Therapists in Tacoma, WA

View neighborhoods in Tacoma
Photo of Robert Olsen, Counselor in Tacoma, WA
Robert Olsen
Counselor, MS, LMHC, CTT+
Verified Verified
Tacoma, WA 98409
DORI is Accepting New Couples! Dori specializes in Couples, Marriage, and Pre-Marital Coaching! Dori helps couples Repair Trust, Build Healthier Communication, Resolve Relational Conflicts, and learn to grow past your past. Her coaching approach utilizes skill-based activities, practice sessions during sessions, learning to know your own and your loved one's deepest needs, how to set healthy boundaries and stop passive-aggressiveness, and you'll learn to grow emotionally and relationally. Dori(AT)Success4Couples.com or 253.355.6620.
DORI is Accepting New Couples! Dori specializes in Couples, Marriage, and Pre-Marital Coaching! Dori helps couples Repair Trust, Build Healthier Communication, Resolve Relational Conflicts, and learn to grow past your past. Her coaching approach utilizes skill-based activities, practice sessions during sessions, learning to know your own and your loved one's deepest needs, how to set healthy boundaries and stop passive-aggressiveness, and you'll learn to grow emotionally and relationally. Dori(AT)Success4Couples.com or 253.355.6620.
(253) 345-4467 View (253) 345-4467
Photo of Girasol Counseling, Clinical Social Work/Therapist in Tacoma, WA
Girasol Counseling
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
5 Endorsed
Tacoma, WA 98402
Girasol Counseling is a Latine, women, and queer owned group practice. At Girasol Counseling we are committed to the work of de-stigmatization and decolonization of mental health that advocates for collective healing practices grounded in liberation, culture, and spirituality. We believe that everyone has the inner capacity for healing ignited through self discovery and community. Our role as therapists is to facilitate healing and support your journey in homecoming to your essential self/your tribe/community of trust/sagna.
Girasol Counseling is a Latine, women, and queer owned group practice. At Girasol Counseling we are committed to the work of de-stigmatization and decolonization of mental health that advocates for collective healing practices grounded in liberation, culture, and spirituality. We believe that everyone has the inner capacity for healing ignited through self discovery and community. Our role as therapists is to facilitate healing and support your journey in homecoming to your essential self/your tribe/community of trust/sagna.
(253) 676-9291 View (253) 676-9291
Photo of Melissa Haney, Marriage & Family Therapist in Tacoma, WA
Melissa Haney
Marriage & Family Therapist, LMFT
Verified Verified
Tacoma, WA 98404  (Online Only)
Currently Accepting New Patients.......... Are you tired to being stuck thinking about the same problems and not being able to change them? Have you tried everything that you can think of to have a more satisfying and less stressful relationship with the people you care about? Are these problems having an impact on sleep, work, relationships with others, or living a full life? Many people find themselves mentally and emotionally stuck and have a difficult time finding a way out.
Currently Accepting New Patients.......... Are you tired to being stuck thinking about the same problems and not being able to change them? Have you tried everything that you can think of to have a more satisfying and less stressful relationship with the people you care about? Are these problems having an impact on sleep, work, relationships with others, or living a full life? Many people find themselves mentally and emotionally stuck and have a difficult time finding a way out.
(253) 400-5842 View (253) 400-5842
Photo of Stephanie Munizza, Marriage & Family Therapist in Tacoma, WA
Stephanie Munizza
Marriage & Family Therapist, MA, LMFT
Verified Verified
Tacoma, WA 98403
Perhaps you’re coming from the school of hard knocks. Because of your own trauma history, you may be re-creating painful experiences that are familiar and habitual. You want something more and/or different, but you don't know how to change. If you’re reading this, you might be interested in an offering of slowing down and practicing mindfulness as a way to befriend the various parts of your Self and understand your mind / body connection. You may wish to release burdens that no longer serve you. When a feeling of safety, connection, and choice is experienced within you, thriving is not only possible; it can become a way of life.
Perhaps you’re coming from the school of hard knocks. Because of your own trauma history, you may be re-creating painful experiences that are familiar and habitual. You want something more and/or different, but you don't know how to change. If you’re reading this, you might be interested in an offering of slowing down and practicing mindfulness as a way to befriend the various parts of your Self and understand your mind / body connection. You may wish to release burdens that no longer serve you. When a feeling of safety, connection, and choice is experienced within you, thriving is not only possible; it can become a way of life.
(253) 733-2088 View (253) 733-2088
Photo of Sandra Killebrew, Marriage & Family Therapist in Tacoma, WA
Sandra Killebrew
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Tacoma, WA 98402
If you’re tired of recycling the same argument, walking on eggshells with each other or don’t know how to repair your relationship, I can help you get to the root of your disconnection. I help distressed, disconnected couples remember what it's like to be sexy best friends instead of roommates. Together, we will identify your entrenched ways of arguing so that both of you can break these patterns by learning how to clearly state how you’re feeling to your partner and in turn, listen deeply. I'll help you pay close attention to each other, so that you both feel a little more held each time we meet.
If you’re tired of recycling the same argument, walking on eggshells with each other or don’t know how to repair your relationship, I can help you get to the root of your disconnection. I help distressed, disconnected couples remember what it's like to be sexy best friends instead of roommates. Together, we will identify your entrenched ways of arguing so that both of you can break these patterns by learning how to clearly state how you’re feeling to your partner and in turn, listen deeply. I'll help you pay close attention to each other, so that you both feel a little more held each time we meet.
(253) 652-5842 View (253) 652-5842
Photo of Kayleigh Jamison, Mental Health Counselor in Tacoma, WA
Kayleigh Jamison
Mental Health Counselor, MA, LMHC
Verified Verified
1 Endorsed
Tacoma, WA 98402
I help people with difficult past learn about their brain and how to manage it so they can have a more productive future. Together we will make obtainable goals, collaborate in understanding your past, and build a beneficial therapeutic relationship to conquer your psychological needs. I offer accessible and affordable therapy to adolescents, adults, and couples in person at my office in Tacoma and offer virtual sessions online to anyone in Washington. Because I understand the common barriers to mental health care, I offer a reduced fee and have evening availability.
I help people with difficult past learn about their brain and how to manage it so they can have a more productive future. Together we will make obtainable goals, collaborate in understanding your past, and build a beneficial therapeutic relationship to conquer your psychological needs. I offer accessible and affordable therapy to adolescents, adults, and couples in person at my office in Tacoma and offer virtual sessions online to anyone in Washington. Because I understand the common barriers to mental health care, I offer a reduced fee and have evening availability.
(253) 666-6950 View (253) 666-6950
Photo of Cole Schrim, Counselor in Tacoma, WA
Cole Schrim
Counselor, MEd, LMHC, MHP
Verified Verified
1 Endorsed
Tacoma, WA 98409  (Online Only)
Welcome! You found me. I am the non-traditional therapist you've been seeking. I serve clients from all walks of life. Children, adolescents, teenagers, adults alike - my clients are all ideally looking to build a strong working relationship with me in order to explore existing patterns within their lives that are challenging or frustrating. I am open-minded to all lifestyles. My clients are unique individuals who would like help in learning how to actualize their personal and interpersonal goals to live more fulfilling lives.
Welcome! You found me. I am the non-traditional therapist you've been seeking. I serve clients from all walks of life. Children, adolescents, teenagers, adults alike - my clients are all ideally looking to build a strong working relationship with me in order to explore existing patterns within their lives that are challenging or frustrating. I am open-minded to all lifestyles. My clients are unique individuals who would like help in learning how to actualize their personal and interpersonal goals to live more fulfilling lives.
(971) 704-9020 View (971) 704-9020
Photo of Hailey Clum, Pre-Licensed Professional in Tacoma, WA
Hailey Clum
Pre-Licensed Professional
Verified Verified
9 Endorsed
Tacoma, WA 98405  (Online Only)
Not accepting new clients
Please note: I am not accepting new clients, as my caseload is full, but will have spots in Summer 2024. Therapy can be a challenging and fulfilling experience that caters to each person’s needs. Knowing that there may be a variety of influences and obstacles you are navigating, it is my hope and aspiration to collaborate with you. I intend to provide a brave space that fosters a supportive and welcoming environment for you to share experiences, thoughts, and emotions. Leading with empathy, affirmation, and earnest listening are my goals when working with clients. My hope is you walk away feeling understood and encouraged.
Please note: I am not accepting new clients, as my caseload is full, but will have spots in Summer 2024. Therapy can be a challenging and fulfilling experience that caters to each person’s needs. Knowing that there may be a variety of influences and obstacles you are navigating, it is my hope and aspiration to collaborate with you. I intend to provide a brave space that fosters a supportive and welcoming environment for you to share experiences, thoughts, and emotions. Leading with empathy, affirmation, and earnest listening are my goals when working with clients. My hope is you walk away feeling understood and encouraged.
(206) 758-5435 View (206) 758-5435
Photo of Paolo Laraño, Psychologist in Tacoma, WA
Paolo Laraño
Psychologist, PsyD
Verified Verified
Tacoma, WA 98407  (Online Only)
My name is Paolo and I'm a licensed clinical psychologist providing therapy to adults, kids (10+), adolescents, groups, and families in the state of Washington. I offer a therapeutic setting that prioritizes privacy, convenience, and flexibility. From the start of therapy, we will take a collaborative approach meant to fit your specific needs. We'll create a space that welcomes and validates your full experience, along with simultaneously respecting your autonomy and boundaries. In addition to supporting your struggles, I offer just as much space to help you uncover and develop your strengths.
My name is Paolo and I'm a licensed clinical psychologist providing therapy to adults, kids (10+), adolescents, groups, and families in the state of Washington. I offer a therapeutic setting that prioritizes privacy, convenience, and flexibility. From the start of therapy, we will take a collaborative approach meant to fit your specific needs. We'll create a space that welcomes and validates your full experience, along with simultaneously respecting your autonomy and boundaries. In addition to supporting your struggles, I offer just as much space to help you uncover and develop your strengths.
(253) 600-2306 View (253) 600-2306
Photo of Jillian Boyte-White, Counselor in Tacoma, WA
Jillian Boyte-White
Counselor, MA, LMHCA
Verified Verified
Tacoma, WA 98402
I work with adults—individuals and couples—and am a LGBTQ+ and alternative relationship affirming practice. I value social justice, and make a commitment to you to be a safe and inviting space for you to be yourself. I may be a good fit for you if you are seeking support regarding anxiety, depression, major life transitions, exploring your identity, relationship issues, and/or couples counseling.
I work with adults—individuals and couples—and am a LGBTQ+ and alternative relationship affirming practice. I value social justice, and make a commitment to you to be a safe and inviting space for you to be yourself. I may be a good fit for you if you are seeking support regarding anxiety, depression, major life transitions, exploring your identity, relationship issues, and/or couples counseling.
(253) 364-4639 View (253) 364-4639
Photo of Develop Minded Therapies, Counselor in Tacoma, WA
Develop Minded Therapies
Counselor, LMHC, NCC, CFMHE, CEAP, DBTC, CCCE
Verified Verified
2 Endorsed
Tacoma, WA 98409
Everyone wants to be heard. One of the most fulfilling experiences for us as individuals is to tell our story and have it heard. My first priority when working with a new client is to find a way for them to tell their story and then to hear/receive it and validate their feelings. People have a variety of ways for communicating their feelings and experiences, for this reason I utilize several different interventions to help the client share their story in a safe and comfortable environment. My services are available in English and Spanish.
Everyone wants to be heard. One of the most fulfilling experiences for us as individuals is to tell our story and have it heard. My first priority when working with a new client is to find a way for them to tell their story and then to hear/receive it and validate their feelings. People have a variety of ways for communicating their feelings and experiences, for this reason I utilize several different interventions to help the client share their story in a safe and comfortable environment. My services are available in English and Spanish.
(253) 214-3164 View (253) 214-3164
Photo of Kim K Armit, Marriage & Family Therapist in Tacoma, WA
Kim K Armit
Marriage & Family Therapist, MS, LMFTA, LMHCA
Verified Verified
Tacoma, WA 98402
Marriage and family life can present a series of challenges that at times can seem overwhelming. For each stage of the marriage relationship there are a set of challenges that help transition the relationship to a closer more intimate bonding. Instead of ending the marriage identify what stage you are in and the challenges you need to meet as a couple.The same can be true for child and parent relationships, different stages represent different challenges and skills to acquire. Knowing when to let go and when to stand firm as a parent.
Marriage and family life can present a series of challenges that at times can seem overwhelming. For each stage of the marriage relationship there are a set of challenges that help transition the relationship to a closer more intimate bonding. Instead of ending the marriage identify what stage you are in and the challenges you need to meet as a couple.The same can be true for child and parent relationships, different stages represent different challenges and skills to acquire. Knowing when to let go and when to stand firm as a parent.
(253) 248-4467 View (253) 248-4467
Photo of Eileen M Hirschl, Pre-Licensed Professional in Tacoma, WA
Eileen M Hirschl
Pre-Licensed Professional, MA, LMHCA
Verified Verified
Tacoma, WA 98445  (Online Only)
I strive to create a warm, compassionate, empathetic, nurturing space that encourages emotional growth. I walk alongside individuals to inspire them to reach their healing goals or manuver through life's difficult transitions. I will also challenge you to be your best self and move towards your healing goals. The goal is to help you heal from present or past emotional wounds and offer new tools to help navigate you towards your best life. I am passionate about the power of personal growth and building healthy relationships, and following your dreams.
I strive to create a warm, compassionate, empathetic, nurturing space that encourages emotional growth. I walk alongside individuals to inspire them to reach their healing goals or manuver through life's difficult transitions. I will also challenge you to be your best self and move towards your healing goals. The goal is to help you heal from present or past emotional wounds and offer new tools to help navigate you towards your best life. I am passionate about the power of personal growth and building healthy relationships, and following your dreams.
(253) 518-3804 View (253) 518-3804
Photo of Kelly Peck, Counselor in Tacoma, WA
Kelly Peck
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98402
Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you've faced, there's nothing wrong with seeking out extra support when you need it. I believe that children, adolescents, adults, couples and families can and deserve symptom relief, peace, harmony and greater satisfaction in their personal life, marriage, job, school, and interpersonal relationships. I provide a safe, warm and confidential therapeutic environment to achieve these goals with you.
Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you've faced, there's nothing wrong with seeking out extra support when you need it. I believe that children, adolescents, adults, couples and families can and deserve symptom relief, peace, harmony and greater satisfaction in their personal life, marriage, job, school, and interpersonal relationships. I provide a safe, warm and confidential therapeutic environment to achieve these goals with you.
(253) 292-5139 View (253) 292-5139
Photo of Jordan Dennison, Clinical Social Work/Therapist in Tacoma, WA
Jordan Dennison
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Tacoma, WA 98403  (Online Only)
Not accepting new clients
Welcome! If you are here, life’s challenges may have you feeling out of control and overwhelmed. If you’re struggling to manage stress or moods, find yourself constantly overthinking, feeling the need to make changes, wrestling with life transitions, or struggling with relationships, you are not alone. These can be intense and scary challenges to deal with, but you don’t have to navigate these heavier parts of life alone.
Welcome! If you are here, life’s challenges may have you feeling out of control and overwhelmed. If you’re struggling to manage stress or moods, find yourself constantly overthinking, feeling the need to make changes, wrestling with life transitions, or struggling with relationships, you are not alone. These can be intense and scary challenges to deal with, but you don’t have to navigate these heavier parts of life alone.
(206) 279-9949 View (206) 279-9949
Photo of Joseph Velazquez, Marriage & Family Therapist in Tacoma, WA
Joseph Velazquez
Marriage & Family Therapist, MA , LMFT
Verified Verified
Tacoma, WA 98422  (Online Only)
What is the goal of your marriage or relationship? Relationships are vital to becoming a whole person. At times, connecting with your spouse may feel magical, but every relationship goes through tough seasons. I understand how overwhelming it can feel when distance and resentment is the only thing growing between you. At times, it may feel like the hurt you are experiencing is not worth the effort. Maybe your relationship is still strong, but can stand a bit of tweaking to recapture the zest it once had. Whatever the case, there is always hope!
What is the goal of your marriage or relationship? Relationships are vital to becoming a whole person. At times, connecting with your spouse may feel magical, but every relationship goes through tough seasons. I understand how overwhelming it can feel when distance and resentment is the only thing growing between you. At times, it may feel like the hurt you are experiencing is not worth the effort. Maybe your relationship is still strong, but can stand a bit of tweaking to recapture the zest it once had. Whatever the case, there is always hope!
(206) 350-3636 View (206) 350-3636
Photo of Maggie Stang, Marriage & Family Therapist in Tacoma, WA
Maggie Stang
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Tacoma, WA 98406  (Online Only)
Hi there, I’m Maggie. If you are looking for a nurturing therapist who is genuine, wants the best for your unique life, and will challenge you towards deeper healing, we could be a good fit. I would love to support you as you begin to embrace your intersecting and unfolding identities. My specialties as a therapist include body liberation (Health At Every Size), life transitions, and exploration of self through a relational lens. My approach is centered within an anti-oppressive, anti-racist, and liberatory lens. I am a queer and neurodivergent therapist, and I enjoy supporting folks with these shared identities.
Hi there, I’m Maggie. If you are looking for a nurturing therapist who is genuine, wants the best for your unique life, and will challenge you towards deeper healing, we could be a good fit. I would love to support you as you begin to embrace your intersecting and unfolding identities. My specialties as a therapist include body liberation (Health At Every Size), life transitions, and exploration of self through a relational lens. My approach is centered within an anti-oppressive, anti-racist, and liberatory lens. I am a queer and neurodivergent therapist, and I enjoy supporting folks with these shared identities.
(253) 364-7913 View (253) 364-7913
Photo of Lizzie Munday, Counselor in Tacoma, WA
Lizzie Munday
Counselor, MEd, LMHC
Verified Verified
3 Endorsed
Tacoma, WA 98408
Therapy and the process of change can be daunting but, YOU ARE WORTH IT! My focus and goal in my work with you is to help navigate through your personal process of growth and change. I use a strength based, client centered and cognitive/behavioral approach to help develop techniques and coping skills to get you to where you want to be to feel solace and peace in your life. The most important step in the process is establishing a client/therapist relationship based on mutual respect and integrity.
Therapy and the process of change can be daunting but, YOU ARE WORTH IT! My focus and goal in my work with you is to help navigate through your personal process of growth and change. I use a strength based, client centered and cognitive/behavioral approach to help develop techniques and coping skills to get you to where you want to be to feel solace and peace in your life. The most important step in the process is establishing a client/therapist relationship based on mutual respect and integrity.
(253) 444-2946 View (253) 444-2946
Photo of Black Butterfly Counseling, Counselor in Tacoma, WA
Black Butterfly Counseling
Counselor, LMHC, MA
Verified Verified
Tacoma, WA 98405  (Online Only)
Not accepting new clients
There are many roads that can lead to change. I work with individuals of all ages and backgrounds that are ready to make changes in their lives. I believe we are not defined by our circumstances, but by our ability to deal with challenges, learn from them, and continue to live our authentic lives. My goal for clients I work with is to help them recognize their own natural strengths and abilities on their path to healing, transformation, and growth.
There are many roads that can lead to change. I work with individuals of all ages and backgrounds that are ready to make changes in their lives. I believe we are not defined by our circumstances, but by our ability to deal with challenges, learn from them, and continue to live our authentic lives. My goal for clients I work with is to help them recognize their own natural strengths and abilities on their path to healing, transformation, and growth.
(253) 900-2461 View (253) 900-2461
Photo of John J. Smith, Counselor in Tacoma, WA
John J. Smith
Counselor, LMHCA, MFT
Verified Verified
Tacoma, WA 98406  (Online Only)
I believe that everyone comes to a place in their life and experiences the feeling of being”stuck” and not knowing what to do next. Anger, anxiety and depression can leave a person feeling overwhelmed and unsure. While people often have a strong desire for change find it difficult to reach out for help. As a licensed mental health counselor have helped many singles couples and families heal and grow, and I can do the same for you.If you are ready to take that first step then please call me. I look forward to meeting you. Sincerely, John J. Smith LMHCA
I believe that everyone comes to a place in their life and experiences the feeling of being”stuck” and not knowing what to do next. Anger, anxiety and depression can leave a person feeling overwhelmed and unsure. While people often have a strong desire for change find it difficult to reach out for help. As a licensed mental health counselor have helped many singles couples and families heal and grow, and I can do the same for you.If you are ready to take that first step then please call me. I look forward to meeting you. Sincerely, John J. Smith LMHCA
(253) 252-5027 View (253) 252-5027

How does your Therapist compare?

Number of Therapists in Tacoma, WA

1,000+

Average cost per session

$150

Therapists in Tacoma, WA who prioritize treating:

93% Anxiety
88% Depression
76% Trauma and PTSD
75% Relationship Issues
75% Self Esteem
70% Stress
67% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

78% Premera
66% Regence
61% Aetna

How Therapists in Tacoma, WA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

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

How can I find a therapist in Tacoma?

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.