Therapists in Washington

View cities and counties in Washington
Photo of Argelia Chavez, Counselor in Washington
Argelia Chavez
Counselor, LMHC,, LMFTA,, CMHS,, EMMHS-H
Verified Verified
Seattle, WA 98108
I recognize and value the courage to seek help. I provide a safe and neutral space to talk about your life challenges and share your story. My goal is to partner with you during life's challenging moments, find new ways to gain personal growth, identify old patterns, heal, and get unstuck. My approach to therapy is strength-based, goal-oriented, and holistic, providing support that looks at the whole considering your physical, emotional, social, and spiritual wellbeing. I tailor my approach to your specifics needs and guide you to be more compassionate with yourself.
I recognize and value the courage to seek help. I provide a safe and neutral space to talk about your life challenges and share your story. My goal is to partner with you during life's challenging moments, find new ways to gain personal growth, identify old patterns, heal, and get unstuck. My approach to therapy is strength-based, goal-oriented, and holistic, providing support that looks at the whole considering your physical, emotional, social, and spiritual wellbeing. I tailor my approach to your specifics needs and guide you to be more compassionate with yourself.
(425) 533-2985 View (425) 533-2985
Photo of Angelina (Yuqian) Li, Clinical Social Work/Therapist in Washington
Angelina (Yuqian) Li
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98118
Our bodies and psyche can hold unconscious patterns. Often, people will seek therapy once these patterns which may have once aided in survival are no longer sustainable. You might find yourself in dilemmas where you are overachieving but still believe you aren’t good enough. You might feel “other” or invisible even when you authentically share yourself. You might feel overwhelmed but not know how to talk about it or believe that no one will listen. While every person is unique, these are some of the experiences which may bring one to seek therapy.
Our bodies and psyche can hold unconscious patterns. Often, people will seek therapy once these patterns which may have once aided in survival are no longer sustainable. You might find yourself in dilemmas where you are overachieving but still believe you aren’t good enough. You might feel “other” or invisible even when you authentically share yourself. You might feel overwhelmed but not know how to talk about it or believe that no one will listen. While every person is unique, these are some of the experiences which may bring one to seek therapy.
(206) 312-3868 View (206) 312-3868
Photo of Alessandra Mulroy, Pre-Licensed Professional in Washington
Alessandra Mulroy
Pre-Licensed Professional, MSW, LICSWA
Verified Verified
Spokane, WA 99251
Not accepting new clients
When was the last time you recharged your wellness battery? Are you struggling to find balance in your life? Are you exerting effort to communicate with your loved ones and still don’t feel heard? Have you been struggling with loss and need support in healing? Fine-tuning your mind and moving past your stuck points is a challenging journey in life, but well worth it. Let’s build up your toolkit, find presence in the now and continue to help you be resilient through life’s ups and downs. We will use a wellness check-in for your mind, body and spirit.
When was the last time you recharged your wellness battery? Are you struggling to find balance in your life? Are you exerting effort to communicate with your loved ones and still don’t feel heard? Have you been struggling with loss and need support in healing? Fine-tuning your mind and moving past your stuck points is a challenging journey in life, but well worth it. Let’s build up your toolkit, find presence in the now and continue to help you be resilient through life’s ups and downs. We will use a wellness check-in for your mind, body and spirit.
(509) 233-4390 View (509) 233-4390
Photo of Jen Kennelly, Counselor in Washington
Jen Kennelly
Counselor, MA, LMHC, CDP
Verified Verified
Seattle, WA 98103
Feeling unhappy in your body? Feeling like you are using drugs and alcohol to cope with life? I specialize in working with women and adolescent girls who are experiencing struggles around body image, their relationship with food, and substance abuse. So many women don't feel comfortable in their own skin. Food, drugs, and alcohol can be a way to cope with this experience. As women, we receive a wide variety of messages about who we are vs. who we should be. Holding onto these messages is at the root of many struggles in our daily lives.
Feeling unhappy in your body? Feeling like you are using drugs and alcohol to cope with life? I specialize in working with women and adolescent girls who are experiencing struggles around body image, their relationship with food, and substance abuse. So many women don't feel comfortable in their own skin. Food, drugs, and alcohol can be a way to cope with this experience. As women, we receive a wide variety of messages about who we are vs. who we should be. Holding onto these messages is at the root of many struggles in our daily lives.
(360) 865-4671 View (360) 865-4671
Photo of Ashley Wagner, Counselor in Washington
Ashley Wagner
Counselor, MA, LMHC
Verified Verified
Kirkland, WA 98034  (Online Only)
Feeling exhausted and overwhelmed by recent changes in your life, or just want to function better? I help clients navigate changes in their life and discover long term ways to manage their overall mental health. I work well with adult 18 + clients who are experiencing a life transition (starting/graduating college, career change, recent marriage), depression/anxiety, chronic medical issues (or recent diagnosis) or those in helping professions. As a mixed-raced person, I also enjoy exploring the many intersectional layers that come with trying to understand our own identity.
Feeling exhausted and overwhelmed by recent changes in your life, or just want to function better? I help clients navigate changes in their life and discover long term ways to manage their overall mental health. I work well with adult 18 + clients who are experiencing a life transition (starting/graduating college, career change, recent marriage), depression/anxiety, chronic medical issues (or recent diagnosis) or those in helping professions. As a mixed-raced person, I also enjoy exploring the many intersectional layers that come with trying to understand our own identity.
(425) 406-3546 View (425) 406-3546
Photo of Jaime Cara, Counselor in Washington
Jaime Cara
Counselor, MA, LMHCA
Verified Verified
5 Endorsed
Seattle, WA 98119  (Online Only)
If you're reading this, you might know the struggle of constantly putting others' needs before your own, feel tired of being anxious and overwhelmed, or wrestling with the belief that you're not good enough or perhaps even "too much." Life is full of unexpected changes, both big and small, and navigating these transitions can be incredibly challenging. I believe that everyone deserves to feel heard and understood. Whether you're dealing with loss, going through a big life change, trying to be kinder to yourself, or just want to understand yourself better, I'm here to help you navigate your personal growth and well-being.
If you're reading this, you might know the struggle of constantly putting others' needs before your own, feel tired of being anxious and overwhelmed, or wrestling with the belief that you're not good enough or perhaps even "too much." Life is full of unexpected changes, both big and small, and navigating these transitions can be incredibly challenging. I believe that everyone deserves to feel heard and understood. Whether you're dealing with loss, going through a big life change, trying to be kinder to yourself, or just want to understand yourself better, I'm here to help you navigate your personal growth and well-being.
(206) 279-1821 View (206) 279-1821
Photo of Judith C Cantor, Clinical Social Work/Therapist in Washington
Judith C Cantor
Clinical Social Work/Therapist, MSW, LICSW, LMFT
Verified Verified
Seattle, WA 98115
As we face the challenges of life, we can sometimes hit a "perfect" storm. Old issues along with our unique personalities can collide with the stresses and circumstances of our current lives. This collision can feel overwhelming. Psychotherapy can be a useful tool to find a way through these difficult waters. I am a psychotherapist with a practice that serves individual adults and couples who are at all stages of life. Issues common to my practice are anxiety, depression, self-esteem, stress management, grief and loss, work related stress, issues of life transitions, trauma, relationship issues and chronic pain issues.
As we face the challenges of life, we can sometimes hit a "perfect" storm. Old issues along with our unique personalities can collide with the stresses and circumstances of our current lives. This collision can feel overwhelming. Psychotherapy can be a useful tool to find a way through these difficult waters. I am a psychotherapist with a practice that serves individual adults and couples who are at all stages of life. Issues common to my practice are anxiety, depression, self-esteem, stress management, grief and loss, work related stress, issues of life transitions, trauma, relationship issues and chronic pain issues.
(206) 552-0972 View (206) 552-0972
Photo of Tree of Life Counseling & Coaching, Counselor in Washington
Tree of Life Counseling & Coaching
Counselor, MS, MA, LMHC, NCC
Verified Verified
Lake Stevens, WA 98258
I counsel the following populations: individuals struggling with anger, depression, grief, anxiety and/or trauma (such as acute trauma or PTSD); couples struggling with communication, trust, infidelity, and/or abusive patterns; and teens struggling with motivation, self-esteem, suicidal preoccupations, anti-social or other behavioral issues. I counsel individuals struggling with psychotic disorders, personality disorders and dissociative disorders. I provide family counseling as well as conflict resolution and mediation services. I provide coaching for wellness, psycho-spiritual growth, communication skills, relationship skills and parenting skills. Also, I provide psychosocial assessments.
I counsel the following populations: individuals struggling with anger, depression, grief, anxiety and/or trauma (such as acute trauma or PTSD); couples struggling with communication, trust, infidelity, and/or abusive patterns; and teens struggling with motivation, self-esteem, suicidal preoccupations, anti-social or other behavioral issues. I counsel individuals struggling with psychotic disorders, personality disorders and dissociative disorders. I provide family counseling as well as conflict resolution and mediation services. I provide coaching for wellness, psycho-spiritual growth, communication skills, relationship skills and parenting skills. Also, I provide psychosocial assessments.
(206) 735-4107 View (206) 735-4107
Photo of Brandon Gibs, Counselor in Washington
Brandon Gibs
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98103
We will explore your own “inner dialogue” and/or “parts,” as well as important narratives (aka the stories you tell yourself about yourself and the world around you). I encourage your evaluation, adaptation and/or complete overhaul of these sometimes unhelpful thoughts and stories in favor of newer, healthier, and more useful ones that we develop together!
We will explore your own “inner dialogue” and/or “parts,” as well as important narratives (aka the stories you tell yourself about yourself and the world around you). I encourage your evaluation, adaptation and/or complete overhaul of these sometimes unhelpful thoughts and stories in favor of newer, healthier, and more useful ones that we develop together!
(206) 752-5057 View (206) 752-5057
Photo of Elisa Stepp, Marriage & Family Therapist in Washington
Elisa Stepp
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Centralia, WA 98531
All are welcome at Abundance Family Therapy! Everyone has times that seem too hard to bear. Life can seem pretty heavy at times, and we just need our load lightened. Sometimes the heaviness comes from feelings of anxiety, depression, life transitions, loneliness, spiritual challenges, communication issues or even relationship fractures. If you find yourself feeling the weight of these things or perhaps other things in your life, please come on in and let me help lighten your load. Although experiencing these feelings or situations remind us, we are human, it is the overcoming that brings peace and growth.
All are welcome at Abundance Family Therapy! Everyone has times that seem too hard to bear. Life can seem pretty heavy at times, and we just need our load lightened. Sometimes the heaviness comes from feelings of anxiety, depression, life transitions, loneliness, spiritual challenges, communication issues or even relationship fractures. If you find yourself feeling the weight of these things or perhaps other things in your life, please come on in and let me help lighten your load. Although experiencing these feelings or situations remind us, we are human, it is the overcoming that brings peace and growth.
(360) 230-7817 View (360) 230-7817
Photo of Tori Chavey, Clinical Social Work/Therapist in Washington
Tori Chavey
Clinical Social Work/Therapist, LICSW, CMHS, MHP
Verified Verified
3 Endorsed
Richland, WA 99352
My approach is to provide psycho-education on a number of different topics as they come up organically so that you can learn in conjunction with healing. I use a trauma-informed care approach and aim to keep the therapeutic space as safe as possible: I take this very seriously and know safety must be present in order for true work to happen. You are the one who ultimately decides where we go and my ultimate role is to be right by your side on your journey of healing and exploration.
My approach is to provide psycho-education on a number of different topics as they come up organically so that you can learn in conjunction with healing. I use a trauma-informed care approach and aim to keep the therapeutic space as safe as possible: I take this very seriously and know safety must be present in order for true work to happen. You are the one who ultimately decides where we go and my ultimate role is to be right by your side on your journey of healing and exploration.
(509) 732-9327 View (509) 732-9327
Photo of Dr. Jeff Cook, Mental Health Counselor in Washington
Dr. Jeff Cook
Mental Health Counselor, PhD, LMHC
Verified Verified
2 Endorsed
Bellevue, WA 98005  (Online Only)
I help individuals struggling with feelings of emptiness and despair to make sense of destructive decisions and to repair broken relationships. Whether we were hurt in our younger years, in our marriage or other relationships, we all experience heartache. At times we may find ourselves stuck, unable to move through or past certain experiences and it is in these phases of life that feelings of emptiness, or the experience of shame, or the quiet desperation to feel alive again, consume us. When these experiences are not understood and cared for, they often lead to poor decisions and ruptured relationships.
I help individuals struggling with feelings of emptiness and despair to make sense of destructive decisions and to repair broken relationships. Whether we were hurt in our younger years, in our marriage or other relationships, we all experience heartache. At times we may find ourselves stuck, unable to move through or past certain experiences and it is in these phases of life that feelings of emptiness, or the experience of shame, or the quiet desperation to feel alive again, consume us. When these experiences are not understood and cared for, they often lead to poor decisions and ruptured relationships.
(425) 441-3470 View (425) 441-3470
Photo of Araseli Solorio, Counselor in Washington
Araseli Solorio
Counselor, LMHC, MS
Verified Verified
Pullman, WA 99163
Waitlist for new clients
Imagine your journey towards healing and resilience, navigating trauma, immigration challenges, depression, anxiety, or self-esteem. In these difficult times, where uncertainty is everywhere, I can help in guide individuals who are struggling with trauma, an immigration case, and related mental health issues. My expertise extends to addressing the unique struggles and helped clients in overcoming hurdles. Together, let's create a path toward healing and resilience tailored to their unique needs and goals.
Imagine your journey towards healing and resilience, navigating trauma, immigration challenges, depression, anxiety, or self-esteem. In these difficult times, where uncertainty is everywhere, I can help in guide individuals who are struggling with trauma, an immigration case, and related mental health issues. My expertise extends to addressing the unique struggles and helped clients in overcoming hurdles. Together, let's create a path toward healing and resilience tailored to their unique needs and goals.
(509) 404-0525 View (509) 404-0525
Photo of Angelo Paul Avila, Counselor in Washington
Angelo Paul Avila
Counselor, LMHC
Verified Verified
Bellingham, WA 98225  (Online Only)
Now accepting new clients! I'm poly-informed, trauma-informed, and open to working with clients ages 13 and up. I have diverse experience working with adults of many populations, as well as minors as young as 5 years old. I specialize in work related to attachment, trauma, grief, sexuality, depression, and anxiety. If you're someone who's just getting started learning about your journey towards personal growth, or if you're interested in taking your awareness deeper than you have previously, I have tools and training that can help you start moving in the direction you want to go.
Now accepting new clients! I'm poly-informed, trauma-informed, and open to working with clients ages 13 and up. I have diverse experience working with adults of many populations, as well as minors as young as 5 years old. I specialize in work related to attachment, trauma, grief, sexuality, depression, and anxiety. If you're someone who's just getting started learning about your journey towards personal growth, or if you're interested in taking your awareness deeper than you have previously, I have tools and training that can help you start moving in the direction you want to go.
(360) 743-3120 View (360) 743-3120
Photo of 49 Degrees Counseling, Inc. , Marriage & Family Therapist Associate in Washington
49 Degrees Counseling, Inc.
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
3 Endorsed
Deer Park, WA 99006
I enjoy working with individuals and relationships. Relationships can be fun and exciting, and also difficult work due to differing perspectives, wants and needs. Staying curious and compassionate can foster courage and confidence to maintain and grow relationally with self and others.
I enjoy working with individuals and relationships. Relationships can be fun and exciting, and also difficult work due to differing perspectives, wants and needs. Staying curious and compassionate can foster courage and confidence to maintain and grow relationally with self and others.
(509) 265-6024 View (509) 265-6024
Photo of Rena Marie Brisentine, Counselor in Washington
Rena Marie Brisentine
Counselor, MS, LPC, LMHC, CST
Verified Verified
Seattle, WA 98122  (Online Only)
Waitlist for new clients
Those who come to therapy are often ready for something to change. I like to work with people their stuck points, frustrations, feelings and all things relationship. Whether you are partnered, dating, or learning more about your relationship with yourself, I am here to provide support and guidance.
Those who come to therapy are often ready for something to change. I like to work with people their stuck points, frustrations, feelings and all things relationship. Whether you are partnered, dating, or learning more about your relationship with yourself, I am here to provide support and guidance.
(360) 382-2894 View (360) 382-2894
Photo of Ryan Bolding, Clinical Social Work/Therapist in Washington
Ryan Bolding
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
1 Endorsed
Seattle, WA 98105  (Online Only)
As a therapist, my role is to support you in navigating life, relationships, and mental health in ways that center your needs and values. I do this through an intersectional and strengths-based approach. My therapeutic approaches integrate themes from a range of frameworks including narrative therapy, mindfulness, DBT, social justice, trauma-focused, disability justice, and CBT (cognitive-behavioral therapy). You are welcome to bring yourself as you are without judgment​ and will be met with acceptance and empathy.
As a therapist, my role is to support you in navigating life, relationships, and mental health in ways that center your needs and values. I do this through an intersectional and strengths-based approach. My therapeutic approaches integrate themes from a range of frameworks including narrative therapy, mindfulness, DBT, social justice, trauma-focused, disability justice, and CBT (cognitive-behavioral therapy). You are welcome to bring yourself as you are without judgment​ and will be met with acceptance and empathy.
(425) 225-4767 View (425) 225-4767
Photo of Temple Jackson, Clinical Social Work/Therapist in Washington
Temple Jackson
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Seattle, WA 98116  (Online Only)
Let's reinvigorate you! Being here now, is an excellent choice. I offer over 25 years of professional Clinical Counseling and Crisis Management. To help You mitigate the barrage of heavy challenges life spits out on the daily, I utilize Empowering, Solution-Focused Interventions. Including, HUMOR, Wise-Mind Approach, Acceptance Commitment Therapy, and Soul Care. I am Additionally licensed in California & District of Columbia. My practice offers a high level of compassion and confidentiality. Areas of expertise also include, ritualistic, religious-cult, survivor counseling, Attachment Disorder, PTSD, Grief & Dissociative Disorders.
Let's reinvigorate you! Being here now, is an excellent choice. I offer over 25 years of professional Clinical Counseling and Crisis Management. To help You mitigate the barrage of heavy challenges life spits out on the daily, I utilize Empowering, Solution-Focused Interventions. Including, HUMOR, Wise-Mind Approach, Acceptance Commitment Therapy, and Soul Care. I am Additionally licensed in California & District of Columbia. My practice offers a high level of compassion and confidentiality. Areas of expertise also include, ritualistic, religious-cult, survivor counseling, Attachment Disorder, PTSD, Grief & Dissociative Disorders.
(206) 408-1442 View (206) 408-1442
Photo of Traverse Therapy Services, Clinical Social Work/Therapist in Washington
Traverse Therapy Services
Clinical Social Work/Therapist, MSSA, LICSW-S, MHP, CCTP
Verified Verified
Kirkland, WA 98033
Hello, we are accepting new patients! Whether you're feeling down or anxious, struggling with hurtful and dysfunctional familial dynamics, having difficulty achieving a healthy work-life balance and/or enduring or wanting to heal from past or current traumas, you have found an ally. Developmental, relational and attachment trauma disconnects us from ourselves, our loved ones and even our spirituality. These types of traumas can leave us feeling isolated, unfulfilled and despondent. We all deserve to feel at peace - and that begins by learning how to heal.
Hello, we are accepting new patients! Whether you're feeling down or anxious, struggling with hurtful and dysfunctional familial dynamics, having difficulty achieving a healthy work-life balance and/or enduring or wanting to heal from past or current traumas, you have found an ally. Developmental, relational and attachment trauma disconnects us from ourselves, our loved ones and even our spirituality. These types of traumas can leave us feeling isolated, unfulfilled and despondent. We all deserve to feel at peace - and that begins by learning how to heal.
(425) 470-5324 View (425) 470-5324
Photo of Jenny L Finley, Counselor in Washington
Jenny L Finley
Counselor, MA, LMHC, SUDP
Verified Verified
3 Endorsed
Spokane, WA 99207
I am a passionate mental health therapist and substance use disorder professional with strong expertise in co-occurring disorders, family conflict and recovery. I have extensive experience working with individuals struggling with substance use, eating disorders and other mental health problems as well as working with their loved ones. My approach is both direct and compassionate. I will help you identify your goals and work towards freedom from the issues keeping you stuck.
I am a passionate mental health therapist and substance use disorder professional with strong expertise in co-occurring disorders, family conflict and recovery. I have extensive experience working with individuals struggling with substance use, eating disorders and other mental health problems as well as working with their loved ones. My approach is both direct and compassionate. I will help you identify your goals and work towards freedom from the issues keeping you stuck.
(425) 399-5948 View (425) 399-5948

How does your Therapist compare?

Average cost per session

$150

Therapists in Washington who prioritize treating:

92% Anxiety
86% Depression
76% Relationship Issues
74% Self Esteem
72% Trauma and PTSD
69% Stress
66% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

72% Premera
58% Aetna
57% Regence

How Therapists in Washington see their clients

61% In Person and Online
39% Online Only

Gender breakdown

77% Female
21% Male
2% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Washington?

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.