Therapists in Puyallup, WA

Photo of McKenzie Sienkiewich, Pre-Licensed Professional in Puyallup, WA
McKenzie Sienkiewich
Pre-Licensed Professional, MA, LICSWA
Verified Verified
1 Endorsed
Puyallup, WA 98372  (Online Only)
Accepting NEW Patients Now via In Person and Telehealth! McKenzie is getting her master’s degree in Social Work at the university of New Mexico. As a Social Worker, she is looking forward to working with women, children, adults, men, and families.
Accepting NEW Patients Now via In Person and Telehealth! McKenzie is getting her master’s degree in Social Work at the university of New Mexico. As a Social Worker, she is looking forward to working with women, children, adults, men, and families.
(253) 352-4774 View (253) 352-4774
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 Jessica Grout, Marriage & Family Therapist in Puyallup, WA
Jessica Grout
Marriage & Family Therapist, LMFT, CMHS, EMMHS
Verified Verified
Puyallup, WA 98373  (Online Only)
Currently accepting new clients! Serving BIPOC and multiracial individuals, couples and families in WA and OR. Our mission is to address the gap of specialty in working with those whose backgrounds and identities originate from multiple cultures, countries, etc. and embrace the nuance our stories bring that is often not captured by traditional cultural competency. The balance between the multiple important parts of ourselves takes on new meanings in the context of our relationships- especially with our partners and families-both the ones we came from and the ones we are now building.
Currently accepting new clients! Serving BIPOC and multiracial individuals, couples and families in WA and OR. Our mission is to address the gap of specialty in working with those whose backgrounds and identities originate from multiple cultures, countries, etc. and embrace the nuance our stories bring that is often not captured by traditional cultural competency. The balance between the multiple important parts of ourselves takes on new meanings in the context of our relationships- especially with our partners and families-both the ones we came from and the ones we are now building.
(253) 366-8074 View (253) 366-8074
Photo of Angella Courtney, MS, LMHC, CMHS, NCC, Counselor in Puyallup, WA
Angella Courtney, MS, LMHC, CMHS, NCC
Counselor, MS, LMHC, CMHS, NCC
Verified Verified
Puyallup, WA 98371
Not accepting new clients
Now offering EMDR. I am the owner/sole-provider at Orenda Counseling. I am a nationally-certified counselor, child mental health specialist, and currently working towards certification in couples and sex therapy. I offer individual, couple, family, and group counseling. I specialize in individual/family trauma, attachment, gender/sexuality, intimacy/relationships, and issues facing teens/adults with Autism. I work from from a client-focused and integrative perspective, joining with you in a safe and non-judgmental space to help you to find the healing and hope you're looking for.
Now offering EMDR. I am the owner/sole-provider at Orenda Counseling. I am a nationally-certified counselor, child mental health specialist, and currently working towards certification in couples and sex therapy. I offer individual, couple, family, and group counseling. I specialize in individual/family trauma, attachment, gender/sexuality, intimacy/relationships, and issues facing teens/adults with Autism. I work from from a client-focused and integrative perspective, joining with you in a safe and non-judgmental space to help you to find the healing and hope you're looking for.
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Photo of Kate Travis, Clinical Social Work/Therapist in Puyallup, WA
Kate Travis
Clinical Social Work/Therapist, LMSW
Verified Verified
Puyallup, WA 98372
Life can be challenging, confusing, and down right overwhelming. Sometimes we bury our trauma, hurt, and confusion attempting to cope, or our ability to cope is inadequate to the challenges we face. You have been making it through life, even accomplishing wonderful things, but often wearing a mask and feeling like you are barely keeping it together. Your resilience is obvious, but maybe you are still troubled by your past and how it has affected who you are. Maybe today’s challenges are beginning to weigh too heavy for you to work through them alone. You have survived, but now it is time to thrive and live your life to the fullest.
Life can be challenging, confusing, and down right overwhelming. Sometimes we bury our trauma, hurt, and confusion attempting to cope, or our ability to cope is inadequate to the challenges we face. You have been making it through life, even accomplishing wonderful things, but often wearing a mask and feeling like you are barely keeping it together. Your resilience is obvious, but maybe you are still troubled by your past and how it has affected who you are. Maybe today’s challenges are beginning to weigh too heavy for you to work through them alone. You have survived, but now it is time to thrive and live your life to the fullest.
(253) 342-4331 View (253) 342-4331
Photo of Karis Bjerke, Clinical Social Work/Therapist in Puyallup, WA
Karis Bjerke
Clinical Social Work/Therapist, MSW, LSWAIC, SUDP
Verified Verified
Puyallup, WA 98372  (Online Only)
Not accepting new clients
I am here to meet you where you are in your desire to effect positive changes in your life. I am an experienced clinician working with individuals who are co-occurring having mental health symptoms and substance use. Together we can make a plan and help navigate you towards recovery. I specialize in helping you to develop healthy coping skills, prevention of use, exploring root causes and helping individuals be the best person they desire to become. I provide professional and skilled assessments, group and individual sessions.
I am here to meet you where you are in your desire to effect positive changes in your life. I am an experienced clinician working with individuals who are co-occurring having mental health symptoms and substance use. Together we can make a plan and help navigate you towards recovery. I specialize in helping you to develop healthy coping skills, prevention of use, exploring root causes and helping individuals be the best person they desire to become. I provide professional and skilled assessments, group and individual sessions.
(360) 227-5939 View (360) 227-5939
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 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 Amy E Pruitt, Marriage & Family Therapist in Puyallup, WA
Amy E Pruitt
Marriage & Family Therapist, LMFT
Verified Verified
Puyallup, WA 98373
Would it surprise you to know that nearly every client I have ever worked with has asked me the same question? It's true. "Am I crazy?" I tell them all the same thing: "No. Crazy is a feeling--not a diagnosis. You can feel crazy, act crazy, look crazy, do something crazy--but you cannot BE crazy. Maybe you have been wondering if you are crazy? Or if perhaps you are "losing your mind"? I would like to be the therapist who gets to know you, and helps reassure you that you are not crazy or losing your mind, and to help you feel better in general.
Would it surprise you to know that nearly every client I have ever worked with has asked me the same question? It's true. "Am I crazy?" I tell them all the same thing: "No. Crazy is a feeling--not a diagnosis. You can feel crazy, act crazy, look crazy, do something crazy--but you cannot BE crazy. Maybe you have been wondering if you are crazy? Or if perhaps you are "losing your mind"? I would like to be the therapist who gets to know you, and helps reassure you that you are not crazy or losing your mind, and to help you feel better in general.
(253) 262-0423 View (253) 262-0423
Photo of Samantha Solis, Counselor in Puyallup, WA
Samantha Solis
Counselor, LMHC, CMPC
Verified Verified
3 Endorsed
Puyallup, WA 98372  (Online Only)
I have experience working with children, adolescents, adults, and families. I am passionate about providing mental health services to those in need by coming alongside clients and providing treatment that aligns with their values and interests. My goal is to provide an environment where clients feel safe to express their thoughts and feelings, and where clients feel heard, accepted, and respected.
I have experience working with children, adolescents, adults, and families. I am passionate about providing mental health services to those in need by coming alongside clients and providing treatment that aligns with their values and interests. My goal is to provide an environment where clients feel safe to express their thoughts and feelings, and where clients feel heard, accepted, and respected.
(253) 465-4893 View (253) 465-4893
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 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 Roger Hoeschen, Counselor in Puyallup, WA
Roger Hoeschen
Counselor, MS, LMHCA
Verified Verified
1 Endorsed
Puyallup, WA 98372
Accepting New Patients In Person and Telehealth offering evening and weekend sessions to meet the needs of working professional. Roger is enthusiastic about implementing creative techniques to help clients achieve their goals, make meaning, improve their relationships, find empowerment, and engage in self-understanding and discovery. Roger’s theoretical approach to clients is person-centered and humanistic, paired with eclectic interventions including dialectical behavioral therapy, motivational interviewing, relational-cultural therapy, cognitive behavioral therapy, solution-focused therapy, mindfulness, and existential techniques.
Accepting New Patients In Person and Telehealth offering evening and weekend sessions to meet the needs of working professional. Roger is enthusiastic about implementing creative techniques to help clients achieve their goals, make meaning, improve their relationships, find empowerment, and engage in self-understanding and discovery. Roger’s theoretical approach to clients is person-centered and humanistic, paired with eclectic interventions including dialectical behavioral therapy, motivational interviewing, relational-cultural therapy, cognitive behavioral therapy, solution-focused therapy, mindfulness, and existential techniques.
(253) 265-4278 View (253) 265-4278
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 Alex Contrades, Clinical Social Work/Therapist in Puyallup, WA
Alex Contrades
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Puyallup, WA 98374
Not accepting new clients
I love to help people live more authentic, fuller lives by celebrating the things that make you unique, and helping you identify what you need to live a more values-driven life. I often work with folks who want to feel less trapped in worry, sadness, anger, or feelings of worthlessness and loneliness. Many come to me with traumatic or painful past experiences, and they want to better navigate relationships with others or manage their emotions in healthier ways. They want to find meaning in their lives, and be more confident in who they are as an individual.
I love to help people live more authentic, fuller lives by celebrating the things that make you unique, and helping you identify what you need to live a more values-driven life. I often work with folks who want to feel less trapped in worry, sadness, anger, or feelings of worthlessness and loneliness. Many come to me with traumatic or painful past experiences, and they want to better navigate relationships with others or manage their emotions in healthier ways. They want to find meaning in their lives, and be more confident in who they are as an individual.
(253) 447-5995 View (253) 447-5995
Photo of Paul Scarberry, Pre-Licensed Professional in Puyallup, WA
Paul Scarberry
Pre-Licensed Professional, MA, MHP, SUDP
Verified Verified
1 Endorsed
Puyallup, WA 98371  (Online Only)
Do you find yourself reaching for substances to help manage depression, anxiety, PTSD? Whether you have recently developed an unhealthy relationship with alcohol or have been coping with recovery issues for a while, I can help you explore new and effective coping tools. Together we can design the path to living your best life.
Do you find yourself reaching for substances to help manage depression, anxiety, PTSD? Whether you have recently developed an unhealthy relationship with alcohol or have been coping with recovery issues for a while, I can help you explore new and effective coping tools. Together we can design the path to living your best life.
(253) 262-0467 View (253) 262-0467
Photo of Deanna Brown, Counselor in Puyallup, WA
Deanna Brown
Counselor, MA, LMHC
Verified Verified
Puyallup, WA 98372
Accepting New Patients with for Ketamine Guided Therapy in my practice with evening, weekend, day, morning slots available Telehealth and In person. I specialize in Psychedelic Ketamine and THC Guided Therapy which is billed at private pay Only all other treatments cam be billed with insurances using therapists at our practice. I am a proud Army Veteran working in the field of counseling since 2015. I have experience working with combat veterans, CPS, couples, children, teens, adults, families, first responders, LGBTQ community, Licensed Approved Supervisor to Supervise Therapists, and a prior Director of a Psychiatric Hospital.
Accepting New Patients with for Ketamine Guided Therapy in my practice with evening, weekend, day, morning slots available Telehealth and In person. I specialize in Psychedelic Ketamine and THC Guided Therapy which is billed at private pay Only all other treatments cam be billed with insurances using therapists at our practice. I am a proud Army Veteran working in the field of counseling since 2015. I have experience working with combat veterans, CPS, couples, children, teens, adults, families, first responders, LGBTQ community, Licensed Approved Supervisor to Supervise Therapists, and a prior Director of a Psychiatric Hospital.
(206) 717-8722 View (206) 717-8722
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 Affordable Counseling Center, Marriage & Family Therapist in Puyallup, WA
Affordable Counseling Center
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Puyallup, WA 98373
NEW Clients Welcome! The Affordable Counseling Center is designed to meet the counseling needs of all families, with affordable services at $25/session. Services are provided by Masters Level graduate students from local colleges who work under the direction of highly experienced and qualify supervisors.
NEW Clients Welcome! The Affordable Counseling Center is designed to meet the counseling needs of all families, with affordable services at $25/session. Services are provided by Masters Level graduate students from local colleges who work under the direction of highly experienced and qualify supervisors.
(253) 285-1618 x2 View (253) 285-1618 x2
Photo of Akuffo Therapy PLLC, Counselor in Puyallup, WA
Akuffo Therapy PLLC
Counselor, MS, LMHC, MHP
Verified Verified
1 Endorsed
Puyallup, WA 98374  (Online Only)
Not accepting new clients
Are you wanting to understand who you are and your purpose in life? Looking to reach your fullest potential? If issues like being sad, nervous and feeling bad about yourself are getting in the way of your healing, then you are in the right place! You might be looking to grow your life skills and explore new ways of interpreting the world around you and I am here to support you every step of the way. My clients get to experience a therapist who views them in their entirety - ethnicity, identity and culture, as we explore how their life experiences are impacting them today.
Are you wanting to understand who you are and your purpose in life? Looking to reach your fullest potential? If issues like being sad, nervous and feeling bad about yourself are getting in the way of your healing, then you are in the right place! You might be looking to grow your life skills and explore new ways of interpreting the world around you and I am here to support you every step of the way. My clients get to experience a therapist who views them in their entirety - ethnicity, identity and culture, as we explore how their life experiences are impacting them today.
(253) 461-1587 View (253) 461-1587

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.