Photo of Jeannie Manning - Jeannie Manning Inc, MA, LMHC, SUDP, Counselor
Jeannie Manning Inc
Counselor, MA, LMHC, SUDP
Verified Verified
2 Endorsed
Bothell, WA 98011
Waitlist for new clients
People come to therapy for various reasons: Trying to manage the infinity loop of continuous regrets/ thoughts from past situations, managing autism, depression, chronic pain, understanding past and present trauma and trying to deal with symptoms of other disorders, which can prevent someone from being able to function in life. I believe in developing a therapeutic relationship before deciding what treatment is needed for any situations/issues. I am certified in Post Traumatic Disorder, Depression, Chronic Illness, and Parent Support. Please reach out to see if we would be a good fit for work together. I enjoy working with all ages.
People come to therapy for various reasons: Trying to manage the infinity loop of continuous regrets/ thoughts from past situations, managing autism, depression, chronic pain, understanding past and present trauma and trying to deal with symptoms of other disorders, which can prevent someone from being able to function in life. I believe in developing a therapeutic relationship before deciding what treatment is needed for any situations/issues. I am certified in Post Traumatic Disorder, Depression, Chronic Illness, and Parent Support. Please reach out to see if we would be a good fit for work together. I enjoy working with all ages.
(425) 448-6967 View (425) 448-6967
Photo of Danielle Agoh, LMHCA, Counselor
Danielle Agoh
Counselor, LMHCA
Verified Verified
Bothell, WA 98011  (Online Only)
As a holistic, trauma-informed therapist, I work with adolescents 16yrs + and adults experiencing depression, anxiety, and shame. I also work with complex and intergenerational trauma. My practice is primarily drawn from Relational Psychodynamic Theory, Attachment Theory, and Mindfulness.
As a holistic, trauma-informed therapist, I work with adolescents 16yrs + and adults experiencing depression, anxiety, and shame. I also work with complex and intergenerational trauma. My practice is primarily drawn from Relational Psychodynamic Theory, Attachment Theory, and Mindfulness.
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Photo of Bridgette Graham, MA, LMHC, MHP
Bridgette Graham
MA, LMHC, MHP
Verified Verified
Bothell, WA 98011  (Online Only)
Wow the last couple of years have been a doozy, let's unpack some of that huh? I enjoy working with clients of all ages, genders, and sexualities. I like to understand you as a whole person, what's your family like, health issues that may impact you, what your hobbies are, etc. I can help with anxiety, depression, mood disorders, eating disorders, and just regular old feelings.
Wow the last couple of years have been a doozy, let's unpack some of that huh? I enjoy working with clients of all ages, genders, and sexualities. I like to understand you as a whole person, what's your family like, health issues that may impact you, what your hobbies are, etc. I can help with anxiety, depression, mood disorders, eating disorders, and just regular old feelings.
(425) 491-1561 View (425) 491-1561
Photo of Mary Guay, LMFT, CPC, Marriage & Family Therapist
Mary Guay
Marriage & Family Therapist, LMFT, CPC
Verified Verified
Bothell, WA 98011  (Online Only)
Would you like more out of life? Life has much to offer! What's the quality of your relationships, especially the one you have with yourself? I'm here to support and facilitate you living true to yourself. Going through a time of transition? This time in life may be a threshold that seems intimidating and confusing. You may be suffering from depression or anxiety. Lonliness and hurt may lead to healing and awakening to inner resource when collaborating with me.Therapy and life coaching help you to see the growth opportunities that are a part of your challenge. You can turn problems into opportunities!
Would you like more out of life? Life has much to offer! What's the quality of your relationships, especially the one you have with yourself? I'm here to support and facilitate you living true to yourself. Going through a time of transition? This time in life may be a threshold that seems intimidating and confusing. You may be suffering from depression or anxiety. Lonliness and hurt may lead to healing and awakening to inner resource when collaborating with me.Therapy and life coaching help you to see the growth opportunities that are a part of your challenge. You can turn problems into opportunities!
(425) 954-6880 View (425) 954-6880
Photo of Amber Ford - Neupathway (Amber Ford), EeD, LCSW, Clinical Social Work/Therapist
Neupathway (Amber Ford)
Clinical Social Work/Therapist, EeD, LCSW
Verified Verified
Bothell, WA 98011  (Online Only)
We all need support throughout our lives, and you may be looking for an additional resource to help you process lived experiences, problem-solve, or understand yourself in a deeper way. You may be struggling with anxiety, the challenges of caregiving, work stress and burnout, relationship challenges, or working through grief, loss, or bereavement. You want to engage in healthy coping skills and develop self-care habits to better support the vision you have for your life.
We all need support throughout our lives, and you may be looking for an additional resource to help you process lived experiences, problem-solve, or understand yourself in a deeper way. You may be struggling with anxiety, the challenges of caregiving, work stress and burnout, relationship challenges, or working through grief, loss, or bereavement. You want to engage in healthy coping skills and develop self-care habits to better support the vision you have for your life.
(425) 541-1890 View (425) 541-1890
Photo of Michelle Woodward, LCPC, LMHC, NCC, Counselor
Michelle Woodward
Counselor, LCPC, LMHC, NCC
Verified Verified
Bothell, WA 98011
I help individuals learn to accept themselves and others as they are, manage their emotions, and improve relationships. Acceptance allows for growth. I specialize in helping individuals resolve symptoms of trauma, anxiety, depression, and insomnia. I believe we all have the capacity to heal given the right tools and environment. My work with clients is grounded in mindfulness based, cognitive behavioral theory. Counseling is provided in a private, comfortable, non-judgmental environment. Telehealth sessions are available at this time. Together, we will use your existing strengths to move you toward optimal health.
I help individuals learn to accept themselves and others as they are, manage their emotions, and improve relationships. Acceptance allows for growth. I specialize in helping individuals resolve symptoms of trauma, anxiety, depression, and insomnia. I believe we all have the capacity to heal given the right tools and environment. My work with clients is grounded in mindfulness based, cognitive behavioral theory. Counseling is provided in a private, comfortable, non-judgmental environment. Telehealth sessions are available at this time. Together, we will use your existing strengths to move you toward optimal health.
(509) 519-3089 View (509) 519-3089
Photo of Maribel Aheran - Neupathway (Maribel Aheran), EdD, LPC, LMHC, Counselor
Neupathway (Maribel Aheran)
Counselor, EdD, LPC, LMHC
Verified Verified
Bothell, WA 98011
Accepting New Patients, same week availability................................... Maribel Aheran Ed.D, LMHC-QS, NCC, MCAP is a bilingual (English & Spanish) licensed clinical mental health counselor with over 12 years of experience treating children, adolescents, college students, and adults. She completed a bachelor's degree in education from Caribbean University, a master's degree in English for speakers of other languages from Turabo University, a master's degree in Counseling and Psychology from Troy University, and a doctorate degree in education from Edgewood College.
Accepting New Patients, same week availability................................... Maribel Aheran Ed.D, LMHC-QS, NCC, MCAP is a bilingual (English & Spanish) licensed clinical mental health counselor with over 12 years of experience treating children, adolescents, college students, and adults. She completed a bachelor's degree in education from Caribbean University, a master's degree in English for speakers of other languages from Turabo University, a master's degree in Counseling and Psychology from Troy University, and a doctorate degree in education from Edgewood College.
(425) 470-6819 View (425) 470-6819
Photo of Jennifer Elf, MS, LMHC, Counselor
Jennifer Elf
Counselor, MS, LMHC
Verified Verified
Bothell, WA 98011
Not accepting new clients
Applying Emotionally Focused Couples Therapy (research-based approach: iceeft.com), I collaborate with all couples (both heterosexual and same sex couples) to reverse negative cycles and find and strengthen your attachment bond. Couples therapy can often help whether you're wanting to start off together on solid footing or have been long caught in conflict or distant, parallel lives, yearning to find a way out of a downward spiral to connection again. In the process of our work, issues such as recent or past affairs, unresolved loss or trauma, medical, emotional or other challenges may come to be met together.
Applying Emotionally Focused Couples Therapy (research-based approach: iceeft.com), I collaborate with all couples (both heterosexual and same sex couples) to reverse negative cycles and find and strengthen your attachment bond. Couples therapy can often help whether you're wanting to start off together on solid footing or have been long caught in conflict or distant, parallel lives, yearning to find a way out of a downward spiral to connection again. In the process of our work, issues such as recent or past affairs, unresolved loss or trauma, medical, emotional or other challenges may come to be met together.
(425) 298-5921 View (425) 298-5921
Photo of Ashley Varas-Combs, LICSW, Clinical Social Work/Therapist
Ashley Varas-Combs
Clinical Social Work/Therapist, LICSW
Verified Verified
Bothell, WA 98011  (Online Only)
Hey there scatter-brained and potentially queer ray of sunshine! I see you over there, being your own worst critic. Maybe you have a hard time seeing yourself the way your favorite people see you. Perhaps after ever so many trials and tribulations you are READY for a break, a chance to catch your breath, without any idea how to make that possible. As a therapist who specializes in caring a whole heck of a lot, my goal is to help you explore your world, uncover wounds, rediscover your joy, and support you in becoming a master of your values, desires, and paths towards feeling your wholeness. (Email is best!)
Hey there scatter-brained and potentially queer ray of sunshine! I see you over there, being your own worst critic. Maybe you have a hard time seeing yourself the way your favorite people see you. Perhaps after ever so many trials and tribulations you are READY for a break, a chance to catch your breath, without any idea how to make that possible. As a therapist who specializes in caring a whole heck of a lot, my goal is to help you explore your world, uncover wounds, rediscover your joy, and support you in becoming a master of your values, desires, and paths towards feeling your wholeness. (Email is best!)
(425) 873-8726 View (425) 873-8726
Photo of Mariko Lawrence - New Perceptions Counseling, PLLC, Mariko Lawrence, BS, Intern, Pre-Licensed Professional
New Perceptions Counseling, PLLC, Mariko Lawrence
Pre-Licensed Professional, BS, Intern
Verified Verified
1 Endorsed
Bothell, WA 98011  (Online Only)
My name is Mariko “Marti” Lawrence, and I am a Master of Social Work intern currently pursuing my degree at Grand Canyon University. At New Perceptions Counseling, I am gaining hands-on experience under the supervision of licensed professionals, providing counseling services to a diverse range of clients. I am deeply committed to active listening, supportive reflection, and offering unconditional positive regard. My goal is to create a safe and consistent space where clients can freely express their experiences, emotions, and thoughts. I approach my work with integrity, honesty, and straightforwardness.
My name is Mariko “Marti” Lawrence, and I am a Master of Social Work intern currently pursuing my degree at Grand Canyon University. At New Perceptions Counseling, I am gaining hands-on experience under the supervision of licensed professionals, providing counseling services to a diverse range of clients. I am deeply committed to active listening, supportive reflection, and offering unconditional positive regard. My goal is to create a safe and consistent space where clients can freely express their experiences, emotions, and thoughts. I approach my work with integrity, honesty, and straightforwardness.
(425) 952-9813 View (425) 952-9813
Photo of Sharon Hodges, LMHC, Counselor
Sharon Hodges
Counselor, LMHC
Verified Verified
Bothell, WA 98011
I am a Licensed Mental Health Counselor and Certified Child Mental Health Specialist with 20+ years experience in the mental health field. I am dedicated to providing quality therapeutic care and support to adults that are experiencing life challenges and psychological issues. Through telehealth, I work with individuals regarding relationships, life/family transitions, parenting support, grief and loss, stress/anger management, anxiety, depression, trauma, and abuse.
I am a Licensed Mental Health Counselor and Certified Child Mental Health Specialist with 20+ years experience in the mental health field. I am dedicated to providing quality therapeutic care and support to adults that are experiencing life challenges and psychological issues. Through telehealth, I work with individuals regarding relationships, life/family transitions, parenting support, grief and loss, stress/anger management, anxiety, depression, trauma, and abuse.
(425) 243-0326 View (425) 243-0326
Photo of Jelena Vranjin, PhD, Psychologist
Jelena Vranjin
Psychologist, PhD
Verified Verified
Bothell, WA 98011
Not accepting new clients
I provide mental health treatment for adults and teens in the areas of depression, anxiety, trauma, relationship issues, behavioral problems, and adjustment to life changes. I have worked with clients from diverse backgrounds and mental health difficulties, ranging from mild life adjustments to severe mental illness. I strive to help clients to identify and cope with internal and external obstacles that keep them from having the kind of life they want to have. This involves helping clients to deal with difficult emotions that feel unbearable, and to understand why they may repeatedly engage in actions that are self defeating.
I provide mental health treatment for adults and teens in the areas of depression, anxiety, trauma, relationship issues, behavioral problems, and adjustment to life changes. I have worked with clients from diverse backgrounds and mental health difficulties, ranging from mild life adjustments to severe mental illness. I strive to help clients to identify and cope with internal and external obstacles that keep them from having the kind of life they want to have. This involves helping clients to deal with difficult emotions that feel unbearable, and to understand why they may repeatedly engage in actions that are self defeating.
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Photo of Cassandra Kotlarchik, LMFT, CEDS-C, PMH-C, Marriage & Family Therapist
Cassandra Kotlarchik
Marriage & Family Therapist, LMFT, CEDS-C, PMH-C
Verified Verified
Bothell, WA 98011  (Online Only)
I have a passion for helping people cope with societal pressures and expectations that often lead to stress, anxiety, depression and negative ways of coping. Working with women on food and body image issues is a special interest of mine. I also enjoy supporting women through pregnancy and postpartum.
I have a passion for helping people cope with societal pressures and expectations that often lead to stress, anxiety, depression and negative ways of coping. Working with women on food and body image issues is a special interest of mine. I also enjoy supporting women through pregnancy and postpartum.
(425) 970-8861 View (425) 970-8861
Photo of Lisa Farsje, LICSW, Clinical Social Work/Therapist
Lisa Farsje
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Bothell, WA 98011
Welcoming New Clients! I work with individuals going through a major life transition such as burnout, grief/loss, "empty nester syndrome", a career crisis, break-up/divorce, etc. They are surprised how this change has revealed things about themselves that have been too painful to acknowledge until now. Whether it's underlying anxiety or depression symptoms, perfectionism, "people-pleasing", regret, grief or shame, they want to learn more about who they are so they can have a more fulfilling relationship with themselves and others.
Welcoming New Clients! I work with individuals going through a major life transition such as burnout, grief/loss, "empty nester syndrome", a career crisis, break-up/divorce, etc. They are surprised how this change has revealed things about themselves that have been too painful to acknowledge until now. Whether it's underlying anxiety or depression symptoms, perfectionism, "people-pleasing", regret, grief or shame, they want to learn more about who they are so they can have a more fulfilling relationship with themselves and others.
(425) 952-9542 View (425) 952-9542
Photo of Jauna Cruz, LMFT, Marriage & Family Therapist
Jauna Cruz
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Bothell, WA 98011
Not accepting new clients
Finding the right therapist can be challenging! But feeling connected and safe is essential to the work you will do in therapy. It takes a lot of courage to open your life up to someone else, to be vulnerable and willing to work on yourself. I place a high priority on creating a safe space for clients to share, we get enough judgment elsewhere in life. I am passionate about helping individuals struggling with anxiety, low self-esteem, body image, relationship issues, work/career stress and communication issues. I have experience working at intensive treatment settings for eating disorders, substance use and chronic pain as well.
Finding the right therapist can be challenging! But feeling connected and safe is essential to the work you will do in therapy. It takes a lot of courage to open your life up to someone else, to be vulnerable and willing to work on yourself. I place a high priority on creating a safe space for clients to share, we get enough judgment elsewhere in life. I am passionate about helping individuals struggling with anxiety, low self-esteem, body image, relationship issues, work/career stress and communication issues. I have experience working at intensive treatment settings for eating disorders, substance use and chronic pain as well.
(425) 970-8128 View (425) 970-8128
Photo of Lucia Wang, LMHCA, Counselor
Lucia Wang
Counselor, LMHCA
Verified Verified
Bothell, WA 98011
As a holistic, trauma-informed therapist, I take into consideration all aspects of your personhood–physical, mental, emotional, social, and spiritual. My focus is working with adult survivors of narcissistic abuse, neglect, borderline personality disorder, relationship issues, grief, ambiguous loss, life transitions, and systemic racism and oppression.
As a holistic, trauma-informed therapist, I take into consideration all aspects of your personhood–physical, mental, emotional, social, and spiritual. My focus is working with adult survivors of narcissistic abuse, neglect, borderline personality disorder, relationship issues, grief, ambiguous loss, life transitions, and systemic racism and oppression.
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Photo of Kelley Lubsen, MA, LMHC, Counselor
Kelley Lubsen
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Bothell, WA 98011  (Online Only)
Hello and Welcome! Are you dealing with anxiety, depression, low self-esteem, a big life transition, relationship distress, and/or pressure to behave in ways that don’t feel authentic or healthy for you? Do you feel eager to gain insight and learn how to relate to yourself, others, and your life in ways that feel nourishing? Are you longing for a warm, calm, compassionate, creative, and collaborative space in which to explore these things? If you answered yes to any of these questions, I would love to hear from you!
Hello and Welcome! Are you dealing with anxiety, depression, low self-esteem, a big life transition, relationship distress, and/or pressure to behave in ways that don’t feel authentic or healthy for you? Do you feel eager to gain insight and learn how to relate to yourself, others, and your life in ways that feel nourishing? Are you longing for a warm, calm, compassionate, creative, and collaborative space in which to explore these things? If you answered yes to any of these questions, I would love to hear from you!
(206) 488-0334 View (206) 488-0334
Photo of Norma Crist Merkle, MS, LMHC, Counselor
Norma Crist Merkle
Counselor, MS, LMHC
Verified Verified
Bothell, WA 98011
Life can be painful and confusing sometimes. Maybe you are struggling with anxiety, depression, or challenging life changes. Maybe you are grieving the loss of someone, or some part of your life...feeling alone and afraid to take the next step. lt might be time to get a different perspective on your problems so that you can start to feel the relief you are seeking and move forward. I will work carefully with you to uncover the basis for your distress, reexamine your expectations and choices, then explore new ways of experiencing your life that make sense to you.
Life can be painful and confusing sometimes. Maybe you are struggling with anxiety, depression, or challenging life changes. Maybe you are grieving the loss of someone, or some part of your life...feeling alone and afraid to take the next step. lt might be time to get a different perspective on your problems so that you can start to feel the relief you are seeking and move forward. I will work carefully with you to uncover the basis for your distress, reexamine your expectations and choices, then explore new ways of experiencing your life that make sense to you.
(425) 491-1313 View (425) 491-1313
Photo of Aliya Zafer, MA, LMHC
Aliya Zafer
Mental Health Counselor, MA, LMHC
Verified Verified
Bothell, WA 98011
I am an active listener, and my goal is to listen to my clients and help them to deal with their issues. I realize the need to be heard, so I am here to listen so that we can both get along in this journey together to find unique solutions. I typically work with adult clients & however, in some instances I also take on clients who are older adolescents or older adults. Saturday appointments are available. I look forward to meeting you.
I am an active listener, and my goal is to listen to my clients and help them to deal with their issues. I realize the need to be heard, so I am here to listen so that we can both get along in this journey together to find unique solutions. I typically work with adult clients & however, in some instances I also take on clients who are older adolescents or older adults. Saturday appointments are available. I look forward to meeting you.
(425) 215-1415 View (425) 215-1415
Photo of Joshua Landis, PsyD, Psychologist
Joshua Landis
Psychologist, PsyD
Verified Verified
Bothell, WA 98011
Dr. Landis has worked with a range of severe psychiatric illnesses including, but not limited to, anxiety, depression, mood disorders, personality disorders, intellectual disabilities, schizophrenia, bipolar disorders, PTSD, and eating disorders. Dr. Landis has extensive experience working with both adolescent and adult inpatient populations who struggle with severe suicidal ideation or attempts, self-harm behaviors, violent or aggressive behaviors, interpersonal conflict, marital problems, grief issues, and co-occurring substance abuse.
Dr. Landis has worked with a range of severe psychiatric illnesses including, but not limited to, anxiety, depression, mood disorders, personality disorders, intellectual disabilities, schizophrenia, bipolar disorders, PTSD, and eating disorders. Dr. Landis has extensive experience working with both adolescent and adult inpatient populations who struggle with severe suicidal ideation or attempts, self-harm behaviors, violent or aggressive behaviors, interpersonal conflict, marital problems, grief issues, and co-occurring substance abuse.
(425) 475-1762 View (425) 475-1762
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See more therapy options for 98011

How does your Therapist compare?

Number of Therapists in 98011

100+

Average cost per session

$150

Therapists in 98011 who prioritize treating:

96% Anxiety
91% Depression
77% Relationship Issues
75% Grief
74% Trauma and PTSD
74% Self Esteem
69% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

83% Premera Blue Cross
75% Regence
62% Aetna

How Therapists in 98011 see their clients

70% In Person and Online
30% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 98011?

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.