Therapists in Puyallup, WA

Photo of Karen A Burdick, Counselor in Puyallup, WA
Karen A Burdick
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Puyallup, WA 98374  (Online Only)
Welcome to Thrive Counseling. I am here to offer a place for healing and restored hope: A place to Thrive! Because of some of my most challenging experiences as a child, an adult, wife and mother, in addition to my experience in ministry leadership, I pursued counseling as a career. My goal as a therapist is to give you the room to grow and find the courage for change. Together, we can work to find the skills needed for a new and exciting therapeutic transformation.
Welcome to Thrive Counseling. I am here to offer a place for healing and restored hope: A place to Thrive! Because of some of my most challenging experiences as a child, an adult, wife and mother, in addition to my experience in ministry leadership, I pursued counseling as a career. My goal as a therapist is to give you the room to grow and find the courage for change. Together, we can work to find the skills needed for a new and exciting therapeutic transformation.
(253) 263-1113 View (253) 263-1113
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 Anahita F Armin, Counselor in Puyallup, WA
Anahita F Armin
Counselor, LMHC, MA
Verified Verified
2 Endorsed
Puyallup, WA 98373
Life is hard; no one said it would be easy. Nothing that has value comes easily. It seems the things that can bring us lasting joy are the things we have to work to achieve. We are all unique in history. Where we come from, which family, which culture, impacted who we are and who we will or have become. Yet, all of us are the same in that we need human interaction. We come into this world seeking others, touch, interaction. We are neither meant to be or have to be completely alone. *(I am an approved WA State Supervisor and am currently taking on LMHCA supervisees).
Life is hard; no one said it would be easy. Nothing that has value comes easily. It seems the things that can bring us lasting joy are the things we have to work to achieve. We are all unique in history. Where we come from, which family, which culture, impacted who we are and who we will or have become. Yet, all of us are the same in that we need human interaction. We come into this world seeking others, touch, interaction. We are neither meant to be or have to be completely alone. *(I am an approved WA State Supervisor and am currently taking on LMHCA supervisees).
(253) 218-1731 View (253) 218-1731
Photo of Kristin Carlson, Psychologist in Puyallup, WA
Kristin Carlson
Psychologist, PhD
Verified Verified
Puyallup, WA 98371
Not accepting new clients
Ever feel like you just needed someone to talk to, but not sure where to turn? Life can be hard and everyone can stumble along the way or experience roadblocks. Fortunately, therapy can help get you back on the path that works best for you and help to remove those roadblocks. Whether you feel like you just need someone to talk to or you are experiencing a major roadblock, I'm here to help. I specialize in working with individuals with depression, anxiety, infertility, prenatal/pregnancy and postpartum related issues.
Ever feel like you just needed someone to talk to, but not sure where to turn? Life can be hard and everyone can stumble along the way or experience roadblocks. Fortunately, therapy can help get you back on the path that works best for you and help to remove those roadblocks. Whether you feel like you just need someone to talk to or you are experiencing a major roadblock, I'm here to help. I specialize in working with individuals with depression, anxiety, infertility, prenatal/pregnancy and postpartum related issues.
(253) 785-6458 View (253) 785-6458
Photo of Chante Anderson, Counselor in Puyallup, WA
Chante Anderson
Counselor, LMHC, MS
Verified Verified
Puyallup, WA 98373
I've found that true healing unfolds when we honor the whole person, and I'm here to help you do just that. My practice specializes in several areas, including PTSD, ADHD, adult autism, other neurodivergencies, whole body health, and self-improvement. I also see a lot of individuals who struggle with depression and anxiety. I understand that healing is a multi-dimensional process, and to truly thrive, we must address all aspects of ourselves. I'm dedicated to creating a safe and supportive space for you to share your unique story. I am licensed in both WA and OR state.
I've found that true healing unfolds when we honor the whole person, and I'm here to help you do just that. My practice specializes in several areas, including PTSD, ADHD, adult autism, other neurodivergencies, whole body health, and self-improvement. I also see a lot of individuals who struggle with depression and anxiety. I understand that healing is a multi-dimensional process, and to truly thrive, we must address all aspects of ourselves. I'm dedicated to creating a safe and supportive space for you to share your unique story. I am licensed in both WA and OR state.
(253) 242-2565 View (253) 242-2565
Photo of Annie Laweryson, Psychologist in Puyallup, WA
Annie Laweryson
Psychologist, PhD, MS, CN
Verified Verified
Puyallup, WA 98373
I work with folks who are struggling to feel well either emotionally or physically. In addition to a Ph.D., in clinical-psychology I also hold a MS in nutrition and when relevant, I weave this knowledge into my work. While I treat many kinds of issues, I have a special focus in helping people with eating issues, depression, anxiety, trauma, and relationship stress. I work to peel back the layers and get to the root of the problem so you can heal and move forward in your life.
I work with folks who are struggling to feel well either emotionally or physically. In addition to a Ph.D., in clinical-psychology I also hold a MS in nutrition and when relevant, I weave this knowledge into my work. While I treat many kinds of issues, I have a special focus in helping people with eating issues, depression, anxiety, trauma, and relationship stress. I work to peel back the layers and get to the root of the problem so you can heal and move forward in your life.
(253) 528-3242 View (253) 528-3242
Photo of Beverly Polhamus, Counselor in Puyallup, WA
Beverly Polhamus
Counselor, MA, LMHC, CHT, EMDR
Verified Verified
Puyallup, WA 98372
Congratulations! You have taken the first step toward healing by seeking help. It is important that the relationship between you and your therapist is a good fit, based on mutual respect and trust. I use a strength-based and practical approach. I have a sense of humor which seems to help clients feel more comfortable. Therapy's primary focus is on the present with an understanding of the effects of past events on current behaviors and the need to process unresolved issues. "The turmoil of the past is never wholly forgotten, unresolved it seeps through even the strongest foundation."
Congratulations! You have taken the first step toward healing by seeking help. It is important that the relationship between you and your therapist is a good fit, based on mutual respect and trust. I use a strength-based and practical approach. I have a sense of humor which seems to help clients feel more comfortable. Therapy's primary focus is on the present with an understanding of the effects of past events on current behaviors and the need to process unresolved issues. "The turmoil of the past is never wholly forgotten, unresolved it seeps through even the strongest foundation."
(253) 205-8220 View (253) 205-8220
Photo of Gennevieve M Luff, Counselor in Puyallup, WA
Gennevieve M Luff
Counselor, MA, MHP, LMHC
Verified Verified
1 Endorsed
Puyallup, WA 98372
In the journey of life, challenges and obstacles will arise which can leave one feeling unbalanced and emotionally depleted. These feelings can make you feel like your self-esteem has taken a hit and leave you feeling unworthy of love and belonging. I feel everyone has the potential to find balance and healing in rewriting their own future story. My goal in working with you would be to provide a safe place to explore and effectively express emotions, set goals to increase quality of life and improve communication skills while rebuilding your self-worth and self-esteem.
In the journey of life, challenges and obstacles will arise which can leave one feeling unbalanced and emotionally depleted. These feelings can make you feel like your self-esteem has taken a hit and leave you feeling unworthy of love and belonging. I feel everyone has the potential to find balance and healing in rewriting their own future story. My goal in working with you would be to provide a safe place to explore and effectively express emotions, set goals to increase quality of life and improve communication skills while rebuilding your self-worth and self-esteem.
(253) 252-8813 View (253) 252-8813
Photo of Racheal Stuth Reichel LICSW, Clinical Social Work/Therapist in Puyallup, WA
Racheal Stuth Reichel LICSW
Clinical Social Work/Therapist, LICSW, MHP, MSW
Verified Verified
Puyallup, WA 98372  (Online Only)
Sometimes in life we find ourselves dealing with issues we never imagined would happen. We struggle in relationships or we struggle at work. Sometimes we don't know why we're feeling the way we are- and that's ok too. Throughout life we face a variety of struggles psychotherapy helps you know you're not alone. My goal is to help you find hope, your direction to authenticity and healing beyond the struggles you're holding.
Sometimes in life we find ourselves dealing with issues we never imagined would happen. We struggle in relationships or we struggle at work. Sometimes we don't know why we're feeling the way we are- and that's ok too. Throughout life we face a variety of struggles psychotherapy helps you know you're not alone. My goal is to help you find hope, your direction to authenticity and healing beyond the struggles you're holding.
(253) 338-8788 View (253) 338-8788
Shawna Surface
Pre-Licensed Professional, MA
Verified Verified
Puyallup, WA 98372
Accepting new patients. Shawna is attending Grand Canyon Arizona University where she will obtain her masters in Counseling. She is taking courses to work with children and families. She enjoys working with the family system and is personable and easy to talk to. She has lots of experience ranging from care giver to case worker in the field of counseling and is a great asset to our group practice.
Accepting new patients. Shawna is attending Grand Canyon Arizona University where she will obtain her masters in Counseling. She is taking courses to work with children and families. She enjoys working with the family system and is personable and easy to talk to. She has lots of experience ranging from care giver to case worker in the field of counseling and is a great asset to our group practice.
(253) 465-2685 View (253) 465-2685
Photo of Karen Beth Acheson, Psychologist in Puyallup, WA
Karen Beth Acheson
Psychologist, PhD
Verified Verified
Puyallup, WA 98374  (Online Only)
Waitlist for new clients
Greetings and welcome. I'm Dr. Karen Beth Acheson, Ph.D., and I have over 20 years of experience bringing warmth, compassion, and a sense of humor to help empower people to make healthy changes in their lives. My primary focus is adult psychotherapy. My style is down-to-earth; I draw from humanistic, psychodynamic, cognitive-behavioral & mindfulness-based therapies. My specialty areas include: Depression; Bipolar (manic) Depression; Anxiety; Trauma (including Post-Traumatic Stress Disorder); and Emotional/Sexual/physical Abuse. Also, I am now blending my lifelong passion for animals, including a B.S. in Animal Science, with
Greetings and welcome. I'm Dr. Karen Beth Acheson, Ph.D., and I have over 20 years of experience bringing warmth, compassion, and a sense of humor to help empower people to make healthy changes in their lives. My primary focus is adult psychotherapy. My style is down-to-earth; I draw from humanistic, psychodynamic, cognitive-behavioral & mindfulness-based therapies. My specialty areas include: Depression; Bipolar (manic) Depression; Anxiety; Trauma (including Post-Traumatic Stress Disorder); and Emotional/Sexual/physical Abuse. Also, I am now blending my lifelong passion for animals, including a B.S. in Animal Science, with
(253) 215-6726 View (253) 215-6726
Photo of Charnei Washington, Marriage & Family Therapist Associate in Puyallup, WA
Charnei Washington
Marriage & Family Therapist Associate
Verified Verified
Puyallup, WA 98373  (Online Only)
Not accepting new clients
I specialize in helping adults of all walks of life, navigate significant life changes, cope with mild mood challenges, & provide support in sex therapy. Yes, I'm a sex therapist! My goal is to create a welcoming online space where you can openly share your thoughts & feelings, gain valuable insights, & develop the skills to empower yourself, whether related to your sexual journey or not. My passion is breaking the stigma around sex and sexual expression, especially in the context of mental health, with a focus on supporting people of color (POC). I believe mental health and sexual well-being are vital for overall wellness.
I specialize in helping adults of all walks of life, navigate significant life changes, cope with mild mood challenges, & provide support in sex therapy. Yes, I'm a sex therapist! My goal is to create a welcoming online space where you can openly share your thoughts & feelings, gain valuable insights, & develop the skills to empower yourself, whether related to your sexual journey or not. My passion is breaking the stigma around sex and sexual expression, especially in the context of mental health, with a focus on supporting people of color (POC). I believe mental health and sexual well-being are vital for overall wellness.
(253) 263-1262 View (253) 263-1262
Photo of Andrea Tuliao, Clinical Social Work/Therapist in Puyallup, WA
Andrea Tuliao
Clinical Social Work/Therapist, MS, LICSW
Verified Verified
1 Endorsed
Puyallup, WA 98372
Andrea is experienced working with individuals (adolescents and adults), couples, groups, and families who are navigating: adjustment issues, low self-esteem, family relationships, compassion fatigue, work stressors, relationship conflicts, trauma (sexual, physical, and emotional), suicidal thoughts, grief and loss, substance use stressors, medical diagnoses/health concerns impacting mental health & well-being, and feeling anxious/down/unsure of how you are feeling. As a clinical social worker, she has 13 years of experience in community mental health, primary care settings, teletherapy, and management clinical social worker.
Andrea is experienced working with individuals (adolescents and adults), couples, groups, and families who are navigating: adjustment issues, low self-esteem, family relationships, compassion fatigue, work stressors, relationship conflicts, trauma (sexual, physical, and emotional), suicidal thoughts, grief and loss, substance use stressors, medical diagnoses/health concerns impacting mental health & well-being, and feeling anxious/down/unsure of how you are feeling. As a clinical social worker, she has 13 years of experience in community mental health, primary care settings, teletherapy, and management clinical social worker.
(253) 465-4502 View (253) 465-4502
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 The Joy and Wellness Center, Psychologist in Puyallup, WA
The Joy and Wellness Center
Psychologist
Verified Verified
2 Endorsed
Puyallup, WA 98372
Even with the current situation, we are still accepting new clients. However, please email us rather than call. Our goal is to focus on mental wellness. We do this through a variety of treatment methods tailored for your specific needs. Our providers will work with you to determine whether CBT, DBT, Mindfulness, Art therapy, or other treatment methods are best in helping you overcome your current challenges. We’ll work together to develop an action plan to gain the skills and insight that help you get back on track to happiness and success.
Even with the current situation, we are still accepting new clients. However, please email us rather than call. Our goal is to focus on mental wellness. We do this through a variety of treatment methods tailored for your specific needs. Our providers will work with you to determine whether CBT, DBT, Mindfulness, Art therapy, or other treatment methods are best in helping you overcome your current challenges. We’ll work together to develop an action plan to gain the skills and insight that help you get back on track to happiness and success.
(253) 329-5745 View (253) 329-5745
Photo of Jessica Stearns, Counselor in Puyallup, WA
Jessica Stearns
Counselor, LMHC
Verified Verified
4 Endorsed
Puyallup, WA 98373
I am currently accepting new clients! When we accept ourselves we can more fully connect with others and enjoy being present in our daily lives. Would you like to treat yourself with loving kindness? To respond thoughtfully to others instead of reacting based on past experiences? I enjoy working with adult abuse survivors to develop self-compassion and explore issues related to childhood and relational trauma. If you would like to learn to nurture and care for yourself, to find acceptance and peace I can help!
I am currently accepting new clients! When we accept ourselves we can more fully connect with others and enjoy being present in our daily lives. Would you like to treat yourself with loving kindness? To respond thoughtfully to others instead of reacting based on past experiences? I enjoy working with adult abuse survivors to develop self-compassion and explore issues related to childhood and relational trauma. If you would like to learn to nurture and care for yourself, to find acceptance and peace I can help!
(253) 487-0374 View (253) 487-0374
Photo of Piya Banerjee, Counselor in Puyallup, WA
Piya Banerjee
Counselor, MA, LMHC
Verified Verified
13 Endorsed
Puyallup, WA 98373  (Online Only)
"Pain is important: how we evade it, how we succumb to it, how we deal with it, how we transcend it" - Audre Lorde. I hope to build healing relationships with people who would like to create more connection, ease and freedom in their lives. I work relationally and through the body by building self awareness, and doing standing and seated embodiment practices.
"Pain is important: how we evade it, how we succumb to it, how we deal with it, how we transcend it" - Audre Lorde. I hope to build healing relationships with people who would like to create more connection, ease and freedom in their lives. I work relationally and through the body by building self awareness, and doing standing and seated embodiment practices.
(253) 299-4941 View (253) 299-4941
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 The Carbon Center, LLC, Counselor in Puyallup, WA
The Carbon Center, LLC
Counselor, MS, CCTP, CNC, LMHC, LCPC
Verified Verified
1 Endorsed
Puyallup, WA 98374  (Online Only)
Megan M. Woods, MS, CCTP, CNC, LMHC is a highly committed professional who holds certifications as a life coach and licensed therapist. With extensive personal and professional training, she offers valuable expertise in various life areas. Megan is dedicated to assisting individuals in navigating unexpected circumstances, such as life stages, decision-making, grief and loss, trauma, women empowerment, relationship issues, and wellness. Megan provides support pertaining to LGBTQIA+ matters, polyamory, and the promotion of sexuality. Her objective is to support clients in achieving clarity, focus, and momentum toward their goals.
Megan M. Woods, MS, CCTP, CNC, LMHC is a highly committed professional who holds certifications as a life coach and licensed therapist. With extensive personal and professional training, she offers valuable expertise in various life areas. Megan is dedicated to assisting individuals in navigating unexpected circumstances, such as life stages, decision-making, grief and loss, trauma, women empowerment, relationship issues, and wellness. Megan provides support pertaining to LGBTQIA+ matters, polyamory, and the promotion of sexuality. Her objective is to support clients in achieving clarity, focus, and momentum toward their goals.
(386) 272-5728 View (386) 272-5728
Photo of Heidi Gillmore, Counselor in Puyallup, WA
Heidi Gillmore
Counselor, LMHCA
Verified Verified
Puyallup, WA 98373
To build trust with my clients, I strive to be authentic, empathetic, and respectful. I recognize that every individual has unique needs and experiences, and I work to tailor my approach to best meet those needs. I believe in the power of a collaborative therapeutic relationship, and I will work with you to create a treatment plan that aligns with your goals and values.
To build trust with my clients, I strive to be authentic, empathetic, and respectful. I recognize that every individual has unique needs and experiences, and I work to tailor my approach to best meet those needs. I believe in the power of a collaborative therapeutic relationship, and I will work with you to create a treatment plan that aligns with your goals and values.
(253) 499-8542 View (253) 499-8542

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.