Therapists in Puyallup, WA

Photo of Crozier Counseling, LLC, Counselor in Puyallup, WA
Crozier Counseling, LLC
Counselor, LMHC, GMHS
Verified Verified
Puyallup, WA 98373
I work with adult men and women of any age who are ready and motivated to change. I especially enjoy working with folks struggling with depression, anxiety, trauma, challenges associated with change, grief and loss and those struggling with relationships both at home and in the work place.
I work with adult men and women of any age who are ready and motivated to change. I especially enjoy working with folks struggling with depression, anxiety, trauma, challenges associated with change, grief and loss and those struggling with relationships both at home and in the work place.
(253) 299-2319 View (253) 299-2319
Photo of Bridget StJohn Therapy, LLC, Marriage & Family Therapist in Puyallup, WA
Bridget StJohn Therapy, LLC
Marriage & Family Therapist, MA, LMFT
Verified Verified
Puyallup, WA 98371
Often, when we feel blocked by experiencing overwhelming negative thoughts and emotions, it can make one feel trapped with no way out. Anger, frustration, sadness and worry can easily pound down confidence and push away people we care about in our lives. My passion is helping you break free from what I call the "dictatorship" of anxiety, anger, depression, past hurts, and work with you to find your personal strength to start living your life on your terms and strengthen connections with others.
Often, when we feel blocked by experiencing overwhelming negative thoughts and emotions, it can make one feel trapped with no way out. Anger, frustration, sadness and worry can easily pound down confidence and push away people we care about in our lives. My passion is helping you break free from what I call the "dictatorship" of anxiety, anger, depression, past hurts, and work with you to find your personal strength to start living your life on your terms and strengthen connections with others.
(206) 202-9754 View (206) 202-9754
Photo of Northwest Counsel, Counselor in Puyallup, WA
Northwest Counsel
Counselor, MA, LMHC, LMFT, BCPC
Verified Verified
9 Endorsed
Puyallup, WA 98373
Change comes through relationship and at Northwest Counsel I desire for you to see real, positive change in your life and your personal relationships. To give you an idea of what to expect, your first appointment is your chance to explain special circumstances and ask any questions about therapy. You will get a feel for who I am and how I can serve you, and together we can determine if I will help guide you to the next step on your journey of wellness. Sessions typically last 45-55 minutes and are custom tailored to your situation and your needs.
Change comes through relationship and at Northwest Counsel I desire for you to see real, positive change in your life and your personal relationships. To give you an idea of what to expect, your first appointment is your chance to explain special circumstances and ask any questions about therapy. You will get a feel for who I am and how I can serve you, and together we can determine if I will help guide you to the next step on your journey of wellness. Sessions typically last 45-55 minutes and are custom tailored to your situation and your needs.
(253) 256-2520 View (253) 256-2520
Photo of Joshua Gates, MA, LMFT, Marriage & Family Therapist in Puyallup, WA
Joshua Gates, MA, LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Puyallup, WA 98374
Not accepting new clients
Are you having difficulty coping with stress or life transition? Are your relationships with your significant other, family, or coworkers less than desirable? Maybe you feel depressed or anxious. Life can be difficult at times without help from someone else. I have 15 years of experience in providing counseling and psychotherapy to individuals, couples, and families from all walks of life. Let me help you discover your strengths and get things back on track.
Are you having difficulty coping with stress or life transition? Are your relationships with your significant other, family, or coworkers less than desirable? Maybe you feel depressed or anxious. Life can be difficult at times without help from someone else. I have 15 years of experience in providing counseling and psychotherapy to individuals, couples, and families from all walks of life. Let me help you discover your strengths and get things back on track.
(253) 215-4139 View (253) 215-4139
Photo of Lizzie Stryker, Counselor in Puyallup, WA
Lizzie Stryker
Counselor, LMHCA
Verified Verified
Puyallup, WA 98373
My name is Lizzie Stryker, a LMHCA and a nationally accredited Vocational Rehabilitation Counselor. Through my combined experiences of counseling and therapy work I offer support through various challenges and periods of change including grief, depression, anxiety, work stress, burnout, various trauma, struggling with self worth, feelings of hopelessness, difficulty with interpersonal relationships/skills, and during times of uncertainty. I have professional experience working with neurodiverse children and adults, the LGBTQIA+ community, adolescents struggling with self harm, SI, depression, anxiety, injured workers, and BIPOC.
My name is Lizzie Stryker, a LMHCA and a nationally accredited Vocational Rehabilitation Counselor. Through my combined experiences of counseling and therapy work I offer support through various challenges and periods of change including grief, depression, anxiety, work stress, burnout, various trauma, struggling with self worth, feelings of hopelessness, difficulty with interpersonal relationships/skills, and during times of uncertainty. I have professional experience working with neurodiverse children and adults, the LGBTQIA+ community, adolescents struggling with self harm, SI, depression, anxiety, injured workers, and BIPOC.
(253) 243-3598 View (253) 243-3598
Photo of Gianna Young, Counselor in Puyallup, WA
Gianna Young
Counselor, MA, LMHCA
Verified Verified
3 Endorsed
Puyallup, WA 98371
I am passionate about meeting clients in their toughest seasons and fostering healing together. I approach the counseling relationship with empathy and a holistic framework that we are complex individuals who require complex treatment. I understand that it takes time to heal. My goal is to walk alongside you and help you develop skills that will lead you toward the person God created you to be. Together with God’s help, we can experience a life filled with His peace and joy.
I am passionate about meeting clients in their toughest seasons and fostering healing together. I approach the counseling relationship with empathy and a holistic framework that we are complex individuals who require complex treatment. I understand that it takes time to heal. My goal is to walk alongside you and help you develop skills that will lead you toward the person God created you to be. Together with God’s help, we can experience a life filled with His peace and joy.
(253) 366-6751 View (253) 366-6751
Photo of Melissa Lowe, Clinical Social Work/Therapist in Puyallup, WA
Melissa Lowe
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Puyallup, WA 98371  (Online Only)
Accepting New Patients via telehealth/telemedicince. Seeing children, adults, and families. Those in my practice also can see couples. Melissa Lowe received her Masters in Social Work from Boise State in Idaho and holds an Associate License for Clinical Social Work. As a social worker, Melissa has over 15 years of experience working with children and families. She started out as a nanny before working crisis work in the school, assisting in the prisons, helping families, and at our local hospitals.
Accepting New Patients via telehealth/telemedicince. Seeing children, adults, and families. Those in my practice also can see couples. Melissa Lowe received her Masters in Social Work from Boise State in Idaho and holds an Associate License for Clinical Social Work. As a social worker, Melissa has over 15 years of experience working with children and families. She started out as a nanny before working crisis work in the school, assisting in the prisons, helping families, and at our local hospitals.
(253) 366-7771 View (253) 366-7771
Photo of Jonathan Clarke Goodman, Counselor in Puyallup, WA
Jonathan Clarke Goodman
Counselor, LMHC, NCC
Verified Verified
1 Endorsed
Puyallup, WA 98373
Not accepting new clients
I am a counselor who has served clients with a wide range of issues from anxiety, depression, personality issues, and trauma for 8 years. Before this, I worked serving individuals with traumatic stress for 6 years as a victim advocate in Pierce County. I'm interested in helping motivated adults and teens who are seeking new coping skills to help themselves rediscover their power to heal and grow.
I am a counselor who has served clients with a wide range of issues from anxiety, depression, personality issues, and trauma for 8 years. Before this, I worked serving individuals with traumatic stress for 6 years as a victim advocate in Pierce County. I'm interested in helping motivated adults and teens who are seeking new coping skills to help themselves rediscover their power to heal and grow.
(253) 242-8605 View (253) 242-8605
Photo of Laura M Schulz, Counselor in Puyallup, WA
Laura M Schulz
Counselor, PhD, MA, LMHC
Verified Verified
7 Endorsed
Puyallup, WA 98374  (Online Only)
Life can be hard; therapy can help you remove roadblocks & work toward a happier you. Many people have answers to their challenges within them but are blocked by overwhelm & self-doubt. For many, our childhood wasn't perfect. Examining that foundation, deciding what parts of it you want to continue carrying, and what parts you want to let go of can help you toward a calmer and happier life. If you're feeling stressed out or stuck, let's find out what's at the root of those emotions so you can get to a happier & healthier life.
Life can be hard; therapy can help you remove roadblocks & work toward a happier you. Many people have answers to their challenges within them but are blocked by overwhelm & self-doubt. For many, our childhood wasn't perfect. Examining that foundation, deciding what parts of it you want to continue carrying, and what parts you want to let go of can help you toward a calmer and happier life. If you're feeling stressed out or stuck, let's find out what's at the root of those emotions so you can get to a happier & healthier life.
(425) 276-6479 View (425) 276-6479
Photo of Remote Psychological Evaluations And Testing In 35 States, Psychologist in Puyallup, WA
Remote Psychological Evaluations And Testing In 35 States
Psychologist, PhD
Verified Verified
Puyallup, WA 98374  (Online Only)
Dr. Moreland is a Licensed Psychologist, who conducts comprehensive psychological and neuropsychological assessments through HIPAA Compliant Telehealth Platforms. She specialize in working with children, adolescents, and adults with a range of socio-emotional problems, as well as cognitive symptoms and disorders. She has worked with a wide range of neurodevelopmental disorders, including intellectual disability, autism spectrum disorder, attention-deficit/hyperactivity disorder, and specific learning disorder. She has also had experience with neurological conditions, including traumatic brain injuries and dementia.
Dr. Moreland is a Licensed Psychologist, who conducts comprehensive psychological and neuropsychological assessments through HIPAA Compliant Telehealth Platforms. She specialize in working with children, adolescents, and adults with a range of socio-emotional problems, as well as cognitive symptoms and disorders. She has worked with a wide range of neurodevelopmental disorders, including intellectual disability, autism spectrum disorder, attention-deficit/hyperactivity disorder, and specific learning disorder. She has also had experience with neurological conditions, including traumatic brain injuries and dementia.
(253) 400-1650 View (253) 400-1650
Photo of Annie Sturtewagen, Counselor in Puyallup, WA
Annie Sturtewagen
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Puyallup, WA 98372
Accepting New Patients In Person and Telehealth children, teens, and couples. She received their master’s degree in clinical mental health counseling at Northwestern University in June of 2023. Annie's past clinical experience includes working with a variety of clients at a community mental health agency dedicated to reaching underserved populations. Prior to becoming a licensed mental health counselor associate.Annie worked as a board-certified music therapist at a state psychiatric hospital for six years. Annie utilized a variety of expressive arts and therapeutic activities in both individual and group therapy settings.
Accepting New Patients In Person and Telehealth children, teens, and couples. She received their master’s degree in clinical mental health counseling at Northwestern University in June of 2023. Annie's past clinical experience includes working with a variety of clients at a community mental health agency dedicated to reaching underserved populations. Prior to becoming a licensed mental health counselor associate.Annie worked as a board-certified music therapist at a state psychiatric hospital for six years. Annie utilized a variety of expressive arts and therapeutic activities in both individual and group therapy settings.
(253) 262-0586 View (253) 262-0586
Photo of Healing Space Therapy PLLC, Counselor in Puyallup, WA
Healing Space Therapy PLLC
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Puyallup, WA 98372
Accepting new clients! I believe that people can seek therapy for many reasons. As your therapist my approach is to meet you where you are and help you reach your therapy goals. Whether you are struggling with a major life change, a traumatic moment or have day to day challenges, I am here to align with you and guide you to become your best self. My approach is to look at the whole person and together create therapy goals that will empower and heal from within.
Accepting new clients! I believe that people can seek therapy for many reasons. As your therapist my approach is to meet you where you are and help you reach your therapy goals. Whether you are struggling with a major life change, a traumatic moment or have day to day challenges, I am here to align with you and guide you to become your best self. My approach is to look at the whole person and together create therapy goals that will empower and heal from within.
(253) 400-1796 View (253) 400-1796
Photo of Pathway to Change Counseling Services, Marriage & Family Therapist in Puyallup, WA
Pathway to Change Counseling Services
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Puyallup, WA 98371
We have immediate openings for new clients! Today is your first step on the pathway to change and together we will make the transformation you are seeking in your life. Pathway to Change is unique in that we offer several therapists to choose from who can work collaboratively with you to accomplish the change you want to see. With over 40 years of combined therapy experience each therapist offers a different approach within the therapeutic relationship. We are excited to now offer Life Coaching through our partnership with Simply You LLC. To schedule life coaching sessions please visit the following website: www.simply-you-llc.com.
We have immediate openings for new clients! Today is your first step on the pathway to change and together we will make the transformation you are seeking in your life. Pathway to Change is unique in that we offer several therapists to choose from who can work collaboratively with you to accomplish the change you want to see. With over 40 years of combined therapy experience each therapist offers a different approach within the therapeutic relationship. We are excited to now offer Life Coaching through our partnership with Simply You LLC. To schedule life coaching sessions please visit the following website: www.simply-you-llc.com.
(253) 218-4176 View (253) 218-4176
Photo of Tabatha Fairbanks, Counselor in Puyallup, WA
Tabatha Fairbanks
Counselor, LMHC, MA
Verified Verified
1 Endorsed
Puyallup, WA 98373  (Online Only)
Hi! I'm Tabatha. I'm going to be real with you, I am an odd duck. I don't say that in a self-deprecating way. I feel like sometimes what others need from therapy is not only someone who can be serious, but can be silly when you need a good laugh in-between all the trauma talk and hard times. I choose my practice name of Mountains and Molehills not only to have a little fun with it, but to also share that no matter the problem, big or small, it matters. I currently tend to work with clients ages from 18 years and older who suffer from Depression, Anxiety, Bipolar Disorders, PTSD, and life transitions.
Hi! I'm Tabatha. I'm going to be real with you, I am an odd duck. I don't say that in a self-deprecating way. I feel like sometimes what others need from therapy is not only someone who can be serious, but can be silly when you need a good laugh in-between all the trauma talk and hard times. I choose my practice name of Mountains and Molehills not only to have a little fun with it, but to also share that no matter the problem, big or small, it matters. I currently tend to work with clients ages from 18 years and older who suffer from Depression, Anxiety, Bipolar Disorders, PTSD, and life transitions.
(253) 528-9038 View (253) 528-9038
Photo of Keali Nowak, Marriage & Family Therapist in Puyallup, WA
Keali Nowak
Marriage & Family Therapist, MA, LMFT
Verified Verified
Puyallup, WA 98374
The world we live in is an ever changing and fast paced place that can often times add complexities to our lives, our relationships, our internal thoughts and emotions that we didn’t anticipate or were not ready for. In these times it can be helpful to seek therapy to have someone support your growth into the person you want to be in a respectful, empathetic, and judgment-free environment.
The world we live in is an ever changing and fast paced place that can often times add complexities to our lives, our relationships, our internal thoughts and emotions that we didn’t anticipate or were not ready for. In these times it can be helpful to seek therapy to have someone support your growth into the person you want to be in a respectful, empathetic, and judgment-free environment.
(833) 413-1346 View (833) 413-1346
Photo of Jessica Melford, Clinical Social Work/Therapist in Puyallup, WA
Jessica Melford
Clinical Social Work/Therapist, SWAIC
Verified Verified
1 Endorsed
Puyallup, WA 98375  (Online Only)
What are your thoughts when you hear the words, “mental health.” Does it make you feel different, abnormal, or out of place with your family, friends, or your community? Better yet do you feel limited on the things achieved with your life? Do you ever wonder the root causes of your anxiety, depression, or even your personality disorder? What we don’t hear enough is trauma has a huge influence on our mental health and overall health. If you answered, yes or maybe to any of my questions above then you came to the right page!
What are your thoughts when you hear the words, “mental health.” Does it make you feel different, abnormal, or out of place with your family, friends, or your community? Better yet do you feel limited on the things achieved with your life? Do you ever wonder the root causes of your anxiety, depression, or even your personality disorder? What we don’t hear enough is trauma has a huge influence on our mental health and overall health. If you answered, yes or maybe to any of my questions above then you came to the right page!
(253) 676-9273 View (253) 676-9273
Photo of Taryn Jae Collura, Counselor in Puyallup, WA
Taryn Jae Collura
Counselor, LMHCA
Verified Verified
Puyallup, WA 98372
I often notice when we finally find the time to catch a breath we tend to bring awareness to just how shallow our breathing may have been up to that point. Life moves fast and it doesn’t tend to slow down even when we need it the most; it's easy to slip into survival mode. As a therapist, it is my goal to not only guide my clients out of survival mode but help them find a way back to thriving and connection. While I honor the survival skills that got you here, it may be time to consider the possibility of healing. Whether it is PTSD or complex trauma, attachment wounds, depression, anxiety, or grief, I am honored to help.
I often notice when we finally find the time to catch a breath we tend to bring awareness to just how shallow our breathing may have been up to that point. Life moves fast and it doesn’t tend to slow down even when we need it the most; it's easy to slip into survival mode. As a therapist, it is my goal to not only guide my clients out of survival mode but help them find a way back to thriving and connection. While I honor the survival skills that got you here, it may be time to consider the possibility of healing. Whether it is PTSD or complex trauma, attachment wounds, depression, anxiety, or grief, I am honored to help.
(253) 455-7461 View (253) 455-7461
Photo of Jessica Tate, Marriage & Family Therapist in Puyallup, WA
Jessica Tate
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Puyallup, WA 98372
I believe that people as unique individuals have the capacity to grow, heal and change, learning new ways for improving their health and well-being in all areas of life including biological, psychological, social and spiritual. Personal growth is facilitated by setting and working toward goals, assessing and building strengths in these areas to develop skills and resources that help them manage life challenges. As a professional, I focus on working collaboratively with my clients in a safe and open environment to identify goals and work towards positive resolutions.
I believe that people as unique individuals have the capacity to grow, heal and change, learning new ways for improving their health and well-being in all areas of life including biological, psychological, social and spiritual. Personal growth is facilitated by setting and working toward goals, assessing and building strengths in these areas to develop skills and resources that help them manage life challenges. As a professional, I focus on working collaboratively with my clients in a safe and open environment to identify goals and work towards positive resolutions.
(253) 243-3048 View (253) 243-3048
Photo of Taylor Johnson, Counselor in Puyallup, WA
Taylor Johnson
Counselor, MA, LMHC, NCC
Verified Verified
1 Endorsed
Puyallup, WA 98374  (Online Only)
Waitlist for new clients
My approach is based in relational connection and authenticity. I believe that each client is unique, so I am creative and individualized in my work to prioritize your safety, insight, and overall growth. I firmly believe that pursuing therapy does not mean something is “broken”; instead, therapy is an opportunity to seek clarity, support, and a space to put the things that you no longer wish to hold on your own. If you are seeking empowerment, investing in your ability to self-advocate, and motivated to explore the origin of unhealthy patterns and experiences, I may be a good fit for you.
My approach is based in relational connection and authenticity. I believe that each client is unique, so I am creative and individualized in my work to prioritize your safety, insight, and overall growth. I firmly believe that pursuing therapy does not mean something is “broken”; instead, therapy is an opportunity to seek clarity, support, and a space to put the things that you no longer wish to hold on your own. If you are seeking empowerment, investing in your ability to self-advocate, and motivated to explore the origin of unhealthy patterns and experiences, I may be a good fit for you.
(253) 319-3723 View (253) 319-3723
Photo of Dr. Bre | Evolution Engineered, Inc., Licensed Professional Counselor in Puyallup, WA
Dr. Bre | Evolution Engineered, Inc.
Licensed Professional Counselor, PhD, LPC, LMHC
Verified Verified
2 Endorsed
Puyallup, WA 98373  (Online Only)
Wanna be your own #RelationshipGoals! I help folx evolve beyond the same old arguments, into an honest partnership that nourishes each of you individually + together! My approach is all about identifying the individual skills each of you need to co-create a loving partnership -- without trauma bonds or codependency. I work with all backgrounds + orientations + expressions that know how to Love in all different ways! We do the work that is right for YOUR partnership—not anyone else's. You'll also discover if it's time to release your relationship. AND if it is time... I'll help you do so in the most Loving way!
Wanna be your own #RelationshipGoals! I help folx evolve beyond the same old arguments, into an honest partnership that nourishes each of you individually + together! My approach is all about identifying the individual skills each of you need to co-create a loving partnership -- without trauma bonds or codependency. I work with all backgrounds + orientations + expressions that know how to Love in all different ways! We do the work that is right for YOUR partnership—not anyone else's. You'll also discover if it's time to release your relationship. AND if it is time... I'll help you do so in the most Loving way!
(360) 526-8654 View (360) 526-8654

How does your Therapist compare?

Number of Therapists in Puyallup, WA

200+

Average cost per session

$150

Therapists in Puyallup, WA who prioritize treating:

91% Anxiety
88% Depression
80% Self Esteem
79% Trauma and PTSD
75% Coping Skills
73% Stress
72% Relationship Issues

Average years in practice

9 Years

Top 3 insurances accepted

77% Premera
74% Regence
73% First Choice Health | FCH

How Therapists in Puyallup, WA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

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

How can I find a therapist in Puyallup?

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.