Therapists in Seattle, WA

View neighborhoods in Seattle
Photo of Becca Hirsch, Marriage & Family Therapist in Seattle, WA
Becca Hirsch
Marriage & Family Therapist, LMFT, CST
Verified Verified
1 Endorsed
Seattle, WA 98119  (Online Only)
Don't worry, this isn't a smile and nod type of therapy, I'm on this journey with you. I am a relationship and sex therapist who is dedicated to empowering you to live happier, healthier, and more authentic life both individually and in your romantic relationships. I explore what it would mean for you to live as authentically as possible and how to make sense of messages you have received about relationships and sexual health. I believe you are the expert in your own life, and my role as a therapist is to create a safe and non-judgmental space for exploration, processing, and to help you create the life you want to be living.
Don't worry, this isn't a smile and nod type of therapy, I'm on this journey with you. I am a relationship and sex therapist who is dedicated to empowering you to live happier, healthier, and more authentic life both individually and in your romantic relationships. I explore what it would mean for you to live as authentically as possible and how to make sense of messages you have received about relationships and sexual health. I believe you are the expert in your own life, and my role as a therapist is to create a safe and non-judgmental space for exploration, processing, and to help you create the life you want to be living.
(312) 697-3814 x642 View (312) 697-3814 x642
Photo of Amy Hammett, Counselor in Seattle, WA
Amy Hammett
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98107
As a licensed mental health counselor, I work to provide a safe place for my clients to explore their stories, learn about themselves, and progress towards their goals. When therapy concludes, my hope is my clients have a stronger sense of self, more authentic relationships, and a greater understanding of their life's potential and impact. In order to do this, I utilize psychodynamic and existential psychotherapies in collaboration with cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT).
As a licensed mental health counselor, I work to provide a safe place for my clients to explore their stories, learn about themselves, and progress towards their goals. When therapy concludes, my hope is my clients have a stronger sense of self, more authentic relationships, and a greater understanding of their life's potential and impact. In order to do this, I utilize psychodynamic and existential psychotherapies in collaboration with cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT).
(206) 350-8039 View (206) 350-8039
Photo of Misty Noster, Marriage & Family Therapist in Seattle, WA
Misty Noster
Marriage & Family Therapist, MS, LMFT
Verified Verified
4 Endorsed
Seattle, WA 98105  (Online Only)
I’m a racial identity and anxiety therapist. I help clients overcome their limiting beliefs and embrace their multiple identities. My practice is informed by my healing and firsthand experience living as a mixed-race person. My clients are those who have a complex relationship with identity, never feel good enough, and feel kicked in the face by their own standards. I feel passionate about helping mixed-race women and anxious perfectionists turn inward and learn to tolerate discomfort and embrace life that is less than perfect.
I’m a racial identity and anxiety therapist. I help clients overcome their limiting beliefs and embrace their multiple identities. My practice is informed by my healing and firsthand experience living as a mixed-race person. My clients are those who have a complex relationship with identity, never feel good enough, and feel kicked in the face by their own standards. I feel passionate about helping mixed-race women and anxious perfectionists turn inward and learn to tolerate discomfort and embrace life that is less than perfect.
(206) 486-4228 View (206) 486-4228
Photo of Justin Pere, Counselor in Seattle, WA
Justin Pere
Counselor, LMHC, CST, CGT
Verified Verified
2 Endorsed
Seattle, WA 98109  (Online Only)
Now Accepting New Clients! Our team of 7 therapists - Corey, Lisa, Stephen, Misa, Maggie, Lindsey and myself - can help you, with the specialty of our practice, Clarity Counseling Seattle, being Relationships / Couples / Marriage / Premarital and Sex / Sexuality/Intimacy. Couples often use our website (ClarityCounselingSeattle.com) to start receiving help with communication, conflict, and deepening emotional & sexual intimacy. The individuals who often seek us out are looking to feel less stress, less worry, less depression/anxiety, and wanting to experience more joy, contentment, and peace within themselves.
Now Accepting New Clients! Our team of 7 therapists - Corey, Lisa, Stephen, Misa, Maggie, Lindsey and myself - can help you, with the specialty of our practice, Clarity Counseling Seattle, being Relationships / Couples / Marriage / Premarital and Sex / Sexuality/Intimacy. Couples often use our website (ClarityCounselingSeattle.com) to start receiving help with communication, conflict, and deepening emotional & sexual intimacy. The individuals who often seek us out are looking to feel less stress, less worry, less depression/anxiety, and wanting to experience more joy, contentment, and peace within themselves.
(206) 855-3934 View (206) 855-3934
Photo of Nora Nasir, Clinical Social Work/Therapist in Seattle, WA
Nora Nasir
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98107  (Online Only)
Not accepting new clients
Do you ever feel that you may be getting in the way of yourself in your efforts to live a rich and fulfilling life? Maybe you feel unmotivated or disconnected from a sense of joy. Often, this results from a lack of clarity about what matters most to you or even well-intentioned efforts to escape feelings of pain and suffering. I believe that a rich, meaning-filled life includes both incredible highs and inevitable lows. Through the lens of that belief, I seek to help people mindfully, authentically, and compassionately embrace the range of ups and downs that they experience in their lives. Through this, true healing can occur.
Do you ever feel that you may be getting in the way of yourself in your efforts to live a rich and fulfilling life? Maybe you feel unmotivated or disconnected from a sense of joy. Often, this results from a lack of clarity about what matters most to you or even well-intentioned efforts to escape feelings of pain and suffering. I believe that a rich, meaning-filled life includes both incredible highs and inevitable lows. Through the lens of that belief, I seek to help people mindfully, authentically, and compassionately embrace the range of ups and downs that they experience in their lives. Through this, true healing can occur.
(206) 561-9221 View (206) 561-9221
Photo of Holly Grigsby, Counselor in Seattle, WA
Holly Grigsby
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98126
Our emotional worlds are always speaking, yet we don't always understand its language. As therapist my goal is to bring a sensitive mind to the important work of listening with you to your honest experience, for the truths that want to be heard and have much to give. We will work towards easing your most difficult symptoms while, over time, bringing curiosity as to what goes on for you at a deeper level than perhaps you knew how to think about. I aim to support you in developing a better relationship to the painful places in you, and a deeper friendship with yourself that feels liberating, empowering, and enlivening.
Our emotional worlds are always speaking, yet we don't always understand its language. As therapist my goal is to bring a sensitive mind to the important work of listening with you to your honest experience, for the truths that want to be heard and have much to give. We will work towards easing your most difficult symptoms while, over time, bringing curiosity as to what goes on for you at a deeper level than perhaps you knew how to think about. I aim to support you in developing a better relationship to the painful places in you, and a deeper friendship with yourself that feels liberating, empowering, and enlivening.
(206) 752-4037 View (206) 752-4037
Photo of Angela Day, Marriage & Family Therapist in Seattle, WA
Angela Day
Marriage & Family Therapist, MA, MS, LMFT
Verified Verified
Seattle, WA 98118
Everyone should have the mental health resources to live their best lives, which includes a strong sexual voice and confident gender expression. There is an immense amount of guilt and shame in our culture that negatively affects how we perceive and receive sex, sexuality, and gender. Vulnerable populations have been targeted with specific, hurtful sexual and gendered stereotypes that can increase psychological distress. As a person of color, I am happy to contribute my perspective and lived experience to the field and your choice of therapists. Sex affects everyone, and it merits focused attention in the mental health field.
Everyone should have the mental health resources to live their best lives, which includes a strong sexual voice and confident gender expression. There is an immense amount of guilt and shame in our culture that negatively affects how we perceive and receive sex, sexuality, and gender. Vulnerable populations have been targeted with specific, hurtful sexual and gendered stereotypes that can increase psychological distress. As a person of color, I am happy to contribute my perspective and lived experience to the field and your choice of therapists. Sex affects everyone, and it merits focused attention in the mental health field.
(206) 202-2932 View (206) 202-2932
Photo of Matthew Monroe, Counselor in Seattle, WA
Matthew Monroe
Counselor, LMHC
Verified Verified
Seattle, WA 98109  (Online Only)
Waitlist for new clients
I specialize in helping individuals and couples with ADHD, high-functioning autism, Nice Guy & Nice Gal Syndrome, codependency, addiction, complex post-traumatic stress disorder, and grief. If you feel stuck and want to create new patterns in your life, let's talk. We can schedule a free 15-minute consult video call to chat about what you're looking for in therapy and to see if we'd be a good fit.
I specialize in helping individuals and couples with ADHD, high-functioning autism, Nice Guy & Nice Gal Syndrome, codependency, addiction, complex post-traumatic stress disorder, and grief. If you feel stuck and want to create new patterns in your life, let's talk. We can schedule a free 15-minute consult video call to chat about what you're looking for in therapy and to see if we'd be a good fit.
(509) 571-2790 View (509) 571-2790
Photo of Kristin Moore, Counselor in Seattle, WA
Kristin Moore
Counselor, MAC, MEd, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98115  (Online Only)
Not accepting new clients
I now have limited daytime telehealth slots. I work with young adults who are managing difficult transitions in their life and struggling with anxiety or depression. I particularly enjoy working with neuro-diverse and twice-exceptional clients, working to overcome challenges and the difficult memories associated with trauma. I also enjoy working with parents as they seek personal emotional support and hone strategies to help their families. As a therapist, I will work alongside you and will be your ally and advocate, supporting you along the way, as you evaluate your strengths and move into a more authentic and happy life.
I now have limited daytime telehealth slots. I work with young adults who are managing difficult transitions in their life and struggling with anxiety or depression. I particularly enjoy working with neuro-diverse and twice-exceptional clients, working to overcome challenges and the difficult memories associated with trauma. I also enjoy working with parents as they seek personal emotional support and hone strategies to help their families. As a therapist, I will work alongside you and will be your ally and advocate, supporting you along the way, as you evaluate your strengths and move into a more authentic and happy life.
(206) 759-2005 View (206) 759-2005
Photo of Rebeka Ramsay, Pre-Licensed Professional in Seattle, WA
Rebeka Ramsay
Pre-Licensed Professional
Verified Verified
Seattle, WA 98116
Available for virtual sessions. Are you experiencing a lot of emotions as you navigate one of the biggest transitions of your life? The period before conception, the pregnancy, and life postpartum have incredible challenges. You are not alone. It is my professional purpose to provide support to folks during those moments. My personal experience as a Latina immigrant navigating the challenges of motherhood in the United States drives my commitment to perinatal mental health and to working alongside immigrants and individuals from underrepresented communities.
Available for virtual sessions. Are you experiencing a lot of emotions as you navigate one of the biggest transitions of your life? The period before conception, the pregnancy, and life postpartum have incredible challenges. You are not alone. It is my professional purpose to provide support to folks during those moments. My personal experience as a Latina immigrant navigating the challenges of motherhood in the United States drives my commitment to perinatal mental health and to working alongside immigrants and individuals from underrepresented communities.
(206) 888-4254 View (206) 888-4254
Photo of Kim Richan, Clinical Social Work/Therapist in Seattle, WA
Kim Richan
Clinical Social Work/Therapist, LICSW
Verified Verified
3 Endorsed
Seattle, WA 98112
We all have an image of our best self. This is the person we'd be if we just weren't so tired, so anxious, so angry or so depressed. I think about my work as the process of helping people to become who they already know they are - or could be. Our work together is to find out why you feel those things in the first place so you can move past them and start feeling happier, more productive and more connected to the life you want.
We all have an image of our best self. This is the person we'd be if we just weren't so tired, so anxious, so angry or so depressed. I think about my work as the process of helping people to become who they already know they are - or could be. Our work together is to find out why you feel those things in the first place so you can move past them and start feeling happier, more productive and more connected to the life you want.
(253) 200-9298 View (253) 200-9298
Photo of Charlotte House, Counselor in Seattle, WA
Charlotte House
Counselor, LMHC, CST
Verified Verified
13 Endorsed
Seattle, WA 98116
I work with individuals and couples who are struggling with relational and individual emotional difficulties stemming from childhood neglect and/or abuse. I will show you how our brain and nervous system works to release long-held dysfunctional patterns of anxiety and depression. You will learn skills for Mindfulness and sensation awareness in order to release of the shock, grief, abandonment and shame that are often the root cause of depressive and hyperactive nervous systems.
I work with individuals and couples who are struggling with relational and individual emotional difficulties stemming from childhood neglect and/or abuse. I will show you how our brain and nervous system works to release long-held dysfunctional patterns of anxiety and depression. You will learn skills for Mindfulness and sensation awareness in order to release of the shock, grief, abandonment and shame that are often the root cause of depressive and hyperactive nervous systems.
(206) 759-7514 View (206) 759-7514
Photo of Robert E. Deeble, Counselor in Seattle, WA
Robert E. Deeble
Counselor, LMHC
Verified Verified
Seattle, WA 98107
I work primarily with adults in individual weekly therapy and with couples. In individual therapy I work in a relational psychodynamic modality that explores the patterns of relationships in your life and the root issues behind your symptoms. In my work with couples I see the couple as the client. As such I do not provide a mental health diagnosis to any one person in the partnership but focus on the relationship itself. My aim in this work is to help couples grow in their partnership while simultaneously reducing the conflict and misunderstandings they may be experiencing in their relationship.
I work primarily with adults in individual weekly therapy and with couples. In individual therapy I work in a relational psychodynamic modality that explores the patterns of relationships in your life and the root issues behind your symptoms. In my work with couples I see the couple as the client. As such I do not provide a mental health diagnosis to any one person in the partnership but focus on the relationship itself. My aim in this work is to help couples grow in their partnership while simultaneously reducing the conflict and misunderstandings they may be experiencing in their relationship.
(206) 889-6461 View (206) 889-6461
Photo of Carl Allen Tippins, Counselor in Seattle, WA
Carl Allen Tippins
Counselor, PhD, LMHC
Verified Verified
Seattle, WA 98109
Waitlist for new clients
"What is the most important consideration when looking for a therapist? " The fit, the feel, the vibe you have with the therapist really is best way to decide if this is a good match. A good fit, you will work well together. We will work with the issues that you are currently experiencing, noticing the internal roots of conflict, and finding ways to make meaningful and purposeful shifts or changes in your life. Experiencing difficulties from depression, relationship endings, truama, abuse, addictions, let's talk. - I am now only taking cash, checks of credit card patients. Not accepting new insurance patients. Not taking couples.
"What is the most important consideration when looking for a therapist? " The fit, the feel, the vibe you have with the therapist really is best way to decide if this is a good match. A good fit, you will work well together. We will work with the issues that you are currently experiencing, noticing the internal roots of conflict, and finding ways to make meaningful and purposeful shifts or changes in your life. Experiencing difficulties from depression, relationship endings, truama, abuse, addictions, let's talk. - I am now only taking cash, checks of credit card patients. Not accepting new insurance patients. Not taking couples.
(253) 214-9352 View (253) 214-9352
Photo of Sybil Ashworth, Clinical Social Work/Therapist in Seattle, WA
Sybil Ashworth
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Seattle, WA 98119
I believe that the foundation of therapeutic work is creating a trusting, compassionate, and empathic relationship with my clients. I strive to create an environment where clients can be fully and authentically themselves and know that they will be safe and supported in processing all aspects of their full humanity. My clients are respected as experts in their own experiences.
I believe that the foundation of therapeutic work is creating a trusting, compassionate, and empathic relationship with my clients. I strive to create an environment where clients can be fully and authentically themselves and know that they will be safe and supported in processing all aspects of their full humanity. My clients are respected as experts in their own experiences.
(206) 594-3266 View (206) 594-3266
Photo of Dan Fajans, Counselor in Seattle, WA
Dan Fajans
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98109  (Online Only)
Caught in a seemingly endless loop of arguments with your partner? Feeling like you're constantly walking on eggshells, afraid of triggering another conflict? You're not alone. Many couples experience challenging periods. But these patterns can and do change. I specialize in helping couples break free from their unhelpful conflict cycles, rekindle the spark that brought them together, and cultivate a relationship worth cherishing.
Caught in a seemingly endless loop of arguments with your partner? Feeling like you're constantly walking on eggshells, afraid of triggering another conflict? You're not alone. Many couples experience challenging periods. But these patterns can and do change. I specialize in helping couples break free from their unhelpful conflict cycles, rekindle the spark that brought them together, and cultivate a relationship worth cherishing.
(206) 452-4104 View (206) 452-4104
Photo of Hanna Maple, Counselor in Seattle, WA
Hanna Maple
Counselor
Verified Verified
2 Endorsed
Seattle, WA 98136
Hi there and welcome! My name is Hanna Maple. I am so excited that you are here! I feel so honored to be a consideration in your mental health journey. :) As we navigate through life's many paths, we often encounter barriers to relationships with others and ourselves. Regardless of the situation, I am here to support you, listen to you, and help you reach your goals. You are not alone!
Hi there and welcome! My name is Hanna Maple. I am so excited that you are here! I feel so honored to be a consideration in your mental health journey. :) As we navigate through life's many paths, we often encounter barriers to relationships with others and ourselves. Regardless of the situation, I am here to support you, listen to you, and help you reach your goals. You are not alone!
(206) 210-2664 View (206) 210-2664
Photo of Alisa Huffman, Clinical Social Work/Therapist in Seattle, WA
Alisa Huffman
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98109
As a trauma therapist, I believe that personal growth and transformation is vital to the human experience, and that sometimes we need support through this process. Therapy is embarking on a journey, and you are the hero of your story. In meeting with you where you are at in your journey, I will help you to develop your own set of skills to help you through your daily experiences. I also encourage approaching challenges with vulnerability and self-compassion and will assist in practicing these areas in our sessions. Even though painful experiences are inevitable, I believe that suffering does not have to hold us back from living.
As a trauma therapist, I believe that personal growth and transformation is vital to the human experience, and that sometimes we need support through this process. Therapy is embarking on a journey, and you are the hero of your story. In meeting with you where you are at in your journey, I will help you to develop your own set of skills to help you through your daily experiences. I also encourage approaching challenges with vulnerability and self-compassion and will assist in practicing these areas in our sessions. Even though painful experiences are inevitable, I believe that suffering does not have to hold us back from living.
(253) 259-3230 View (253) 259-3230
Photo of Doriane Nieburgs, Counselor in Seattle, WA
Doriane Nieburgs
Counselor, MA, LMHC, CMHS
Verified Verified
Seattle, WA 98107
Not accepting new clients
I am a Licensed Mental Health Counselor in the state of Washington with a Master’s Degree from Seattle University in Existential-Phenomenological Psychology and a Bachelor’s Degree in Art and English. My therapeutic approach is client centered and based on my belief that we naturally strive toward health and balance. I work with you on your goals to promote change, purpose, meaning, connection, and solutions to issues you bring to your sessions. I often use Art Therapy techniques with children and adults as a way to go deeper into feelings and self-discovery. I use Play Therapy techniques with children.
I am a Licensed Mental Health Counselor in the state of Washington with a Master’s Degree from Seattle University in Existential-Phenomenological Psychology and a Bachelor’s Degree in Art and English. My therapeutic approach is client centered and based on my belief that we naturally strive toward health and balance. I work with you on your goals to promote change, purpose, meaning, connection, and solutions to issues you bring to your sessions. I often use Art Therapy techniques with children and adults as a way to go deeper into feelings and self-discovery. I use Play Therapy techniques with children.
(206) 681-2154 View (206) 681-2154
Photo of Ryan J Anderson, Psychologist in Seattle, WA
Ryan J Anderson
Psychologist, PhD
Verified Verified
Seattle, WA 98107  (Online Only)
Waitlist for new clients
Good sleep. It seems like it should be simple to achieve, yet it can be so elusive. You are not alone if you struggle with sleep, but there is help. Currently I am NOT accepting new clients, but I am keeping a wait-list for those who would like help with sleep, including insomnia, circadian rhythm disorders, or other sleep difficulties. As a clinical psychologist, I have been practicing for 14 years and have worked with over 1,400 adults with a wide variety of problems. I am passionate about helping people live in better harmony with their minds and bodies.
Good sleep. It seems like it should be simple to achieve, yet it can be so elusive. You are not alone if you struggle with sleep, but there is help. Currently I am NOT accepting new clients, but I am keeping a wait-list for those who would like help with sleep, including insomnia, circadian rhythm disorders, or other sleep difficulties. As a clinical psychologist, I have been practicing for 14 years and have worked with over 1,400 adults with a wide variety of problems. I am passionate about helping people live in better harmony with their minds and bodies.
View

How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
79% Relationship Issues
76% Self Esteem
72% Trauma and PTSD
71% Stress
69% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

70% Premera
54% Aetna
48% Regence

How Therapists in Seattle, WA see their clients

51% Online Only
49% In Person and Online

Gender breakdown

75% Female
21% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Seattle?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.