Therapists in Bellevue, WA

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Photo of Aram Kim, Marriage & Family Therapist Associate in Bellevue, WA
Aram Kim
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Bellevue, WA 98004
All of us come up with ways to manage life's stresses. Each one of these strategies was born out of a need to protect ourselves - to survive. Yet sometimes, the methods we relied on to help us out of difficult situations end up being the very source of more difficulties. Perhaps you isolate yourself when relationships get hard and leave loved ones feeling abandoned; perhaps the only way you know how to love pushes your child further away; and perhaps you're an achiever who, when the lights are dimmed and applause is gone, feels endlessly empty and small. Your own stuff is getting in the way of you being who you want to be.
All of us come up with ways to manage life's stresses. Each one of these strategies was born out of a need to protect ourselves - to survive. Yet sometimes, the methods we relied on to help us out of difficult situations end up being the very source of more difficulties. Perhaps you isolate yourself when relationships get hard and leave loved ones feeling abandoned; perhaps the only way you know how to love pushes your child further away; and perhaps you're an achiever who, when the lights are dimmed and applause is gone, feels endlessly empty and small. Your own stuff is getting in the way of you being who you want to be.
(206) 312-4763 View (206) 312-4763
Photo of DBT Eastside, Counselor in Bellevue, WA
DBT Eastside
Counselor, LMHC
Verified Verified
Bellevue, WA 98004
DBT Eastside is made up of a team of intensively trained, passionate, and committed therapists delivering gold standard Dialectical Behavior Therapy (DBT) and Radically Open DBT (RO-DBT) to clients aged 12+. This program combines weekly skills groups with individual therapy, as well as phone coaching, consultation, and parent counseling. Research has shown that this a highly effective method for reducing high-risk behaviors in both teens and adults and for improvements in depression, anxiety and emotional regulation. Other treatments offered dependent on intake assessment include EMDR (trauma) & Exposure & Response Prevention (OCD).
DBT Eastside is made up of a team of intensively trained, passionate, and committed therapists delivering gold standard Dialectical Behavior Therapy (DBT) and Radically Open DBT (RO-DBT) to clients aged 12+. This program combines weekly skills groups with individual therapy, as well as phone coaching, consultation, and parent counseling. Research has shown that this a highly effective method for reducing high-risk behaviors in both teens and adults and for improvements in depression, anxiety and emotional regulation. Other treatments offered dependent on intake assessment include EMDR (trauma) & Exposure & Response Prevention (OCD).
(425) 598-0355 View (425) 598-0355
Photo of Wendy Jeanette Knowles, Mental Health Counselor in Bellevue, WA
Wendy Jeanette Knowles
Mental Health Counselor, LMCH, BCBA, LBA
Verified Verified
Bellevue, WA 98004
What is most important to you in your life today? What is working for you and what would you like to change? We will work collaboratively to identify and achieve the goals that are most meaningful to you, using an individualized and integrative approach that treats the whole person. You are an individual and there is no such thing as a one-size-fits-all approach!
What is most important to you in your life today? What is working for you and what would you like to change? We will work collaboratively to identify and achieve the goals that are most meaningful to you, using an individualized and integrative approach that treats the whole person. You are an individual and there is no such thing as a one-size-fits-all approach!
(206) 759-2650 View (206) 759-2650
Photo of Kat Bonnington, Counselor in Bellevue, WA
Kat Bonnington
Counselor, LMHC
Verified Verified
Bellevue, WA 98005
Maybe you have seen providers for eating in the past, maybe this is the first time you’re talking to someone about it. Maybe you tried to get things under control on your own - the diets, the meal plans, the apps, the self-help books. No two bodies are alike, and the same goes for our relationships to food and body. It’s helpful to have someone treat you for your unique presentation of concerns - not a cookie cutter treatment - so you can find the kind of peace that makes sense for your life.
Maybe you have seen providers for eating in the past, maybe this is the first time you’re talking to someone about it. Maybe you tried to get things under control on your own - the diets, the meal plans, the apps, the self-help books. No two bodies are alike, and the same goes for our relationships to food and body. It’s helpful to have someone treat you for your unique presentation of concerns - not a cookie cutter treatment - so you can find the kind of peace that makes sense for your life.
(425) 406-4576 View (425) 406-4576
Photo of Pornpan Gering, Counselor in Bellevue, WA
Pornpan Gering
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Bellevue, WA 98005  (Online Only)
Do you feel trapped, depress, or misunderstood? Or do you feel confused and unsure what is next for you? You are not alone. I work with clients who experience a wide range of mental health challenges. As your therapist, we will work as a team to meet your mental health goals. I thoroughly believe that connecting with clients, building safe spaces, and developing a mutual sense of trust are the first steps to success.
Do you feel trapped, depress, or misunderstood? Or do you feel confused and unsure what is next for you? You are not alone. I work with clients who experience a wide range of mental health challenges. As your therapist, we will work as a team to meet your mental health goals. I thoroughly believe that connecting with clients, building safe spaces, and developing a mutual sense of trust are the first steps to success.
(425) 243-1444 x1 View (425) 243-1444 x1
Photo of Elizabeth Abbruzza, Counselor in Bellevue, WA
Elizabeth Abbruzza
Counselor, MA, LMHC, CCPS, NCC
Verified Verified
2 Endorsed
Bellevue, WA 98008
I work with adults & adolescents who feel overwhelmed, have relational challenges, or struggle to move forward after a painful life event. Avoiding distressing emotions/experiences can create more chaos in our lives, leading to feelings of hopelessness and pain. I focus most of my therapy practice on infidelity recovery and betrayal trauma treatment. In therapy, we will explore how your past experiences impact your present and potentially inhibit you from the personal growth you strive for. You will learn ways to share your emotions and needs, develop healthy coping, and improve your overall well-being.
I work with adults & adolescents who feel overwhelmed, have relational challenges, or struggle to move forward after a painful life event. Avoiding distressing emotions/experiences can create more chaos in our lives, leading to feelings of hopelessness and pain. I focus most of my therapy practice on infidelity recovery and betrayal trauma treatment. In therapy, we will explore how your past experiences impact your present and potentially inhibit you from the personal growth you strive for. You will learn ways to share your emotions and needs, develop healthy coping, and improve your overall well-being.
(425) 437-3846 View (425) 437-3846
Photo of Diane Schachter, Marriage & Family Therapist in Bellevue, WA
Diane Schachter
Marriage & Family Therapist, MA, LMFT
Verified Verified
Bellevue, WA 98004
Not accepting new clients
Hello! I have been a Marriage and Family Therapist for nearly 30 years ... guiding people toward creating lives with more meaning, vitality, and satisfaction. My intent is to partner with you to create a refreshing change in perspective, increased self-respect, more confidence in your own capacities, and the energy to create and sustain desired changes. I am interested in supporting all of your important relationships: the ones you have with your family, your children, your lovers, your coworkers, and most importantly the one you have with yourself. I HAVE TRANSITIONED MY PRACTICE TO AN ONLINE ONLY PRACTICE .
Hello! I have been a Marriage and Family Therapist for nearly 30 years ... guiding people toward creating lives with more meaning, vitality, and satisfaction. My intent is to partner with you to create a refreshing change in perspective, increased self-respect, more confidence in your own capacities, and the energy to create and sustain desired changes. I am interested in supporting all of your important relationships: the ones you have with your family, your children, your lovers, your coworkers, and most importantly the one you have with yourself. I HAVE TRANSITIONED MY PRACTICE TO AN ONLINE ONLY PRACTICE .
(425) 363-9434 View (425) 363-9434
Photo of Next Level Counseling, PLLC, Marriage & Family Therapist in Bellevue, WA
Next Level Counseling, PLLC
Marriage & Family Therapist, LMFT, RPT
Verified Verified
1 Endorsed
Bellevue, WA 98006  (Online Only)
Waitlist for new clients
I am Lisa Brawn, a Licensed Marriage & Family Therapist, trained Play Therapist, and am currently pursuing a Geek Therapy certification. I am a Gamer & Geek friendly, LGBTQ+ friendly, Sex-Positive therapist. My focus is on helping my clients navigate their lives and relationships. I treat older children/teens, and adults of all ages. Much of my work has focused on anxiety, depression, trauma & post trauma, relationship and family issues, parenting skills, school difficulties, teen/adult ADHD, life transition difficulties, behavioral issues, and self-acceptance.
I am Lisa Brawn, a Licensed Marriage & Family Therapist, trained Play Therapist, and am currently pursuing a Geek Therapy certification. I am a Gamer & Geek friendly, LGBTQ+ friendly, Sex-Positive therapist. My focus is on helping my clients navigate their lives and relationships. I treat older children/teens, and adults of all ages. Much of my work has focused on anxiety, depression, trauma & post trauma, relationship and family issues, parenting skills, school difficulties, teen/adult ADHD, life transition difficulties, behavioral issues, and self-acceptance.
(360) 226-8864 View (360) 226-8864
Photo of Serena Stark, Clinical Social Work/Therapist in Bellevue, WA
Serena Stark
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Bellevue, WA 98005
Serena’s areas of focus include gender-based violence, eating disorders (including ARFID), LGBTQ+ related struggles, and autism spectrum disorder. Serena also focuses on the commonly co-occurring experiences such as depression and anxiety. She uses a trauma-informed and feminist theory based approach in her sessions with clients.
Serena’s areas of focus include gender-based violence, eating disorders (including ARFID), LGBTQ+ related struggles, and autism spectrum disorder. Serena also focuses on the commonly co-occurring experiences such as depression and anxiety. She uses a trauma-informed and feminist theory based approach in her sessions with clients.
(425) 242-3522 View (425) 242-3522
Photo of Amanda Keogh, LPC Intern in Bellevue, WA
Amanda Keogh
LPC Intern, LMHC-I
Verified Verified
1 Endorsed
Bellevue, WA 98004
In times that can seem harsh and unfair, it can be hard to find a way forward. I believe that our problems are not “all in your head.” There are real reasons we feel the way we feel, and those reasons and feelings deserve to be heard and honored. Systemic oppression, world events, and childhood experiences have a real effect on us. If the world has ever told you who you are is “not okay”, it may feel dangerous just to exist in certain spaces, let alone to act on your feelings and desires. I hope our work will help you better understand how to unite your Self, your values, and your circumstances to build the life you want to live.
In times that can seem harsh and unfair, it can be hard to find a way forward. I believe that our problems are not “all in your head.” There are real reasons we feel the way we feel, and those reasons and feelings deserve to be heard and honored. Systemic oppression, world events, and childhood experiences have a real effect on us. If the world has ever told you who you are is “not okay”, it may feel dangerous just to exist in certain spaces, let alone to act on your feelings and desires. I hope our work will help you better understand how to unite your Self, your values, and your circumstances to build the life you want to live.
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Photo of Comprehensive Wellness Northwest, Counselor in Bellevue, WA
Comprehensive Wellness Northwest
Counselor, LMHCA
Verified Verified
Bellevue, WA 98006
We all experience moments in our life where things can be overwhelming. Maybe we don’t feel like ourselves anymore, or we find that our stress has been increasing more than we know what to do with. Be it anxiety, depression, or processing through difficult events, therapy can be a safe place to take care of ourselves and our mental wellbeing. My goal as a therapist is to create a compassionate and safe environment that is inclusive of all walks of life. I believe that therapy should be a personalized, collaborative experience, and that the client knows themself best.
We all experience moments in our life where things can be overwhelming. Maybe we don’t feel like ourselves anymore, or we find that our stress has been increasing more than we know what to do with. Be it anxiety, depression, or processing through difficult events, therapy can be a safe place to take care of ourselves and our mental wellbeing. My goal as a therapist is to create a compassionate and safe environment that is inclusive of all walks of life. I believe that therapy should be a personalized, collaborative experience, and that the client knows themself best.
(206) 210-2698 View (206) 210-2698
Photo of Shana Oconnor-Wolf, Marriage & Family Therapist in Bellevue, WA
Shana Oconnor-Wolf
Marriage & Family Therapist, MFTA
Verified Verified
Bellevue, WA 98005
I work with individuals, couples, parents, children and families experiencing a variety of issues, for example, general life stress, anxiety, OCD, emotional dysregulation, ADHD, ASD, parenting struggles, grief, religious/spiritual trauma. My approach is to create a collaborative safe space to express and find ways to feel better.
I work with individuals, couples, parents, children and families experiencing a variety of issues, for example, general life stress, anxiety, OCD, emotional dysregulation, ADHD, ASD, parenting struggles, grief, religious/spiritual trauma. My approach is to create a collaborative safe space to express and find ways to feel better.
(425) 541-1974 View (425) 541-1974
Photo of April West, Counselor in Bellevue, WA
April West
Counselor, LMHC, LPC
Verified Verified
Bellevue, WA 98004
Not accepting new clients
In life we have experiences that shape us. Some of these experiences have a major influence as to how we view ourselves and how we view the world around us. These experiences may impact confidence, relationships, and ability to cope. Each day may involve work stress, family stress, relationship stress, financial stress, and ideally we want to find a way to healthily manage all that life entails. We want to learn and find new ways to navigate through our own lives with more balance and positivity.
In life we have experiences that shape us. Some of these experiences have a major influence as to how we view ourselves and how we view the world around us. These experiences may impact confidence, relationships, and ability to cope. Each day may involve work stress, family stress, relationship stress, financial stress, and ideally we want to find a way to healthily manage all that life entails. We want to learn and find new ways to navigate through our own lives with more balance and positivity.
(425) 272-6972 View (425) 272-6972
Photo of Nicholas Brown, Counselor in Bellevue, WA
Nicholas Brown
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Bellevue, WA 98004
I provide a supportive environment where you can begin to move towards healing. Together we create a space where your story is heard, respected, and valued. Therapy can help you find new tools, skills, and knowledge to deal with difficult circumstances in life. We will find ways to identify, understand, and work through these challenges in a supportive setting. My specialties are working with individuals who struggle with eating disorders, trauma and PTSD. As your counselor, I will work with you as we identify the various areas of need and how to attain healing and fulfillment in your life.
I provide a supportive environment where you can begin to move towards healing. Together we create a space where your story is heard, respected, and valued. Therapy can help you find new tools, skills, and knowledge to deal with difficult circumstances in life. We will find ways to identify, understand, and work through these challenges in a supportive setting. My specialties are working with individuals who struggle with eating disorders, trauma and PTSD. As your counselor, I will work with you as we identify the various areas of need and how to attain healing and fulfillment in your life.
(425) 230-5907 View (425) 230-5907
Photo of Dan Kim, Counselor in Bellevue, WA
Dan Kim
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Bellevue, WA 98007
I offer a confidential space to talk, feel your emotions, gain insight, and grow. I am here to listen to you while offering reflections, feedback, and insight from a therapeutic lens. I believe that exploration leads to change and once you get started, you will begin to feel different in many areas of your life.
I offer a confidential space to talk, feel your emotions, gain insight, and grow. I am here to listen to you while offering reflections, feedback, and insight from a therapeutic lens. I believe that exploration leads to change and once you get started, you will begin to feel different in many areas of your life.
(425) 533-9403 View (425) 533-9403
Photo of Christina Yranela, Clinical Social Work/Therapist in Bellevue, WA
Christina Yranela
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Bellevue, WA 98004  (Online Only)
Waitlist for new clients
You may be trying to face your emotional scars alone. Yet together, we can explore these topics that may be difficult for you. I want to encourage your growth in self-compassion and self-worth as we work to reframe your unfavorable coping mechanisms. Life is a journey with plenty of obstacles to overcome, yet taking this step to live differently, with more hope, and to live more authentically, is worthwhile.
You may be trying to face your emotional scars alone. Yet together, we can explore these topics that may be difficult for you. I want to encourage your growth in self-compassion and self-worth as we work to reframe your unfavorable coping mechanisms. Life is a journey with plenty of obstacles to overcome, yet taking this step to live differently, with more hope, and to live more authentically, is worthwhile.
(425) 382-8735 View (425) 382-8735
Photo of Aysha Rafiq, Counselor in Bellevue, WA
Aysha Rafiq
Counselor, MEd, LMHC
Verified Verified
Bellevue, WA 98005
Hi there, I'm here to help you bloom into your best self. I'm a person centered therapist who works with Adolescents and Adults. For Adults, I provide you with a safe place to reconnect with your inner child. I can help you nurture your inner world, heal your past, and learn how to develop a loving relationship with yourself. Using CBT, DBT, IFS, and Mindfulness, we go to your past to understand your present and change your future. For Teens, I use CBT, DBT, and Mindfulness to help teens learn how to manage anxiety, and increase their self-confidence.
Hi there, I'm here to help you bloom into your best self. I'm a person centered therapist who works with Adolescents and Adults. For Adults, I provide you with a safe place to reconnect with your inner child. I can help you nurture your inner world, heal your past, and learn how to develop a loving relationship with yourself. Using CBT, DBT, IFS, and Mindfulness, we go to your past to understand your present and change your future. For Teens, I use CBT, DBT, and Mindfulness to help teens learn how to manage anxiety, and increase their self-confidence.
(425) 629-0866 View (425) 629-0866
Photo of Simran K Manhas, Counselor in Bellevue, WA
Simran K Manhas
Counselor, MS, LMHC, LMFTA
Verified Verified
1 Endorsed
Bellevue, WA 98004  (Online Only)
I work with individuals and couples/families that are finding that what they are processing in their lives are no longer serving them. Whether it be for recent life transitions, anxiety, PTSD, or depression; whatever path or experiences you have provides the right tools and solutions for what you want to do next in life. Part of my role is to shed light on what is working, what is not working. Together, what you share and express with me is part of identifying what solution(s) may be best for you and how to align those solutions by integrating them into your lifestyle.
I work with individuals and couples/families that are finding that what they are processing in their lives are no longer serving them. Whether it be for recent life transitions, anxiety, PTSD, or depression; whatever path or experiences you have provides the right tools and solutions for what you want to do next in life. Part of my role is to shed light on what is working, what is not working. Together, what you share and express with me is part of identifying what solution(s) may be best for you and how to align those solutions by integrating them into your lifestyle.
(206) 278-3755 View (206) 278-3755
Photo of Lenke Lagrandeur, Clinical Social Work/Therapist in Bellevue, WA
Lenke Lagrandeur
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
3 Endorsed
Bellevue, WA 98004
Since you are here, you may be wondering if therapy is the answer. You may notice certain patterns that keep showing up in your life that you desperately want to change. Maybe you find that anxiety, overthinking, isolation, and perfectionism get in the way of you living a content and connected life. I strive to create an empowering and compassionate environment where we work together to identify areas of growth and change or of acceptance. You don't have to keep feeling stuck, there are tools out there that can help. Offering DBT, RO-DBT, and ERP treatments based on evaluation.
Since you are here, you may be wondering if therapy is the answer. You may notice certain patterns that keep showing up in your life that you desperately want to change. Maybe you find that anxiety, overthinking, isolation, and perfectionism get in the way of you living a content and connected life. I strive to create an empowering and compassionate environment where we work together to identify areas of growth and change or of acceptance. You don't have to keep feeling stuck, there are tools out there that can help. Offering DBT, RO-DBT, and ERP treatments based on evaluation.
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Photo of Miranda Keene, Pre-Licensed Professional in Bellevue, WA
Miranda Keene
Pre-Licensed Professional, LMHC-I
Verified Verified
2 Endorsed
Bellevue, WA 98004
Waitlist for new clients
Psychological wounds can leave us feeling broken, damaged, and disconnected from ourselves and the world around us. I work with individuals who struggle with relationships and intimacy and those who have lost a felt sense of meaning and purpose in their lives. The people I work with often struggle with anxiety, depression, or low self-worth. It’s important to me to provide a safe, non-judgmental space to explore the barriers that may be keeping you from your goals. I am here to support and guide you through the process of healing, while respecting that you that you are the expert on your life.
Psychological wounds can leave us feeling broken, damaged, and disconnected from ourselves and the world around us. I work with individuals who struggle with relationships and intimacy and those who have lost a felt sense of meaning and purpose in their lives. The people I work with often struggle with anxiety, depression, or low self-worth. It’s important to me to provide a safe, non-judgmental space to explore the barriers that may be keeping you from your goals. I am here to support and guide you through the process of healing, while respecting that you that you are the expert on your life.
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How does your Therapist compare?

Number of Therapists in Bellevue, WA

1,000+

Average cost per session

$160

Therapists in Bellevue, WA who prioritize treating:

93% Anxiety
87% Depression
82% Relationship Issues
78% Self Esteem
71% Trauma and PTSD
70% Stress
67% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

78% Premera
55% Regence
52% Aetna

How Therapists in Bellevue, WA see their clients

58% In Person and Online
42% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Bellevue?

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.