Therapists in Tacoma, WA

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Photo of Renate Schultz, Psychologist in Tacoma, WA
Renate Schultz
Psychologist, PsyD
Verified Verified
Tacoma, WA 98407
Waitlist for new clients
Often people come to therapy because they feel lost or stuck in their lives. They may sense that they are repeating patterns or facing the same struggles at work, in their homes, or in relationships without really knowing why or being able to imagine how things could be different.
Often people come to therapy because they feel lost or stuck in their lives. They may sense that they are repeating patterns or facing the same struggles at work, in their homes, or in relationships without really knowing why or being able to imagine how things could be different.
(707) 309-7641 View (707) 309-7641
Photo of Thomas Roe, Psychologist in Tacoma, WA
Thomas Roe
Psychologist, PsyD
Verified Verified
Tacoma, WA 98467
Dr. Roe works with individuals who are looking to grow, heal, and thrive. He believes intersections of identity and culture are important. Dr. Roe considers social justice an important aspect to his work. He uses a variety of collaborative approaches in therapy depending on the nature of the work, identities present in the room, and cultural considerations. Some of these approaches and interventions include cognitive-behavioral(CBT), psychodynamic, motivational interviewing, interpersonal process, humanistic, and feminist modalities. Dr. Roe is a Brazilian-American father, a dog lover, and PNW local.
Dr. Roe works with individuals who are looking to grow, heal, and thrive. He believes intersections of identity and culture are important. Dr. Roe considers social justice an important aspect to his work. He uses a variety of collaborative approaches in therapy depending on the nature of the work, identities present in the room, and cultural considerations. Some of these approaches and interventions include cognitive-behavioral(CBT), psychodynamic, motivational interviewing, interpersonal process, humanistic, and feminist modalities. Dr. Roe is a Brazilian-American father, a dog lover, and PNW local.
(253) 352-3828 View (253) 352-3828
Photo of Alexandra Emery, Psychologist in Tacoma, WA
Alexandra Emery
Psychologist, PhD
Verified Verified
3 Endorsed
Tacoma, WA 98402  (Online Only)
From the outside it seems like you have it all together, so why aren't you content? Maybe it's work, your relationships, or something else you can't quite put your finger on. Maybe you're struggling with feelings of sadness, unfulfillment, or pain. Maybe you find it difficult to relax, be present, and are constantly looking forward to when you'll finally be happy. Whatever it is, it doesn't feel good, and it definitely doesn't have to be this way. In therapy, I will work to build a collaborative relationship where we can explore these feelings together, and help you to tap into a life that holds more meaning, ease, and fulfilment.
From the outside it seems like you have it all together, so why aren't you content? Maybe it's work, your relationships, or something else you can't quite put your finger on. Maybe you're struggling with feelings of sadness, unfulfillment, or pain. Maybe you find it difficult to relax, be present, and are constantly looking forward to when you'll finally be happy. Whatever it is, it doesn't feel good, and it definitely doesn't have to be this way. In therapy, I will work to build a collaborative relationship where we can explore these feelings together, and help you to tap into a life that holds more meaning, ease, and fulfilment.
(253) 262-0647 View (253) 262-0647
Photo of Ruth Currah, Counselor in Tacoma, WA
Ruth Currah
Counselor, PhD
Verified Verified
Tacoma, WA 98409
Not accepting new clients
I use an interdisciplinary approach, which means I use different styles of counseling to meet the different needs and personalities of clients. I always allow their feedback so they remain comfortable. I try and meet their perceptual needs, emotional needs, cognitive needs, situational needs, and respect their individual personalities. I have worked with all ages, sexual orientations, ethnic backgrounds (including the Middle and Far East), and social economic backgrounds.
I use an interdisciplinary approach, which means I use different styles of counseling to meet the different needs and personalities of clients. I always allow their feedback so they remain comfortable. I try and meet their perceptual needs, emotional needs, cognitive needs, situational needs, and respect their individual personalities. I have worked with all ages, sexual orientations, ethnic backgrounds (including the Middle and Far East), and social economic backgrounds.
(253) 201-2475 View (253) 201-2475
Photo of Bright Sage Therapy, PLLC, Clinical Social Work/Therapist in Tacoma, WA
Bright Sage Therapy, PLLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98402  (Online Only)
Not accepting new clients
Welcome all! I am a Licensed Independent Clinical Social Worker Associate (LICSWA) and I have over 7 years of experience working with children and adults. I have worked in schools, correctional facilities, and for community organizations. I enjoy working with individuals 1:1 to assist them to achieve their goals. Through my practice, I hope to guide clients along their path to individual success. It is important to me to build a therapeutic relationship with clients prior to diving in deep. My approach is strengths based, individualized, and has a strong focus on empowerment.
Welcome all! I am a Licensed Independent Clinical Social Worker Associate (LICSWA) and I have over 7 years of experience working with children and adults. I have worked in schools, correctional facilities, and for community organizations. I enjoy working with individuals 1:1 to assist them to achieve their goals. Through my practice, I hope to guide clients along their path to individual success. It is important to me to build a therapeutic relationship with clients prior to diving in deep. My approach is strengths based, individualized, and has a strong focus on empowerment.
(253) 993-4342 View (253) 993-4342
Photo of Change Within You Counseling Services, Counselor in Tacoma, WA
Change Within You Counseling Services
Counselor, MA, LMHC, LMFTA
Verified Verified
Tacoma, WA 98409  (Online Only)
Life events sometimes throw us curve balls when we least expect it. Do you now or often experience anxiety, depression, post-traumatic stress, divorce, or even post-pandemic returning to work concerns? These are stressors that give us feelings of uncertainty and hopelessness, impacting the ability to function in relationships, occupation, social life, and obtaining educational goals. Does it seem as though you’ve been knocked down once too many times and getting up is a struggle? When in the middle of a struggle words such as “tomorrow” and “feeling better” seem so far away.
Life events sometimes throw us curve balls when we least expect it. Do you now or often experience anxiety, depression, post-traumatic stress, divorce, or even post-pandemic returning to work concerns? These are stressors that give us feelings of uncertainty and hopelessness, impacting the ability to function in relationships, occupation, social life, and obtaining educational goals. Does it seem as though you’ve been knocked down once too many times and getting up is a struggle? When in the middle of a struggle words such as “tomorrow” and “feeling better” seem so far away.
(253) 226-1862 View (253) 226-1862
Photo of Kawika Huston, Counselor in Tacoma, WA
Kawika Huston
Counselor, MEd, LMHC
Verified Verified
1 Endorsed
Tacoma, WA 98407
My practice's goal is to improve lives in the LGBTQIA+ community, their families and friends, and those of us doing our best to thrive in a hectic and messy world by offering online and in-person counseling that is accessible, affirming, & compassionate. While I specialize in treating the queer community, I always welcome people from all communities and walks of life. Common issues include managing ongoing anxiety, depression, trauma work, coping with life transitions like grief and divorce, working through and with gender identity and/or sexuality, and navigating coming out.
My practice's goal is to improve lives in the LGBTQIA+ community, their families and friends, and those of us doing our best to thrive in a hectic and messy world by offering online and in-person counseling that is accessible, affirming, & compassionate. While I specialize in treating the queer community, I always welcome people from all communities and walks of life. Common issues include managing ongoing anxiety, depression, trauma work, coping with life transitions like grief and divorce, working through and with gender identity and/or sexuality, and navigating coming out.
(253) 201-4783 View (253) 201-4783
Photo of Sharmayne Arrington, Counselor in Tacoma, WA
Sharmayne Arrington
Counselor, LMHC, CMHS, EMMHS, MACP
Verified Verified
6 Endorsed
Tacoma, WA 98403
Women seeking healthier relationships are my specialty. Even now, if you are deciding to change how you exist in this world you are already in transformation. Transformation comes through making choices that are conscious, consistent & compassionate and through dis-internalizing systems that are set up to repress and minimize your preciousness. The more we do this, the more we can give & receive love, find our fellow travelers (because we aren't meant to do this alone!) and create safe spaces in otherwise stormy places. With hearts open, and wisdom engaged, change becomes beautifully inevitable.
Women seeking healthier relationships are my specialty. Even now, if you are deciding to change how you exist in this world you are already in transformation. Transformation comes through making choices that are conscious, consistent & compassionate and through dis-internalizing systems that are set up to repress and minimize your preciousness. The more we do this, the more we can give & receive love, find our fellow travelers (because we aren't meant to do this alone!) and create safe spaces in otherwise stormy places. With hearts open, and wisdom engaged, change becomes beautifully inevitable.
(253) 893-4810 View (253) 893-4810
Photo of Lily E Ramirez, Counselor in Tacoma, WA
Lily E Ramirez
Counselor, MEd, LMHCA
Verified Verified
Tacoma, WA 98402  (Online Only)
Hello! I am a licensed mental health counselor associate (LMHCA) working in Western Washington. I work with children and adults experiencing depression, anxiety, and behavioral issues. Struggling in any one of these areas can leave you feeling stuck, hopeless, helpless, and frustrated. I am an empathetic therapist who focuses on the client's needs. I will help guide you through these difficult emotions while helping to identify the root cause. I do not want to only help you alleviate the symptoms you experience but help you to deal with the underlying issue(s) at hand.
Hello! I am a licensed mental health counselor associate (LMHCA) working in Western Washington. I work with children and adults experiencing depression, anxiety, and behavioral issues. Struggling in any one of these areas can leave you feeling stuck, hopeless, helpless, and frustrated. I am an empathetic therapist who focuses on the client's needs. I will help guide you through these difficult emotions while helping to identify the root cause. I do not want to only help you alleviate the symptoms you experience but help you to deal with the underlying issue(s) at hand.
(253) 243-2389 x2365 View (253) 243-2389 x2365
Photo of Lizzie Munday, Counselor in Tacoma, WA
Lizzie Munday
Counselor, MEd, LMHC
Verified Verified
3 Endorsed
Tacoma, WA 98408
Therapy and the process of change can be daunting but, YOU ARE WORTH IT! My focus and goal in my work with you is to help navigate through your personal process of growth and change. I use a strength based, client centered and cognitive/behavioral approach to help develop techniques and coping skills to get you to where you want to be to feel solace and peace in your life. The most important step in the process is establishing a client/therapist relationship based on mutual respect and integrity.
Therapy and the process of change can be daunting but, YOU ARE WORTH IT! My focus and goal in my work with you is to help navigate through your personal process of growth and change. I use a strength based, client centered and cognitive/behavioral approach to help develop techniques and coping skills to get you to where you want to be to feel solace and peace in your life. The most important step in the process is establishing a client/therapist relationship based on mutual respect and integrity.
(253) 444-2946 View (253) 444-2946
Photo of Kasandra McCown, Marriage & Family Therapist in Tacoma, WA
Kasandra McCown
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Tacoma, WA 98402  (Online Only)
Currently not taking new clietns. I have a passion for working with individuals, kids, couples and families who are currently or have experienced anxiety, depression, grief, difficult life transitions, parenting struggles and medical trauma related to cancer, autoimmune diseases and other rare blood disorders. I believe that hardships in life are unique to everyone and for some of us it is hard to get through alone. My goal is to provide you and those close to you a safe space where challenging thoughts and feelings can be openly shared and we can work collaboratively to find ways to help you cope.
Currently not taking new clietns. I have a passion for working with individuals, kids, couples and families who are currently or have experienced anxiety, depression, grief, difficult life transitions, parenting struggles and medical trauma related to cancer, autoimmune diseases and other rare blood disorders. I believe that hardships in life are unique to everyone and for some of us it is hard to get through alone. My goal is to provide you and those close to you a safe space where challenging thoughts and feelings can be openly shared and we can work collaboratively to find ways to help you cope.
(253) 733-1922 View (253) 733-1922
Photo of Rebecca Yarmuth, Clinical Social Work/Therapist in Tacoma, WA
Rebecca Yarmuth
Clinical Social Work/Therapist, LSWAIC, MA
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
I am trained in Cognitive Behavioral Therapy, Acceptance and Commitment Therapy and Motivational Interviewing. I have experience with structured decision-making processes using Functional Family Therapy, Multisystemic Therapy and Trauma Focused-CBT. I maintain a broad specialty in my practice with an emphasis on trauma, abuse, and family.
I am trained in Cognitive Behavioral Therapy, Acceptance and Commitment Therapy and Motivational Interviewing. I have experience with structured decision-making processes using Functional Family Therapy, Multisystemic Therapy and Trauma Focused-CBT. I maintain a broad specialty in my practice with an emphasis on trauma, abuse, and family.
(253) 884-8966 View (253) 884-8966
Photo of Annette Tardif, Psychologist in Tacoma, WA
Annette Tardif
Psychologist, PhD, MA
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
Hello! I specialize in health challenges, grief & loss, caretaking, and professional burnout. If you are experiencing anxiety, depression, difficulty functioning, or maintaining your relationships, those might be interacting with a big change in your health and life. You might feel lost, stuck, unsure what to do or what is happening. This is normal. It is a passion for me to work with people to open up their lives in a way that are aligned with their values and build confidence in facing and managing their realities.
Hello! I specialize in health challenges, grief & loss, caretaking, and professional burnout. If you are experiencing anxiety, depression, difficulty functioning, or maintaining your relationships, those might be interacting with a big change in your health and life. You might feel lost, stuck, unsure what to do or what is happening. This is normal. It is a passion for me to work with people to open up their lives in a way that are aligned with their values and build confidence in facing and managing their realities.
(253) 904-3729 View (253) 904-3729
Photo of LEEF Mental Health, PLLC, Counselor in Tacoma, WA
LEEF Mental Health, PLLC
Counselor, LMHC, NCC
Verified Verified
Tacoma, WA 98409
Supervision slots available for MH professionals pursuing licensure. Are negative thoughts and feelings overwhelming you each day? Do you want a partner to help you through this tough transition in your life? Are you ready to turn over a new leaf with a greater lease on life? I’ll be there. Reach-out to me. I am committed to addressing all of your unique needs with respect and dignity. The therapeutic process is a collaboration driven by you. I take a supportive, multicultural, holistic approach towards healing and recovery. I encourage your independence, stability, learning, and goals in therapy.
Supervision slots available for MH professionals pursuing licensure. Are negative thoughts and feelings overwhelming you each day? Do you want a partner to help you through this tough transition in your life? Are you ready to turn over a new leaf with a greater lease on life? I’ll be there. Reach-out to me. I am committed to addressing all of your unique needs with respect and dignity. The therapeutic process is a collaboration driven by you. I take a supportive, multicultural, holistic approach towards healing and recovery. I encourage your independence, stability, learning, and goals in therapy.
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Photo of Stacie Harcus, Counselor in Tacoma, WA
Stacie Harcus
Counselor, LMHC
Verified Verified
3 Endorsed
Tacoma, WA 98403
Not accepting new clients
I specialize in men and women's issues, life transitions, grief, anxiety, ADHD and childhood trauma. I believe therapy should be a safe place. I have an empathetic but direct approach that creates an open environment where the client can explore who they are or want to be.
I specialize in men and women's issues, life transitions, grief, anxiety, ADHD and childhood trauma. I believe therapy should be a safe place. I have an empathetic but direct approach that creates an open environment where the client can explore who they are or want to be.
(206) 483-1058 View (206) 483-1058
Photo of Emily Pico, Pre-Licensed Professional in Tacoma, WA
Emily Pico
Pre-Licensed Professional, MCN
Verified Verified
Tacoma, WA 98406
Have you found that talk therapy isn't successful for you? Micro Current Neurofeedback uses micro current stimulation that allows for the release of stuck patterns and disentrains the brain where needed. The result is a shifted brainwave state and a much greater ability for the brain and nervous system to regulate itself. Utilizing the brain’s own neuroplasticity, individuals experience a more symptom-free, fulling, positive life.
Have you found that talk therapy isn't successful for you? Micro Current Neurofeedback uses micro current stimulation that allows for the release of stuck patterns and disentrains the brain where needed. The result is a shifted brainwave state and a much greater ability for the brain and nervous system to regulate itself. Utilizing the brain’s own neuroplasticity, individuals experience a more symptom-free, fulling, positive life.
(253) 559-0532 View (253) 559-0532
Photo of Trenecsia Wilson, Counselor in Tacoma, WA
Trenecsia Wilson
Counselor, LMHC, MHP, NCC, EMMHS-A, BC-TMH
Verified Verified
Tacoma, WA 98409
I work with individuals, couples, and families. My primary objective is to facilitate and support the next level of growth and development for individuals and families that I work with. This means something different for everyone, so I focus on building a therapeutic relationship that lends to the understanding and accomplishing of identified goals. There are a number of things that contribute to diminished mental wellness and I am here to help you find out what that is for you and to support you on taking action.
I work with individuals, couples, and families. My primary objective is to facilitate and support the next level of growth and development for individuals and families that I work with. This means something different for everyone, so I focus on building a therapeutic relationship that lends to the understanding and accomplishing of identified goals. There are a number of things that contribute to diminished mental wellness and I am here to help you find out what that is for you and to support you on taking action.
(206) 260-0448 View (206) 260-0448
Photo of Leslyette Chevez, Clinical Social Work/Therapist in Tacoma, WA
Leslyette Chevez
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Tacoma, WA 98404  (Online Only)
Not accepting new clients
Life is a journey filled with unexpected turns. Those unexpected turns might leave you unsettled and unsure of what would be the next road for you to take. As a practitioner, my goal is to empower clients reach their potential and wellbeing. I believe each person has inner strengths that once tapped into, is the driving force that helps them reach stability. As a Latina immigrant, I am bilingual in Spanish with more than 18 years of experience working with families and children from diverse cultural backgrounds facing a variety of issues.
Life is a journey filled with unexpected turns. Those unexpected turns might leave you unsettled and unsure of what would be the next road for you to take. As a practitioner, my goal is to empower clients reach their potential and wellbeing. I believe each person has inner strengths that once tapped into, is the driving force that helps them reach stability. As a Latina immigrant, I am bilingual in Spanish with more than 18 years of experience working with families and children from diverse cultural backgrounds facing a variety of issues.
(253) 243-3314 View (253) 243-3314
Photo of Ashely Hill, Clinical Social Work/Therapist in Tacoma, WA
Ashely Hill
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
Not accepting new clients
Are you often overwhelmed with feelings of hopelessness, low self-esteem, indecisiveness, frustration? Or maybe you feel unfulfilled in your daily routine, your work, or your relationships. The world is a challenging place to navigate right now, and you don’t have to do it alone. With mental health awareness at the forefront of the national conversation, therapy is becoming less and less taboo to seek out. I hope to join you on your journey of healing and embracing your authentic self.
Are you often overwhelmed with feelings of hopelessness, low self-esteem, indecisiveness, frustration? Or maybe you feel unfulfilled in your daily routine, your work, or your relationships. The world is a challenging place to navigate right now, and you don’t have to do it alone. With mental health awareness at the forefront of the national conversation, therapy is becoming less and less taboo to seek out. I hope to join you on your journey of healing and embracing your authentic self.
(253) 215-6535 View (253) 215-6535
Photo of Elizabeth Marshall, Counselor in Tacoma, WA
Elizabeth Marshall
Counselor, BSW, MFT, LMHC, EMDR
Verified Verified
Tacoma, WA 98407  (Online Only)
It takes courage to ask for help. Do you struggle with anxiety, depression, loneliness, cPTSD, or trauma? Are you at a crossroads in life or feeling stuck? I specialize in helping people through these times to transitions to lead fulfilling lives. My approach is person centered and tailored to your unique needs and goals. Together, we will work to identify root causes and core beliefs. I'm skilled in EMDR, Brainspotting, DBT, TF-CBT, family systems, and Inner child work. I will teach you skills to decrease and overcome these symptoms. Together, we will increase emotional regulation and feelings of safety. Teens and parents love me!
It takes courage to ask for help. Do you struggle with anxiety, depression, loneliness, cPTSD, or trauma? Are you at a crossroads in life or feeling stuck? I specialize in helping people through these times to transitions to lead fulfilling lives. My approach is person centered and tailored to your unique needs and goals. Together, we will work to identify root causes and core beliefs. I'm skilled in EMDR, Brainspotting, DBT, TF-CBT, family systems, and Inner child work. I will teach you skills to decrease and overcome these symptoms. Together, we will increase emotional regulation and feelings of safety. Teens and parents love me!
(253) 262-0294 View (253) 262-0294

How does your Therapist compare?

Number of Therapists in Tacoma, WA

1,000+

Average cost per session

$150

Therapists in Tacoma, WA who prioritize treating:

93% Anxiety
88% Depression
76% Trauma and PTSD
75% Relationship Issues
75% Self Esteem
70% Stress
67% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

78% Premera
66% Regence
61% Aetna

How Therapists in Tacoma, WA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

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

How can I find a therapist in Tacoma?

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.