, sexual trauma and major life transitions. It is my belief that the ultimate human need is connection and meaningful relationships. My desire is to help clients clarify feelings, improve communication, and strengthen and deepen connections.
(206) 745-5829 View (206) 745-5829
Photo of Trenecsia Wilson, Counselor in Tacoma, WA
Trenecsia Wilson
Counselor, LMHC, MHP, NCC, EMMHS-A, BC-TMH
Verified Verified
Tacoma, WA 98409
I work with individuals, couples, and families. My primary objective is to facilitate and support the next level of growth and development for individuals and families that I work with. This means something different for everyone, so I focus on building a therapeutic relationship that lends to the understanding and accomplishing of identified goals. There are a number of things that contribute to diminished mental wellness and I am here to help you find out what that is for you and to support you on taking action.
I work with individuals, couples, and families. My primary objective is to facilitate and support the next level of growth and development for individuals and families that I work with. This means something different for everyone, so I focus on building a therapeutic relationship that lends to the understanding and accomplishing of identified goals. There are a number of things that contribute to diminished mental wellness and I am here to help you find out what that is for you and to support you on taking action.
(206) 260-0448 View (206) 260-0448
Photo of Cassie Uribe, Clinical Social Work/Therapist in Tacoma, WA
Cassie Uribe
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
5 Endorsed
Tacoma, WA 98402
All you need is more hours in the day and you'd be good, right? Feeling like you have a never ending to-do list, you get a lot done and nothing done at the same time, feeling unappreciated, exhausted, organized but scattered, and no one sees how hard you're really working. I see you. My clients are looking for clarity, solutions, and more time. By the time my clients find me they've likely already tried some things, read some books, and made some changes but nothing seems to work long term. Nothing seems to really stick. I get it. I've been there.
All you need is more hours in the day and you'd be good, right? Feeling like you have a never ending to-do list, you get a lot done and nothing done at the same time, feeling unappreciated, exhausted, organized but scattered, and no one sees how hard you're really working. I see you. My clients are looking for clarity, solutions, and more time. By the time my clients find me they've likely already tried some things, read some books, and made some changes but nothing seems to work long term. Nothing seems to really stick. I get it. I've been there.
(253) 345-4036 View (253) 345-4036

How does your Therapist compare?

Number of Therapists in Tacoma, WA

1,000+

Average cost per session

$150

Therapists in Tacoma, WA who prioritize treating:

93% Anxiety
87% Depression
77% Trauma and PTSD
76% Self Esteem
75% Relationship Issues
70% Stress
67% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

78% Premera
66% Regence
61% Aetna

How Therapists in Tacoma, WA see their clients

50% Online Only
50% 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 Tacoma?

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.