Therapists in 99164

Photo of Isabel Gaila Barbuto, PsyD, MBA, CHT
Isabel Gaila Barbuto
Verified Verified
Serves Area
Go beyond "insecure" thinking and create an enjoyable life! Offering "psychological coaching" that guides you through an understanding of how THE THREE PRINCIPLES of Mind, Consciousness and Thought are the keys to mental health by pointing you back to your INNATE WELL-BEING, INNER PEACE, and WISDOM. Experience CLARITY in LIFE PURPOSE, LOVE over fear, and FORGIVENESS in healthy relationships with self and others. Exclusive THREE PRINCIPLES-based coaching that "goes beyond" traditional psychology approaches such as CBT,DBT,EFT,EMDR, Gottman, MBSR, Nonviolent Communication (NVC), iRest® Yoga/Meditation, Hypnotherapy, Nutrition, etc...
Go beyond "insecure" thinking and create an enjoyable life! Offering "psychological coaching" that guides you through an understanding of how THE THREE PRINCIPLES of Mind, Consciousness and Thought are the keys to mental health by pointing you back to your INNATE WELL-BEING, INNER PEACE, and WISDOM. Experience CLARITY in LIFE PURPOSE, LOVE over fear, and FORGIVENESS in healthy relationships with self and others. Exclusive THREE PRINCIPLES-based coaching that "goes beyond" traditional psychology approaches such as CBT,DBT,EFT,EMDR, Gottman, MBSR, Nonviolent Communication (NVC), iRest® Yoga/Meditation, Hypnotherapy, Nutrition, etc...
(208) 301-9534 View (208) 301-9534
Photo of Whitnee Chavez, Licensed Mental Health Counselor , MA, LMHC, C-DBT, ASDCS
Whitnee Chavez
Licensed Mental Health Counselor , MA, LMHC, C-DBT, ASDCS
Serves Area
You want to work on hurt and personal growth. I am here to work with you. Together, we can work on your individual wants and needs, life transitions, and social dynamics. I work with adults, teens 15+, and diverse and fluid families. My focus is mainly anxiety, depression, bipolar 1 & 2, neurodiversity, grief, and PTSD/ trauma.
You want to work on hurt and personal growth. I am here to work with you. Together, we can work on your individual wants and needs, life transitions, and social dynamics. I work with adults, teens 15+, and diverse and fluid families. My focus is mainly anxiety, depression, bipolar 1 & 2, neurodiversity, grief, and PTSD/ trauma.
(425) 777-7952 View (425) 777-7952
Photo of Sarah M. Parks, Counselor, MA, LMHC, SUDP, ADHD-CC
Sarah M. Parks
Counselor, MA, LMHC, SUDP, ADHD-CC
3 Endorsed
Online Only
We are not individuals who are broken that need to be fixed, we are humans having a human experience and we are constantly in a state of change that have sometimes served us & sometimes not. People who seem to work well with me are ones that are motivated to make changes and comfortable with awareness of self. I work from a developmental trauma, attachment theory and shame basis of therapy including meeting and nurturing your inner child. I have experience with couples, narcissism abuse recovery, neurodivergence and family dynamics. If I cannot meet your needs I contract with different providers to get you to where need to be.
We are not individuals who are broken that need to be fixed, we are humans having a human experience and we are constantly in a state of change that have sometimes served us & sometimes not. People who seem to work well with me are ones that are motivated to make changes and comfortable with awareness of self. I work from a developmental trauma, attachment theory and shame basis of therapy including meeting and nurturing your inner child. I have experience with couples, narcissism abuse recovery, neurodivergence and family dynamics. If I cannot meet your needs I contract with different providers to get you to where need to be.
(509) 381-3870 View (509) 381-3870
Photo of Alyssa Koelemay, Licensed Social Worker, LSWAIC
Alyssa Koelemay
Licensed Social Worker, LSWAIC
Online Only
Do you feel like anxiety, self-doubt, or old wounds keep you from living your fullest life? Maybe you’re tired of overthinking and want to feel more confident and calm. I help young adult women and college students who are motivated to grow but are struggling with anxiety, trauma, or low self-esteem. The tips and tricks aren't working for them, and they crave real transformation from the inside out. They are ready to talk, even if it feels scary, and want to break free from the spiral. I understand these challenges because I've been there too and found a way forward through support and self-compassion.
Do you feel like anxiety, self-doubt, or old wounds keep you from living your fullest life? Maybe you’re tired of overthinking and want to feel more confident and calm. I help young adult women and college students who are motivated to grow but are struggling with anxiety, trauma, or low self-esteem. The tips and tricks aren't working for them, and they crave real transformation from the inside out. They are ready to talk, even if it feels scary, and want to break free from the spiral. I understand these challenges because I've been there too and found a way forward through support and self-compassion.
(509) 661-3477 View (509) 661-3477
Photo of Amber Pitre, Pre-Licensed Professional, LMHCA
Amber Pitre
Pre-Licensed Professional, LMHCA
Online Only
I am deeply passionate about assisting individuals in understanding and overcoming their unique challenges. Each of us has encountered experiences that have shaped our identities and perspectives. My objective is to establish a secure environment for clients to delve into their emotions, recognize the correlation between their experiences and behaviors, and cultivate effective coping mechanisms. I specialize in working with individuals who have faced trauma, depression, anxiety, grief, and relationship difficulties.
I am deeply passionate about assisting individuals in understanding and overcoming their unique challenges. Each of us has encountered experiences that have shaped our identities and perspectives. My objective is to establish a secure environment for clients to delve into their emotions, recognize the correlation between their experiences and behaviors, and cultivate effective coping mechanisms. I specialize in working with individuals who have faced trauma, depression, anxiety, grief, and relationship difficulties.
(509) 512-1869 View (509) 512-1869
Photo of Tayler McCrorie, Counselor, MA, LMHC, CMHS
Tayler McCrorie
Counselor, MA, LMHC, CMHS
Online Only
I work with a lot of people at life's crossroads. I've been at many myself. Amid all the messages you receive about what to do, maybe you've got questions about what You really think or what You really want. It can feel scary to not know, to feel out of control. I am empathetic to this and want to work with you to find increased safety and support. My favorite clients are those who are seeking greater self-understanding and acceptance, are wanting closer relationships, and who want to explore new ways of approaching life. I like helping clients work outside of the boxes they arrive in and believe in themselves, one step at a time.
I work with a lot of people at life's crossroads. I've been at many myself. Amid all the messages you receive about what to do, maybe you've got questions about what You really think or what You really want. It can feel scary to not know, to feel out of control. I am empathetic to this and want to work with you to find increased safety and support. My favorite clients are those who are seeking greater self-understanding and acceptance, are wanting closer relationships, and who want to explore new ways of approaching life. I like helping clients work outside of the boxes they arrive in and believe in themselves, one step at a time.
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More Therapists Nearby

Photo of Stephen Alexander Bergdahl, Psychologist, PhD
Stephen Alexander Bergdahl
Psychologist, PhD
Serves Area
No matter the conditions, clients who experience the greatest benefit from counseling are the ones who come prepared to learn and grow. Anyone who steps into my office with such an eagerness will also leave having gained something. I am not fixed on any one specific method and adapt my approach based on client need and personality. In addition to counseling, I also offer psychological and educational evaluations. Testing covers a range of ADHD, learning disability, psychological, educational, neurocognitive, and functional capacity evaluations.
No matter the conditions, clients who experience the greatest benefit from counseling are the ones who come prepared to learn and grow. Anyone who steps into my office with such an eagerness will also leave having gained something. I am not fixed on any one specific method and adapt my approach based on client need and personality. In addition to counseling, I also offer psychological and educational evaluations. Testing covers a range of ADHD, learning disability, psychological, educational, neurocognitive, and functional capacity evaluations.
(208) 537-2828 View (208) 537-2828
Photo of Liz Miller, Licensed Professional Counselor, LPC, LMHC, NCC
Liz Miller
Licensed Professional Counselor, LPC, LMHC, NCC
1 Endorsed
Serves Area
Are you a committed couple who want to make it great (maybe with a 2-day weekend Couples Intensive!)? I love seeing couples begin to realize that they are capable of reconnecting, talking, laughing, and rediscovering why they want to be together. When it's time for counseling, whether it's to understand why the changes you want to make seem so hard, understand how an old trauma affected you, or to go after the life you want, I can help you work through it. Please visit my website for lots of info. It's also the best way to contact me.
Are you a committed couple who want to make it great (maybe with a 2-day weekend Couples Intensive!)? I love seeing couples begin to realize that they are capable of reconnecting, talking, laughing, and rediscovering why they want to be together. When it's time for counseling, whether it's to understand why the changes you want to make seem so hard, understand how an old trauma affected you, or to go after the life you want, I can help you work through it. Please visit my website for lots of info. It's also the best way to contact me.
Photo of Elizabeth Baker, Licensed Professional Counselor, LMHCA, LPC
Elizabeth Baker
Licensed Professional Counselor, LMHCA, LPC
1 Endorsed
Clarkston, WA 99403
I believe in the power of compassion and understanding to help people move from distress to a place of empowerment. No one's journey is the same, and honoring your story is important. Whether it's sharing resources, teaching relevant life skills, providing an outlet for emotions, expressing your pain creatively, or being in a safe space. It is your time to control the direction of your life and determine what is important to you.
I believe in the power of compassion and understanding to help people move from distress to a place of empowerment. No one's journey is the same, and honoring your story is important. Whether it's sharing resources, teaching relevant life skills, providing an outlet for emotions, expressing your pain creatively, or being in a safe space. It is your time to control the direction of your life and determine what is important to you.
(509) 739-3626 View (509) 739-3626
Photo of Maggie Bolon, Counselor, LCSW, LMHC, CCS
Maggie Bolon
Counselor, LCSW, LMHC, CCS
1 Endorsed
Clarkston, WA 99403
You're probably trying really hard to keep it together—on the outside, you're functioning, but inside, you feel disconnected, anxious, or stuck in patterns that don’t serve you. You might feel shame about how heavy it all feels, or like your emotions are “too much.” You’re craving the space to be fully seen—without having to mask or explain yourself.
You're probably trying really hard to keep it together—on the outside, you're functioning, but inside, you feel disconnected, anxious, or stuck in patterns that don’t serve you. You might feel shame about how heavy it all feels, or like your emotions are “too much.” You’re craving the space to be fully seen—without having to mask or explain yourself.
(509) 683-7643 View (509) 683-7643
Photo of Allison Cole, Clinical Social Work/Therapist, MSW, LMSW, LICSWA
Allison Cole
Clinical Social Work/Therapist, MSW, LMSW, LICSWA
1 Endorsed
Pullman, WA 99163
Hi! I'm Allison, but you can call me Clair, and I am thrilled to embark on this journey of growth and transformation with you. As a therapist, I bring a unique blend of confidence, support, empathy, and accountability to the therapeutic relationship. My goal is to create a safe and nurturing space where you feel empowered to explore your thoughts, feelings, and experiences while also taking meaningful steps toward positive change.
Hi! I'm Allison, but you can call me Clair, and I am thrilled to embark on this journey of growth and transformation with you. As a therapist, I bring a unique blend of confidence, support, empathy, and accountability to the therapeutic relationship. My goal is to create a safe and nurturing space where you feel empowered to explore your thoughts, feelings, and experiences while also taking meaningful steps toward positive change.
(509) 295-9157 View (509) 295-9157
Photo of Dr. Walt D Scott, Psychologist, PhD
Dr. Walt D Scott
Psychologist, PhD
Pullman, WA 99163
Although I primarily draw upon evidence-based cognitive behavioral therapy tools, my priority is to empathetically understand your life experiences and work with you to develop a personalized treatment approach that best suits your needs. In so doing, I will often draw on a variety of other evidence-based therapeutic techniques. I provide individual psychotherapy with adults (18 and above) dealing with emotional and mood difficulties, relational difficulties, challenges with life-stage transitions, and those just wanting to live more optimally.
Although I primarily draw upon evidence-based cognitive behavioral therapy tools, my priority is to empathetically understand your life experiences and work with you to develop a personalized treatment approach that best suits your needs. In so doing, I will often draw on a variety of other evidence-based therapeutic techniques. I provide individual psychotherapy with adults (18 and above) dealing with emotional and mood difficulties, relational difficulties, challenges with life-stage transitions, and those just wanting to live more optimally.
(509) 348-4147 View (509) 348-4147
Photo of Maria Guadalupe Bazzell, Counselor, MA, LMHC, CMHS, NCC
Maria Guadalupe Bazzell
Counselor, MA, LMHC, CMHS, NCC
Clarkston, WA 99403
Currently enrolling new clients. If you've been thinking about starting counseling but you're not sure, start today anyway. I am a licensed mental health therapist in Washington State and identify as a cisgender Latinx woman who also speaks Spanish. I have been working in the counseling field for over 10 years and have really enjoyed working with young children, families and adults. I have specialized training and techniques that can support you and your family, strengthen your family unit, and build up your supports and tools to increase positive communication and healthy relationships.
Currently enrolling new clients. If you've been thinking about starting counseling but you're not sure, start today anyway. I am a licensed mental health therapist in Washington State and identify as a cisgender Latinx woman who also speaks Spanish. I have been working in the counseling field for over 10 years and have really enjoyed working with young children, families and adults. I have specialized training and techniques that can support you and your family, strengthen your family unit, and build up your supports and tools to increase positive communication and healthy relationships.
(509) 316-2970 View (509) 316-2970
Photo of Victoria M Lente, Clinical Social Work/Therapist, MSW, LSWAIC, MHP
Victoria M Lente
Clinical Social Work/Therapist, MSW, LSWAIC, MHP
Serves Area
I am a compassionate and mindful Clinical Social Worker and Therapist with a passion for working with diverse ages, racial, ethnic, and cultural, groups. Champion for mental health matters and a community advocate. My therapy concept is based on holistic well-being and addresses all aspects of an individual’s life.
I am a compassionate and mindful Clinical Social Worker and Therapist with a passion for working with diverse ages, racial, ethnic, and cultural, groups. Champion for mental health matters and a community advocate. My therapy concept is based on holistic well-being and addresses all aspects of an individual’s life.
(509) 284-8195 View (509) 284-8195
Photo of Olesya Mussman - Mussman Psychological Services, Psychologist, PhD
Mussman Psychological Services
Psychologist, PhD
2 Endorsed
Pullman, WA 99163
Currently Accepting New Clients (updated Oct 2025). I am a Licensed Clinical Psychologist in both WA and ID offering therapy in person and online to clients ages 18+. I utilize a variety of modalities to best meet clients' individual needs and work with many different presenting concerns, including mood and anxiety issues, eating disorders/body image concerns, PTSD and trauma work, interpersonal relationships, college and career counseling, parenting and postpartum issues, and stress management. ​Please e-mail or call to set up an initial appointment and I look forward to working together.
Currently Accepting New Clients (updated Oct 2025). I am a Licensed Clinical Psychologist in both WA and ID offering therapy in person and online to clients ages 18+. I utilize a variety of modalities to best meet clients' individual needs and work with many different presenting concerns, including mood and anxiety issues, eating disorders/body image concerns, PTSD and trauma work, interpersonal relationships, college and career counseling, parenting and postpartum issues, and stress management. ​Please e-mail or call to set up an initial appointment and I look forward to working together.
(208) 269-9415 View (208) 269-9415
Photo of Julie Reynolds, Counselor, MA, LCPC, LMHC
Julie Reynolds
Counselor, MA, LCPC, LMHC
Serves Area
I am only taking VA referrals at this time. Please read on. M'ilee (Emily) Druffel, an Licensed Professional Counselor, joins me in the practice of counseling in our office in the old Moscow Hotel, 112 W 4th Street, Moscow. She is available for Medicaid and private pay clients on Fridays for the summer. Please contact her directly at growwithemilyrose at gmaildotcom.
I am only taking VA referrals at this time. Please read on. M'ilee (Emily) Druffel, an Licensed Professional Counselor, joins me in the practice of counseling in our office in the old Moscow Hotel, 112 W 4th Street, Moscow. She is available for Medicaid and private pay clients on Fridays for the summer. Please contact her directly at growwithemilyrose at gmaildotcom.
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Photo of Emily J Hoyt, Professional Counselor Associate, MA, LMHCA, PCA, BCBA
Emily J Hoyt
Professional Counselor Associate, MA, LMHCA, PCA, BCBA
3 Endorsed
Serves Area
If you are struggling with the stressors in life: work, school, family, or friendships, you are not alone. I can help if you are looking for telehealth therapy in Washington state and have Premera or Lifewise insruance, or if you need in-person in Vancouver, WA, or Portland, OR. Is the current state of the world feeling overwhelming? Do you live with anxiety, depression, ADHD, or ASD? If you are looking for a compassionate therapist to walk along side you as you heal, I'm here. As a trauma-informed, strengths-based, and neurodiversity-affirming therapist, I believe that healing begins with feeling seen, safe, and understood.
If you are struggling with the stressors in life: work, school, family, or friendships, you are not alone. I can help if you are looking for telehealth therapy in Washington state and have Premera or Lifewise insruance, or if you need in-person in Vancouver, WA, or Portland, OR. Is the current state of the world feeling overwhelming? Do you live with anxiety, depression, ADHD, or ASD? If you are looking for a compassionate therapist to walk along side you as you heal, I'm here. As a trauma-informed, strengths-based, and neurodiversity-affirming therapist, I believe that healing begins with feeling seen, safe, and understood.
(971) 318-1693 View (971) 318-1693
Photo of Emily King, Counselor, MA, LMHCA
Emily King
Counselor, MA, LMHCA
3 Endorsed
Serves Area
I offer therapy for individuals who desire more ease in their life, are healing from past experiences, seek deeper connection with themself and others, and want to shift current patterns that may no longer be helpful. My approach is holistic, body-based, and nervous system-informed. I am available to anyone who feels talk therapy hasn't fully addressed their needs. Somatic therapy addresses the root cause, rather than symptoms, allowing you to feel more grounded, resilient, fulfilled, and at home within yourself.
I offer therapy for individuals who desire more ease in their life, are healing from past experiences, seek deeper connection with themself and others, and want to shift current patterns that may no longer be helpful. My approach is holistic, body-based, and nervous system-informed. I am available to anyone who feels talk therapy hasn't fully addressed their needs. Somatic therapy addresses the root cause, rather than symptoms, allowing you to feel more grounded, resilient, fulfilled, and at home within yourself.
(206) 207-7882 View (206) 207-7882
Photo of Sarrah Steele, Clinical Social Work/Therapist, LICSW
Sarrah Steele
Clinical Social Work/Therapist, LICSW
3 Endorsed
Pomeroy, WA 99347
After a hot summer and long hours, you are starting to feel the cooler weather approaching. Summer lends work, so you bury yourself in it for a season. Keeping busy allows you to ignore all the b.s. from your past and anxieties towards the future. That’s why summers are awesome, you get to chase overtime and there is plenty of sunlight to do it. Folks begin getting laid off, and you might be next. With the cooler weather comes shorter days and way too much time to think. You get bombarded with thoughts you didn’t really even have time to think all summer. They start creeping in.
After a hot summer and long hours, you are starting to feel the cooler weather approaching. Summer lends work, so you bury yourself in it for a season. Keeping busy allows you to ignore all the b.s. from your past and anxieties towards the future. That’s why summers are awesome, you get to chase overtime and there is plenty of sunlight to do it. Folks begin getting laid off, and you might be next. With the cooler weather comes shorter days and way too much time to think. You get bombarded with thoughts you didn’t really even have time to think all summer. They start creeping in.
(509) 300-4754 View (509) 300-4754
Photo of Frank E Shull, Counselor, MEd, LCPC, LMHC, NCC
Frank E Shull
Counselor, MEd, LCPC, LMHC, NCC
Serves Area
I specialize in Trauma Recovery. I can help w/ Generational Trauma, PTSD & Complex PTSD. I often use 'Parts' therapy, Cognitive Behavioral & EMDR for rapid relief. Symptoms of trauma can include arguing in your head or having more than one thought at the same time. This can affect focusing, cause distraction, confusion or problems remembering things. These arguments or thoughts are clues to help us sort out your difficulties and that will lead to reduced symptoms. I believe my experience, unique perspective, and specialized model of treatment will benefit you. Call or email me soon.
I specialize in Trauma Recovery. I can help w/ Generational Trauma, PTSD & Complex PTSD. I often use 'Parts' therapy, Cognitive Behavioral & EMDR for rapid relief. Symptoms of trauma can include arguing in your head or having more than one thought at the same time. This can affect focusing, cause distraction, confusion or problems remembering things. These arguments or thoughts are clues to help us sort out your difficulties and that will lead to reduced symptoms. I believe my experience, unique perspective, and specialized model of treatment will benefit you. Call or email me soon.
(208) 746-6776 View (208) 746-6776

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How does your Therapist compare?

Number of Therapists in 99164

< 10

Therapists in 99164 who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Grief
100% Trauma and PTSD
100% Family Conflict
83% Self Esteem

Average years in practice

7 Years

Top 3 insurances accepted

80% Premera Blue Cross
60% Aetna
60% Kaiser (Out-of-Network)

How Therapists in 99164 see their clients

67% Online Only
33% In Person and Online

Gender breakdown

80% Female
20% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 99164?

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.