Photo of Kristopher Lichtanski, Counselor, PhD, LMHCA
Kristopher Lichtanski
Counselor, PhD, LMHCA
Verified Verified
Online Only
For me, psychotherapy is an intimate undertaking and a very personal journey. In my work, I recognize that each person comes with a unique personal history and life circumstances as well as unique hopes, dreams, and desires. Most of us, most of the time, can be resourceful and creative in coping with life challenges. There are times, however, when internal or external pressures get the best of us, leaving us depleted, overwhelmed, confused, or unwell. I offer a safe space where the work of self-exploration and transformation can occur, and where healing and the journey toward self-acceptance and well-being can take place.
For me, psychotherapy is an intimate undertaking and a very personal journey. In my work, I recognize that each person comes with a unique personal history and life circumstances as well as unique hopes, dreams, and desires. Most of us, most of the time, can be resourceful and creative in coping with life challenges. There are times, however, when internal or external pressures get the best of us, leaving us depleted, overwhelmed, confused, or unwell. I offer a safe space where the work of self-exploration and transformation can occur, and where healing and the journey toward self-acceptance and well-being can take place.
(253) 683-7035 View (253) 683-7035
Photo of Brett Joseph Singleton, Counselor, MDiv, MA, LMHC
Brett Joseph Singleton
Counselor, MDiv, MA, LMHC
Verified Verified
Online Only
Many people these days find themselves empty and alone. Is this you? Maybe you feel stuck in your relationship, or recently experienced a break-up. Perhaps you are overwhelmed with a difficult life transition, or you are suffering from past trauma. Our wounds can provide a doorway to becoming our best and most authentic selves. Our journey to mental health begins with a single, yet often difficult step. I specialize in assisting individuals who are experiencing anxiety, depression, anger, negative self-image as well as other symptoms holding us back from being our best and living a fulfilling life.
Many people these days find themselves empty and alone. Is this you? Maybe you feel stuck in your relationship, or recently experienced a break-up. Perhaps you are overwhelmed with a difficult life transition, or you are suffering from past trauma. Our wounds can provide a doorway to becoming our best and most authentic selves. Our journey to mental health begins with a single, yet often difficult step. I specialize in assisting individuals who are experiencing anxiety, depression, anger, negative self-image as well as other symptoms holding us back from being our best and living a fulfilling life.
(253) 400-2905 View (253) 400-2905
Photo of Cynthia Christine Ridgway - Cynthia C Ridgway, PLLC, Counselor, MA, LMHC, NCC, BC-TMH
Cynthia C Ridgway, PLLC
Counselor, MA, LMHC, NCC, BC-TMH
Verified Verified
1 Endorsed
Online Only
I believe that everyone will do well if they can. If someone is not doing well, there is a reason and it is not always someone's conscious choice. As a therapist, I will walk along side you in the journey of self-discovery and assist you in determining what might be getting in the way of a healthy, happy, peaceful life. Some of my methods include: Positive psychology, Client centered, relationship oriented, trauma-informed, trauma-focused, CBT, filial, play therapy, and the sand tray.
I believe that everyone will do well if they can. If someone is not doing well, there is a reason and it is not always someone's conscious choice. As a therapist, I will walk along side you in the journey of self-discovery and assist you in determining what might be getting in the way of a healthy, happy, peaceful life. Some of my methods include: Positive psychology, Client centered, relationship oriented, trauma-informed, trauma-focused, CBT, filial, play therapy, and the sand tray.
(360) 419-5756 View (360) 419-5756
Photo of Sydney Farnan, Clinical Social Work/Therapist, LSWAIC
Sydney Farnan
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Online Only
Hello, my name is Sydney and I am accepting new clients for telehealth. The past few years has been a difficult time for many of us. It has shown us that it is paramount to take care of ourselves and this includes our mental health and wellbeing. If you are someone who is having difficulty with managing anxiety, depression, or other mood disorders, past or current traumas, or relationship conflicts, I am here to help.
Hello, my name is Sydney and I am accepting new clients for telehealth. The past few years has been a difficult time for many of us. It has shown us that it is paramount to take care of ourselves and this includes our mental health and wellbeing. If you are someone who is having difficulty with managing anxiety, depression, or other mood disorders, past or current traumas, or relationship conflicts, I am here to help.
(360) 654-7470 View (360) 654-7470
Photo of Edmond Ryan, Clinical Social Work/Therapist, LICSW, LCSW
Edmond Ryan
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Online Only
Struggling with strong emotions? Overwhelmed with anxiety or negative thoughts? Do your thoughts and emotions keep you from achieving your goals and living an authentic life with those you love? Sometimes we avoid dealing with these difficult emotions and this keeps us from true connection with others and keeps us stuck in negative patterns of behavior.
Struggling with strong emotions? Overwhelmed with anxiety or negative thoughts? Do your thoughts and emotions keep you from achieving your goals and living an authentic life with those you love? Sometimes we avoid dealing with these difficult emotions and this keeps us from true connection with others and keeps us stuck in negative patterns of behavior.
(253) 523-2637 View (253) 523-2637
Photo of Mary Torres - Cornerstone OCD & Anxiety Group PLLC, Counselor, MA, LMHC, NCC
Cornerstone OCD & Anxiety Group PLLC
Counselor, MA, LMHC, NCC
Verified Verified
1 Endorsed
Online Only
Fastest way to our wait list is the request for service on our website. Anxiety is awful. Most people just do not understand how difficult it is to live with chronic worry, panic attacks, or obsessive thoughts and unwanted behavior. Gladly, most people will never have to know how horrible it is to have nagging obsessive thoughts, or fear panicking in public places. The variety of Cognitive-Behavioral Therapies (CBT) like Exposure & Response Prevention (ERP) and Acceptance & Commitment Therapy (ACT) are quite effective in increasing distress tolerance, reducing anxiety, and eliminating the dysfunctional behaviors that accompany it.
Fastest way to our wait list is the request for service on our website. Anxiety is awful. Most people just do not understand how difficult it is to live with chronic worry, panic attacks, or obsessive thoughts and unwanted behavior. Gladly, most people will never have to know how horrible it is to have nagging obsessive thoughts, or fear panicking in public places. The variety of Cognitive-Behavioral Therapies (CBT) like Exposure & Response Prevention (ERP) and Acceptance & Commitment Therapy (ACT) are quite effective in increasing distress tolerance, reducing anxiety, and eliminating the dysfunctional behaviors that accompany it.
(206) 535-1464 View (206) 535-1464
Photo of Robert Teister - Professional Psychology, Marriage & Family Therapist, MFT, MA
Professional Psychology
Marriage & Family Therapist, MFT, MA
Verified Verified
Graham, WA 98338
34+ Years Private Practice. Direct Line Call: (206) 809 0226 Licensed Therapist: Offering Online Psychotherapy in all 50 states (USA), Archetypal Psychology, Depth Psychology, Gestalt and Family Systems. Life coaching, Mentoring. Treating: Midlife Crisis, Grief Work, Anxiety, Depression, Incest/Molest, PTSD, Masculine Psychology, Addictions, Identity, Sexual problems, Child/Teen, Separation/Divorce, Hospice Work. Student of Comparative Religion including the Eastern Philosophies of India: Meditation Teacher, Spiritual Development, Advanced levels of realization. 34+ years in private practice. Video Conferencing all 50 States.
34+ Years Private Practice. Direct Line Call: (206) 809 0226 Licensed Therapist: Offering Online Psychotherapy in all 50 states (USA), Archetypal Psychology, Depth Psychology, Gestalt and Family Systems. Life coaching, Mentoring. Treating: Midlife Crisis, Grief Work, Anxiety, Depression, Incest/Molest, PTSD, Masculine Psychology, Addictions, Identity, Sexual problems, Child/Teen, Separation/Divorce, Hospice Work. Student of Comparative Religion including the Eastern Philosophies of India: Meditation Teacher, Spiritual Development, Advanced levels of realization. 34+ years in private practice. Video Conferencing all 50 States.
(360) 564-6573 View (360) 564-6573
Photo of Russell Alfaro, CCHT, CHT
Russell Alfaro
CCHT, CHT
Verified Verified
Graham, WA 98338
First, I believe it is my duty to be able to actively listen to my client, obtain a good understanding of where they are and where they want to go. Together, we will move you and/or your team or organization in the desired direction to reach your goals. As a young man growing up in North Chicago, I quickly learned that life is full of rewards and upsets, if I allowed it to happen. At 3 months old, I was abandoned by my mother, left inside of a garbage can in an alley waiting to die. However, life had other plans for me. A passerby heard my faint cries and pulled me from the garbage can. Later, I was adopted but went on to experience years of physical and emotional abuse by my adopted mother. At the age of 12, I ran away from home and was placed in foster care. I was adopted again, but I experienced more mental and physical abuse. I dropped out of the 9th grade and began running away again. At the age of 16, the authorities declared me an emancipated teenager. With a story like mine, you would probably think there was no hope for finding happiness or for finding quality of life. However, I have learned to use my negative experiences as a testimony to reach out and help others.
First, I believe it is my duty to be able to actively listen to my client, obtain a good understanding of where they are and where they want to go. Together, we will move you and/or your team or organization in the desired direction to reach your goals. As a young man growing up in North Chicago, I quickly learned that life is full of rewards and upsets, if I allowed it to happen. At 3 months old, I was abandoned by my mother, left inside of a garbage can in an alley waiting to die. However, life had other plans for me. A passerby heard my faint cries and pulled me from the garbage can. Later, I was adopted but went on to experience years of physical and emotional abuse by my adopted mother. At the age of 12, I ran away from home and was placed in foster care. I was adopted again, but I experienced more mental and physical abuse. I dropped out of the 9th grade and began running away again. At the age of 16, the authorities declared me an emancipated teenager. With a story like mine, you would probably think there was no hope for finding happiness or for finding quality of life. However, I have learned to use my negative experiences as a testimony to reach out and help others.
(253) 780-6061 View (253) 780-6061
Photo of Lou Olson, Clinical Social Work/Therapist, LICSW, IMH-E
Lou Olson
Clinical Social Work/Therapist, LICSW, IMH-E
Verified Verified
1 Endorsed
Graham, WA 98338
Not accepting new clients at this time - I believe that people make sense in the context of their story and that the key to healing is within each one of us. My approach to therapy has evolved over the years as I began understanding that what most people are looking for is someone who can help them with a deeper understanding of how they became exactly who they are today.
Not accepting new clients at this time - I believe that people make sense in the context of their story and that the key to healing is within each one of us. My approach to therapy has evolved over the years as I began understanding that what most people are looking for is someone who can help them with a deeper understanding of how they became exactly who they are today.
(253) 367-2738 View (253) 367-2738
Photo of Virginia Kathleen Cailleteau, Clinical Social Work/Therapist, MSW, LICSW
Virginia Kathleen Cailleteau
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Graham, WA 98338
I enjoy working with adults exploring relationships, family of origin concerns, depression, anxiety, post-traumatic stress (and growth), grief and loss, and transitions. Each client may seek therapy for different reasons, often because something in their lives has become uncomfortable, unhealthy, unsustainable, intolerable – but each client is so much more than their problem. I've worked with everyone from high school dropouts to combat veterans to long term care residents, and everyone in between ... In every one I see another facet of the best of what it means to be human, and I love to show up and see what we learn together.
I enjoy working with adults exploring relationships, family of origin concerns, depression, anxiety, post-traumatic stress (and growth), grief and loss, and transitions. Each client may seek therapy for different reasons, often because something in their lives has become uncomfortable, unhealthy, unsustainable, intolerable – but each client is so much more than their problem. I've worked with everyone from high school dropouts to combat veterans to long term care residents, and everyone in between ... In every one I see another facet of the best of what it means to be human, and I love to show up and see what we learn together.
(253) 331-2719 View (253) 331-2719
Photo of Robin L Pellerin, Marriage & Family Therapist Associate, LMFTA, LMHCA, CGP
Robin L Pellerin
Marriage & Family Therapist Associate, LMFTA, LMHCA, CGP
Verified Verified
4 Endorsed
Serves Area
When life gets messy, we can feel lost and disconnected not only from others but from ourselves. Are you struggling with a loss in your life? A family member or friend? A divorce? A relationship? Or yourself? As a certified grief professional, mental health counselor associate, marriage and family therapist associate, and first responder therapist, I have spent 5 years supporting military members, their families, and veterans who are working through one of life's most challenging journey's and the complex emotions that accompany them. My hope is to provide a safe, respectful, and nonjudgmental space to process these emotions.
When life gets messy, we can feel lost and disconnected not only from others but from ourselves. Are you struggling with a loss in your life? A family member or friend? A divorce? A relationship? Or yourself? As a certified grief professional, mental health counselor associate, marriage and family therapist associate, and first responder therapist, I have spent 5 years supporting military members, their families, and veterans who are working through one of life's most challenging journey's and the complex emotions that accompany them. My hope is to provide a safe, respectful, and nonjudgmental space to process these emotions.
(253) 733-1216 View (253) 733-1216
Photo of Nicole Grace DiBacco, Counselor, MA, LMHC, R-DMT
Nicole Grace DiBacco
Counselor, MA, LMHC, R-DMT
Verified Verified
2 Endorsed
Serves Area
We all struggle in life at one point or another. However, reaching out for support can take a lot of strength and courage. For this reason, I strive to provide a safe, accepting, non-judgmental environment where you can openly explore your struggles and receive the support and guidance you need. Many times our past experiences have left us with wounds that become aggravated, causing difficulites in our relationships and daily lives. Together, we will reflect upon your emotional states, core beliefs and sources of distress to gain deeper awareness and skills for positive change and healing in these areas.
We all struggle in life at one point or another. However, reaching out for support can take a lot of strength and courage. For this reason, I strive to provide a safe, accepting, non-judgmental environment where you can openly explore your struggles and receive the support and guidance you need. Many times our past experiences have left us with wounds that become aggravated, causing difficulites in our relationships and daily lives. Together, we will reflect upon your emotional states, core beliefs and sources of distress to gain deeper awareness and skills for positive change and healing in these areas.
(206) 965-9121 View (206) 965-9121
Photo of Rachel Como, Counselor, MA, LMHC
Rachel Como
Counselor, MA, LMHC
Verified Verified
Serves Area
The clients I feel most successful with are those who have damage to self perception whether it is within depression, anxiety, or trauma. I am honest while kind and am open to however people want to communicate (if you like to cuss or have dark humor, I won’t be offended). I work well with clients that are willing to try different things, but will be honest about how useful the tools are.
The clients I feel most successful with are those who have damage to self perception whether it is within depression, anxiety, or trauma. I am honest while kind and am open to however people want to communicate (if you like to cuss or have dark humor, I won’t be offended). I work well with clients that are willing to try different things, but will be honest about how useful the tools are.
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Photo of Geri Magee - Geri Magee,, Counselor, PhD, MA, MFT, MHC
Geri Magee,
Counselor, PhD, MA, MFT, MHC
Verified Verified
Serves Area
Not accepting new clients
Accepting Coaching Client Top Executive Performance Coach and Team Building, EAP, HR Corporations (Individuals/Couples) F2F or Zoom. Please allow 24-48 to return your call. I am the Theorist of “The Universal Relationship Pyramid” author of "Sucess Breakthroughs" Coauthor Jack Canfield 2018 "Quilly Award" for Best Selling Author plus seven books authored. 5000 followers on FB Instagram and Twitter Team Building Skills from Multiple Top 500 Companies: AVP Wells Fargo Top Sales- AAA Allstate F&G...
Accepting Coaching Client Top Executive Performance Coach and Team Building, EAP, HR Corporations (Individuals/Couples) F2F or Zoom. Please allow 24-48 to return your call. I am the Theorist of “The Universal Relationship Pyramid” author of "Sucess Breakthroughs" Coauthor Jack Canfield 2018 "Quilly Award" for Best Selling Author plus seven books authored. 5000 followers on FB Instagram and Twitter Team Building Skills from Multiple Top 500 Companies: AVP Wells Fargo Top Sales- AAA Allstate F&G...
(360) 215-5992 View (360) 215-5992
Photo of Samantha Solis, Counselor, LMHC, CMPC
Samantha Solis
Counselor, LMHC, CMPC
Verified Verified
3 Endorsed
Online Only
I have experience working with children, adolescents, and adults. I am passionate about providing mental health services to those in need by coming alongside clients and providing treatment that aligns with their values and interests. My goal is to provide an environment where clients feel safe to express their thoughts and feelings, and where clients feel heard, accepted, and respected.
I have experience working with children, adolescents, and adults. I am passionate about providing mental health services to those in need by coming alongside clients and providing treatment that aligns with their values and interests. My goal is to provide an environment where clients feel safe to express their thoughts and feelings, and where clients feel heard, accepted, and respected.
(253) 465-4893 View (253) 465-4893
Photo of Rebecca Isom Panzer - Stone's Throw Counseling, Counselor, MA, LMHC
Stone's Throw Counseling
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Online Only
Waitlist for new clients
If you are experiencing worry, sadness, anxiety, depression, mood swings, or anger that is too big or too constant, you may need a quiet, compassionate person who can help you reduce your discomfort. I work from a place of wellness and growth, not illness. I will help you understand your challenges in ways that give you the ability to work with your (or your family's) concerns. You can change what needs changing, and keep what works well in your life.
If you are experiencing worry, sadness, anxiety, depression, mood swings, or anger that is too big or too constant, you may need a quiet, compassionate person who can help you reduce your discomfort. I work from a place of wellness and growth, not illness. I will help you understand your challenges in ways that give you the ability to work with your (or your family's) concerns. You can change what needs changing, and keep what works well in your life.
(253) 201-8093 View (253) 201-8093
Photo of Emily Vannoy, Marriage & Family Therapist, LMFT
Emily Vannoy
Marriage & Family Therapist, LMFT
Verified Verified
Serves Area
Dealing with issues on your own can be difficult. Coming to therapy, creating goals, and making a plan to help achieve them is a rewarding experience that someone doesn't have to do alone. Whether the issue is trauma based or just dealing with everyday life, no goal is too big to achieve.
Dealing with issues on your own can be difficult. Coming to therapy, creating goals, and making a plan to help achieve them is a rewarding experience that someone doesn't have to do alone. Whether the issue is trauma based or just dealing with everyday life, no goal is too big to achieve.
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Photo of Kathryn Zawislak - Kathryn Zawislak Therapy & Associates, Counselor, LMHC, MEd
Kathryn Zawislak Therapy & Associates
Counselor, LMHC, MEd
Verified Verified
3 Endorsed
Serves Area
We currently have openings for 12 year old's and above both in person and virtual.
We currently have openings for 12 year old's and above both in person and virtual.
(360) 375-7178 View (360) 375-7178
Photo of Jessica L Flores, Marriage & Family Therapist Associate, LMFTA
Jessica L Flores
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Serves Area
I'm a licensed marriage and family therapy associate specializing in providing mental health support to individuals and families. I cater my approach with each client I encounter to create an empathetic, non-judgmental, and collaborative therapeutic relationship. I take a holistic approach to therapy with the understanding that therapy is not one-size-fits all; utilizing an array of therapeutic approaches and models, I work with my clients to find the personal growth and healing they are looking for with the belief that those who seek change, will find it.
I'm a licensed marriage and family therapy associate specializing in providing mental health support to individuals and families. I cater my approach with each client I encounter to create an empathetic, non-judgmental, and collaborative therapeutic relationship. I take a holistic approach to therapy with the understanding that therapy is not one-size-fits all; utilizing an array of therapeutic approaches and models, I work with my clients to find the personal growth and healing they are looking for with the belief that those who seek change, will find it.
(253) 649-6029 View (253) 649-6029
Photo of Johanna Wender, Counselor, MA, LMHC, CMHS
Johanna Wender
Counselor, MA, LMHC, CMHS
Verified Verified
Serves Area
Welcome to Bravura Counseling. I proudly specialize in mental health wellness for active duty and retired first responders, as well as military members and veterans, and their family members, throughout Washington State. I focus on providing counseling that addresses some of the most urgent mental health conditions affecting our first responder and military communities, including: PTSD, critical incident trauma, anxiety, depression, suicide prevention, burnout/workplace stress, substance abuse, and work/life balance.
Welcome to Bravura Counseling. I proudly specialize in mental health wellness for active duty and retired first responders, as well as military members and veterans, and their family members, throughout Washington State. I focus on providing counseling that addresses some of the most urgent mental health conditions affecting our first responder and military communities, including: PTSD, critical incident trauma, anxiety, depression, suicide prevention, burnout/workplace stress, substance abuse, and work/life balance.
(206) 594-5736 View (206) 594-5736
1

See more therapy options for 98338

How does your Therapist compare?

Number of Therapists in 98338

20+

Average cost per session

$150

Therapists in 98338 who prioritize treating:

92% Anxiety
85% Depression
85% Trauma and PTSD
77% Stress
69% Grief
62% Coping Skills
62% Self Esteem

Average years in practice

12 Years

Top 3 insurances accepted

89% Premera Blue Cross
78% Regence
72% Cigna and Evernorth

How Therapists in 98338 see their clients

58% In Person and Online
42% Online Only

Gender breakdown

76% Female
24% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 98338?

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.