Therapists in Mount Vernon, WA

Photo of Coastal Counseling Services , Counselor in Mount Vernon, WA
Coastal Counseling Services
Counselor, LMHC, SUDP
Verified Verified
Mount Vernon, WA 98273
These are stressful times for nearly everyone. We need each other more than ever, for company, for comfort, and for compassion about the particular ways life stressors affect our health, happiness, mood, financial security, relationships, substance use, and more.
These are stressful times for nearly everyone. We need each other more than ever, for company, for comfort, and for compassion about the particular ways life stressors affect our health, happiness, mood, financial security, relationships, substance use, and more.
(360) 233-8660 View (360) 233-8660
Photo of Melinda Boonstra, Clinical Social Work/Therapist in Mount Vernon, WA
Melinda Boonstra
Clinical Social Work/Therapist, LICSW
Verified Verified
Mount Vernon, WA 98273
Your thoughts are filled with constant worries. You plan everything perfectly to avoid the worst from coming true. You have been balancing too many plates and they are starting to crash. Maybe you have been crying without knowing why, irritable and impatient, and not sleeping well. You may also be having intrusive thoughts and panic attacks that are limiting what you can do. You need a change in your life; I can help. There is HOPE for a life with greater PEACE without constant worries, ruminations, or intrusive thoughts.
Your thoughts are filled with constant worries. You plan everything perfectly to avoid the worst from coming true. You have been balancing too many plates and they are starting to crash. Maybe you have been crying without knowing why, irritable and impatient, and not sleeping well. You may also be having intrusive thoughts and panic attacks that are limiting what you can do. You need a change in your life; I can help. There is HOPE for a life with greater PEACE without constant worries, ruminations, or intrusive thoughts.
(360) 531-6693 View (360) 531-6693
Photo of Hannah Smith, Counselor in Mount Vernon, WA
Hannah Smith
Counselor, MA, LMHC, CGP
Verified Verified
3 Endorsed
Mount Vernon, WA 98273
Not accepting new clients
Hello! I'm glad you're here! If you struggle with the effects of trauma, anxiety, or any other kind of emotional dysregulation & you are ready for change, let's talk! My groups will help you learn the skills you need to manage emotions, make wise decisions & build the abundant life you want! Please contact me for a free 15-minute consult to discuss this. The world is changing and you want to change with it - Group is one of the most powerful methods of therapy out there...and working in my groups gives you LOTS of extras. Check it out!
Hello! I'm glad you're here! If you struggle with the effects of trauma, anxiety, or any other kind of emotional dysregulation & you are ready for change, let's talk! My groups will help you learn the skills you need to manage emotions, make wise decisions & build the abundant life you want! Please contact me for a free 15-minute consult to discuss this. The world is changing and you want to change with it - Group is one of the most powerful methods of therapy out there...and working in my groups gives you LOTS of extras. Check it out!
(425) 947-2261 View (425) 947-2261
Photo of Merrie Day, Marriage & Family Therapist in Mount Vernon, WA
Merrie Day
Marriage & Family Therapist, PhD, MA, LMFT
Verified Verified
Mount Vernon, WA 98273  (Online Only)
Is life a struggle? Are your relationships causing you distress? Do you feel anxious, sad, or angry too much of the time. Do you want help in creating change that is lasting? Often we remain unaware of the limitations we place on ourselves and need a trained outside observer to help us recognize and change behaviors that keep us stuck.Together in therapy we focus on what you need to create a fulfilling life where you can feel connected and present with others and yourself. I will help you claim your happiness and emotional well being.
Is life a struggle? Are your relationships causing you distress? Do you feel anxious, sad, or angry too much of the time. Do you want help in creating change that is lasting? Often we remain unaware of the limitations we place on ourselves and need a trained outside observer to help us recognize and change behaviors that keep us stuck.Together in therapy we focus on what you need to create a fulfilling life where you can feel connected and present with others and yourself. I will help you claim your happiness and emotional well being.
(425) 954-5847 View (425) 954-5847
Photo of Monica Matthews, Counselor in Mount Vernon, WA
Monica Matthews
Counselor, LMHC, SUPDT, MHP
Verified Verified
Mount Vernon, WA 98273
I believe people want to be heard, seen and validated. It can be challenging to find your voice and identity. Depression, Anxiety, Trauma, and Addiction just add to that weight, fueling avoidance and hopelessness. Trying to navigate all of this alone may feel overwhelming and impossible. You don’t have to go it alone. I would be elated to help! I am accepting new clients for in person therapy and tele-health. I work with teens and adults of all ages.
I believe people want to be heard, seen and validated. It can be challenging to find your voice and identity. Depression, Anxiety, Trauma, and Addiction just add to that weight, fueling avoidance and hopelessness. Trying to navigate all of this alone may feel overwhelming and impossible. You don’t have to go it alone. I would be elated to help! I am accepting new clients for in person therapy and tele-health. I work with teens and adults of all ages.
(360) 495-8905 View (360) 495-8905
Photo of Jamie Clausen, Counselor in Mount Vernon, WA
Jamie Clausen
Counselor, LMHC
Verified Verified
2 Endorsed
Mount Vernon, WA 98273  (Online Only)
You seem to have it all together on the outside. You have a lot going for you. On the inside you feel stressed, sad, and that you are never enough. There is so much to balance and often you end up being the last priority. It is so tiring. You feel like obligations are never going to end, and you are often looking for a better tomorrow and unable to focus on today.
You seem to have it all together on the outside. You have a lot going for you. On the inside you feel stressed, sad, and that you are never enough. There is so much to balance and often you end up being the last priority. It is so tiring. You feel like obligations are never going to end, and you are often looking for a better tomorrow and unable to focus on today.
(360) 347-9514 View (360) 347-9514
Photo of Stacey Froelich, Counselor in Mount Vernon, WA
Stacey Froelich
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Mount Vernon, WA 98273
Not accepting new clients
I commend you for looking into counseling and I hope that I can make starting the process as simple as possible. I really believe your story matters and I personally love learning about people, their lives, and their journeys. I really enjoy working with women in pregnancy through new motherhood and those with symptoms of Postpartum, in whatever form that takes. I have a long history of working with individuals with Bipolar Disorder as well as supporting family members of and individuals who suffer from Psychosis. Please do contact me via phone or email and we can discuss what you are looking for, I return calls Wednesdays-Fridays.
I commend you for looking into counseling and I hope that I can make starting the process as simple as possible. I really believe your story matters and I personally love learning about people, their lives, and their journeys. I really enjoy working with women in pregnancy through new motherhood and those with symptoms of Postpartum, in whatever form that takes. I have a long history of working with individuals with Bipolar Disorder as well as supporting family members of and individuals who suffer from Psychosis. Please do contact me via phone or email and we can discuss what you are looking for, I return calls Wednesdays-Fridays.
(360) 233-8946 View (360) 233-8946
Photo of Scott La Fein, Marriage & Family Therapist in Mount Vernon, WA
Scott La Fein
Marriage & Family Therapist, LMFT
Verified Verified
Mount Vernon, WA 98273
No matter how straight & smooth we try to make it, life is, by nature a crooked line & a bumpy road! Depression, anxiety, grief, trauma...all by-products of living life. Fortunately, we are hard-wired for health; drawn to people & situations that foster our transformance. However, we develop coping/protective mechanisms that hinder that innate tendency to thrive. We create stories about ourselves & the world that keep us scared & isolated. Therapy is the sacred and confidential space in which these, up until now, forbidden feelings, self-thoughts, memories can be carefully, sensitively and intentionally brought forth into the light.
No matter how straight & smooth we try to make it, life is, by nature a crooked line & a bumpy road! Depression, anxiety, grief, trauma...all by-products of living life. Fortunately, we are hard-wired for health; drawn to people & situations that foster our transformance. However, we develop coping/protective mechanisms that hinder that innate tendency to thrive. We create stories about ourselves & the world that keep us scared & isolated. Therapy is the sacred and confidential space in which these, up until now, forbidden feelings, self-thoughts, memories can be carefully, sensitively and intentionally brought forth into the light.
(360) 926-9284 View (360) 926-9284
Photo of Morgan Randall, Counselor in Mount Vernon, WA
Morgan Randall
Counselor, MA, LMHC
Verified Verified
Mount Vernon, WA 98273
Feeling hopeless too much of the time? Frustrated, angry or just plain sad? Wish you could communicate more successfully in relationship? No one must suffer, but sometimes it's hard to get things to change for the better without guidance and support. Pat yourself on the back for checking out this website. Next? Look around the Bodymind Counseling website for more info. Or if you're ready for change, just call and we'll chat. You can always just try one session to see if counseling with Morgan is the right move for you.
Feeling hopeless too much of the time? Frustrated, angry or just plain sad? Wish you could communicate more successfully in relationship? No one must suffer, but sometimes it's hard to get things to change for the better without guidance and support. Pat yourself on the back for checking out this website. Next? Look around the Bodymind Counseling website for more info. Or if you're ready for change, just call and we'll chat. You can always just try one session to see if counseling with Morgan is the right move for you.
(360) 930-6923 View (360) 930-6923
Photo of Colby J. Rezayat, Clinical Social Work/Therapist in Mount Vernon, WA
Colby J. Rezayat
Clinical Social Work/Therapist, LICSW, GMHS, SUDPT, MSW
Verified Verified
Mount Vernon, WA 98273
Perhaps you find yourself in a challenging life transition, processing a significant event or dealing with an obstacle that has left you feeling unsettled and disconnected from yourself. Whatever brought you here, you should be proud of yourself for taking this step toward personal growth. It's my belief that every person deserves the ability to discover, understand, and become the most authentic version of themselves. When we live authentically, it is about more than just being ourselves, it is understanding and owning who we truly are so that we may find more fulfillment and purpose in our lives.
Perhaps you find yourself in a challenging life transition, processing a significant event or dealing with an obstacle that has left you feeling unsettled and disconnected from yourself. Whatever brought you here, you should be proud of yourself for taking this step toward personal growth. It's my belief that every person deserves the ability to discover, understand, and become the most authentic version of themselves. When we live authentically, it is about more than just being ourselves, it is understanding and owning who we truly are so that we may find more fulfillment and purpose in our lives.
(360) 614-4412 View (360) 614-4412
Photo of Lori Lubbers Counseling, Clinical Social Work/Therapist in Mount Vernon, WA
Lori Lubbers Counseling
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Mount Vernon, WA 98273
Do relationships stress you out? Are you lonely, angry, misunderstood, depressed, worried and afraid? Have you lost your sense of purpose and worry that life is hopeless or out of control? Do you doubt the things that you once held sacred? Are you exhausted trying to juggle all of the obligations in your life? Have your friends, family, or coworkers noticed that your struggles are suffocating your capacity for joy? Are you ready to begin the work of making healthy changes and living an abundant life?
Do relationships stress you out? Are you lonely, angry, misunderstood, depressed, worried and afraid? Have you lost your sense of purpose and worry that life is hopeless or out of control? Do you doubt the things that you once held sacred? Are you exhausted trying to juggle all of the obligations in your life? Have your friends, family, or coworkers noticed that your struggles are suffocating your capacity for joy? Are you ready to begin the work of making healthy changes and living an abundant life?
(360) 230-7784 View (360) 230-7784
Photo of Kristie Miller, Clinical Social Work/Therapist in Mount Vernon, WA
Kristie Miller
Clinical Social Work/Therapist, LICSW, RN
Verified Verified
Mount Vernon, WA 98274  (Online Only)
The name of my business, Resilient Roots Counseling, captures the essence of my therapeutic philosophy. I believe we set down roots as we journey through life. Sometimes we grow abundantly through rich, fertile soil. Other times we must grow despite rocky, unproductive dirt. In these times, we can find healthy ways to cope and learn to be resilient. As a therapist, I will come alongside you as you work through your challenges, whether it be past or present. I will listen with empathy and compassion and provide tools to help you on your journey. I will encourage you to discover your authentic self and find ways to thrive.
The name of my business, Resilient Roots Counseling, captures the essence of my therapeutic philosophy. I believe we set down roots as we journey through life. Sometimes we grow abundantly through rich, fertile soil. Other times we must grow despite rocky, unproductive dirt. In these times, we can find healthy ways to cope and learn to be resilient. As a therapist, I will come alongside you as you work through your challenges, whether it be past or present. I will listen with empathy and compassion and provide tools to help you on your journey. I will encourage you to discover your authentic self and find ways to thrive.
(360) 512-7925 View (360) 512-7925
Photo of Denise Miller, Counselor in Mount Vernon, WA
Denise Miller
Counselor, MA, LMHC
Verified Verified
Mount Vernon, WA 98273
Waitlist for new clients
I take a holistic approach to counseling, with an emphasis on mind, body and spirit in relationship to self and others. I specialize in trauma informed practices utilizing modalities such as EMDR, CBT, DBT, and family systems therapy.I am a Children's Mental Health Therapist and a Minority Mental Health Therapist with experience working with Native American, Hispanic and African American and LGBTQ populations.
I take a holistic approach to counseling, with an emphasis on mind, body and spirit in relationship to self and others. I specialize in trauma informed practices utilizing modalities such as EMDR, CBT, DBT, and family systems therapy.I am a Children's Mental Health Therapist and a Minority Mental Health Therapist with experience working with Native American, Hispanic and African American and LGBTQ populations.
(360) 233-8085 View (360) 233-8085
Photo of Elizabeth Ellis, Clinical Social Work/Therapist in Mount Vernon, WA
Elizabeth Ellis
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Mount Vernon, WA 98273
I became a therapist because I saw the importance of sharing our stories without fear of judgment. It’s because of this understanding that I strive to create a space for you to feel safe to be your true self no matter where you are in your mental health journey. When working together, we will focus on your individual needs and goals–these could include anxiety, depression, life transitions, family conflict, or trauma just to name a few. Overall, my goal is to provide support in whatever area you're seeking therapy for.
I became a therapist because I saw the importance of sharing our stories without fear of judgment. It’s because of this understanding that I strive to create a space for you to feel safe to be your true self no matter where you are in your mental health journey. When working together, we will focus on your individual needs and goals–these could include anxiety, depression, life transitions, family conflict, or trauma just to name a few. Overall, my goal is to provide support in whatever area you're seeking therapy for.
(360) 502-7312 View (360) 502-7312
Photo of Mary Rice at Soft Landings Counseling, PLLC, Counselor in Mount Vernon, WA
Mary Rice at Soft Landings Counseling, PLLC
Counselor, LMHC
Verified Verified
1 Endorsed
Mount Vernon, WA 98273  (Online Only)
If you are someone in a difficult transition, feeling stuck, overwhelmed or hopeless, then you are in good company. Maybe you are able to function well in your life and hold it all together, but sense that if you keep going without getting help you will eventually reach a crisis point. With the right guidance you can release old patterns of behavior, belief systems and stories. Soft Landings seeks to provide a space for you to feel safe, to experience acceptance without judgment and to find healing, growth and transformation.
If you are someone in a difficult transition, feeling stuck, overwhelmed or hopeless, then you are in good company. Maybe you are able to function well in your life and hold it all together, but sense that if you keep going without getting help you will eventually reach a crisis point. With the right guidance you can release old patterns of behavior, belief systems and stories. Soft Landings seeks to provide a space for you to feel safe, to experience acceptance without judgment and to find healing, growth and transformation.
(360) 614-2065 View (360) 614-2065
Photo of Allison Nicole Osborne, Clinical Social Work/Therapist in Mount Vernon, WA
Allison Nicole Osborne
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Mount Vernon, WA 98273
My name is Allison Osborne, and I am a social worker and therapist. I am committed to providing a trauma informed approach to the unique needs of every client. My work focuses on recognizing how trauma has impacted your life either directly or indirectly and using trauma informed perspectives to address those needs. Additionally, I take a client centered, solution focused approach to helping clients recognize goals, learn skills and tools to address their challenges and begin recovering from the emotional pain and discomfort that they feel.
My name is Allison Osborne, and I am a social worker and therapist. I am committed to providing a trauma informed approach to the unique needs of every client. My work focuses on recognizing how trauma has impacted your life either directly or indirectly and using trauma informed perspectives to address those needs. Additionally, I take a client centered, solution focused approach to helping clients recognize goals, learn skills and tools to address their challenges and begin recovering from the emotional pain and discomfort that they feel.
(360) 404-7174 View (360) 404-7174
Photo of Tracy Wiesneske, Counselor in Mount Vernon, WA
Tracy Wiesneske
Counselor, MA, LMHC, LPCC, ASDCS
Verified Verified
Mount Vernon, WA 98273
For more than a decade I have provided individual, family, and group therapy services. I have a wide array of specialized training to treat many different diagnoses, including Depressive and Anxiety Disorders, Mood Disorders, Autism Spectrum Disorder, Kinetic Disorders, as well as Obsessive Compulsive Disorder and compulsive behaviors. I specialize in treating men and women of the Millennial and Generation X generations, creative and gifted individuals, and children with behavioral and developmental disorders. Emphasis is on holistic, individually tailored options that help you foster deep, meaningful, and authentic connections.
For more than a decade I have provided individual, family, and group therapy services. I have a wide array of specialized training to treat many different diagnoses, including Depressive and Anxiety Disorders, Mood Disorders, Autism Spectrum Disorder, Kinetic Disorders, as well as Obsessive Compulsive Disorder and compulsive behaviors. I specialize in treating men and women of the Millennial and Generation X generations, creative and gifted individuals, and children with behavioral and developmental disorders. Emphasis is on holistic, individually tailored options that help you foster deep, meaningful, and authentic connections.
(360) 215-5046 View (360) 215-5046
Photo of Marla Johns, Counselor in Mount Vernon, WA
Marla Johns
Counselor, MS, MHP, LMHC
Verified Verified
Mount Vernon, WA 98273
Limited availability . . . schedule today. Here at "A New Tomorrow Therapy", I believe that life is a journey that no one is meant to walk through alone. So together, we can tackle whatever life has thrown your way. Whether you find yourself dealing with anxiety, depression, life transitions, grief, loss, parenting, family challenges, and/or any other major life difficulty; I am here to help you reach whatever your goals may be. Together, we will work to identify your own personal targets and a plan for how to get there.
Limited availability . . . schedule today. Here at "A New Tomorrow Therapy", I believe that life is a journey that no one is meant to walk through alone. So together, we can tackle whatever life has thrown your way. Whether you find yourself dealing with anxiety, depression, life transitions, grief, loss, parenting, family challenges, and/or any other major life difficulty; I am here to help you reach whatever your goals may be. Together, we will work to identify your own personal targets and a plan for how to get there.
(360) 230-1284 View (360) 230-1284
Photo of T. Addelle Diedesch, Counselor in Mount Vernon, WA
T. Addelle Diedesch
Counselor, MA, LMHC, PMH-C
Verified Verified
4 Endorsed
Mount Vernon, WA 98273
Not accepting new clients
Depression and anxiety can emerge across the lifespan and frequently in the perinatal period. You, are not alone and with help you can get better. Whether, you are struggling with perinatal mental health concerns, parenting, depression, anxiety, trauma or any other of the adversity that emerges across the life span, healing is not out of your reach. You are ready for a proactive approach and want to make positive change. With connection and trust we will use a combination of skill building and motivational enhancement to calm crisis, and increase coping.
Depression and anxiety can emerge across the lifespan and frequently in the perinatal period. You, are not alone and with help you can get better. Whether, you are struggling with perinatal mental health concerns, parenting, depression, anxiety, trauma or any other of the adversity that emerges across the life span, healing is not out of your reach. You are ready for a proactive approach and want to make positive change. With connection and trust we will use a combination of skill building and motivational enhancement to calm crisis, and increase coping.
(360) 228-3934 View (360) 228-3934
Photo of Abcde L. K. Matias, Counselor in Mount Vernon, WA
Abcde L. K. Matias
Counselor, MS
Verified Verified
1 Endorsed
Mount Vernon, WA 98273  (Online Only)
Hi all, I'm accepting new clients as of March 1st, 2024. I believe everyone has a voice that matters, and I want to hear your story. Therapy can be challenging and enjoyable however the process unfolds, I will be there for the journey. I’m here to help guide you on what you think is important and provide useful tools along the way. Specializing in adolescents, adult counseling, and couples counseling through telehealth, other counseling specializations are available as well. Also, I'm currently facilitating an ongoing open Women's Support Group via telehealth.
Hi all, I'm accepting new clients as of March 1st, 2024. I believe everyone has a voice that matters, and I want to hear your story. Therapy can be challenging and enjoyable however the process unfolds, I will be there for the journey. I’m here to help guide you on what you think is important and provide useful tools along the way. Specializing in adolescents, adult counseling, and couples counseling through telehealth, other counseling specializations are available as well. Also, I'm currently facilitating an ongoing open Women's Support Group via telehealth.
(360) 504-4825 View (360) 504-4825

See more therapy options for Mount Vernon

How does your Therapist compare?

Number of Therapists in Mount Vernon, WA

100+

Average cost per session

$140

Therapists in Mount Vernon, WA who prioritize treating:

91% Anxiety
82% Depression
78% Relationship Issues
77% Self Esteem
73% Grief
71% Coping Skills
70% Stress

Average years in practice

11 Years

Top 3 insurances accepted

87% Premera
70% Regence
54% Aetna

How Therapists in Mount Vernon, WA see their clients

74% In Person and Online
26% Online Only

Gender breakdown

75% Female
23% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Mount Vernon?

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.