Photo of Laura Miramontes, LMFT, Marriage & Family Therapist
Laura Miramontes
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Kennewick, WA 99337  (Online Only)
My services are exclusively telehealth for women across the state of Washington. No commute or battling traffic! I am here to empower the women I serve and help reclaim their identity, autonomy and inner confidence. I am a therapist who deeply understands the severe impacts of trauma and I understand the value of safety and trust when processing and navigating the heavy emotions that can come from trauma and other challenges life can bring. I believe therapy should be non-judgmental, accepting and supportive regardless of what is said or done.
My services are exclusively telehealth for women across the state of Washington. No commute or battling traffic! I am here to empower the women I serve and help reclaim their identity, autonomy and inner confidence. I am a therapist who deeply understands the severe impacts of trauma and I understand the value of safety and trust when processing and navigating the heavy emotions that can come from trauma and other challenges life can bring. I believe therapy should be non-judgmental, accepting and supportive regardless of what is said or done.
(509) 794-1669 View (509) 794-1669
Photo of Rick Brunk, MEd, LMHC, LPC, Counselor
Rick Brunk
Counselor, MEd, LMHC, LPC
Verified Verified
Kennewick, WA 99337  (Online Only)
Via telehealth, I work with adults throughout Washington and Oregon who experience a wide range of issues including life transitions, grief and loss, identity formation or role changes, interpersonal challenges and conflicts, and trauma experiences. I have worked in a variety of settings including inpatient, outpatient, and day treatment psychiatric programs, Employee Assistance Programs (EAP), and 10+ years as an adjunct Psychology instructor. Over the past seven years, I have assisted First Responders by providing critical incident briefings (CISM) and providing resiliency skills training, and de-escalation skills training.
Via telehealth, I work with adults throughout Washington and Oregon who experience a wide range of issues including life transitions, grief and loss, identity formation or role changes, interpersonal challenges and conflicts, and trauma experiences. I have worked in a variety of settings including inpatient, outpatient, and day treatment psychiatric programs, Employee Assistance Programs (EAP), and 10+ years as an adjunct Psychology instructor. Over the past seven years, I have assisted First Responders by providing critical incident briefings (CISM) and providing resiliency skills training, and de-escalation skills training.
(509) 822-2512 View (509) 822-2512
Photo of Rachel Ann Ayers, LMHCA, Counselor
Rachel Ann Ayers
Counselor, LMHCA
Verified Verified
1 Endorsed
Kennewick, WA 99337
Make a choice, to take a chance, and create a change. I am here to help you see the light in a dark world. Do you feel overwhelmed at times? Do you struggle to regulate your emotions? Do you struggle with time- management, organization, relationships, and staying present? I am here to guide, support, and empower you to be your best self! Life can be very trying and we could all use some sunshine! I am here to listen. I am here to help you problem solve and create the life you want to live.
Make a choice, to take a chance, and create a change. I am here to help you see the light in a dark world. Do you feel overwhelmed at times? Do you struggle to regulate your emotions? Do you struggle with time- management, organization, relationships, and staying present? I am here to guide, support, and empower you to be your best self! Life can be very trying and we could all use some sunshine! I am here to listen. I am here to help you problem solve and create the life you want to live.
(509) 401-8088 View (509) 401-8088
Photo of Scott Wangsgaard, PhD, LMFT, Marriage & Family Therapist
Scott Wangsgaard
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Kennewick, WA 99337
My ideal clients are couples who are highly motivated to heal their marital bond, and who will risk making themselves emotionally vulnerable to each other in order to "get unstuck" and heal. When I meet with individuals, those who benefit the most from my services are likewise heavily motivated to change unhealthy patterns, who come to each session with specific goals and who have an obvious desire to do whatever is necessary to accomplish these goals.
My ideal clients are couples who are highly motivated to heal their marital bond, and who will risk making themselves emotionally vulnerable to each other in order to "get unstuck" and heal. When I meet with individuals, those who benefit the most from my services are likewise heavily motivated to change unhealthy patterns, who come to each session with specific goals and who have an obvious desire to do whatever is necessary to accomplish these goals.
(509) 563-7722 View (509) 563-7722
Photo of Lepha Johnson, MA, LMHC, Counselor
Lepha Johnson
Counselor, MA, LMHC
Verified Verified
Kennewick, WA 99337
I received both my BS in Nutrition and my MA in Counseling from Bastyr University. My passion is in preventing and treating eating disorders. I have specializing in treating eating disorders for over 10 years. I spent two years working for a residential treatment center and then two years designing and running a partial hospitalization program for eating disorders in Seattle. I have worked with a wide variety of eating disorders as well as helping clients with disordered eating; i.e. chronic history of yo-yo dieting, weight management, emotional overeating, sugar addiction, dissatisfaction with body image, trauma, and more.
I received both my BS in Nutrition and my MA in Counseling from Bastyr University. My passion is in preventing and treating eating disorders. I have specializing in treating eating disorders for over 10 years. I spent two years working for a residential treatment center and then two years designing and running a partial hospitalization program for eating disorders in Seattle. I have worked with a wide variety of eating disorders as well as helping clients with disordered eating; i.e. chronic history of yo-yo dieting, weight management, emotional overeating, sugar addiction, dissatisfaction with body image, trauma, and more.
(509) 872-5097 View (509) 872-5097
Photo of April Jones, LICSW, MSW, CDP, Clinical Social Work/Therapist
April Jones
Clinical Social Work/Therapist, LICSW, MSW, CDP
Verified Verified
Kennewick, WA 99337
Not accepting new clients
I have been working in the counseling field since 2002. I have experience working with adolescents, families, and adults in individual, group, and family therapy settings. I started working with adolescents at an inpatient drug and alcohol rehabilitation center in Spokane. I then moved to Tri-Cities and began working at a community mental health center working with individuals with mental health needs. I opened my private practice in 2016. I received my bachelor's degree in Social Work and my Chemical Dependency License from Eastern Washington University in 2004 and my Master's degree in Social Work from Eastern in 2006.
I have been working in the counseling field since 2002. I have experience working with adolescents, families, and adults in individual, group, and family therapy settings. I started working with adolescents at an inpatient drug and alcohol rehabilitation center in Spokane. I then moved to Tri-Cities and began working at a community mental health center working with individuals with mental health needs. I opened my private practice in 2016. I received my bachelor's degree in Social Work and my Chemical Dependency License from Eastern Washington University in 2004 and my Master's degree in Social Work from Eastern in 2006.
View
Photo of Kenneth C Cole, PsyD, LCP, Psychologist
Kenneth C Cole
Psychologist, PsyD, LCP
Verified Verified
Kennewick, WA 99337
Dr. Cole provides fair and transparent psychological evaluations, neuropsychological assessments and parenting evaluations for use in a wide variety of settings; legal, educational, and governmental agencies.
Dr. Cole provides fair and transparent psychological evaluations, neuropsychological assessments and parenting evaluations for use in a wide variety of settings; legal, educational, and governmental agencies.
(509) 724-2144 View (509) 724-2144
Photo of Patricia J Cochran, MS, LMHC, Counselor
Patricia J Cochran
Counselor, MS, LMHC
Verified Verified
Kennewick, WA 99337
I have been a counselor for 20 years. I strive to create a safe environment in which the client is able to explore and identify areas of their life that have been problematic. It is important to me to get to know my clients and meet them on a moment-to-moment basis and help by entering their world. My approach focuses on the person and assists in the growth process.
I have been a counselor for 20 years. I strive to create a safe environment in which the client is able to explore and identify areas of their life that have been problematic. It is important to me to get to know my clients and meet them on a moment-to-moment basis and help by entering their world. My approach focuses on the person and assists in the growth process.
(509) 309-0944 View (509) 309-0944
Photo of Michelle Hanson, LMHC, Counselor
Michelle Hanson
Counselor, LMHC
Verified Verified
Kennewick, WA 99337
As we travel our journey, there are times that we need extra help and support. Especially, to move through the rough and uncomfortable times. In therapy, I believe it is important to meet people at what stage they are in while making that journey. This allows us to build the right tool box to equip them for success. I have over 20 years of experience working with adults, teenagers, and adolescents. My experience has been around helping individuals with anxiety, depression, parenting, behavior management, trauma, and other life stressors.
As we travel our journey, there are times that we need extra help and support. Especially, to move through the rough and uncomfortable times. In therapy, I believe it is important to meet people at what stage they are in while making that journey. This allows us to build the right tool box to equip them for success. I have over 20 years of experience working with adults, teenagers, and adolescents. My experience has been around helping individuals with anxiety, depression, parenting, behavior management, trauma, and other life stressors.
(509) 738-1437 View (509) 738-1437
Photo of Nicholas R Lee, LMHC, Counselor
Nicholas R Lee
Counselor, LMHC
Verified Verified
Kennewick, WA 99337  (Online Only)
My ideal client would be searching for a counselor who is genuine, empathetic, unconditionally holds them in positive regard, and can connect to their experiences. They would have a goal of learning new skills, working on behavioral and cognitive change, and are willing to look at multiple solutions to achieve their goals. They would want to strive for success as they see it and want support in removing any barriers for a better and healthier future.
My ideal client would be searching for a counselor who is genuine, empathetic, unconditionally holds them in positive regard, and can connect to their experiences. They would have a goal of learning new skills, working on behavioral and cognitive change, and are willing to look at multiple solutions to achieve their goals. They would want to strive for success as they see it and want support in removing any barriers for a better and healthier future.
Photo of Jessica Wallace, LMHC, NCC, Counselor
Jessica Wallace
Counselor, LMHC, NCC
Verified Verified
2 Endorsed
Kennewick, WA 99337
Not accepting new clients
You feel stuck, repeating the same patterns no matter how hard you try. And you try - try harder to do better, forgive, heal, and move forward. However, too often you end up right back where you started. It's hard to trust people, and when you do you often end up hurt. During the day, you feel you are in a constant fog and find it difficult to make decisions or meaningful connections. At night, you wish you could flip a switch and turn off your mind so you could sleep. The way you have been coping isn't working, and you feel overwhelmed. You want hope: hope to heal, hope to move forward, hope to feel more in control.
You feel stuck, repeating the same patterns no matter how hard you try. And you try - try harder to do better, forgive, heal, and move forward. However, too often you end up right back where you started. It's hard to trust people, and when you do you often end up hurt. During the day, you feel you are in a constant fog and find it difficult to make decisions or meaningful connections. At night, you wish you could flip a switch and turn off your mind so you could sleep. The way you have been coping isn't working, and you feel overwhelmed. You want hope: hope to heal, hope to move forward, hope to feel more in control.
(509) 940-0181 View (509) 940-0181
Photo of undefined - Enterprise Behavior Analysis, LBA, MS, BCBA
Enterprise Behavior Analysis
LBA, MS, BCBA
Verified Verified
Kennewick, WA 99337
Hi! My name is Jess Hale, and I am a BCBA who provides Applied Behavior Analysis therapy. ABA is effective for teaching children new skills, especially those who are experiencing some type of developmental delay. Such children may struggle to communicate their wants and needs, play appropriately with other children, try new foods, or complete everyday self-care tasks. ABA is also effective at reducing problem behaviors in children, such as aggression, self-injury, property destruction, and excessive tantrums. Whenever possible, I like to use an assent- and play-based approach to keep the experience fun and positive for your child.
Hi! My name is Jess Hale, and I am a BCBA who provides Applied Behavior Analysis therapy. ABA is effective for teaching children new skills, especially those who are experiencing some type of developmental delay. Such children may struggle to communicate their wants and needs, play appropriately with other children, try new foods, or complete everyday self-care tasks. ABA is also effective at reducing problem behaviors in children, such as aggression, self-injury, property destruction, and excessive tantrums. Whenever possible, I like to use an assent- and play-based approach to keep the experience fun and positive for your child.
View
Photo of Katelyn Reseck, MA, LMFTA, LMHCA, Marriage & Family Therapist Associate
Katelyn Reseck
Marriage & Family Therapist Associate, MA, LMFTA, LMHCA
Verified Verified
1 Endorsed
Kennewick, WA 99337
Waitlist for new clients
You're ready to change. Ready to learn how to manage anxiety, difficult emotions, and symptoms you're struggling with. You're ready to stop choosing the same type of unhealthy relationships. You're ready to understand yourself better and find peace and healing. You're ready to improve your romantic partnership. You want better communication, to get closer, and heal from past hurts. There's hope. You can experience transformational change in your life and in your relationships with your loved ones. Together, we will work to understand the root causes underlying your experience and work together to find lasting solutions.
You're ready to change. Ready to learn how to manage anxiety, difficult emotions, and symptoms you're struggling with. You're ready to stop choosing the same type of unhealthy relationships. You're ready to understand yourself better and find peace and healing. You're ready to improve your romantic partnership. You want better communication, to get closer, and heal from past hurts. There's hope. You can experience transformational change in your life and in your relationships with your loved ones. Together, we will work to understand the root causes underlying your experience and work together to find lasting solutions.
(509) 512-2808 View (509) 512-2808
Photo of Katie Haynes, LMHC, Counselor
Katie Haynes
Counselor, LMHC
Verified Verified
Kennewick, WA 99337
Waitlist for new clients
Welcome. I'm so glad you're here. Taking this initial step to reach out and pursue therapy is a powerful act of self-love. I wholeheartedly believe that you have inside of you everything that you need to change, grow and heal. My role is to facilitate and support that natural resource as we work together toward your goals. I specialize in working with adults and adolescents dealing with anxiety, depression, healing from trauma (past or present), navigating a difficult life transition, or those wanting to learn more about their own emotions and relationship patterns. I only see teenagers age 15 and up.
Welcome. I'm so glad you're here. Taking this initial step to reach out and pursue therapy is a powerful act of self-love. I wholeheartedly believe that you have inside of you everything that you need to change, grow and heal. My role is to facilitate and support that natural resource as we work together toward your goals. I specialize in working with adults and adolescents dealing with anxiety, depression, healing from trauma (past or present), navigating a difficult life transition, or those wanting to learn more about their own emotions and relationship patterns. I only see teenagers age 15 and up.
(509) 260-2120 View (509) 260-2120
Photo of undefined - Healings Within, PLLC, MA, LMFTA, Marriage & Family Therapist Associate
Healings Within, PLLC
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
1 Endorsed
Kennewick, WA 99337
I am a Licensed Marriage and Family Associate Therapist supporting children, adolescents and adults navigating the impact of trauma and life challenges. I focus on creating a safe and nurturing environment, free of judgement and criticism. I believe in the resiliency of people and that every individual is unique in their own experiences. Through curiosity and acceptance, I help my clients gain empowerment and more appreciation for their emotions and assist them in finding their voice by recognizing their strengths and identifying opportunities for growth.
I am a Licensed Marriage and Family Associate Therapist supporting children, adolescents and adults navigating the impact of trauma and life challenges. I focus on creating a safe and nurturing environment, free of judgement and criticism. I believe in the resiliency of people and that every individual is unique in their own experiences. Through curiosity and acceptance, I help my clients gain empowerment and more appreciation for their emotions and assist them in finding their voice by recognizing their strengths and identifying opportunities for growth.
(509) 620-1775 View (509) 620-1775
Photo of undefined - Hanan Counseling Services, LICSW, MSW, MHP, Clinical Social Work/Therapist
Hanan Counseling Services
Clinical Social Work/Therapist, LICSW, MSW, MHP
Verified Verified
1 Endorsed
Kennewick, WA 99337
I tailor my particular focus and therapeutic approach to your needs. I believe that every individual possesses strength and potential to navigate through the challenges in their life. I aim to be by your side throughout your healing journey and assist you discover your potential right where you are through guidance, understanding, and processing your emotions, feelings, and memories tied to your life experiences. With the intent of developing healthier and more adaptive meaning of those experiences. Ultimately, enhancing your emotional and overall wellbeing.
I tailor my particular focus and therapeutic approach to your needs. I believe that every individual possesses strength and potential to navigate through the challenges in their life. I aim to be by your side throughout your healing journey and assist you discover your potential right where you are through guidance, understanding, and processing your emotions, feelings, and memories tied to your life experiences. With the intent of developing healthier and more adaptive meaning of those experiences. Ultimately, enhancing your emotional and overall wellbeing.
(509) 797-7739 View (509) 797-7739
Photo of Dr. Prama Chakravarti, PhD, HSPP, Psychologist
Dr. Prama Chakravarti
Psychologist, PhD, HSPP
Verified Verified
Kennewick, WA 99337
I am currently accepting in person sessions in Greater Indianapolis area, for educational and intellectual giftedness testing. I do therapeutic work with children, adolescents and adults, managing challenges like anxiety, depression, trauma response, or ADHD. I also help parents with implementing Behavior therapy strategies for emotional and behavioral struggles in children. I am accepting clients for Cognitive Behavior Therapy for Insomnia (CBT-I) across all age groups including older adults. www.pramapsychology.com
I am currently accepting in person sessions in Greater Indianapolis area, for educational and intellectual giftedness testing. I do therapeutic work with children, adolescents and adults, managing challenges like anxiety, depression, trauma response, or ADHD. I also help parents with implementing Behavior therapy strategies for emotional and behavioral struggles in children. I am accepting clients for Cognitive Behavior Therapy for Insomnia (CBT-I) across all age groups including older adults. www.pramapsychology.com
(317) 743-7695 View (317) 743-7695
Photo of Lynne Marie Dumas, LSWAIC, Clinical Social Work/Therapist
Lynne Marie Dumas
Clinical Social Work/Therapist, LSWAIC
Verified Verified
1 Endorsed
Kennewick, WA 99337  (Online Only)
Due to my social work background, I approach therapy with one initial goal: to meet someone where they’re at. This means utilizing the unique strengths, experiences, and identities inherent within each person to help them live fuller, happier, more meaningful lives. All work done in therapy is built on a true collaboration, where a client can present themselves as they are and use tools presented by the therapist to gently challenge them, and help them navigate whatever they’re struggling with. My clients are mainly individuals experiencing depression, difficult life changes, anxiety, and trauma.
Due to my social work background, I approach therapy with one initial goal: to meet someone where they’re at. This means utilizing the unique strengths, experiences, and identities inherent within each person to help them live fuller, happier, more meaningful lives. All work done in therapy is built on a true collaboration, where a client can present themselves as they are and use tools presented by the therapist to gently challenge them, and help them navigate whatever they’re struggling with. My clients are mainly individuals experiencing depression, difficult life changes, anxiety, and trauma.
(425) 981-5338 View (425) 981-5338
Photo of Christina Macaluso, MSW, LSWAIC, Clinical Social Work/Therapist
Christina Macaluso
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Kennewick, WA 99337
Welcome! I am dedicated to providing a calm and supportive presence to help you navigate life's transitions and struggles. Through my work, I offer insights and new perspectives that gently challenge harmful self-beliefs. I believe that each individual has the strength and resilience to overcome challenges and find fulfillment. By creating a safe and non-judgmental space, I aim to guide you towards self-discovery, personal growth, healing, and self-empowerment. Together, we will explore your unique experiences and emotions, uncovering the root causes of any difficulties you may be facing.
Welcome! I am dedicated to providing a calm and supportive presence to help you navigate life's transitions and struggles. Through my work, I offer insights and new perspectives that gently challenge harmful self-beliefs. I believe that each individual has the strength and resilience to overcome challenges and find fulfillment. By creating a safe and non-judgmental space, I aim to guide you towards self-discovery, personal growth, healing, and self-empowerment. Together, we will explore your unique experiences and emotions, uncovering the root causes of any difficulties you may be facing.
(509) 749-7007 View (509) 749-7007
Photo of Julie Archer, MS, NCC, LMHC, Counselor
Julie Archer
Counselor, MS, NCC, LMHC
Verified Verified
4 Endorsed
Kennewick, WA 99337  (Online Only)
If you are reading this, you have already taken the first step towards improving the quality of your life. Counseling is the process that evokes change through vulnerability, connection, openness, trust, and bringing your inner world into the light. Discovering your purpose, meaning, dysfunctional patterns of behavior and thoughts can alleviate the weight you are carrying around. I enjoy working with people who are dealing with relationship issues (of all kinds!), anxiety, life transitions, ADHD, attachment, depression, trauma, codependency, and negative self-talk. I am also increasing my knowledge around Ketamine and Autism.
If you are reading this, you have already taken the first step towards improving the quality of your life. Counseling is the process that evokes change through vulnerability, connection, openness, trust, and bringing your inner world into the light. Discovering your purpose, meaning, dysfunctional patterns of behavior and thoughts can alleviate the weight you are carrying around. I enjoy working with people who are dealing with relationship issues (of all kinds!), anxiety, life transitions, ADHD, attachment, depression, trauma, codependency, and negative self-talk. I am also increasing my knowledge around Ketamine and Autism.
(360) 787-9355 View (360) 787-9355

See more therapy options for 99337

How does your Therapist compare?

Number of Therapists in 99337

20+

Average cost per session

$140

Therapists in 99337 who prioritize treating:

100% Anxiety
95% Coping Skills
85% Depression
85% Trauma and PTSD
80% Self Esteem
75% Relationship Issues
75% Stress

Average years in practice

6 Years

Top 3 insurances accepted

90% Premera
80% BlueCross and BlueShield
70% Regence

How Therapists in 99337 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

85% Female
10% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 99337?

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.