Therapists in Seattle, WA

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Photo of Judith Vanessa Hutton Levenson, Counselor in Seattle, WA
Judith Vanessa Hutton Levenson
Counselor, LMHC
Verified Verified
Seattle, WA 98125  (Online Only)
I have learned almost everything of importance about mental health from working with my patients. Though I consider that I had excellent training, as with many things in life, nothing prepared me for the intensity of my patients' life-stories. It was a trial by immersion, but as with such journeys, it was also one of discovery. Patients set before me stories of grief, longing, despair, addiction, obsession, but also of surprise, joy, and abundance. At times, they were overtaken by the force of events swirling around them, losing their bearings and sense of agency.
I have learned almost everything of importance about mental health from working with my patients. Though I consider that I had excellent training, as with many things in life, nothing prepared me for the intensity of my patients' life-stories. It was a trial by immersion, but as with such journeys, it was also one of discovery. Patients set before me stories of grief, longing, despair, addiction, obsession, but also of surprise, joy, and abundance. At times, they were overtaken by the force of events swirling around them, losing their bearings and sense of agency.
(206) 203-3595 View (206) 203-3595
Photo of Zach Brittle, Counselor in Seattle, WA
Zach Brittle
Counselor, LMHC
Verified Verified
Seattle, WA 98133
My practice focuses almost exclusively on couples therapy. However, I do have a limited number of openings for individuals, especially when their primary issue of concern is related to their relationships.
My practice focuses almost exclusively on couples therapy. However, I do have a limited number of openings for individuals, especially when their primary issue of concern is related to their relationships.
(206) 496-0351 View (206) 496-0351
Photo of Dr. Diana Bastien, Psychologist in Seattle, WA
Dr. Diana Bastien
Psychologist, PsyD, ABPP
Verified Verified
Seattle, WA 98103  (Online Only)
I am a child & adolescent psychologist specializing in OCD, PANS/PANDAS, anxiety, FNSD/conversion disorder, hoarding, panic attacks, school avoidance, skin-picking, and hair-pulling. I take an individualized approach to treatment with a foundation of evidence-based strategies. I work closely with families to help them manage symptoms in their normal, day-to-day life. Teletherapy gives me the opportunity to practice skills with your child in their home or other environments anxiety impacts them the most. For example, I often conduct "exposures" with youth, which teaches them skills to challenge anxiety in real-life situations.
I am a child & adolescent psychologist specializing in OCD, PANS/PANDAS, anxiety, FNSD/conversion disorder, hoarding, panic attacks, school avoidance, skin-picking, and hair-pulling. I take an individualized approach to treatment with a foundation of evidence-based strategies. I work closely with families to help them manage symptoms in their normal, day-to-day life. Teletherapy gives me the opportunity to practice skills with your child in their home or other environments anxiety impacts them the most. For example, I often conduct "exposures" with youth, which teaches them skills to challenge anxiety in real-life situations.
(206) 495-6804 View (206) 495-6804
Photo of Janel Fox, Counselor in Seattle, WA
Janel Fox
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98103
Not accepting new clients
I am a guide on your journey to reclaim wholeness. Focusing on healing and growth, I assist you in making positive, long-lasting changes in the areas of your life in which you desire to come alive. Together, we will discover healing and possibility, developing effective means of integrating the mind, body, and soul for heart-centered living in the world and in relationships. I practice EFT for couples, an effective modality to strengthen your relationship bond, recognize the cycles that cause distress, and learn to effectively navigate conflict, and improve both communication and intimacy.
I am a guide on your journey to reclaim wholeness. Focusing on healing and growth, I assist you in making positive, long-lasting changes in the areas of your life in which you desire to come alive. Together, we will discover healing and possibility, developing effective means of integrating the mind, body, and soul for heart-centered living in the world and in relationships. I practice EFT for couples, an effective modality to strengthen your relationship bond, recognize the cycles that cause distress, and learn to effectively navigate conflict, and improve both communication and intimacy.
(206) 569-6967 View (206) 569-6967
Photo of Mary Rowan Therapy, Counselor in Seattle, WA
Mary Rowan Therapy
Counselor, MS, LMHC
Verified Verified
Seattle, WA 98105
Welcome! I am a Licensed Mental Health Therapist in Washington and Hawaii and an Approved Clinical Supervisor in both states. I am dedicated to helping individuals overcome their personal challenges and live a healthy life. I have a deep understanding of the complexities of the human mind and the power of psychological flexibility. I provided a safe and supportive space for you to explore your thoughts, feelings, and behaviors.
Welcome! I am a Licensed Mental Health Therapist in Washington and Hawaii and an Approved Clinical Supervisor in both states. I am dedicated to helping individuals overcome their personal challenges and live a healthy life. I have a deep understanding of the complexities of the human mind and the power of psychological flexibility. I provided a safe and supportive space for you to explore your thoughts, feelings, and behaviors.
(808) 736-0965 View (808) 736-0965
Photo of Cristy Smith, Counselor in Seattle, WA
Cristy Smith
Counselor, MA, LMHC
Verified Verified
10 Endorsed
Seattle, WA 98107
Waitlist for new clients
I practice psychodynamic psychotherapy. While I can help you handle the difficulties you are facing, my intention is also to help you know yourself better. As we come to understand and accept ourselves, the easier it gets to handle the difficulties and stress life brings.
I practice psychodynamic psychotherapy. While I can help you handle the difficulties you are facing, my intention is also to help you know yourself better. As we come to understand and accept ourselves, the easier it gets to handle the difficulties and stress life brings.
(206) 203-6255 View (206) 203-6255
Photo of Sadler-Bridges Wellness Group, Counselor in Seattle, WA
Sadler-Bridges Wellness Group
Counselor, MA, LMHCA
Verified Verified
Seattle, WA 98178  (Online Only)
Hi! I am Audria & I believe therapy is a beautiful act of courage to bring true change to your life! I am passionate about supporting you & helping to find the balance of learning & healing. We will collaborate to optimize your strengths; navigate together through stress, anxiety, depression, PTSD, trauma, ADHD, & life transitions/changes. I practice from an eclectic solution focused, & person-centered perspective with a foundation in CBT, DBT, ACT, holistic and spiritual practices, and plant medicines. My goal is to help you heal, grow, & learn by equipping you with coping skills & strategies to live a fulfilled, authentic life!
Hi! I am Audria & I believe therapy is a beautiful act of courage to bring true change to your life! I am passionate about supporting you & helping to find the balance of learning & healing. We will collaborate to optimize your strengths; navigate together through stress, anxiety, depression, PTSD, trauma, ADHD, & life transitions/changes. I practice from an eclectic solution focused, & person-centered perspective with a foundation in CBT, DBT, ACT, holistic and spiritual practices, and plant medicines. My goal is to help you heal, grow, & learn by equipping you with coping skills & strategies to live a fulfilled, authentic life!
(425) 358-9179 View (425) 358-9179
Photo of Ronay Pagan, Counselor in Seattle, WA
Ronay Pagan
Counselor, LMHCA
Verified Verified
Seattle, WA 98119
I believe that therapy is a collaborative process and that the client steers the direction. Internal motivation and a willingness to ask yourself the difficult questions are essential to success. The beauty is that the power lies in your hands at all times. I am happy to help facilitate the process and smooth the path along your way. I have training in cognitive behavioral therapy, rational emotive behavior therapy, dialectical behavior therapy (both the original and radically open subsets), holistic health, humanistic approaches, and existential approaches.
I believe that therapy is a collaborative process and that the client steers the direction. Internal motivation and a willingness to ask yourself the difficult questions are essential to success. The beauty is that the power lies in your hands at all times. I am happy to help facilitate the process and smooth the path along your way. I have training in cognitive behavioral therapy, rational emotive behavior therapy, dialectical behavior therapy (both the original and radically open subsets), holistic health, humanistic approaches, and existential approaches.
(206) 339-3574 View (206) 339-3574
Photo of Kimberly Shea, Clinical Social Work/Therapist in Seattle, WA
Kimberly Shea
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98125
Waitlist for new clients
Waitlist. Hello-I specialize in three areas: Complex Trauma, anxiety, and mood disorders. I have advanced training as an EMDR therapist and utilize DBT, CBT and schema-focused therapy in much of my work with clients. Although some of these approaches are structured and/or skills-based, I use talk therapy as a foundation in all of my work with clients. Clients and colleagues describe me as easy to talk to and genuine, with an interactive approach; my style is to balance listening with effective feedback.
Waitlist. Hello-I specialize in three areas: Complex Trauma, anxiety, and mood disorders. I have advanced training as an EMDR therapist and utilize DBT, CBT and schema-focused therapy in much of my work with clients. Although some of these approaches are structured and/or skills-based, I use talk therapy as a foundation in all of my work with clients. Clients and colleagues describe me as easy to talk to and genuine, with an interactive approach; my style is to balance listening with effective feedback.
(206) 208-2644 View (206) 208-2644
Photo of Counseling West Seattle, Counselor in Seattle, WA
Counseling West Seattle
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98136
I am Toni Napoli, Director and founder of Counseling West Seattle. I have been in private practice since 1995. I am a Licensed Mental Health Counselor who has spent the past thirty years providing the best comprehensive care to my clients. As current director, no longer practicing, I have enjoyed my mission of helping others and watching them grow and have passed the baton on to the experienced counselors at Counseling West Seattle: Elliot Grossman, Ernie McGarry, Stefani Morris, Gayle Zeller, Crystal Shipos, Larisa Wendfeldt, Aubrey Hardesty and Colette Swenson.
I am Toni Napoli, Director and founder of Counseling West Seattle. I have been in private practice since 1995. I am a Licensed Mental Health Counselor who has spent the past thirty years providing the best comprehensive care to my clients. As current director, no longer practicing, I have enjoyed my mission of helping others and watching them grow and have passed the baton on to the experienced counselors at Counseling West Seattle: Elliot Grossman, Ernie McGarry, Stefani Morris, Gayle Zeller, Crystal Shipos, Larisa Wendfeldt, Aubrey Hardesty and Colette Swenson.
(206) 673-5083 View (206) 673-5083
Photo of Marika Kyrimis, Psychologist in Seattle, WA
Marika Kyrimis
Psychologist, PhD
Verified Verified
Seattle, WA 98109  (Online Only)
My practice specializes in cognitive behavioral therapy (CBT) for anxiety (e.g., OCD, Social Anxiety, Panic, Phobias etc.) and related disorders (e.g., Insomnia, Picking, Pulling). I provide individual treatment for adults and late adolescents. My goal is to provide individualized, compassionate, effective, evidence-based treatment. My approach has its grounding in CBT but when appropriate I also use mindfulness techniques, components of Acceptance and Commitment therapy (ACT), and Schema Therapy to enhance the treatment and support the client's movement toward accomplishing treatment goals.
My practice specializes in cognitive behavioral therapy (CBT) for anxiety (e.g., OCD, Social Anxiety, Panic, Phobias etc.) and related disorders (e.g., Insomnia, Picking, Pulling). I provide individual treatment for adults and late adolescents. My goal is to provide individualized, compassionate, effective, evidence-based treatment. My approach has its grounding in CBT but when appropriate I also use mindfulness techniques, components of Acceptance and Commitment therapy (ACT), and Schema Therapy to enhance the treatment and support the client's movement toward accomplishing treatment goals.
(206) 207-4689 View (206) 207-4689
Photo of Kaitlyn Carey, Counselor in Seattle, WA
Kaitlyn Carey
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98112  (Online Only)
Not accepting new clients
My practice is currently full and I am not accepting new clients. I specialize in working with individuals experiencing anxiety, depression, relationship conflict, low self esteem, school/career dissatisfaction and life transitions. I provide a warm, therapeutic environment that comes from a place of curiosity and empathy. My counseling style is both relational and client-centered.
My practice is currently full and I am not accepting new clients. I specialize in working with individuals experiencing anxiety, depression, relationship conflict, low self esteem, school/career dissatisfaction and life transitions. I provide a warm, therapeutic environment that comes from a place of curiosity and empathy. My counseling style is both relational and client-centered.
(425) 242-5300 View (425) 242-5300
Photo of Cristina Adler, Clinical Social Work/Therapist in Seattle, WA
Cristina Adler
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Seattle, WA 98104  (Online Only)
My approach is holistic, client-centered, and trauma-informed. I strive to integrate the intersectionality of the individual, familial, cultural, and social factors to best understand my client's lived experience. I use a variety of modalities to best suit my client's needs, pulling from CBT, DBT, ACT, and TF-CBT. Therapy with me may look different than what you’ve seen on movies or television, or different from experience with previous therapists! I love to incorporate arts, crafts, toys, games, video games, music, and movement in sessions to help my clients understand their mental health.
My approach is holistic, client-centered, and trauma-informed. I strive to integrate the intersectionality of the individual, familial, cultural, and social factors to best understand my client's lived experience. I use a variety of modalities to best suit my client's needs, pulling from CBT, DBT, ACT, and TF-CBT. Therapy with me may look different than what you’ve seen on movies or television, or different from experience with previous therapists! I love to incorporate arts, crafts, toys, games, video games, music, and movement in sessions to help my clients understand their mental health.
(206) 312-7417 View (206) 312-7417
Photo of Laura W. Groshong, Clinical Social Work/Therapist in Seattle, WA
Laura W. Groshong
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98105
Thank you for reviewing my practice information. Clients working with me have had success in getting through emotional crisis, dealing with longstanding emotional distress, as well as making changes in what helps them feel worthwhile. If you are in distress due to a loss, a conflict with others, or a conflict within, I may be able to help. My 42 years of practice have given me a broad understanding of the emotional problems that my clients face. I look forward to meeting you.
Thank you for reviewing my practice information. Clients working with me have had success in getting through emotional crisis, dealing with longstanding emotional distress, as well as making changes in what helps them feel worthwhile. If you are in distress due to a loss, a conflict with others, or a conflict within, I may be able to help. My 42 years of practice have given me a broad understanding of the emotional problems that my clients face. I look forward to meeting you.
(206) 745-0619 View (206) 745-0619
Photo of Scott Welch, Marriage & Family Therapist in Seattle, WA
Scott Welch
Marriage & Family Therapist, MS, LMFT, MHP
Verified Verified
Seattle, WA 98107
We are all wired for connection, both to others and to ourselves. Anxiety, low self-worth, and family conflict are just a few of the many common barriers to achieving this connection we all desire. I am passionate about taking an empathetic, curious, and collaborative approach with you to help free you from the burdensome experience of feeling stuck and held back from this connection. Life is all about relationships. I greatly value the importance of a strong therapeutic relationship and aim to build just that by holding you, the client, as the expert in your own life while offering warmth, empathy, and consistency.
We are all wired for connection, both to others and to ourselves. Anxiety, low self-worth, and family conflict are just a few of the many common barriers to achieving this connection we all desire. I am passionate about taking an empathetic, curious, and collaborative approach with you to help free you from the burdensome experience of feeling stuck and held back from this connection. Life is all about relationships. I greatly value the importance of a strong therapeutic relationship and aim to build just that by holding you, the client, as the expert in your own life while offering warmth, empathy, and consistency.
(425) 230-3018 View (425) 230-3018
Photo of Mary Catherine Sacco, Counselor in Seattle, WA
Mary Catherine Sacco
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98107
Not accepting new clients
Hope, possibility, insight, change; these are the gifts therapy can offer. Because anxiety, sadness and fear are part of what it means to be human, I feel it is essential to find meaning in our challenges. There is strength in understanding. I believe we all have the seeds of healing within us and my role in this process is to listen carefully and to provide feedback and support along the way. I respect your unique perspective and your gifts.
Hope, possibility, insight, change; these are the gifts therapy can offer. Because anxiety, sadness and fear are part of what it means to be human, I feel it is essential to find meaning in our challenges. There is strength in understanding. I believe we all have the seeds of healing within us and my role in this process is to listen carefully and to provide feedback and support along the way. I respect your unique perspective and your gifts.
(505) 278-7535 View (505) 278-7535
Photo of Candice M Small, Psychologist in Seattle, WA
Candice M Small
Psychologist, PhD
Verified Verified
Seattle, WA 98105
Candice M. Small, PhD, is a licensed psychologist specializing in providing evidence-based treatments for anxiety, depression, and trauma exposure in children and adolescents. She strives to work collaboratively with caregivers and families to identify strengths and challenges in order to help every child succeed. Dr. Small also specializes in comprehensive therapeutic psychological assessment, including diagnostic assessment for Mood Disorders, Learning Disabilities, Attention-Deficit/Hyperactivity Disorder (ADHD), and other learning or executive functioning concerns.
Candice M. Small, PhD, is a licensed psychologist specializing in providing evidence-based treatments for anxiety, depression, and trauma exposure in children and adolescents. She strives to work collaboratively with caregivers and families to identify strengths and challenges in order to help every child succeed. Dr. Small also specializes in comprehensive therapeutic psychological assessment, including diagnostic assessment for Mood Disorders, Learning Disabilities, Attention-Deficit/Hyperactivity Disorder (ADHD), and other learning or executive functioning concerns.
(206) 258-6957 View (206) 258-6957
Photo of Stephen Kim, Counselor in Seattle, WA
Stephen Kim
Counselor, MA, LMHCA
Verified Verified
2 Endorsed
Seattle, WA 98133  (Online Only)
If you’re experiencing shame, guilt, or crippling perfectionism, I would like to help. You may feel stuck, wrestling with constant self-criticism or struggling with the same damaging ideas for years making self-acceptance impossible. Whatever you’re going through, you don’t have to endure it alone. I hope to create a space where you feel safe to share your story, support you in navigating the most painful parts, and ultimately help you find healing and wholeness. While we can’t change the past, we can shape its impact on our present and future.
If you’re experiencing shame, guilt, or crippling perfectionism, I would like to help. You may feel stuck, wrestling with constant self-criticism or struggling with the same damaging ideas for years making self-acceptance impossible. Whatever you’re going through, you don’t have to endure it alone. I hope to create a space where you feel safe to share your story, support you in navigating the most painful parts, and ultimately help you find healing and wholeness. While we can’t change the past, we can shape its impact on our present and future.
(206) 312-5469 View (206) 312-5469
Photo of Melissa Hawkins, Psychologist in Seattle, WA
Melissa Hawkins
Psychologist, PhD
Verified Verified
Seattle, WA 98119
I am a licensed clinical psychologist specializing in helping women, men, and couples struggling with relationship issues, sexual concerns, infertility, depression, and anxiety. I work to establish a place where people can disclose and focus on their most personal challenges openly and honestly. I view treatment as a compassionate and collaborative process. I work to help clients reach their goals by listening carefully to and understanding present concerns and problems. My therapeutic orientation is best described as integrative, drawing strongly from interpersonal, psychodynamic, and cognitive-behavioral therapy modalities.
I am a licensed clinical psychologist specializing in helping women, men, and couples struggling with relationship issues, sexual concerns, infertility, depression, and anxiety. I work to establish a place where people can disclose and focus on their most personal challenges openly and honestly. I view treatment as a compassionate and collaborative process. I work to help clients reach their goals by listening carefully to and understanding present concerns and problems. My therapeutic orientation is best described as integrative, drawing strongly from interpersonal, psychodynamic, and cognitive-behavioral therapy modalities.
(206) 922-8169 View (206) 922-8169
Photo of Adrienne Kandhari, Mental Health Counselor in Seattle, WA
Adrienne Kandhari
Mental Health Counselor, MA, LMHC
Verified Verified
Seattle, WA 98107
As a woman with ADHD, do you feel that your ADHD is impacting your relationships, self-esteem, goals and/or work? Do you find yourself saying sentences like, ‘I should…, ‘Why can’t I just…’, or ‘If I wasn’t so lazy…’? What if you could find strategies that could help you manage the things that feel like they always are falling through the cracks? Women with ADHD often experience ADHD differently than the stereotypical symptoms. What if you could find validation and understanding of your experience? Whether you have been diagnosed with ADHD for years or just starting your journey, your ADHD doesn't have to feel like a burden.
As a woman with ADHD, do you feel that your ADHD is impacting your relationships, self-esteem, goals and/or work? Do you find yourself saying sentences like, ‘I should…, ‘Why can’t I just…’, or ‘If I wasn’t so lazy…’? What if you could find strategies that could help you manage the things that feel like they always are falling through the cracks? Women with ADHD often experience ADHD differently than the stereotypical symptoms. What if you could find validation and understanding of your experience? Whether you have been diagnosed with ADHD for years or just starting your journey, your ADHD doesn't have to feel like a burden.
(206) 309-3475 View (206) 309-3475

How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
79% Relationship Issues
76% Self Esteem
72% Trauma and PTSD
71% Stress
69% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

70% Premera
53% Aetna
47% Regence

How Therapists in Seattle, WA see their clients

51% Online Only
49% In Person and Online

Gender breakdown

75% Female
21% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Seattle?

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.