Photo of Chad Perman, MA, LMFT, Marriage & Family Therapist
Chad Perman
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
Kirkland, WA 98034
If you’ve found your way here, chances are you’re struggling in some way right now. Maybe you’re looking for support or perspective during a particularly challenging time in your life, or hoping to finally address some long-standing issues and heal old wounds. Perhaps you’re wrestling with anxiety or stress, struggling in a relationship, dealing with creative blocks, or trying to redefine (or re-find) yourself. Or maybe you just feel stuck lately, and need somebody to talk to about things.
If you’ve found your way here, chances are you’re struggling in some way right now. Maybe you’re looking for support or perspective during a particularly challenging time in your life, or hoping to finally address some long-standing issues and heal old wounds. Perhaps you’re wrestling with anxiety or stress, struggling in a relationship, dealing with creative blocks, or trying to redefine (or re-find) yourself. Or maybe you just feel stuck lately, and need somebody to talk to about things.
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Photo of Micah Suzanne Brotzman, MA, LMHCA, Counselor
Micah Suzanne Brotzman
Counselor, MA, LMHCA
Verified Verified
Kirkland, WA 98034  (Online Only)
Therapy is best done when we are as comfortable as possible. By prioritizing the relationship and building trust, you will be more comfortable opening up in session. I use a blend of various modalities tailored to your needs and experiences.
Therapy is best done when we are as comfortable as possible. By prioritizing the relationship and building trust, you will be more comfortable opening up in session. I use a blend of various modalities tailored to your needs and experiences.
(425) 657-3589 View (425) 657-3589
Photo of Ashley Wagner, MA, LMHC, Counselor
Ashley Wagner
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Kirkland, WA 98034  (Online Only)
Feeling exhausted and overwhelmed by recent changes in your life, or just want to function better? I help clients navigate changes in their life and discover long term ways to manage their overall mental health. I work well with adult 18 + clients who are experiencing a life transition (starting/graduating college, career change, recent marriage), depression/anxiety, chronic medical issues (or recent diagnosis) or those in helping professions. As a mixed-raced person, I also enjoy exploring the many intersectional layers that come with trying to understand our own identity.
Feeling exhausted and overwhelmed by recent changes in your life, or just want to function better? I help clients navigate changes in their life and discover long term ways to manage their overall mental health. I work well with adult 18 + clients who are experiencing a life transition (starting/graduating college, career change, recent marriage), depression/anxiety, chronic medical issues (or recent diagnosis) or those in helping professions. As a mixed-raced person, I also enjoy exploring the many intersectional layers that come with trying to understand our own identity.
(425) 406-3546 View (425) 406-3546
Photo of Mandy Hewitson, LMHC, Counselor
Mandy Hewitson
Counselor, LMHC
Verified Verified
Kirkland, WA 98034  (Online Only)
Something profound happens when your most authentic self is met with unconditional acceptance and validation. I believe Brene Brown says it best, 'Courage starts with showing up and letting ourselves be seen.' To bravely give ourselves permission to show up when we're depressed, overwhelmed, hungover, irritable, enraged, lost or simply disappointed. Or when we feel we are 'too much' for some and 'not enough' for others. It can be deeply meaningful to have a space where you can fill it with all of who you are, without apology or shame, and feel truly seen and accepted.
Something profound happens when your most authentic self is met with unconditional acceptance and validation. I believe Brene Brown says it best, 'Courage starts with showing up and letting ourselves be seen.' To bravely give ourselves permission to show up when we're depressed, overwhelmed, hungover, irritable, enraged, lost or simply disappointed. Or when we feel we are 'too much' for some and 'not enough' for others. It can be deeply meaningful to have a space where you can fill it with all of who you are, without apology or shame, and feel truly seen and accepted.
(425) 307-4597 View (425) 307-4597
Photo of Michaela Hida, LMFTA, Marriage & Family Therapist Associate
Michaela Hida
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Kirkland, WA 98034
I believe in a collaborative therapeutic process that prioritizes creating an inclusive and nonjudgmental space rooted in empathy, vulnerability, curiosity, and trust. My experience includes working with individuals and families who have experienced trauma, challenging life transitions, anxiety, and depression. I work with children 6 and older, adolescents, adults, and families. I am committed to working with you to find the best approach to your unique needs and goals to help you navigate life’s challenges authentically and encourage you to find sustainable change.
I believe in a collaborative therapeutic process that prioritizes creating an inclusive and nonjudgmental space rooted in empathy, vulnerability, curiosity, and trust. My experience includes working with individuals and families who have experienced trauma, challenging life transitions, anxiety, and depression. I work with children 6 and older, adolescents, adults, and families. I am committed to working with you to find the best approach to your unique needs and goals to help you navigate life’s challenges authentically and encourage you to find sustainable change.
(425) 414-3925 View (425) 414-3925
Photo of Melanie - Eastside Counseling Center, LMFT, LMHC, LCSW
Eastside Counseling Center
LMFT, LMHC, LCSW
Verified Verified
Kirkland, WA 98034
Are relationship issues, anxiety and/or depression keeping you up at night? The counselors at ECC will work with you to help you improve the quality of your your life and your relationships. Our dynamic team of counselors seek to understand and resolve the real-life, everyday challenges many of us face. We work with a wide range of issues and have a diverse team of therapists trained in a variety of specialties. This allows us to create a personalized treatment plan to meet your individual needs.
Are relationship issues, anxiety and/or depression keeping you up at night? The counselors at ECC will work with you to help you improve the quality of your your life and your relationships. Our dynamic team of counselors seek to understand and resolve the real-life, everyday challenges many of us face. We work with a wide range of issues and have a diverse team of therapists trained in a variety of specialties. This allows us to create a personalized treatment plan to meet your individual needs.
(425) 405-7857 View (425) 405-7857
Photo of Dr. Jayme Branagh Landon, EdD, Counselor
Dr. Jayme Branagh Landon
Counselor, EdD
Verified Verified
Kirkland, WA 98034
I firmly believe that the cornerstone of effective therapy is the strength of the relationship between therapist and client. My approach is centered on building authentic, trusting connections with children, adolescents, and young adults. My priority us to create a safe, empathetic, and non-judgmental space where they feel heard and valued. By prioritizing strong therapeutic relationships, I empower my clients to develop resilience, self-awareness, and the skills necessary to navigate life's challenges. I have extensive experience with neurodiverse clients and value the unique strengths they bring to the world.
I firmly believe that the cornerstone of effective therapy is the strength of the relationship between therapist and client. My approach is centered on building authentic, trusting connections with children, adolescents, and young adults. My priority us to create a safe, empathetic, and non-judgmental space where they feel heard and valued. By prioritizing strong therapeutic relationships, I empower my clients to develop resilience, self-awareness, and the skills necessary to navigate life's challenges. I have extensive experience with neurodiverse clients and value the unique strengths they bring to the world.
(425) 230-5835 View (425) 230-5835
Photo of Dr. Savannah Bukant, ND, BCB
Dr. Savannah Bukant
ND, BCB
Verified Verified
1 Endorsed
Kirkland, WA 98034
Now accepting new clients! If you're curious about whole-person healing through nervous system regulation, stress resiliency, and investigating root causes of symptoms, we may be a good fit. I'm Dr. Savannah, Naturopathic Physician & Mindbody Coach. I teach clients how to become self-healers through inquisitive body awareness, intuitive eating, trauma-sensitive mindfulness, and other modalities. I'm curious about what is getting in the way of your healing - physiological, environmental, relational, psychoemotional, spiritual, & even energetic factors. Together we dig deep to unravel what's in the way of your innate inner healer.
Now accepting new clients! If you're curious about whole-person healing through nervous system regulation, stress resiliency, and investigating root causes of symptoms, we may be a good fit. I'm Dr. Savannah, Naturopathic Physician & Mindbody Coach. I teach clients how to become self-healers through inquisitive body awareness, intuitive eating, trauma-sensitive mindfulness, and other modalities. I'm curious about what is getting in the way of your healing - physiological, environmental, relational, psychoemotional, spiritual, & even energetic factors. Together we dig deep to unravel what's in the way of your innate inner healer.
(425) 440-3219 View (425) 440-3219
Photo of Mona Ebrahimi, MA, LMHC, Counselor
Mona Ebrahimi
Counselor, MA, LMHC
Verified Verified
Kirkland, WA 98034
Are you struggling by your current life situation, feeling anxious, depressed, experience difficulties in your relationships? Do you think extra support would help you find your way in the life? Let's walk together through the path of healing. I will help you find your authentic self in the warm, respectful and nonjudgmental environment. I enjoy working with individuals, couples and families. My compassion and empathy emanates radiantly and I highly value the journey, which is life, that everyone is subjectively experiencing.
Are you struggling by your current life situation, feeling anxious, depressed, experience difficulties in your relationships? Do you think extra support would help you find your way in the life? Let's walk together through the path of healing. I will help you find your authentic self in the warm, respectful and nonjudgmental environment. I enjoy working with individuals, couples and families. My compassion and empathy emanates radiantly and I highly value the journey, which is life, that everyone is subjectively experiencing.
(425) 728-7338 View (425) 728-7338
Photo of Dr. Daphne Kagume, PhD, MS, LMHC, Counselor
Dr. Daphne Kagume
Counselor, PhD, MS, LMHC
Verified Verified
Kirkland, WA 98034  (Online Only)
In my practice I specialize in Trauma, including PTSD and Complex Trauma. I bring a holistic approach to therapy, looking at how trauma and other life experiences impact the whole person, their emotions, thoughts, relationships and even how these experiences are held in the body. I believe it is also important to consider how oppression, based on various individual and group identities, impacts mental health.
In my practice I specialize in Trauma, including PTSD and Complex Trauma. I bring a holistic approach to therapy, looking at how trauma and other life experiences impact the whole person, their emotions, thoughts, relationships and even how these experiences are held in the body. I believe it is also important to consider how oppression, based on various individual and group identities, impacts mental health.
(425) 434-5733 View (425) 434-5733
Photo of Dustin Shatto, MA, LMHCA, Counselor
Dustin Shatto
Counselor, MA, LMHCA
Verified Verified
Kirkland, WA 98034
Are you at a crossroads in life? I support adults as they work through present struggles and past painful experiences like divorce, career issues, chronic pain, grief, parenting concerns, and other stressors. Another focus area of my practice is on processing religious abuse, deconstruction, and spiritual exploration. It is common to experience anxiety, depression, low self esteem, and a host of other symptoms in response to traumatic experiences, but healing is possible no matter what you are facing.
Are you at a crossroads in life? I support adults as they work through present struggles and past painful experiences like divorce, career issues, chronic pain, grief, parenting concerns, and other stressors. Another focus area of my practice is on processing religious abuse, deconstruction, and spiritual exploration. It is common to experience anxiety, depression, low self esteem, and a host of other symptoms in response to traumatic experiences, but healing is possible no matter what you are facing.
(425) 243-3031 View (425) 243-3031
Photo of Kaleb D Sinclair, MA, LMHCA, Counselor
Kaleb D Sinclair
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Kirkland, WA 98034  (Online Only)
Healing starts when empathy is offered first to your own journey and then to the world around you. It would be my privilege to support you throughout your journey towards healing, uncovering a deeper comprehension of yourself, and the world around you. As a therapist I work alongside each of my clients by examining your lived experience and perspective to better understand how you comprehend and move through reality. It is through exploring our lived experiences and perceptions that we can become more aware how we operate, respond, and live in this world and can facilitate healing for ourselves and in our relationships.
Healing starts when empathy is offered first to your own journey and then to the world around you. It would be my privilege to support you throughout your journey towards healing, uncovering a deeper comprehension of yourself, and the world around you. As a therapist I work alongside each of my clients by examining your lived experience and perspective to better understand how you comprehend and move through reality. It is through exploring our lived experiences and perceptions that we can become more aware how we operate, respond, and live in this world and can facilitate healing for ourselves and in our relationships.
(425) 341-4855 View (425) 341-4855
Photo of Jack Shaw, LMHCA, MA, Counselor
Jack Shaw
Counselor, LMHCA, MA
Verified Verified
1 Endorsed
Kirkland, WA 98034  (Online Only)
Hi, I am planning several small therapy groups for anxiety, stress management, grief and loss, and LGBTQIA+ support. Groups will limited to three to five members and fees will be $50 / session. Please email me for details. Generally, I work with individuals and couples navigating a wide variety of life situations. Many of my clients seek support for anxiety, depression, trauma, relationship stress, and LGBTQIA+ or gender-diversity matters. My approach is trauma-informed and integrates person-centered, narrative, and emotionally focused theories, along with mind-body (somatic) and mindfulness-based interventions.
Hi, I am planning several small therapy groups for anxiety, stress management, grief and loss, and LGBTQIA+ support. Groups will limited to three to five members and fees will be $50 / session. Please email me for details. Generally, I work with individuals and couples navigating a wide variety of life situations. Many of my clients seek support for anxiety, depression, trauma, relationship stress, and LGBTQIA+ or gender-diversity matters. My approach is trauma-informed and integrates person-centered, narrative, and emotionally focused theories, along with mind-body (somatic) and mindfulness-based interventions.
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Photo of Sarah Loux, MA, LMHC, PLLC, Counselor
Sarah Loux
Counselor, MA, LMHC, PLLC
Verified Verified
Kirkland, WA 98034  (Online Only)
Waitlist for new clients
Life can bring pain and frustration into one's heart and mind. It creates sadness, anxiety, and a feeling of being stuck. It may feel hard to imagine that it is possible to see the light at the end of the tunnel. You may feel stuck personally or within your relationships. Therapy can offer clarity and strength as you work through, rather than avoid, that which causes you pain. Providing a safe space for someone to process is essential, and together we can traverse the inner journey of self-discovery. Exploring one's thoughts, feelings, and the unconscious can help illuminate what keeps one stuck in unhealthy patterns.
Life can bring pain and frustration into one's heart and mind. It creates sadness, anxiety, and a feeling of being stuck. It may feel hard to imagine that it is possible to see the light at the end of the tunnel. You may feel stuck personally or within your relationships. Therapy can offer clarity and strength as you work through, rather than avoid, that which causes you pain. Providing a safe space for someone to process is essential, and together we can traverse the inner journey of self-discovery. Exploring one's thoughts, feelings, and the unconscious can help illuminate what keeps one stuck in unhealthy patterns.
(206) 823-0726 View (206) 823-0726
Photo of Stephanie Justus, MSMFT, LMFT, Marriage & Family Therapist
Stephanie Justus
Marriage & Family Therapist, MSMFT, LMFT
Verified Verified
Kirkland, WA 98034  (Online Only)
Carrying the weight of anxiety, grief, disconnection from those around you, maybe even from yourself, can be overwhelming at times. It can be difficult to navigate these things alone. I believe in the power of the therapeutic, client-focused relationship as a catalyst for exploration and healing. My work with clients focuses on guiding people as they process life transitions, challenges and new opportunities. I walk alongside you in making a shift in your mindset to a place aligned with your core values and truth. I maintain a holistic perspective integrating mind, body, and spirit to empower every client in reaching his/her goals.
Carrying the weight of anxiety, grief, disconnection from those around you, maybe even from yourself, can be overwhelming at times. It can be difficult to navigate these things alone. I believe in the power of the therapeutic, client-focused relationship as a catalyst for exploration and healing. My work with clients focuses on guiding people as they process life transitions, challenges and new opportunities. I walk alongside you in making a shift in your mindset to a place aligned with your core values and truth. I maintain a holistic perspective integrating mind, body, and spirit to empower every client in reaching his/her goals.
(360) 301-7625 View (360) 301-7625
Photo of Donald Skaggs, Pre-Licensed Professional
Donald Skaggs
Pre-Licensed Professional
Verified Verified
Kirkland, WA 98034
I strive to provide a warm, welcoming, and safe space where you can be vulnerable and free to express your thoughts without fear of judgement; a place where you can allow your true self to emerge, be seen, and heard. My role is not to dictate how you should act, think, or feel; but rather to listen with empathy to your unique story, while I come alongside, as a guide, along the path forward.
I strive to provide a warm, welcoming, and safe space where you can be vulnerable and free to express your thoughts without fear of judgement; a place where you can allow your true self to emerge, be seen, and heard. My role is not to dictate how you should act, think, or feel; but rather to listen with empathy to your unique story, while I come alongside, as a guide, along the path forward.
(425) 600-6687 View (425) 600-6687
Photo of Danielle Melton - Danielle Melton: Therapy for Women, LMHC, LCPC, AF EMDR, Counselor
Danielle Melton: Therapy for Women
Counselor, LMHC, LCPC, AF EMDR
Verified Verified
Kirkland, WA 98034  (Online Only)
I strive to provide a safe place for all women to heal in the context of a caring, trusting therapeutic relationship. I work with a wide variety of individuals, including those struggling with the effects of motor vehicle accident, sexual assault, attachment injuries, childhood trauma, prenatal and postpartum trauma, medical trauma, disturbing memories, phobias and more. I treat anxiety and depression. I regularly work with other helping professionals, such as counselors, nurses, and teachers, navigating their own trauma histories. I focus on stability and safety before beginning trauma work with all new clients.
I strive to provide a safe place for all women to heal in the context of a caring, trusting therapeutic relationship. I work with a wide variety of individuals, including those struggling with the effects of motor vehicle accident, sexual assault, attachment injuries, childhood trauma, prenatal and postpartum trauma, medical trauma, disturbing memories, phobias and more. I treat anxiety and depression. I regularly work with other helping professionals, such as counselors, nurses, and teachers, navigating their own trauma histories. I focus on stability and safety before beginning trauma work with all new clients.
(425) 470-6583 View (425) 470-6583
Photo of Andrea Ray, LMHC
Andrea Ray
Mental Health Counselor , LMHC
Verified Verified
Kirkland, WA 98034
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
(425) 546-1590 View (425) 546-1590
Photo of Timothy Tam, MS, LMFT, Marriage & Family Therapist
Timothy Tam
Marriage & Family Therapist, MS, LMFT
Verified Verified
Kirkland, WA 98034  (Online Only)
Waitlist for new clients
You’ll find that my sessions are genuine, open, exploratory, and meaningful. I value collaboration, meaning we will work together to process what’s happening for you and work together to make things better. I will provide an empathetic ear, ask questions, and provide reflection so that I can really understand your goals, life experiences, beliefs, and your values. My goal is to support you in creating a healthy relationship with yourself and healthy, secure dynamic relationships with others. My hope is that the work we do will aid you in translating your newly developed strategies in a positively adaptive way in your life.
You’ll find that my sessions are genuine, open, exploratory, and meaningful. I value collaboration, meaning we will work together to process what’s happening for you and work together to make things better. I will provide an empathetic ear, ask questions, and provide reflection so that I can really understand your goals, life experiences, beliefs, and your values. My goal is to support you in creating a healthy relationship with yourself and healthy, secure dynamic relationships with others. My hope is that the work we do will aid you in translating your newly developed strategies in a positively adaptive way in your life.
(425) 414-8017 View (425) 414-8017
Photo of Karen Naranjo, LSWAIC, MSW, Clinical Social Work/Therapist
Karen Naranjo
Clinical Social Work/Therapist, LSWAIC, MSW
Verified Verified
Kirkland, WA 98034  (Online Only)
I work with folks who experience challenges, such as trauma, anxiety, depression, sexuality, self-esteem, suicidality, behavioral concerns, and more. I meet you where you are to build a strong collaborative relationship. My goal is to create a space that provides unconditional support and empathy. It is important to me that you feel heard in a non-judgmental approach. I do not see myself as an expert on your life but merely someone crossing paths with you in your healing journey.
I work with folks who experience challenges, such as trauma, anxiety, depression, sexuality, self-esteem, suicidality, behavioral concerns, and more. I meet you where you are to build a strong collaborative relationship. My goal is to create a space that provides unconditional support and empathy. It is important to me that you feel heard in a non-judgmental approach. I do not see myself as an expert on your life but merely someone crossing paths with you in your healing journey.
(425) 448-8042 View (425) 448-8042
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How does your Therapist compare?

Number of Therapists in 98034

200+

Average cost per session

$160

Therapists in 98034 who prioritize treating:

94% Anxiety
87% Depression
77% Self Esteem
75% Trauma and PTSD
73% Relationship Issues
71% Stress
68% Grief

Average years in practice

9 Years

Top 3 insurances accepted

68% Premera Blue Cross
64% Aetna
54% Regence

How Therapists in 98034 see their clients

59% In Person and Online
41% Online Only

Gender breakdown

82% Female
16% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 98034?

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.