Therapists in Mountlake Terrace, WA

Photo of Break The Mold Counseling, PLLC, Counselor in Mountlake Terrace, WA
Break The Mold Counseling, PLLC
Counselor, LMHC
Verified Verified
2 Endorsed
Mountlake Terrace, WA 98043
Many people decide to come to counseling because they feel stuck. Often, this "stuckness" is based on a belief or value that has been imposed by someone else. Sometimes, we need help to break out of an unhelpful "mold." My goal is to build a unique relationship in your life where I can provide an unbiased "outsiders" perspective on the situations and emotions you are dealing with. Life can be good, and life can also be really hard. How do you cope with the hard stuff? I seem to click really well with teens and young adults. I enjoy working with anyone one-on-one and will do my best to provide a safe and accepting environment.
Many people decide to come to counseling because they feel stuck. Often, this "stuckness" is based on a belief or value that has been imposed by someone else. Sometimes, we need help to break out of an unhelpful "mold." My goal is to build a unique relationship in your life where I can provide an unbiased "outsiders" perspective on the situations and emotions you are dealing with. Life can be good, and life can also be really hard. How do you cope with the hard stuff? I seem to click really well with teens and young adults. I enjoy working with anyone one-on-one and will do my best to provide a safe and accepting environment.
(425) 333-7174 View (425) 333-7174
Photo of Brian J Warren, Marriage & Family Therapist in Mountlake Terrace, WA
Brian J Warren
Marriage & Family Therapist, MS, LMFT
Verified Verified
Mountlake Terrace, WA 98043
I enjoy helping couples, families and individuals in working on relationship issues and concerns in a wide variety of areas these may be facing or dealing with. Some of the issues I can help with include depression, anxiety, health and medical problems, grief, loss, transitions, adjustment, self-esteem, troubled/at-risk youth or children, marriage and couple relationship issues, step-families, relationship concerns, sexual issues, teen concerns, child development, sibling and extended family concerns, and more. I work with clients on their issues and help them attain their goals. I focus on strengths, successes, emotions, thoughts and feelings in helping them.
I enjoy helping couples, families and individuals in working on relationship issues and concerns in a wide variety of areas these may be facing or dealing with. Some of the issues I can help with include depression, anxiety, health and medical problems, grief, loss, transitions, adjustment, self-esteem, troubled/at-risk youth or children, marriage and couple relationship issues, step-families, relationship concerns, sexual issues, teen concerns, child development, sibling and extended family concerns, and more. I work with clients on their issues and help them attain their goals. I focus on strengths, successes, emotions, thoughts and feelings in helping them.
(206) 818-3223 View (206) 818-3223
Photo of Mallory O'Brien, Counselor in Mountlake Terrace, WA
Mallory O'Brien
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Mountlake Terrace, WA 98043  (Online Only)
Waitlist for new clients
Life does not happen in a linear fashion but rather we cycle through different experiences that change how we see ourselves, others, and the world. I work with clients who are struggling to overcome trauma or abuse, whether from specific events or more subtle every day micro-aggressions. I work with clients who are feeling overwhelmed or lost in their many life roles or experiencing distress relating to their cultural identity. Clients that I work with are open to bringing their whole selves (mind/body/spirit) into the space, embracing the natural human process to suffer and love, and hope to feel empowered in the change process.
Life does not happen in a linear fashion but rather we cycle through different experiences that change how we see ourselves, others, and the world. I work with clients who are struggling to overcome trauma or abuse, whether from specific events or more subtle every day micro-aggressions. I work with clients who are feeling overwhelmed or lost in their many life roles or experiencing distress relating to their cultural identity. Clients that I work with are open to bringing their whole selves (mind/body/spirit) into the space, embracing the natural human process to suffer and love, and hope to feel empowered in the change process.
(206) 809-7646 View (206) 809-7646
Photo of Emily Nelson, Drug & Alcohol Counselor in Mountlake Terrace, WA
Emily Nelson
Drug & Alcohol Counselor, LMHCA, SUDP
Verified Verified
Mountlake Terrace, WA 98043  (Online Only)
My clients often come to me facing challenges navigating life and trying to manage things like anxiety, stress, substance use issues, and relationships. Maybe traditional methods of recovery haven't worked for you and you're feeling stuck. Or maybe you want to continue working from a traditional recovery lense & fine tune some of your skills. My clients come wanting to explore their substance use, identify what their ideal recovery looks like and how to get there. You can expect us working together in sessions to develop realistic and attainable goals; things that you would like to see change in your life. Let me help you get there!
My clients often come to me facing challenges navigating life and trying to manage things like anxiety, stress, substance use issues, and relationships. Maybe traditional methods of recovery haven't worked for you and you're feeling stuck. Or maybe you want to continue working from a traditional recovery lense & fine tune some of your skills. My clients come wanting to explore their substance use, identify what their ideal recovery looks like and how to get there. You can expect us working together in sessions to develop realistic and attainable goals; things that you would like to see change in your life. Let me help you get there!
(425) 428-4322 View (425) 428-4322
Photo of Crystal Barfoot, Clinical Social Work/Therapist in Mountlake Terrace, WA
Crystal Barfoot
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Mountlake Terrace, WA 98043  (Online Only)
Welcome! I'm Crystal, a dedicated therapist specializing in treating trauma, anxiety, grief, depression, ADHD, and mood disorders. I’m passionate about helping individuals overcome their challenges and live fulfilling lives. I have a Master of Social Work degree from Texas State University, and I’m licensed to practice as a therapist in Washington. My approach to therapy combines evidence-based techniques with empathy and compassion, tailored to meet the unique needs of each client. I work with adolescents and adults who are struggling with mental health challenges or life transitions.
Welcome! I'm Crystal, a dedicated therapist specializing in treating trauma, anxiety, grief, depression, ADHD, and mood disorders. I’m passionate about helping individuals overcome their challenges and live fulfilling lives. I have a Master of Social Work degree from Texas State University, and I’m licensed to practice as a therapist in Washington. My approach to therapy combines evidence-based techniques with empathy and compassion, tailored to meet the unique needs of each client. I work with adolescents and adults who are struggling with mental health challenges or life transitions.
(425) 537-4481 View (425) 537-4481
Photo of Celeste Zavala-Nelson, Counselor in Mountlake Terrace, WA
Celeste Zavala-Nelson
Counselor, MA, LMHCA
Verified Verified
Mountlake Terrace, WA 98043  (Online Only)
No matter the reason a person seeks counseling, a listening ear and safe place to share can foster healing and allow progress toward wholeness. As your counselor, I hope to provide a space for you, free of judgement, where we address your concerns and help you work toward a fulfilled and free life. I work with a variety of different issues, including anxiety, depression, relationships, low self-esteem, grief, family systems, anger management and parenting concerns. I see women, men, adolescents, couples and families. My experience and education has given me knowledge on diverse approaches and orientations to use in counseling.
No matter the reason a person seeks counseling, a listening ear and safe place to share can foster healing and allow progress toward wholeness. As your counselor, I hope to provide a space for you, free of judgement, where we address your concerns and help you work toward a fulfilled and free life. I work with a variety of different issues, including anxiety, depression, relationships, low self-esteem, grief, family systems, anger management and parenting concerns. I see women, men, adolescents, couples and families. My experience and education has given me knowledge on diverse approaches and orientations to use in counseling.
(425) 409-6012 x9090 View (425) 409-6012 x9090
Photo of Sarah Allen, Psychologist in Mountlake Terrace, WA
Sarah Allen
Psychologist, PsyD
Verified Verified
1 Endorsed
Mountlake Terrace, WA 98043
Waitlist for new clients
In her clinical practice, Dr. Sarah Allen focuses on creating a safe and strong therapeutic relationship to facilitate positive change in her clients' lives. She has a client-centered interpersonal orientation that integrates evidence-based interventions ranging from mindfulness and narrative to emotion-focused and contemporary relational psychotherapy. *Note* I am not currently accepting new clients. Contact me if you would like to be added to my waitlist.
In her clinical practice, Dr. Sarah Allen focuses on creating a safe and strong therapeutic relationship to facilitate positive change in her clients' lives. She has a client-centered interpersonal orientation that integrates evidence-based interventions ranging from mindfulness and narrative to emotion-focused and contemporary relational psychotherapy. *Note* I am not currently accepting new clients. Contact me if you would like to be added to my waitlist.
(425) 320-1558 View (425) 320-1558
Photo of Brenique Bannister, Counselor in Mountlake Terrace, WA
Brenique Bannister
Counselor, RMHCI, LMHCA
Verified Verified
Mountlake Terrace, WA 98043  (Online Only)
I am a Registered Mental Health Counselor Intern with Rise Above It LLC. She obtained a Masters of Science in Clinical Mental Health Counseling from Troy University. As a Registered Mental Health Counselor Intern, I have experience in individual and group therapy. I specialize in treatment for various conditions including anxiety, depression, trauma, substance abuse, and panic disorders. My primary theoretical application of practice is cognitive-behavioral therapy and the treatment of these conditions.
I am a Registered Mental Health Counselor Intern with Rise Above It LLC. She obtained a Masters of Science in Clinical Mental Health Counseling from Troy University. As a Registered Mental Health Counselor Intern, I have experience in individual and group therapy. I specialize in treatment for various conditions including anxiety, depression, trauma, substance abuse, and panic disorders. My primary theoretical application of practice is cognitive-behavioral therapy and the treatment of these conditions.
(425) 470-6450 View (425) 470-6450
Photo of Monica Edenholm, Marriage & Family Therapist Associate in Mountlake Terrace, WA
Monica Edenholm
Marriage & Family Therapist Associate, LMFTA, PA-C
Verified Verified
4 Endorsed
Mountlake Terrace, WA 98043
I believe my job as your therapist is to create a safe place for you to be understood and accepted. Therapy can be a powerful place to create meaning and connection, growth and change. Together we can explore what this looks like for you. I will always offer a warm, empathic listening environment and you will know I authentically care about you and whatever you are facing.
I believe my job as your therapist is to create a safe place for you to be understood and accepted. Therapy can be a powerful place to create meaning and connection, growth and change. Together we can explore what this looks like for you. I will always offer a warm, empathic listening environment and you will know I authentically care about you and whatever you are facing.
(425) 961-9621 View (425) 961-9621
Photo of Emily Rose Counseling, Counselor in Mountlake Terrace, WA
Emily Rose Counseling
Counselor, LMHC
Verified Verified
Mountlake Terrace, WA 98043  (Online Only)
Not accepting new clients
Welcome to my practice. I know that taking the first step to therapy can be scary. I want to create a safe space for my clients to feel comfortable opening up and exploring what issues are bringing them in to therapy. I have experience working with a wide variety of clients from many different backgrounds. I enjoy getting to know the client as an individual and use a wide range of techniques specific to that individual. I want my clients to feel secure and know that they are not being judged in my presence. I enjoy making a difference in the lives of my clients and helping them achieve their goals.
Welcome to my practice. I know that taking the first step to therapy can be scary. I want to create a safe space for my clients to feel comfortable opening up and exploring what issues are bringing them in to therapy. I have experience working with a wide variety of clients from many different backgrounds. I enjoy getting to know the client as an individual and use a wide range of techniques specific to that individual. I want my clients to feel secure and know that they are not being judged in my presence. I enjoy making a difference in the lives of my clients and helping them achieve their goals.
(206) 458-6571 View (206) 458-6571
Photo of Deborah L Weiner, Clinical Social Work/Therapist in Mountlake Terrace, WA
Deborah L Weiner
Clinical Social Work/Therapist, LICSW
Verified Verified
Mountlake Terrace, WA 98043  (Online Only)
I work with adults 18 years and older and focus on issues of depression, self-worth, identity, anxiety, and perinatal & parenting concerns. I am able to hear people's struggles and stories and work collaboratively to build and strengthen coping skills that work. That might mean using DBT, EMDR, or a combination of several therapeutic tools. I am comfortable working cross culturally and enjoy working with a wide variety of people with different backgrounds, ages, gender identities, sexual orientations, and immigrant experiences. I have experience working with diversity throughout my career.
I work with adults 18 years and older and focus on issues of depression, self-worth, identity, anxiety, and perinatal & parenting concerns. I am able to hear people's struggles and stories and work collaboratively to build and strengthen coping skills that work. That might mean using DBT, EMDR, or a combination of several therapeutic tools. I am comfortable working cross culturally and enjoy working with a wide variety of people with different backgrounds, ages, gender identities, sexual orientations, and immigrant experiences. I have experience working with diversity throughout my career.
(425) 217-0468 View (425) 217-0468
Photo of Jennifer Wootsick, Clinical Social Work/Therapist in Mountlake Terrace, WA
Jennifer Wootsick
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Mountlake Terrace, WA 98043
I provide therapy for infants, children up to age 12, adults 18+, & pregnant/expecting/perinatal folks. Most of my clients are struggling with stress, anxiety, depression, emotion regulation, parenting, ADHD, & trauma related to their relationships or family. In addition, I provide: parent support, Circle of Security Parenting group facilitation a few times a year, & consultation for early learning centers & other providers & therapists. Uniquely, I provide home visiting mental health services for the perinatal/0-6 age group.
I provide therapy for infants, children up to age 12, adults 18+, & pregnant/expecting/perinatal folks. Most of my clients are struggling with stress, anxiety, depression, emotion regulation, parenting, ADHD, & trauma related to their relationships or family. In addition, I provide: parent support, Circle of Security Parenting group facilitation a few times a year, & consultation for early learning centers & other providers & therapists. Uniquely, I provide home visiting mental health services for the perinatal/0-6 age group.
(425) 382-7288 View (425) 382-7288
Photo of Linda Simmons, Marriage & Family Therapist in Mountlake Terrace, WA
Linda Simmons
Marriage & Family Therapist, MS, LMFT
Verified Verified
Mountlake Terrace, WA 98043  (Online Only)
I am a Licensed Marriage and family Therapist (LMFT) with a Master's Degree in Human Development and Family Studies. I have worked with individuals, couples, children and families for over 20 years in private practice and other settings. I offer a variety of treatment options including play therapy, sand tray therapy, mindfulness practices and EMDR.
I am a Licensed Marriage and family Therapist (LMFT) with a Master's Degree in Human Development and Family Studies. I have worked with individuals, couples, children and families for over 20 years in private practice and other settings. I offer a variety of treatment options including play therapy, sand tray therapy, mindfulness practices and EMDR.
(970) 239-0197 View (970) 239-0197
Photo of Lucy Bosche, Clinical Social Work/Therapist in Mountlake Terrace, WA
Lucy Bosche
Clinical Social Work/Therapist, LICSW
Verified Verified
Mountlake Terrace, WA 98043  (Online Only)
Mental health challenges can cause us to feel like we are waging a daily, silent war with ourselves. Physical tension and racing thoughts may seem to consume the entirety of your being and yet, deep down, a part of you has a sense that this is not really you. I know it is not you, too. I believe so deeply in your resilience, innate well-being, and ability to thrive beyond your current experience of anxiety and tension. I help individuals experiencing OCD, eating disorders, generalized anxiety, and patterns of addiction to live a life beyond symptom management.
Mental health challenges can cause us to feel like we are waging a daily, silent war with ourselves. Physical tension and racing thoughts may seem to consume the entirety of your being and yet, deep down, a part of you has a sense that this is not really you. I know it is not you, too. I believe so deeply in your resilience, innate well-being, and ability to thrive beyond your current experience of anxiety and tension. I help individuals experiencing OCD, eating disorders, generalized anxiety, and patterns of addiction to live a life beyond symptom management.
(360) 504-4452 x1 View (360) 504-4452 x1
Photo of Audrey Katherine Grettie, Counselor in Mountlake Terrace, WA
Audrey Katherine Grettie
Counselor, LMHC, SUDP, CN, C-IAYT
Verified Verified
Mountlake Terrace, WA 98043
I am a Licensed Mental Health Counselor, Substance Use Disorder Professional, Certified Nutritionist and Certified Yoga Therapist. I am focused on supporting my client’s through their struggles with a diverse and client-centered approach. Our lives are complex. Many factors can contribute to how we feel and how we are able to face challenge. As a therapist, I draw on the connection between the mind, body and emotion.
I am a Licensed Mental Health Counselor, Substance Use Disorder Professional, Certified Nutritionist and Certified Yoga Therapist. I am focused on supporting my client’s through their struggles with a diverse and client-centered approach. Our lives are complex. Many factors can contribute to how we feel and how we are able to face challenge. As a therapist, I draw on the connection between the mind, body and emotion.
(425) 324-3872 x1027 View (425) 324-3872 x1027
Photo of Karen Simms, Counselor in Mountlake Terrace, WA
Karen Simms
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Mountlake Terrace, WA 98043  (Online Only)
I am a licensed Mental Health Counselor in practice since 2005, working collaboratively and interactively with individuals and couples through depression, loss and grief, anxiety-related disorders, and relationship and life transitions. I meet each situation from a place of compassion, non-judgement, and authenticity and strive to help clients find their voice, feel empowered in their life, and find healing.
I am a licensed Mental Health Counselor in practice since 2005, working collaboratively and interactively with individuals and couples through depression, loss and grief, anxiety-related disorders, and relationship and life transitions. I meet each situation from a place of compassion, non-judgement, and authenticity and strive to help clients find their voice, feel empowered in their life, and find healing.
(206) 535-1799 View (206) 535-1799
Photo of Kristin McCurdy, Counselor in Mountlake Terrace, WA
Kristin McCurdy
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Mountlake Terrace, WA 98043
I have some telehealth availability at this time. If you feel I may be a good fit, call 425-640-7009 and book an intake directly with me. Thank you for stopping by!
I have some telehealth availability at this time. If you feel I may be a good fit, call 425-640-7009 and book an intake directly with me. Thank you for stopping by!
(206) 350-9861 View (206) 350-9861
Photo of Celia Palmer, Counselor in Mountlake Terrace, WA
Celia Palmer
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Mountlake Terrace, WA 98043
Do you feel stuck and unsure of how to move forward? Are you ready to step into your personal power? I work with adults in individual counseling and transpersonal life coaching to develop the awareness and tools to progress. As a positive working relationship is the foundation for successful work, I focus on building a strong rapport with my client and co-creating the healing experience that will meet my client's goals.
Do you feel stuck and unsure of how to move forward? Are you ready to step into your personal power? I work with adults in individual counseling and transpersonal life coaching to develop the awareness and tools to progress. As a positive working relationship is the foundation for successful work, I focus on building a strong rapport with my client and co-creating the healing experience that will meet my client's goals.
(425) 654-2647 View (425) 654-2647
Photo of Bonnie Gonzalez MA, LMFT, Marriage & Family Therapist in Mountlake Terrace, WA
Bonnie Gonzalez MA, LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
Mountlake Terrace, WA 98043
Not accepting new clients
I strive to provide a respectful and supportive environment, where you can feel comfortable and safe. In this setting, we can collaborate on how best to understand your situation, identify your goals, and find solutions. I specialize in treating anxiety, depression, and relationship difficulties utilizing evidenced based therapeutic modalities and techniques to address the issues that are interfering with your quality of life.
I strive to provide a respectful and supportive environment, where you can feel comfortable and safe. In this setting, we can collaborate on how best to understand your situation, identify your goals, and find solutions. I specialize in treating anxiety, depression, and relationship difficulties utilizing evidenced based therapeutic modalities and techniques to address the issues that are interfering with your quality of life.
(425) 585-2771 View (425) 585-2771
Photo of Brian J Telleria, Counselor in Mountlake Terrace, WA
Brian J Telleria
Counselor, LMHC, MA
Verified Verified
Mountlake Terrace, WA 98043
Waitlist for new clients
Finding one’s self can be trying and often feels circular and defeating. Many people find themselves feeling as though they are continuing the same patterns to little avail. I believe that most of our behaviors serve a purpose for better, or for worse. By gaining greater understanding into our patterns, we are able to gain flexibility in how we approach life’s trials and tribulations. Through an authentic and warm relationship, I believe individuals can find ways of approaching their difficulties with confidence. Whether situational or organic, I therapeutically address most difficulties you, or someone you care for, may possess.
Finding one’s self can be trying and often feels circular and defeating. Many people find themselves feeling as though they are continuing the same patterns to little avail. I believe that most of our behaviors serve a purpose for better, or for worse. By gaining greater understanding into our patterns, we are able to gain flexibility in how we approach life’s trials and tribulations. Through an authentic and warm relationship, I believe individuals can find ways of approaching their difficulties with confidence. Whether situational or organic, I therapeutically address most difficulties you, or someone you care for, may possess.
(425) 549-4701 View (425) 549-4701

See more therapy options for Mountlake Terrace

How does your Therapist compare?

Number of Therapists in Mountlake Terrace, WA

100+

Average cost per session

$140

Therapists in Mountlake Terrace, WA who prioritize treating:

91% Anxiety
88% Depression
75% Self Esteem
72% Relationship Issues
71% Stress
70% Trauma and PTSD
68% Coping Skills

Average years in practice

7 Years

Top 3 insurances accepted

78% Premera
75% Aetna
75% Cigna and Evernorth

How Therapists in Mountlake Terrace, WA see their clients

53% Online Only
47% In Person and Online

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Mountlake Terrace?

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.