Therapists in Federal Way, WA

Photo of Krystal Akin, Counselor in Federal Way, WA
Krystal Akin
Counselor, MEd, LMHC, E-RYT, TCYM
Verified Verified
3 Endorsed
Federal Way, WA 98003  (Online Only)
Are you struggling to feel at home in your body? Do you often feel flooded by intense emotions? Does it seem like you’re always too much but somehow also not enough? Maybe you have intrusive thoughts & uncontrollable urges that leave you saying things you don’t mean or doing things you wish you hadn’t. Whether you’ve survived traumas or simply have big feelings, know that it’s OKAY to FEEL! You get to be here. You can learn to come home to your body, embrace your emotions, deepen connections, & discover your true voice. If you’re ready to reconnect & regulate your system to help you live more embodied & in control, I've got you!
Are you struggling to feel at home in your body? Do you often feel flooded by intense emotions? Does it seem like you’re always too much but somehow also not enough? Maybe you have intrusive thoughts & uncontrollable urges that leave you saying things you don’t mean or doing things you wish you hadn’t. Whether you’ve survived traumas or simply have big feelings, know that it’s OKAY to FEEL! You get to be here. You can learn to come home to your body, embrace your emotions, deepen connections, & discover your true voice. If you’re ready to reconnect & regulate your system to help you live more embodied & in control, I've got you!
(206) 408-2357 View (206) 408-2357
Photo of Spencer Fox, Marriage & Family Therapist in Federal Way, WA
Spencer Fox
Marriage & Family Therapist, MS, LMFT
Verified Verified
Federal Way, WA 98023  (Online Only)
Hello there! Thank you for reaching out, I know this can be a scary and risky experience, but I love working with individuals, couples, and families to help repair and grow their lives and relationships. I work with variety of issues, but specialize in working with depression, anxiety, infertility, life changes, and navigating problematic relationships in your life. Coming into therapy provides a great and incredibly rewarding experience, and I am honored to work with people every day improving their lives. Let's work together on your journey! (Licensed in both TX and WA)
Hello there! Thank you for reaching out, I know this can be a scary and risky experience, but I love working with individuals, couples, and families to help repair and grow their lives and relationships. I work with variety of issues, but specialize in working with depression, anxiety, infertility, life changes, and navigating problematic relationships in your life. Coming into therapy provides a great and incredibly rewarding experience, and I am honored to work with people every day improving their lives. Let's work together on your journey! (Licensed in both TX and WA)
(253) 364-1981 View (253) 364-1981
Photo of Angela Saidybah, Clinical Social Work/Therapist in Federal Way, WA
Angela Saidybah
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Federal Way, WA 98003  (Online Only)
Therapy is a vehicle of exploration of your higher self. Clients are encouraged to assess their overall functioning across the life domains to identify their healing/wellness opportunities. Trauma exposures are often stored in the body and can manifest in maladaptive ways such as low self-esteem, shame, anger, interpersonal conflict, impulsivity, stagnation, anxiety, depression, and demoralization. Accordingly, I approach therapy from a collaborative perspective encouraging clients to discover their medicine by honoring their truth and intrinsic value.
Therapy is a vehicle of exploration of your higher self. Clients are encouraged to assess their overall functioning across the life domains to identify their healing/wellness opportunities. Trauma exposures are often stored in the body and can manifest in maladaptive ways such as low self-esteem, shame, anger, interpersonal conflict, impulsivity, stagnation, anxiety, depression, and demoralization. Accordingly, I approach therapy from a collaborative perspective encouraging clients to discover their medicine by honoring their truth and intrinsic value.
(253) 465-2844 View (253) 465-2844
Photo of Sierra Phelps, Marriage & Family Therapist Associate in Federal Way, WA
Sierra Phelps
Marriage & Family Therapist Associate, MS, LMFTA
Verified Verified
1 Endorsed
Federal Way, WA 98003
Not accepting new clients
While you can't control everything that happens to you, I will support you in managing life’s stressors by exploring your history to uncover patterns, deepen your awareness, and develop new ways to manage emotions. I believe that a positive therapeutic alliance is vital to creating the trust and safety that is necessary to be vulnerable and do the work that therapy requires. I recognize that you are the expert of your story and draw from a client-centered model to personalize treatment. I am passionate about coming alongside adolescents, families, and adults as they navigate hardships and learn to embrace life's ups and downs.
While you can't control everything that happens to you, I will support you in managing life’s stressors by exploring your history to uncover patterns, deepen your awareness, and develop new ways to manage emotions. I believe that a positive therapeutic alliance is vital to creating the trust and safety that is necessary to be vulnerable and do the work that therapy requires. I recognize that you are the expert of your story and draw from a client-centered model to personalize treatment. I am passionate about coming alongside adolescents, families, and adults as they navigate hardships and learn to embrace life's ups and downs.
(253) 544-3370 View (253) 544-3370
Photo of Gregory R. Gates, Counselor in Federal Way, WA
Gregory R. Gates
Counselor, MA, LMHC, CDP
Verified Verified
Federal Way, WA 98003
I completed training in traditional or secular therapeutic approaches to Psychotherapy obtaining a Master of Arts Degree in Counseling Psychology. Additionally, I have obtain a Bachelor of Arts degree in Christian Leadership and Counseling. Finally, I am also Licensed as a Chemical Dependency Professional also known as a Substance Use Disorder Professional.
I completed training in traditional or secular therapeutic approaches to Psychotherapy obtaining a Master of Arts Degree in Counseling Psychology. Additionally, I have obtain a Bachelor of Arts degree in Christian Leadership and Counseling. Finally, I am also Licensed as a Chemical Dependency Professional also known as a Substance Use Disorder Professional.
(253) 766-5595 View (253) 766-5595
Photo of LightHeart Associates - Federal Way, Counselor in Federal Way, WA
LightHeart Associates - Federal Way
Counselor, LMHC
Verified Verified
Federal Way, WA 98003
LightHeart provides therapy, medication management & assessment for children, adolescents & adults. We provide individual, family, and couples therapy. We work with all variety of concerns, including acute and chronic depression and anxiety, abuse & trauma, LGBTQ issues, conflicted relationships, & personality disorders. We also have experience working successfully with child behavioral problems.
LightHeart provides therapy, medication management & assessment for children, adolescents & adults. We provide individual, family, and couples therapy. We work with all variety of concerns, including acute and chronic depression and anxiety, abuse & trauma, LGBTQ issues, conflicted relationships, & personality disorders. We also have experience working successfully with child behavioral problems.
(253) 367-4594 View (253) 367-4594
Photo of Spiritual way of life, LLC, Counselor in Federal Way, WA
Spiritual way of life, LLC
Counselor, LMHC
Verified Verified
Federal Way, WA 98023  (Online Only)
Waitlist for new clients
I love helping people heal themselves, move forward, and find their true paths. For many of us, traumatic events often lead to self-discovery and spiritual growth. I always feel honored when I witness my client going through such a transformation. Healing from trauma does not happen overnight. It takes a lot of commitment and effort, but the end result is a reward that could not be more satisfactory.
I love helping people heal themselves, move forward, and find their true paths. For many of us, traumatic events often lead to self-discovery and spiritual growth. I always feel honored when I witness my client going through such a transformation. Healing from trauma does not happen overnight. It takes a lot of commitment and effort, but the end result is a reward that could not be more satisfactory.
(425) 906-3580 View (425) 906-3580
Photo of Bryan Hill, Psychologist in Federal Way, WA
Bryan Hill
Psychologist, PsyD
Verified Verified
Federal Way, WA 98003  (Online Only)
Not accepting new clients
Bryan Hill, PsyD is a licensed Clinical Psychologist. His ideal population are professionals that work in the public safety and/or medical fields. Bryan is a former public safety official who strives to eliminate the stigma of seeking therapy for those that work in those service fields in order to help them address the burdens and stressors that are inherent in those lines of work. He is a member of a treatment team that specializes in therapy and care of individuals on the autism spectrum. This treatment allows individuals on the spectrum to seek independence, education, employment, personal growth, and life satisfaction.
Bryan Hill, PsyD is a licensed Clinical Psychologist. His ideal population are professionals that work in the public safety and/or medical fields. Bryan is a former public safety official who strives to eliminate the stigma of seeking therapy for those that work in those service fields in order to help them address the burdens and stressors that are inherent in those lines of work. He is a member of a treatment team that specializes in therapy and care of individuals on the autism spectrum. This treatment allows individuals on the spectrum to seek independence, education, employment, personal growth, and life satisfaction.
(206) 385-3098 View (206) 385-3098
Photo of Dr. Gloria Brim, Counselor in Federal Way, WA
Dr. Gloria Brim
Counselor, MS, LMHCA
Verified Verified
Federal Way, WA 98023  (Online Only)
Successful Essentials is counseling embraces diversity and inclusion with lifelong support tailored to your needs. Tailoring this experience is at the core of our services because your definition of “success” is never the same as that of the person next to you. To achieve success, we need to understand you, your wants, your dreams, and your mentality.
Successful Essentials is counseling embraces diversity and inclusion with lifelong support tailored to your needs. Tailoring this experience is at the core of our services because your definition of “success” is never the same as that of the person next to you. To achieve success, we need to understand you, your wants, your dreams, and your mentality.
(253) 523-3461 View (253) 523-3461
Photo of Wendy Rawlings, Counselor in Federal Way, WA
Wendy Rawlings
Counselor, MS, LMHC, NBCC, DCC
Verified Verified
Federal Way, WA 98003
Not accepting new clients
Offering insight in a safe, accepting environment can be a game changer. In this loud and confusing time we live in it's important to explore your internal resources, acknowledge your own wisdom and develop the skills you lack. That's what we do in my practice. The goal of treatment is to empower you in every way to take control of your life and soar above the obstacles becoming who you were meant to be.
Offering insight in a safe, accepting environment can be a game changer. In this loud and confusing time we live in it's important to explore your internal resources, acknowledge your own wisdom and develop the skills you lack. That's what we do in my practice. The goal of treatment is to empower you in every way to take control of your life and soar above the obstacles becoming who you were meant to be.
(253) 242-8990 View (253) 242-8990
Photo of Samantha Buchanan, Marriage & Family Therapist in Federal Way, WA
Samantha Buchanan
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Federal Way, WA 98003
I believe that everyone deserves a safe space to process life's challenges. My goal is to help create that safe space so you can move past obstacles that are preventing you from reaching your full potential. I am most passionate about working with individuals struggling with body dissatisfaction and disordered eating. Using a Health at Every Size and anti-diet approach, I employ a variety of techniques, focusing on building a collaborative, empathic, and trusting therapeutic relationship, free of judgement.
I believe that everyone deserves a safe space to process life's challenges. My goal is to help create that safe space so you can move past obstacles that are preventing you from reaching your full potential. I am most passionate about working with individuals struggling with body dissatisfaction and disordered eating. Using a Health at Every Size and anti-diet approach, I employ a variety of techniques, focusing on building a collaborative, empathic, and trusting therapeutic relationship, free of judgement.
(253) 258-0834 View (253) 258-0834
Photo of Matt Milstead, Counselor in Federal Way, WA
Matt Milstead
Counselor, PhD, LMHC
Verified Verified
Federal Way, WA 98023  (Online Only)
Waitlist for new clients
I have a Ph.D. from the University of Notre Dame and have been working with children, families and individual adults for 25+ years. What I have learned in that time is that we all have rough patches in life. I have also learned that counseling can help, but it is the match between client and counselor that makes all the difference. Clients that match best with me are reflective and have a good sense of humor. It also helps if they have some quirky parts to their personality. I have found these traits help people get through the rough parts of life. Also, I think those traits are the best match for me because I have them too.
I have a Ph.D. from the University of Notre Dame and have been working with children, families and individual adults for 25+ years. What I have learned in that time is that we all have rough patches in life. I have also learned that counseling can help, but it is the match between client and counselor that makes all the difference. Clients that match best with me are reflective and have a good sense of humor. It also helps if they have some quirky parts to their personality. I have found these traits help people get through the rough parts of life. Also, I think those traits are the best match for me because I have them too.
(253) 204-3195 View (253) 204-3195
Photo of Megan Hoback, Marriage & Family Therapist Associate in Federal Way, WA
Megan Hoback
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Federal Way, WA 98023
I have a passion for serving and helping others through different aspects of life and my goal is to help you grow and create meaningful and impactful change in positive ways for your own life. I am an associate marriage and family therapist who works with individuals, couples, and parent-child relationships. When it comes to individuals, I often work with those who may be dealing with anxiety, low self-esteem, or big life changes. When it comes to couples, I often work with those who are looking to re-build their intimacy and connection, strengthen communication, or are dealing with conflicts and past resentment.
I have a passion for serving and helping others through different aspects of life and my goal is to help you grow and create meaningful and impactful change in positive ways for your own life. I am an associate marriage and family therapist who works with individuals, couples, and parent-child relationships. When it comes to individuals, I often work with those who may be dealing with anxiety, low self-esteem, or big life changes. When it comes to couples, I often work with those who are looking to re-build their intimacy and connection, strengthen communication, or are dealing with conflicts and past resentment.
(253) 544-6053 View (253) 544-6053
Photo of Jennifer King Trauma Therapist, Clinical Social Work/Therapist in Federal Way, WA
Jennifer King Trauma Therapist
Clinical Social Work/Therapist, MSW, LICSW, CCTP
Verified Verified
Federal Way, WA 98003
Not accepting new clients
Hello there! I specialize in therapy that works with any member of the Adoption Triad. I personally understand the complexities of adoption and the support that is needed to support long-term family and individual success. I am invested in providing you the tools needed to thrive in your life. While adoption and foster care is my specialty, I also provide support for those struggling with infertility, parenting children with behavioral issues and issues of foster care exposure. The roles and relationships within families are not always easy. You deserve to have a therapist that understands what your facing and has resources.
Hello there! I specialize in therapy that works with any member of the Adoption Triad. I personally understand the complexities of adoption and the support that is needed to support long-term family and individual success. I am invested in providing you the tools needed to thrive in your life. While adoption and foster care is my specialty, I also provide support for those struggling with infertility, parenting children with behavioral issues and issues of foster care exposure. The roles and relationships within families are not always easy. You deserve to have a therapist that understands what your facing and has resources.
(253) 465-7617 View (253) 465-7617
Photo of Lauren 'ren' Wilkins, Counselor in Federal Way, WA
Lauren 'ren' Wilkins
Counselor, MA, LMHCA
Verified Verified
Federal Way, WA 98003  (Online Only)
I am here to walk with you as you address the hard stuff that has been keeping you stuck. As a trauma-focused and informed therapist, I know how hard it can be to feel like your past is continually weighing you down, impacting the way you are living your life, and how your make decisions about your future. Our bodies are primed to move forward in our lives based on what has worked in the past. However, the past approaches, patterns, and habits are no longer working for you. It's time to discover what it can be like to leave the past in the past, and to step forward towards the life and relationships that you want.
I am here to walk with you as you address the hard stuff that has been keeping you stuck. As a trauma-focused and informed therapist, I know how hard it can be to feel like your past is continually weighing you down, impacting the way you are living your life, and how your make decisions about your future. Our bodies are primed to move forward in our lives based on what has worked in the past. However, the past approaches, patterns, and habits are no longer working for you. It's time to discover what it can be like to leave the past in the past, and to step forward towards the life and relationships that you want.
(253) 364-4755 View (253) 364-4755
Photo of Meghan Mitchell, Counselor in Federal Way, WA
Meghan Mitchell
Counselor, LMCHA
Verified Verified
1 Endorsed
Federal Way, WA 98023
As humans we are all on our own unique journey to have fulfilling, authentic, and meaningful lives. At times we come across various challenges, such as, anxiety, depression, insecurities, and difficult life change, which can leave us feeling overwhelmed and unable to cope. As a therapist I hope to support you in achieving your goals of moving through life feeling confident and capable of overcoming whatever obstacles are thrown your way.
As humans we are all on our own unique journey to have fulfilling, authentic, and meaningful lives. At times we come across various challenges, such as, anxiety, depression, insecurities, and difficult life change, which can leave us feeling overwhelmed and unable to cope. As a therapist I hope to support you in achieving your goals of moving through life feeling confident and capable of overcoming whatever obstacles are thrown your way.
(253) 300-4707 View (253) 300-4707
Photo of David D Moore, Psychologist in Federal Way, WA
David D Moore
Psychologist, PhD, MEd
Verified Verified
2 Endorsed
Federal Way, WA 98003
I am the Agency Psychologist for the Center for Systematic Therapy and Research Services (CSTARS). I work full-time after a career in research (University of Washington 1987-2004) and faculty appointment (John's Hopkins, Department of Mental Health [2004-2007]). I currently focus on directing two clinical programs with Clinical Director Melissa Byrd: 1) Relapse Prevention for advanced recovery in addiction and codependency (Group and Individual), 2) Sexual Victimization recovery from childhood and young adult PTSD (Group and Individual). I conduct neurodevelopmental assessments for Dr. Stumme-Parks' work with CSTARS' ADHD clients.
I am the Agency Psychologist for the Center for Systematic Therapy and Research Services (CSTARS). I work full-time after a career in research (University of Washington 1987-2004) and faculty appointment (John's Hopkins, Department of Mental Health [2004-2007]). I currently focus on directing two clinical programs with Clinical Director Melissa Byrd: 1) Relapse Prevention for advanced recovery in addiction and codependency (Group and Individual), 2) Sexual Victimization recovery from childhood and young adult PTSD (Group and Individual). I conduct neurodevelopmental assessments for Dr. Stumme-Parks' work with CSTARS' ADHD clients.
(253) 292-9519 View (253) 292-9519
Photo of Intentional Wholeness and Wellness, Clinical Social Work/Therapist in Federal Way, WA
Intentional Wholeness and Wellness
Clinical Social Work/Therapist, MSW, LICSW, MDiv
Verified Verified
1 Endorsed
Federal Way, WA 98023  (Online Only)
I work with individuals, married/couples. I believe that everyone grows from their strengths. Some people who experience trauma develop unhealthy coping behaviors, such as addictions or dependent relationships. Our thoughts, feelings, and behaviors can be the source of insight and healing. They have a logic all their own. I am honored to collaborate with you in your process, knowing that you are the expert in who you are.
I work with individuals, married/couples. I believe that everyone grows from their strengths. Some people who experience trauma develop unhealthy coping behaviors, such as addictions or dependent relationships. Our thoughts, feelings, and behaviors can be the source of insight and healing. They have a logic all their own. I am honored to collaborate with you in your process, knowing that you are the expert in who you are.
(425) 429-2201 View (425) 429-2201
Photo of Sharayah Lewis, Counselor in Federal Way, WA
Sharayah Lewis
Counselor
Verified Verified
2 Endorsed
Federal Way, WA 98023  (Online Only)
Waitlist for new clients
I know that life can bring hurtful and overwhelming experiences. It is natural for our bodies to disengage in these moments particularly if we do not feel we have the resources or support needed to move forward. Chronic stress and burnout are very in our world today, but they are not personal failures; rather, they can represent our bodies' attempts to protect us, and learning about and practicing self-compassion can offer real help. I help individuals to feel well-connected and more like themselves by building things into their lives that sustain, fuel, and give back.
I know that life can bring hurtful and overwhelming experiences. It is natural for our bodies to disengage in these moments particularly if we do not feel we have the resources or support needed to move forward. Chronic stress and burnout are very in our world today, but they are not personal failures; rather, they can represent our bodies' attempts to protect us, and learning about and practicing self-compassion can offer real help. I help individuals to feel well-connected and more like themselves by building things into their lives that sustain, fuel, and give back.
(253) 544-3791 View (253) 544-3791
Photo of Reason To Believe Therapy LLC, Counselor in Federal Way, WA
Reason To Believe Therapy LLC
Counselor, MS, LMHCA
Verified Verified
2 Endorsed
Federal Way, WA 98003
I work mainly with women, and I have openings for those who are trying to find their footing in life, perhaps in the midst of a major life transition. These include, but are not limited to, empty-nesters, women launching a second career, and single mothers. I also work with women who are navigating trauma and loss. Sound like you? Chances are you're struggling with anxiety, stress, self-esteem issues, depression, grief, self-doubt, or loss of identity, and possibly all of the above. Therapy can help you sort through the chaos of emotions and quiet the turmoil of your thoughts so you can find yourself again and map your path forward.
I work mainly with women, and I have openings for those who are trying to find their footing in life, perhaps in the midst of a major life transition. These include, but are not limited to, empty-nesters, women launching a second career, and single mothers. I also work with women who are navigating trauma and loss. Sound like you? Chances are you're struggling with anxiety, stress, self-esteem issues, depression, grief, self-doubt, or loss of identity, and possibly all of the above. Therapy can help you sort through the chaos of emotions and quiet the turmoil of your thoughts so you can find yourself again and map your path forward.
(253) 893-8389 View (253) 893-8389

How does your Therapist compare?

Number of Therapists in Federal Way, WA

200+

Average cost per session

$150

Therapists in Federal Way, WA who prioritize treating:

90% Anxiety
85% Depression
72% Self Esteem
70% Relationship Issues
70% Trauma and PTSD
67% Coping Skills
67% Stress

Average years in practice

9 Years

Top 3 insurances accepted

83% Premera
72% Regence
71% Aetna

How Therapists in Federal Way, WA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Federal Way?

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.