Therapists in Seattle, WA

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Photo of John Harlow, Psychologist in Seattle, WA
John Harlow
Psychologist, PhD
Verified Verified
Seattle, WA 98115
I am a psychologist. I see adults and specialize in work with preteens and adolescents. I am in Green Lake, am accepting new patients, and have in-person/online options. I know there are many ways mental health problems can disrupt a person’s school, work, relationships, or family life. Some are prone to anxiety, depression, or angry outbursts. Others get confused about their identity. Some self-medicate with drugs or alcohol. Others get caught in dysfunctional relationships. Some are struck by loss or face serious family problems like divorce. Others have an unresolved trauma history. Some behave oddly. I know this territory.
I am a psychologist. I see adults and specialize in work with preteens and adolescents. I am in Green Lake, am accepting new patients, and have in-person/online options. I know there are many ways mental health problems can disrupt a person’s school, work, relationships, or family life. Some are prone to anxiety, depression, or angry outbursts. Others get confused about their identity. Some self-medicate with drugs or alcohol. Others get caught in dysfunctional relationships. Some are struck by loss or face serious family problems like divorce. Others have an unresolved trauma history. Some behave oddly. I know this territory.
(206) 895-0749 View (206) 895-0749
Photo of Sarah Grandinetti, Counselor in Seattle, WA
Sarah Grandinetti
Counselor, BSW, MS, LMHCA
Verified Verified
Seattle, WA 98115  (Online Only)
I would be honored to create space for you as we find a way to recovery and healing. I love to work with each unique human that sits in front of me, no matter where you come from or where you want to go. I am particularly passionate about working with LGBTQIA+, neurodivergent individuals, and religious trauma survivors.
I would be honored to create space for you as we find a way to recovery and healing. I love to work with each unique human that sits in front of me, no matter where you come from or where you want to go. I am particularly passionate about working with LGBTQIA+, neurodivergent individuals, and religious trauma survivors.
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Photo of Wesley Maynard, Clinical Social Work/Therapist in Seattle, WA
Wesley Maynard
Clinical Social Work/Therapist, MBA, LMSW, LICSWA
Verified Verified
Seattle, WA 98104  (Online Only)
Maybe you're tired of suffering from being bossed around by OCD or anxiety. Perhaps you’re in a painful life transition and feeling uncertain, afraid, or lost. I’m glad you’re here. If you feel hopeless, I believe things can get much better, one step at a time. Although it sure can feel this way, rather than viewing OCD or anxiety as a monster trying to torture us, I see it as a hypervigilant alert system whose aim is to keep us safe at all costs. Retraining that alert system can help us get unstuck, heal, and thrive. I never claim to have the answers for anyone’s life, but I love helping people find answers within themselves.
Maybe you're tired of suffering from being bossed around by OCD or anxiety. Perhaps you’re in a painful life transition and feeling uncertain, afraid, or lost. I’m glad you’re here. If you feel hopeless, I believe things can get much better, one step at a time. Although it sure can feel this way, rather than viewing OCD or anxiety as a monster trying to torture us, I see it as a hypervigilant alert system whose aim is to keep us safe at all costs. Retraining that alert system can help us get unstuck, heal, and thrive. I never claim to have the answers for anyone’s life, but I love helping people find answers within themselves.
(425) 587-8275 View (425) 587-8275
Photo of Lara Vander Woude, Counselor in Seattle, WA
Lara Vander Woude
Counselor, LMHC
Verified Verified
Seattle, WA 98104
April 2024 Update: I have immediate in-person availability. - Welcome. Maybe you're here because of an old current of suffering, branched out in channels, running wild under the surface of things. Or maybe it's more specific - an event long past or currently unraveling. Maybe you feel plagued by a background hum of panic, or an old wound that just won’t seem to heal. Maybe you feel trapped in patterns that keep repeating, a chronic emptiness, or a confusing internal force that blocks your efforts to fully work, or love, or play. And you want something more from life - more capacity, more ease, more joy.
April 2024 Update: I have immediate in-person availability. - Welcome. Maybe you're here because of an old current of suffering, branched out in channels, running wild under the surface of things. Or maybe it's more specific - an event long past or currently unraveling. Maybe you feel plagued by a background hum of panic, or an old wound that just won’t seem to heal. Maybe you feel trapped in patterns that keep repeating, a chronic emptiness, or a confusing internal force that blocks your efforts to fully work, or love, or play. And you want something more from life - more capacity, more ease, more joy.
(206) 944-6316 View (206) 944-6316
Photo of Lawrence G Watkins, Counselor in Seattle, WA
Lawrence G Watkins
Counselor, LMHC
Verified Verified
Seattle, WA 98109  (Online Only)
I work best with clients who are struggling with their ethnic and cultural identities, particularly those with multiple ways of identifying. Specifically, how these conflicting identities may impact their relationships with family, friends, and romantic partners. Though culture is what I explore primarily, I also focus on intrapersonal exploration, including areas of personal and professional growth. In both instances, it is vital to identify the specific issues that are barriers to achieving what the client perceives as an ideal self. Setting several short-term goals to accomplish on the way until a long-term goal is achieved.
I work best with clients who are struggling with their ethnic and cultural identities, particularly those with multiple ways of identifying. Specifically, how these conflicting identities may impact their relationships with family, friends, and romantic partners. Though culture is what I explore primarily, I also focus on intrapersonal exploration, including areas of personal and professional growth. In both instances, it is vital to identify the specific issues that are barriers to achieving what the client perceives as an ideal self. Setting several short-term goals to accomplish on the way until a long-term goal is achieved.
(425) 395-8629 View (425) 395-8629
Photo of Hila Dean, Pre-Licensed Professional in Seattle, WA
Hila Dean
Pre-Licensed Professional, MFTa
Verified Verified
Seattle, WA 98117  (Online Only)
I specialize in work with autistics; ADHD-ers; neurodivergent identity affirming support; psychedelic preparation, navigation skills, integration; non-normative relationships and families; outlaw lifestyles; and autistic people who use drugs.
I specialize in work with autistics; ADHD-ers; neurodivergent identity affirming support; psychedelic preparation, navigation skills, integration; non-normative relationships and families; outlaw lifestyles; and autistic people who use drugs.
(206) 589-2245 View (206) 589-2245
Photo of Latasha Lal, MSW, LSWAIC, Pre-Licensed Professional in Seattle, WA
Latasha Lal, MSW, LSWAIC
Pre-Licensed Professional, LSWAIC
Verified Verified
Seattle, WA 98115  (Online Only)
Reaching out for help can be a difficult first step. Circumstances can get challenging, overwhelming, or even exhausting. I want you to know that you’ve taken the first step towards healing by seeking therapy. With therapy, we can ease your way into this journey, harnessing your inner strengths and motivating you to create an encouraging plan of change in your life.
Reaching out for help can be a difficult first step. Circumstances can get challenging, overwhelming, or even exhausting. I want you to know that you’ve taken the first step towards healing by seeking therapy. With therapy, we can ease your way into this journey, harnessing your inner strengths and motivating you to create an encouraging plan of change in your life.
(425) 441-3632 View (425) 441-3632
Photo of Helen Shields, Clinical Social Work/Therapist in Seattle, WA
Helen Shields
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Seattle, WA 98101  (Online Only)
Hi, my name is Helen Shields. I am a Licensed Clinical Social Worker and have been working in the mental health field for 7 years. I have a bachelor’s degree in Sociology from St. Martin’s University and a Master’s Degree in Social Work from Portland State University. I have worked in two community mental health agencies providing direct services to children, teens, families, and adults. I have experience working in the Vancouver and Seattle Public School systems, as well as private and group practice.
Hi, my name is Helen Shields. I am a Licensed Clinical Social Worker and have been working in the mental health field for 7 years. I have a bachelor’s degree in Sociology from St. Martin’s University and a Master’s Degree in Social Work from Portland State University. I have worked in two community mental health agencies providing direct services to children, teens, families, and adults. I have experience working in the Vancouver and Seattle Public School systems, as well as private and group practice.
(425) 600-9030 View (425) 600-9030
Photo of Leslie Gilbert, Clinical Social Work/Therapist in Seattle, WA
Leslie Gilbert
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98118  (Online Only)
Everyone has the potential to feel secure and connected. We will work collaboratively to identify sources of stress, embrace difficult feelings, question limiting thought and behavior patterns, and develop both internal and external resources for finding more joy and fulfillment in life. I have a passion for working with people experiencing life transitions, including but not limited to life stages, pregnancy and postpartum, career, relationships, and illness.
Everyone has the potential to feel secure and connected. We will work collaboratively to identify sources of stress, embrace difficult feelings, question limiting thought and behavior patterns, and develop both internal and external resources for finding more joy and fulfillment in life. I have a passion for working with people experiencing life transitions, including but not limited to life stages, pregnancy and postpartum, career, relationships, and illness.
(206) 800-6516 View (206) 800-6516
Photo of Katie Vigneulle, Counselor in Seattle, WA
Katie Vigneulle
Counselor, MA, LMHCA
Verified Verified
4 Endorsed
Seattle, WA 98107  (Online Only)
Hello there, I’m a trauma-informed therapist based in Seattle. I love working with people healing from past trauma, learning to befriend/ honor their bodies, and growing in self confidence. I enjoy working with issues like anxiety, queer identity formation and processing, grief, and imposter syndrome. - Also, ask about my summer discount for teachers & therapists! I'm honored to care for those who spend their lives in a caring role. I'm offering a lowered rate from May-August for those vital folks. If you're an educator, therapist, or therapist in training who's been thinking about starting therapy, this might be your sign! -
Hello there, I’m a trauma-informed therapist based in Seattle. I love working with people healing from past trauma, learning to befriend/ honor their bodies, and growing in self confidence. I enjoy working with issues like anxiety, queer identity formation and processing, grief, and imposter syndrome. - Also, ask about my summer discount for teachers & therapists! I'm honored to care for those who spend their lives in a caring role. I'm offering a lowered rate from May-August for those vital folks. If you're an educator, therapist, or therapist in training who's been thinking about starting therapy, this might be your sign! -
(206) 984-3283 View (206) 984-3283
Photo of Arianna Randolph, Clinical Social Work/Therapist in Seattle, WA
Arianna Randolph
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98112  (Online Only)
Not accepting new clients
Welcome! Making the choice to prioritize yourself and invest in your well-being is a big step and I am glad you're here. I have a passion for and primarily work with women who are looking to reconnect with themselves. Women who are leaders in all aspects of life, be it concurring the school drop-off line, being a boss or managing the day to day. Women who are looking for tools or to develop coping strategies to manage anxiety, life transitions, communication and more. I also enjoy working with healthcare workers in the areas of stress management and identification or refresh of the “why” related to the work that they do.
Welcome! Making the choice to prioritize yourself and invest in your well-being is a big step and I am glad you're here. I have a passion for and primarily work with women who are looking to reconnect with themselves. Women who are leaders in all aspects of life, be it concurring the school drop-off line, being a boss or managing the day to day. Women who are looking for tools or to develop coping strategies to manage anxiety, life transitions, communication and more. I also enjoy working with healthcare workers in the areas of stress management and identification or refresh of the “why” related to the work that they do.
(206) 278-2609 View (206) 278-2609
Photo of Stephanie Neilson, Counselor in Seattle, WA
Stephanie Neilson
Counselor, MA, LMHC, NCC
Verified Verified
Seattle, WA 98105
I see therapy as healing through understanding. Understanding of your hopes and how to bolster and nourish them, your suffering and how to be with or relieve it. I strive to listen holistically, with humility, and to provide a nonjudgmental space in which the layers of your identity and life contexts can be safely explored. My clinical thinking is psychodynamically-based and is also informed by my background in the arts and my practices in meditation and yoga.
I see therapy as healing through understanding. Understanding of your hopes and how to bolster and nourish them, your suffering and how to be with or relieve it. I strive to listen holistically, with humility, and to provide a nonjudgmental space in which the layers of your identity and life contexts can be safely explored. My clinical thinking is psychodynamically-based and is also informed by my background in the arts and my practices in meditation and yoga.
(206) 593-4364 View (206) 593-4364
Photo of Heather Gebhardt, Psychologist in Seattle, WA
Heather Gebhardt
Psychologist, PhD, ABPP
Verified Verified
Seattle, WA 98136  (Online Only)
Not accepting new clients
I specialize in working with adults who are facing a variety of concerns including anxiety, depression, PTSD, anger, or other post-trauma reactions, and emphasize working with members of the military and veteran communities in my practice. I also enjoy working with individuals who struggle with managing difficult emotions and are interested in building their 'emotional intelligence,' including learning how to name, express, and cope with emotions in effective and authentic ways. I use a targeted, active, and evidence-based approach to treatment, and also value the use of humor and transparency in the therapeutic process.
I specialize in working with adults who are facing a variety of concerns including anxiety, depression, PTSD, anger, or other post-trauma reactions, and emphasize working with members of the military and veteran communities in my practice. I also enjoy working with individuals who struggle with managing difficult emotions and are interested in building their 'emotional intelligence,' including learning how to name, express, and cope with emotions in effective and authentic ways. I use a targeted, active, and evidence-based approach to treatment, and also value the use of humor and transparency in the therapeutic process.
(206) 889-6497 View (206) 889-6497
Photo of Anna Ambrose Munson, Counselor in Seattle, WA
Anna Ambrose Munson
Counselor, LMHCA
Verified Verified
Seattle, WA 98125
I have always had a love for the process of therapy, mental health and wellness practices including mind-body techniques. I have incorporated these passions as an occupational therapist in the inpatient mental health and school settings and as a counseling intern in community mental health.
I have always had a love for the process of therapy, mental health and wellness practices including mind-body techniques. I have incorporated these passions as an occupational therapist in the inpatient mental health and school settings and as a counseling intern in community mental health.
(206) 887-0973 View (206) 887-0973
Photo of Brianna Chamberlain, Clinical Social Work/Therapist in Seattle, WA
Brianna Chamberlain
Clinical Social Work/Therapist, LICSW, SUDP
Verified Verified
1 Endorsed
Seattle, WA 98103
I specialize in working with individuals 13-35 who are experiencing anxiety, depression, substance misuse, emotion dysregulation, stress, and challenges in relationships within their family of origin. I'm particularly passionate about supporting individuals experiencing life transitions, including pregnancy/postpartum and new parents. My work with clients is person-centered, strengths-based, and trauma-informed. My style is warm, genuine, and direct. I often use humor with my clients, when appropriate, because laughter can be a very powerful tool and often helps foster a sense of trust and alliance.
I specialize in working with individuals 13-35 who are experiencing anxiety, depression, substance misuse, emotion dysregulation, stress, and challenges in relationships within their family of origin. I'm particularly passionate about supporting individuals experiencing life transitions, including pregnancy/postpartum and new parents. My work with clients is person-centered, strengths-based, and trauma-informed. My style is warm, genuine, and direct. I often use humor with my clients, when appropriate, because laughter can be a very powerful tool and often helps foster a sense of trust and alliance.
(206) 208-7358 View (206) 208-7358
Photo of Mateja Jagodic, Counselor in Seattle, WA
Mateja Jagodic
Counselor, MA, LMHCA
Verified Verified
Seattle, WA 98105
While a desire to find meaningful connection with self and others appears universal, the everyday experiences of life often hold quite the opposite. Trauma, betrayal, loss, addiction, big life changes (and we can go on and on), can contribute to a variety of mental health concerns, and perpetuate dynamics that are not life-giving. Such dynamics are hard to put into words, so you are left looking for a safe space to tell your story and gain more insight into what shaped you, what motivates you, and what supports patterns of thinking and behavior that no longer serve you.
While a desire to find meaningful connection with self and others appears universal, the everyday experiences of life often hold quite the opposite. Trauma, betrayal, loss, addiction, big life changes (and we can go on and on), can contribute to a variety of mental health concerns, and perpetuate dynamics that are not life-giving. Such dynamics are hard to put into words, so you are left looking for a safe space to tell your story and gain more insight into what shaped you, what motivates you, and what supports patterns of thinking and behavior that no longer serve you.
(206) 203-9339 View (206) 203-9339
Photo of Julie McGowan, Clinical Social Work/Therapist in Seattle, WA
Julie McGowan
Clinical Social Work/Therapist, LSWAIC
Verified Verified
4 Endorsed
Seattle, WA 98112  (Online Only)
I specialize in supporting families and couples who are struggling to communicate effectively. This may look like every conversation turning into a fight, no longer being able to understand or relate to the other person's point of view, behavior challenges with children, or feeling completely exhausted by being stuck in a pattern together. I help guide families and couples back to mutual understanding, in working through and resolving conflicts, and in addressing how behaviors affect one another.
I specialize in supporting families and couples who are struggling to communicate effectively. This may look like every conversation turning into a fight, no longer being able to understand or relate to the other person's point of view, behavior challenges with children, or feeling completely exhausted by being stuck in a pattern together. I help guide families and couples back to mutual understanding, in working through and resolving conflicts, and in addressing how behaviors affect one another.
(206) 457-1391 View (206) 457-1391
Photo of Joanna Darsey-Moss, Counselor in Seattle, WA
Joanna Darsey-Moss
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98102
I offer individual, couple, and family therapy. I am a systemic therapist. I believe your community, your family of origin, and the greater world in which you live all impact your situation. My focus is on promoting your strengths to help you achieve your goals. I use a variety of therapeutic interventions, but the common thread that links them is Mindfulness. In my work with couples, I apply Gottman theories to your preferred family structure. I enjoy exploring gender identity and also enjoy working with people to strengthen their relationships with themselves and others who are important in their lives.
I offer individual, couple, and family therapy. I am a systemic therapist. I believe your community, your family of origin, and the greater world in which you live all impact your situation. My focus is on promoting your strengths to help you achieve your goals. I use a variety of therapeutic interventions, but the common thread that links them is Mindfulness. In my work with couples, I apply Gottman theories to your preferred family structure. I enjoy exploring gender identity and also enjoy working with people to strengthen their relationships with themselves and others who are important in their lives.
(206) 489-2924 View (206) 489-2924
Photo of Courtney Bennett McDuffee, Counselor in Seattle, WA
Courtney Bennett McDuffee
Counselor, MA, LMHCA, P-RDT
Verified Verified
Seattle, WA 98109  (Online Only)
Waitlist for new clients
Every journey is unique. My person-centered, culturally conscious, approach to therapy aims to honor every individual’s personal path that leads them to today. My therapeutic method is based in Drama Therapy, emphasizing the collaborative nature of the therapeutic relationship. With Drama Therapy, we utilize story and embodiment to connect to our feelings, ourselves, and the world and relationships around us. I offer a holistic approach to therapy that leans into clients' strengths and creativity to set goals and enhance individual abilities and 'tool kits' to cope with struggles and explore new paths and potential solutions.
Every journey is unique. My person-centered, culturally conscious, approach to therapy aims to honor every individual’s personal path that leads them to today. My therapeutic method is based in Drama Therapy, emphasizing the collaborative nature of the therapeutic relationship. With Drama Therapy, we utilize story and embodiment to connect to our feelings, ourselves, and the world and relationships around us. I offer a holistic approach to therapy that leans into clients' strengths and creativity to set goals and enhance individual abilities and 'tool kits' to cope with struggles and explore new paths and potential solutions.
(425) 657-3505 View (425) 657-3505
Photo of Amy Yamamoto LICSW, Clinical Social Work/Therapist in Seattle, WA
Amy Yamamoto LICSW
Clinical Social Work/Therapist, MSW, LICSW, BCD, LCSW
Verified Verified
2 Endorsed
Seattle, WA 98126
Taking the time and effort to increase self-awareness and explore your behavioral patterns and thoughts can be one of the most valuable things that you do in your life. Seeking therapy is a sign of personal strength, not of weakness. Therapy is one method to explore how your thoughts, feelings and behaviors influence your daily choices and relationships. Working with a licensed therapist can provide the objective and knowledgeable feedback needed to identify specific barriers, define and develop goals and gain the valuable skills and confidence to make that change.
Taking the time and effort to increase self-awareness and explore your behavioral patterns and thoughts can be one of the most valuable things that you do in your life. Seeking therapy is a sign of personal strength, not of weakness. Therapy is one method to explore how your thoughts, feelings and behaviors influence your daily choices and relationships. Working with a licensed therapist can provide the objective and knowledgeable feedback needed to identify specific barriers, define and develop goals and gain the valuable skills and confidence to make that change.
(206) 309-4573 View (206) 309-4573

How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

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

Average years in practice

9 Years

Top 3 insurances accepted

71% Premera
54% Aetna
47% Regence

How Therapists in Seattle, WA see their clients

51% Online Only
49% In Person and Online

Gender breakdown

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

How can I find a therapist in Seattle?

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

Learn more about how to find a therapist

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

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

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

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

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

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

What type of therapy is right for me?

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

How much does therapy cost?

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

What are more affordable or low cost therapy solutions?

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

Is online therapy cheaper than in-person therapy?

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

Is online therapy a good option?

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

Are therapy sessions confidential?

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