Photo of Kendra Corey, LMHC, Counselor
Kendra Corey
Counselor, LMHC
Verified Verified
5 Endorsed
Spokane, WA 99205
Counseling is a sacred experience in which a client and therapist venture into hidden pains, untold stories, and the dark parts of life's journey together. As a Christian, I believe that the healing process cannot happen apart from the Holy Spirit, the Great Counselor. But as a trained, Clinical Mental Health Counselor, I know that faith communities, Christian family members, and other close Christian relationships often fail to authentically meet us in the depths of our despair and sorrow. With me as your counselor, I hope you will find a spaciousness to be your full imperfect self without fear of judgement or shame.
Counseling is a sacred experience in which a client and therapist venture into hidden pains, untold stories, and the dark parts of life's journey together. As a Christian, I believe that the healing process cannot happen apart from the Holy Spirit, the Great Counselor. But as a trained, Clinical Mental Health Counselor, I know that faith communities, Christian family members, and other close Christian relationships often fail to authentically meet us in the depths of our despair and sorrow. With me as your counselor, I hope you will find a spaciousness to be your full imperfect self without fear of judgement or shame.
(509) 236-8382 View (509) 236-8382
Photo of Garret McQuesten, LICSW, Clinical Social Work/Therapist
Garret McQuesten
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Spokane, WA 99205
Not accepting new clients
Hi, I’m Garret! If you are considering therapy then odds are it is the right time to dive in. Whether you are looking for an experienced provider who operates within specific therapeutic approaches or you are looking for someone who can provide a calm and empathic therapeutic environment to explore your needs in your own way, I am able to provide the supportive therapeutic relationship that will help you work towards the life you're wanting.
Hi, I’m Garret! If you are considering therapy then odds are it is the right time to dive in. Whether you are looking for an experienced provider who operates within specific therapeutic approaches or you are looking for someone who can provide a calm and empathic therapeutic environment to explore your needs in your own way, I am able to provide the supportive therapeutic relationship that will help you work towards the life you're wanting.
(509) 204-8623 View (509) 204-8623
Photo of S. William Walters, MA , LMHC, Counselor
S. William Walters
Counselor, MA , LMHC
Verified Verified
Spokane, WA 99205
In my office, the priority is helping you find your inspiration, your answers and your next steps. The greatest satisfaction I find in counseling is seeing you shine. I’m confident that with loyal support, you'll find your way, and in time you’ll come to think of yourself as the wisest person you know.
In my office, the priority is helping you find your inspiration, your answers and your next steps. The greatest satisfaction I find in counseling is seeing you shine. I’m confident that with loyal support, you'll find your way, and in time you’ll come to think of yourself as the wisest person you know.
(425) 490-4388 View (425) 490-4388
Photo of Amanda Nelson-Geruntho, MA, LMHC, NCC, Counselor
Amanda Nelson-Geruntho
Counselor, MA, LMHC, NCC
Verified Verified
1 Endorsed
Spokane, WA 99205  (Online Only)
I believe there is no distinction between the body and the mind. I advocate for overall health, which means during therapy we may address not only your symptoms, but also areas like sleep, nutrition, medical issues, interpersonal relationships, career/education, movement/exercise, and issues from childhood. I provide evidence-based strategies such as relaxation skills training, psychoeducation, cognitive restructuring, and gentle exposure techniques to help you face your fears so your life can be a little easier. Most of my clients are women seeking help with parenting, stress, anxiety, and/or depression.
I believe there is no distinction between the body and the mind. I advocate for overall health, which means during therapy we may address not only your symptoms, but also areas like sleep, nutrition, medical issues, interpersonal relationships, career/education, movement/exercise, and issues from childhood. I provide evidence-based strategies such as relaxation skills training, psychoeducation, cognitive restructuring, and gentle exposure techniques to help you face your fears so your life can be a little easier. Most of my clients are women seeking help with parenting, stress, anxiety, and/or depression.
(509) 642-6679 View (509) 642-6679
Photo of Jessica Kaluza, MA, LMHC, Counselor
Jessica Kaluza
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Spokane, WA 99205
I work with couples and individuals who are struggling to connect or to repair from difficult situations. If you find yourself feeling disconnected and struggling with communication or trust, therapy may help. Whether you are looking for an individual therapist, couples therapist, or family therapist there is hope. I would like to provide a space for you to both process and gain tools that will be helpful in your everyday life.
I work with couples and individuals who are struggling to connect or to repair from difficult situations. If you find yourself feeling disconnected and struggling with communication or trust, therapy may help. Whether you are looking for an individual therapist, couples therapist, or family therapist there is hope. I would like to provide a space for you to both process and gain tools that will be helpful in your everyday life.
(509) 557-3584 View (509) 557-3584
Photo of Jacqui Nelson, MA, LMHC, Counselor
Jacqui Nelson
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Spokane, WA 99205
I believe that we are harmed in relationships and we heal in relationships. I approach therapy from a deeply relational space where everything that's occurring therapeutically is happening between us. Despite what problems or challenges you're facing, I invite you to show up authentically. I believe that as we enter into your story we together will attend to the various themes and patterns of your life, to listen to what's sitting below the surface of your unconscious, and to be present to the here and now of your emotional experiences. I believe in deep emotional work rather than just behavioral interventions.
I believe that we are harmed in relationships and we heal in relationships. I approach therapy from a deeply relational space where everything that's occurring therapeutically is happening between us. Despite what problems or challenges you're facing, I invite you to show up authentically. I believe that as we enter into your story we together will attend to the various themes and patterns of your life, to listen to what's sitting below the surface of your unconscious, and to be present to the here and now of your emotional experiences. I believe in deep emotional work rather than just behavioral interventions.
(509) 517-7320 View (509) 517-7320
Photo of Cami Huysman, MA, LMHC, NCC, CMHS, Counselor
Cami Huysman
Counselor, MA, LMHC, NCC, CMHS
Verified Verified
2 Endorsed
Spokane, WA 99205  (Online Only)
You are ready for more-fulfilling relationships and a rewarding life; you're ready for change. If you are looking for a caring, private and confidential environment where you can identify and explore the topics that may be getting in the way of what you want, we might be a great match for one another to complete your therapeutic services. Together, we can begin developing insight and the tools you need to implement life changes and achieve your goals using methods proven to work, called evidence-based practices. While I am not accepting new clients, the clinicians in my practice have openings!
You are ready for more-fulfilling relationships and a rewarding life; you're ready for change. If you are looking for a caring, private and confidential environment where you can identify and explore the topics that may be getting in the way of what you want, we might be a great match for one another to complete your therapeutic services. Together, we can begin developing insight and the tools you need to implement life changes and achieve your goals using methods proven to work, called evidence-based practices. While I am not accepting new clients, the clinicians in my practice have openings!
(509) 778-4066 View (509) 778-4066
Photo of Dr. Bornell Nicholson, PhD, LMFT, Marriage & Family Therapist
Dr. Bornell Nicholson
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Spokane, WA 99205
Not accepting new clients
Dr. Bornell Nicholson is a Licensed Marriage and Family Therapist in WA and IL. He earned his PhD in Couple & Family Therapy and is an AAMFT Approved Supervisor. He is a certified Prepare/Enrich facilitator and completed two levels of training in Narrative Focused Trauma Care from The Allender Center. Dr. Nicholson believes that it is through togetherness that we can work to spark real healing, move towards experiencing more freedom, connectedness, playfulness, and curiosity in relationships.
Dr. Bornell Nicholson is a Licensed Marriage and Family Therapist in WA and IL. He earned his PhD in Couple & Family Therapy and is an AAMFT Approved Supervisor. He is a certified Prepare/Enrich facilitator and completed two levels of training in Narrative Focused Trauma Care from The Allender Center. Dr. Nicholson believes that it is through togetherness that we can work to spark real healing, move towards experiencing more freedom, connectedness, playfulness, and curiosity in relationships.
(509) 412-3541 View (509) 412-3541
Photo of Lorraine Williams, LIACSW, Pre-Licensed Professional
Lorraine Williams
Pre-Licensed Professional, LIACSW
Verified Verified
Spokane, WA 99205
Hello, I'm Lori. Do you experience feelings of not knowing where to turn or what to do next? Have you been through something that you're not sure how to handle? I want you to know I see you and I appreciate your struggle. I am here to create a safe and trusting environment for you to explore your feelings, difficult experiences and traumas. My goal is to create a collaborative relationship with you to support you to heal, adjust and thrive. I am trained in Cognitive Behavioral Therapy, Applied Behavioral Analysis, and working on my certification in EMDR. I work with children, teens and adults and want to help you get unstuck.
Hello, I'm Lori. Do you experience feelings of not knowing where to turn or what to do next? Have you been through something that you're not sure how to handle? I want you to know I see you and I appreciate your struggle. I am here to create a safe and trusting environment for you to explore your feelings, difficult experiences and traumas. My goal is to create a collaborative relationship with you to support you to heal, adjust and thrive. I am trained in Cognitive Behavioral Therapy, Applied Behavioral Analysis, and working on my certification in EMDR. I work with children, teens and adults and want to help you get unstuck.
(855) 461-0974 View (855) 461-0974
Photo of Billy Crawford-Heim, LMHCA, JD, MS, LMP, Counselor
Billy Crawford-Heim
Counselor, LMHCA, JD, MS, LMP
Verified Verified
Spokane, WA 99205
In a perfect world, we are operating at 100% energy, vigor, and zest. Life's trials and tribulations can inhibit our ability to fully self express. I offer to you the opportunity to get past and triumph over factors in your life that are inhibiting your ability to achieve your goals and aspirations. Whether you struggle from a physical, emotional, mental, and/or spiritual impediment, our time together will focus on your wants and needs so that you can overcome any such challenges and move forward in the present in an empowered manner. If you are ready, I am ready to support you.
In a perfect world, we are operating at 100% energy, vigor, and zest. Life's trials and tribulations can inhibit our ability to fully self express. I offer to you the opportunity to get past and triumph over factors in your life that are inhibiting your ability to achieve your goals and aspirations. Whether you struggle from a physical, emotional, mental, and/or spiritual impediment, our time together will focus on your wants and needs so that you can overcome any such challenges and move forward in the present in an empowered manner. If you are ready, I am ready to support you.
(509) 785-6792 View (509) 785-6792
Photo of Rebecca McManus, MA, LMHC, Counselor
Rebecca McManus
Counselor, MA, LMHC
Verified Verified
Spokane, WA 99205
If you suffer from anxiety, depression, dissatisfying relationships, or a history of trauma, you are not alone. Whether you want to learn more about yourself, set goals, learn coping skills or just want someone to hold space for your emotions and thoughts, I'm here to help. I believe the therapeutic relationship is a major component to success. Our time together will be a safe place, grounded in empathy and non-judgment, where we can discuss your life's meaning, emotional well-being, relationships, and anything that's on your mind.
If you suffer from anxiety, depression, dissatisfying relationships, or a history of trauma, you are not alone. Whether you want to learn more about yourself, set goals, learn coping skills or just want someone to hold space for your emotions and thoughts, I'm here to help. I believe the therapeutic relationship is a major component to success. Our time together will be a safe place, grounded in empathy and non-judgment, where we can discuss your life's meaning, emotional well-being, relationships, and anything that's on your mind.
(509) 260-8608 View (509) 260-8608
Photo of Marina Connor, LMHC, NCC, Counselor
Marina Connor
Counselor, LMHC, NCC
Verified Verified
Spokane, WA 99205  (Online Only)
Hi, I'm Marina. With me, no topic, feeling, or situation is off-limits in the counseling space – I will treat you with respect to help you overcome what's hurting you. I work with individuals, couples/poly relationships, and families between the ages of preteen and elder. As a sex therapist, I have extensive experience working with kink and BDSM, polyamory, LGBTQ issues, gender therapy, sexual pleasure and dysfunction, pain with sex, negative body image, high or low libido, sex work, sex abuse, sexual trauma, and/or sexual shame, among other topics.
Hi, I'm Marina. With me, no topic, feeling, or situation is off-limits in the counseling space – I will treat you with respect to help you overcome what's hurting you. I work with individuals, couples/poly relationships, and families between the ages of preteen and elder. As a sex therapist, I have extensive experience working with kink and BDSM, polyamory, LGBTQ issues, gender therapy, sexual pleasure and dysfunction, pain with sex, negative body image, high or low libido, sex work, sex abuse, sexual trauma, and/or sexual shame, among other topics.
(509) 260-7465 View (509) 260-7465
Photo of Rachel Marrazzo, MA, CMHS, Counselor
Rachel Marrazzo
Counselor, MA, CMHS
Verified Verified
1 Endorsed
Spokane, WA 99205
Whether you are a parent dealing with child who is acting out or an individual suffering from depression or anxiety I believe I can partner with you to find answers. I work closely with with children, adolescents and families to help them figure out how to lead happy healthier lives. Life is hard and sometimes you just need someone there to come along side you and help you get back on your feet. I believe in a person centered approach to counseling that is focused and driven by the individual needs of each client.
Whether you are a parent dealing with child who is acting out or an individual suffering from depression or anxiety I believe I can partner with you to find answers. I work closely with with children, adolescents and families to help them figure out how to lead happy healthier lives. Life is hard and sometimes you just need someone there to come along side you and help you get back on your feet. I believe in a person centered approach to counseling that is focused and driven by the individual needs of each client.
(509) 774-5787 View (509) 774-5787
Photo of Andrea Bloom, LMHC, LMFT, Counselor
Andrea Bloom
Counselor, LMHC, LMFT
Verified Verified
2 Endorsed
Spokane, WA 99205  (Online Only)
Not accepting new clients
Whether you’ve been to counseling before or this is your first time reaching out, growth is about being curious. Here you are…being curious. You’re one step closer to being where you want to be.
Whether you’ve been to counseling before or this is your first time reaching out, growth is about being curious. Here you are…being curious. You’re one step closer to being where you want to be.
(509) 424-5495 View (509) 424-5495
Photo of Layne E Pavey, LICSW, Clinical Social Work/Therapist
Layne E Pavey
Clinical Social Work/Therapist, LICSW
Verified Verified
Spokane, WA 99205
Hello, I'm Layne. I know it can be hard reaching out. There is always the fear that you might be judged or made to feel like there is something wrong with you. Not in my book! I will provide you with an open and caring therapeutic relationship that will help you face your biggest fears and challenges. Has trauma held you back from building healthy relationships? Has anxiety been a barrier to achieving your hopes and dreams? Has grief kept you stuck for years? There is hope. You won't have to miss out on life any longer! Please reach out and we can talk more about any questions you might have about EMDR or the therapeutic process.
Hello, I'm Layne. I know it can be hard reaching out. There is always the fear that you might be judged or made to feel like there is something wrong with you. Not in my book! I will provide you with an open and caring therapeutic relationship that will help you face your biggest fears and challenges. Has trauma held you back from building healthy relationships? Has anxiety been a barrier to achieving your hopes and dreams? Has grief kept you stuck for years? There is hope. You won't have to miss out on life any longer! Please reach out and we can talk more about any questions you might have about EMDR or the therapeutic process.
(509) 215-2733 View (509) 215-2733
Photo of Halli Christine Markiewicz, LMFTA, Marriage & Family Therapist Associate
Halli Christine Markiewicz
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Spokane, WA 99205
I believe that every family has their own unique story. Many times, the families we work with see the stories of their lives as destructive or not beneficial for their goals. By deconstructing the problem to find the dominant narrative, we can begin to broaden the view of the story to reveal unique outcomes. We will then create goals to increase the frequency of those outcomes; making them to be not so unique but benefiting factors in your life.
I believe that every family has their own unique story. Many times, the families we work with see the stories of their lives as destructive or not beneficial for their goals. By deconstructing the problem to find the dominant narrative, we can begin to broaden the view of the story to reveal unique outcomes. We will then create goals to increase the frequency of those outcomes; making them to be not so unique but benefiting factors in your life.
(509) 472-6397 View (509) 472-6397
Photo of Suzanne Apelskog And Associates Of Life's Learning, MS, LMHC, , PLLC, Counselor
Suzanne Apelskog And Associates Of Life's Learning
Counselor, MS, LMHC, PLLC
Verified Verified
10 Endorsed
Spokane, WA 99205
At my very core, I enjoy and cherish people and your stories. That I get to be a part of your process of discovery, growth or healing is a great honor and one that I do not take lightly. I believe in the ability for people to heal, grow and change and draw from a holistic, person-centered approach. I specialize in assisting you through life's adjustments; meaning making, loss, grief and mourning; counseling with counselors; trauma, relationship challenges and struggles with a variety of mental health needs (e.g., anxiety, depression, anger, etc.). I believe in walking alongside you with your healing.
At my very core, I enjoy and cherish people and your stories. That I get to be a part of your process of discovery, growth or healing is a great honor and one that I do not take lightly. I believe in the ability for people to heal, grow and change and draw from a holistic, person-centered approach. I specialize in assisting you through life's adjustments; meaning making, loss, grief and mourning; counseling with counselors; trauma, relationship challenges and struggles with a variety of mental health needs (e.g., anxiety, depression, anger, etc.). I believe in walking alongside you with your healing.
(509) 563-7297 View (509) 563-7297
Photo of Rebecca Solom, MS, LMHC, LCPC, MHP, Counselor
Rebecca Solom
Counselor, MS, LMHC, LCPC, MHP
Verified Verified
1 Endorsed
Spokane, WA 99205  (Online Only)
Making the choice to seek mental health therapy takes courage and I am honored to be considered to walk beside you during this journey. My goal is to provide a supportive and accepting environment that encourages self-exploration in a non-judgmental way. I can help provide tools, coping skills, and problem-solving assistance to help move you closer to your goals. We can work together as a team to clarify and/or establish your mental health goals and explore barriers that have previously kept those goals out of reach. I am trained in multiple evidence-based practices, treatment methods that are proven through research to work!
Making the choice to seek mental health therapy takes courage and I am honored to be considered to walk beside you during this journey. My goal is to provide a supportive and accepting environment that encourages self-exploration in a non-judgmental way. I can help provide tools, coping skills, and problem-solving assistance to help move you closer to your goals. We can work together as a team to clarify and/or establish your mental health goals and explore barriers that have previously kept those goals out of reach. I am trained in multiple evidence-based practices, treatment methods that are proven through research to work!
(509) 204-8642 View (509) 204-8642
Photo of Isabel Taccheri, MSW, LICSW, Clinical Social Work/Therapist
Isabel Taccheri
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Spokane, WA 99205  (Online Only)
As my client, you know what you want from therapy and are ready to work on measurable goals. You may be dealing with PTSD or anxiety and are seeking structured strategies to manage symptoms. You want a therapist who can support you in gaining control over your mental health and achieving stability. I provide the guidance and practical tools you need to navigate your journey toward healing and growth. Together, we can work towards a more balanced and fulfilling life.
As my client, you know what you want from therapy and are ready to work on measurable goals. You may be dealing with PTSD or anxiety and are seeking structured strategies to manage symptoms. You want a therapist who can support you in gaining control over your mental health and achieving stability. I provide the guidance and practical tools you need to navigate your journey toward healing and growth. Together, we can work towards a more balanced and fulfilling life.
(509) 284-4127 View (509) 284-4127
Photo of Zita L Nickeson, PhD, LMHC, LCPC, CST, CSE, Counselor
Zita L Nickeson
Counselor, PhD, LMHC, LCPC, CST, CSE
Verified Verified
1 Endorsed
Spokane, WA 99205  (Online Only)
Waitlist for new clients
I provide caring, compassionate & open-minded counseling to individuals, couples & families; specializing in Sex Therapy, relational/marital counseling, LGBTQ+ issues & adolescent/family communication & Multiracial/Multicultural counseling. Counseling can be a difficult process & my goal is to help you through that process in the most comfortable & successful way, as it is a lasting investment in an improved sense of self & life. I pride myself on creating & maintaining an open, honest & non-judgemental environment, allowing & supporting personal growth in all areas of your life. As a LMHC, Certified Sex Therapist & KINK Knowledgeable Professional, I enjoy providing therapy & advocacy for those I counsel.
I provide caring, compassionate & open-minded counseling to individuals, couples & families; specializing in Sex Therapy, relational/marital counseling, LGBTQ+ issues & adolescent/family communication & Multiracial/Multicultural counseling. Counseling can be a difficult process & my goal is to help you through that process in the most comfortable & successful way, as it is a lasting investment in an improved sense of self & life. I pride myself on creating & maintaining an open, honest & non-judgemental environment, allowing & supporting personal growth in all areas of your life. As a LMHC, Certified Sex Therapist & KINK Knowledgeable Professional, I enjoy providing therapy & advocacy for those I counsel.
(509) 850-0941 View (509) 850-0941
1

How does your Therapist compare?

Number of Therapists in 99205

100+

Average cost per session

$150

Therapists in 99205 who prioritize treating:

93% Anxiety
91% Depression
80% Relationship Issues
80% Self Esteem
75% Trauma and PTSD
75% Stress
71% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

82% Premera Blue Cross
71% Regence
68% BlueCross and BlueShield

How Therapists in 99205 see their clients

65% In Person and Online
35% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 99205?

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.