Therapists in Seattle, WA

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Photo of Perry Firth, Psychologist in Seattle, WA
Perry Firth
Psychologist, PhD, EdS
Verified Verified
Seattle, WA 98105
The clients I work with often feel different in some way, either because of neurodivergence, trauma, giftedness, or intense anxiety. Simply put, they process the world differently. The parents I see are doing their best to support their children's self-regulation even as they manage their own confusion and fatigue. They are looking for a guide rather than endless parenting blogs. My young adult clients are looking for ways to manage self-criticism, anxiety, and perfectionism. Frequently, they are processing trauma, striving to develop a balanced sense of self, and learning how to navigate relationships.
The clients I work with often feel different in some way, either because of neurodivergence, trauma, giftedness, or intense anxiety. Simply put, they process the world differently. The parents I see are doing their best to support their children's self-regulation even as they manage their own confusion and fatigue. They are looking for a guide rather than endless parenting blogs. My young adult clients are looking for ways to manage self-criticism, anxiety, and perfectionism. Frequently, they are processing trauma, striving to develop a balanced sense of self, and learning how to navigate relationships.
(206) 337-6381 View (206) 337-6381
Photo of Laurie Tsutakawa, Counselor in Seattle, WA
Laurie Tsutakawa
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98112
Not accepting new clients
Are you overwhelmed? Struggling with anxiety, depression or grief? That life is too hard? Consistently frustrated that things you want don't happen? I'm here to help you untangle those stressors, so you can move forward into the life you deserve. Together we'll take an in-depth look at causes and triggers to find solutions that are logical and practical.
Are you overwhelmed? Struggling with anxiety, depression or grief? That life is too hard? Consistently frustrated that things you want don't happen? I'm here to help you untangle those stressors, so you can move forward into the life you deserve. Together we'll take an in-depth look at causes and triggers to find solutions that are logical and practical.
(206) 800-7411 View (206) 800-7411
Photo of The PTSD Institute in Seattle, WA
The PTSD Institute
BCN, MD
Verified Verified
Seattle, WA 98101
The PTSD Institute is here to assist individuals in addressing their symptoms related to Trauma. Overcoming difficult emotions after a traumatic incident or life long trauma
The PTSD Institute is here to assist individuals in addressing their symptoms related to Trauma. Overcoming difficult emotions after a traumatic incident or life long trauma
(206) 825-6477 View (206) 825-6477
Photo of Melody Murray, Marriage & Family Therapist in Seattle, WA
Melody Murray
Marriage & Family Therapist, LMFT, CMHS
Verified Verified
3 Endorsed
Seattle, WA 98115  (Online Only)
My clients are usually the person everyone else leans on but don't feel comfortable being vulnerable with others. They find it hard to express or even acknowledge their own feelings because they're taking care of others at home, work or school. My clients are strong but need help creating boundaries so they aren't used or abused anymore. They usually have a history of rough childhood experiences they don't feel safe talking about or, don't even remember. They may not consider their past experiences rough, just things that happened.
My clients are usually the person everyone else leans on but don't feel comfortable being vulnerable with others. They find it hard to express or even acknowledge their own feelings because they're taking care of others at home, work or school. My clients are strong but need help creating boundaries so they aren't used or abused anymore. They usually have a history of rough childhood experiences they don't feel safe talking about or, don't even remember. They may not consider their past experiences rough, just things that happened.
(425) 249-3803 View (425) 249-3803
Photo of Bil Kareta, Counselor in Seattle, WA
Bil Kareta
Counselor, MAPC, LMHC, SD
Verified Verified
Seattle, WA 98117
Life is a difficult and confusing journey for all of us. Occasionally we get "stuck" along the path. Sometimes that growth is blocked because of issues, patterns and behaviors from the past which affect the way we feel, do or react in the present. If you are experiencing issues such as depression, anxiety, stress and relationship concerns. I can offer you: a combination of heart, skill, and understanding to help you find your own solutions to these problems that face you. Through the use of solution-oriented, emotionally focused, and reality based techniques, can help you and your relationships overcome obstacles and achieve your goals.
Life is a difficult and confusing journey for all of us. Occasionally we get "stuck" along the path. Sometimes that growth is blocked because of issues, patterns and behaviors from the past which affect the way we feel, do or react in the present. If you are experiencing issues such as depression, anxiety, stress and relationship concerns. I can offer you: a combination of heart, skill, and understanding to help you find your own solutions to these problems that face you. Through the use of solution-oriented, emotionally focused, and reality based techniques, can help you and your relationships overcome obstacles and achieve your goals.
(206) 557-6792 View (206) 557-6792
Photo of Felicia Keeton-Howard, Counselor in Seattle, WA
Felicia Keeton-Howard
Counselor, LMHC, CTP
Verified Verified
1 Endorsed
Seattle, WA 98107
Do you find yourself lashing out, making poor decisions, losing hope and confidence, and it's affecting your relationships? Maybe it feels like no matter what you do, you just can't get it right. Would you like to figure out what's getting in your way? Together, I can help you find what is at the core of your struggles, so instead of wishing for change and relief you can begin a new path of meaningful change. As we get to know each other, we will build a picture of old patterns that keep you stuck. Then we'll figure out where you want to be instead and build a path with intuitive strategies, self-compassion, and confidence.
Do you find yourself lashing out, making poor decisions, losing hope and confidence, and it's affecting your relationships? Maybe it feels like no matter what you do, you just can't get it right. Would you like to figure out what's getting in your way? Together, I can help you find what is at the core of your struggles, so instead of wishing for change and relief you can begin a new path of meaningful change. As we get to know each other, we will build a picture of old patterns that keep you stuck. Then we'll figure out where you want to be instead and build a path with intuitive strategies, self-compassion, and confidence.
(206) 590-3337 View (206) 590-3337
Photo of Elaine Cheung, PLLC, Clinical Social Work/Therapist in Seattle, WA
Elaine Cheung, PLLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98109
Not accepting new clients
I am a licensed clinical social worker in practice since 2002. I am a Linehan Board Dialectical Behavior Therapy certified clinician. I have extensive training in treatments for trauma including Prolonged Exposure and EMDR (Eye Movement Desensitization and Reprocessing). I have worked in a variety of settings including community mental health centers, hospital based care and in-home family therapy. I serve children 10 and up, teens, families, parents and adults. I treat a variety of diagnoses including Depression and other Mood Disorders, Anxiety Disorders including Obsessive Compulsive Disorder.
I am a licensed clinical social worker in practice since 2002. I am a Linehan Board Dialectical Behavior Therapy certified clinician. I have extensive training in treatments for trauma including Prolonged Exposure and EMDR (Eye Movement Desensitization and Reprocessing). I have worked in a variety of settings including community mental health centers, hospital based care and in-home family therapy. I serve children 10 and up, teens, families, parents and adults. I treat a variety of diagnoses including Depression and other Mood Disorders, Anxiety Disorders including Obsessive Compulsive Disorder.
(206) 207-3761 View (206) 207-3761
Photo of Hayden Jones, Counselor in Seattle, WA
Hayden Jones
Counselor, LMHCA
Verified Verified
Seattle, WA 98134  (Online Only)
I enjoy helping others to build deep, meaningful connections with not only those in their lives but their own central sense of self and system of values. In particular, I enjoy finding ways to bring geek and gamer cultural interests into therapy and utilize the things that bring people joy while providing a safe, supportive environment to explore their own life experiences while building on the supports that have helped them navigate their lives. I take a very humanistic approach to counseling that encourages honesty and openness since we're ultimately all just people trying to figure it out day by day.
I enjoy helping others to build deep, meaningful connections with not only those in their lives but their own central sense of self and system of values. In particular, I enjoy finding ways to bring geek and gamer cultural interests into therapy and utilize the things that bring people joy while providing a safe, supportive environment to explore their own life experiences while building on the supports that have helped them navigate their lives. I take a very humanistic approach to counseling that encourages honesty and openness since we're ultimately all just people trying to figure it out day by day.
(206) 759-7007 View (206) 759-7007
Photo of Dana Kahn, Clinical Social Work/Therapist in Seattle, WA
Dana Kahn
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Seattle, WA 98118  (Online Only)
Not accepting new clients
Through my life and work experience, I learned to view my work through the lens of anti-oppression: I acknowledge the impact that systemic, cultural, and societal expectations have on our daily existence and sense of self. We all carry with us a unique set of intersecting identities, which, taken together, influence our life experiences and shape our worldview. I believe that the foundation of mental health exists in the exploration of these identities and the radical acceptance of our whole selves.
Through my life and work experience, I learned to view my work through the lens of anti-oppression: I acknowledge the impact that systemic, cultural, and societal expectations have on our daily existence and sense of self. We all carry with us a unique set of intersecting identities, which, taken together, influence our life experiences and shape our worldview. I believe that the foundation of mental health exists in the exploration of these identities and the radical acceptance of our whole selves.
(206) 966-6341 View (206) 966-6341
Photo of Rebecca Brabo Silva, Counselor in Seattle, WA
Rebecca Brabo Silva
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98115
I am a Washington State Approved Supervisor and currently have a limited number of openings for clinical supervision. Are you having trouble moving forward and feel tired of being stuck? Psychotherapy can offer you a space to pause and explore your thoughts and feelings and gain a deeper understanding of yourself and your relationships.
I am a Washington State Approved Supervisor and currently have a limited number of openings for clinical supervision. Are you having trouble moving forward and feel tired of being stuck? Psychotherapy can offer you a space to pause and explore your thoughts and feelings and gain a deeper understanding of yourself and your relationships.
(206) 855-5948 View (206) 855-5948
Photo of John A. DeNinno, Psychologist in Seattle, WA
John A. DeNinno
Psychologist
Verified Verified
Seattle, WA 98133
In psychotherapy much depends upon the rapport. You must feel comfortable with the therapist and hopeful about the therapy. When you feel this way, therapy is more likely to be helpful to you. I have been practicing clinical psychology since 1977. I focus on the interplay between our internal world and our relations with others. Not restricted to one approach, I integrate a range of useful change strategies including interpersonal and cognitive-behavioral. Psychotherapy is both an educational process and an interpersonal process. Each person’s experience is unique. I have special interest in eating disorders, relationship disturbances, depression, and stress.
In psychotherapy much depends upon the rapport. You must feel comfortable with the therapist and hopeful about the therapy. When you feel this way, therapy is more likely to be helpful to you. I have been practicing clinical psychology since 1977. I focus on the interplay between our internal world and our relations with others. Not restricted to one approach, I integrate a range of useful change strategies including interpersonal and cognitive-behavioral. Psychotherapy is both an educational process and an interpersonal process. Each person’s experience is unique. I have special interest in eating disorders, relationship disturbances, depression, and stress.
(253) 220-6257 View (253) 220-6257
Photo of Alex Winnicki, Counselor in Seattle, WA
Alex Winnicki
Counselor, MA, LMHC, MHP
Verified Verified
3 Endorsed
Seattle, WA 98112
My goal is to help clients transform their pain into an opportunity for self-discovery, healing and empowerment, to ultimately reclaim their voice, purpose, and self-worth. I welcome individuals who feel disconnected, overwhelmed, lost, or that they "don't belong" as well as people who have experienced abuse or struggle with negative body image and a harsh inner critic. I believe that our ability to heal is connected to, and reliant upon our attunement to our bodies and connections with each other. I work virtually with clients all over Washington state.
My goal is to help clients transform their pain into an opportunity for self-discovery, healing and empowerment, to ultimately reclaim their voice, purpose, and self-worth. I welcome individuals who feel disconnected, overwhelmed, lost, or that they "don't belong" as well as people who have experienced abuse or struggle with negative body image and a harsh inner critic. I believe that our ability to heal is connected to, and reliant upon our attunement to our bodies and connections with each other. I work virtually with clients all over Washington state.
(206) 429-4094 View (206) 429-4094
Photo of Nicholas S. Sciarrone, Counselor in Seattle, WA
Nicholas S. Sciarrone
Counselor, LMHC, MHP, MA
Verified Verified
1 Endorsed
Seattle, WA 98102  (Online Only)
I specialize in treating trauma, anxiety, self esteem, SUD, and struggles related to life transitions. I help clients find the solid ground they need to support forward movement and a more positive trajectory. I begin by working with clients in developing a deeper understanding of themselves to arm them with the knowledge necessary to address their problems and make changes necessary to develop more adaptive coping strategies and improve the quality of their lives. I am non-judgmental and work to create a space in which clients can freely explore, uncover, and accept themselves more fully to live fuller, more meaningful lives.
I specialize in treating trauma, anxiety, self esteem, SUD, and struggles related to life transitions. I help clients find the solid ground they need to support forward movement and a more positive trajectory. I begin by working with clients in developing a deeper understanding of themselves to arm them with the knowledge necessary to address their problems and make changes necessary to develop more adaptive coping strategies and improve the quality of their lives. I am non-judgmental and work to create a space in which clients can freely explore, uncover, and accept themselves more fully to live fuller, more meaningful lives.
(206) 502-0894 View (206) 502-0894
Photo of Jordan Brand, Counselor in Seattle, WA
Jordan Brand
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98117
Our stories contain places of profound beauty and great pain, and so often relationships are where we experience the deepest joys and wounding. It’s my hope that through building a trusting relationship, we can work together to bring greater flourishing and healing in your relationships with self and others. I enjoy working with couples, families, teens, and adults from an attachment-oriented and trauma-informed framework, and my training in Emotionally Focused Therapy (EFT) guides the way I hold the experiences and emotions that my clients bring with them and gives us a roadmap of where to go based on your goals.
Our stories contain places of profound beauty and great pain, and so often relationships are where we experience the deepest joys and wounding. It’s my hope that through building a trusting relationship, we can work together to bring greater flourishing and healing in your relationships with self and others. I enjoy working with couples, families, teens, and adults from an attachment-oriented and trauma-informed framework, and my training in Emotionally Focused Therapy (EFT) guides the way I hold the experiences and emotions that my clients bring with them and gives us a roadmap of where to go based on your goals.
(206) 589-5611 View (206) 589-5611
Photo of Carla Preiss, Pre-Licensed Professional in Seattle, WA
Carla Preiss
Pre-Licensed Professional, MA, LMHCA
Verified Verified
Seattle, WA 98125  (Online Only)
I am so glad you have found your way here, and are willing to reach out for help! I currently see individual clients age 18+ who struggle with anxiety, burnout, perfectionism, trauma, identity, eco-anxiety/grief, major life transitions, and career concerns.
I am so glad you have found your way here, and are willing to reach out for help! I currently see individual clients age 18+ who struggle with anxiety, burnout, perfectionism, trauma, identity, eco-anxiety/grief, major life transitions, and career concerns.
(206) 678-1373 View (206) 678-1373
Photo of Kelly Hill, Counselor in Seattle, WA
Kelly Hill
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98116
Are you struggling with loss of identity and heightened anxiety? Do you experience anger and feelings of powerlessness? This can be a common experience for those with marginalized identities. I'm an ideal fit for those struggling with issues related to sexual health, neurodivergence, and/or systemic trauma…and those from marginalized backgrounds. In addition, I am a trained death doula who enjoys working with chronic illness and grief. Together we will reduce shame and guilt and increase self-esteem. You deserve to feel seen and heard - you deserve to take up space and to feel empowered.
Are you struggling with loss of identity and heightened anxiety? Do you experience anger and feelings of powerlessness? This can be a common experience for those with marginalized identities. I'm an ideal fit for those struggling with issues related to sexual health, neurodivergence, and/or systemic trauma…and those from marginalized backgrounds. In addition, I am a trained death doula who enjoys working with chronic illness and grief. Together we will reduce shame and guilt and increase self-esteem. You deserve to feel seen and heard - you deserve to take up space and to feel empowered.
(206) 737-7933 View (206) 737-7933
Photo of Eliza S Dietrichson, Clinical Social Work/Therapist in Seattle, WA
Eliza S Dietrichson
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98102
Not accepting new clients
Most of us feel unprepared in the face of many of life's challenges and we all need help navigating difficult junctures and transitions. Depression and anxiety can be overwhelming and debilitating, as can chronic health conditions and struggles in relationships. I work with adults from a variety of backgrounds, orientations and age groups. My experience includes individual and group work with people who have issues of trauma, substance use, grief, loss, anger and long-standing childhood issues and conflicts. 15 years of my work has been with combat/non-combat Veterans healing from physical and emotional injuries and losses.
Most of us feel unprepared in the face of many of life's challenges and we all need help navigating difficult junctures and transitions. Depression and anxiety can be overwhelming and debilitating, as can chronic health conditions and struggles in relationships. I work with adults from a variety of backgrounds, orientations and age groups. My experience includes individual and group work with people who have issues of trauma, substance use, grief, loss, anger and long-standing childhood issues and conflicts. 15 years of my work has been with combat/non-combat Veterans healing from physical and emotional injuries and losses.
(206) 429-6240 View (206) 429-6240
Photo of Andrew Zorich, Pre-Licensed Professional in Seattle, WA
Andrew Zorich
Pre-Licensed Professional, BA
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
Have you been seeking greater calm, clarity, and centeredness? Are you carrying deep traumas or stresses that continually hinder you from living life to the fullest? If so, I want to assure you that you are not alone. Seeking help takes courage, and I want you to feel at ease throughout the process. Whether you are dealing with trauma, PTSD, C-PTSD, panic, anxiety, grief, depression, or relational issues, my approach is individualized, inclusive, and strengths-based. Every step of the way, I want you to feel deeply seen, heard, and empowered.
Have you been seeking greater calm, clarity, and centeredness? Are you carrying deep traumas or stresses that continually hinder you from living life to the fullest? If so, I want to assure you that you are not alone. Seeking help takes courage, and I want you to feel at ease throughout the process. Whether you are dealing with trauma, PTSD, C-PTSD, panic, anxiety, grief, depression, or relational issues, my approach is individualized, inclusive, and strengths-based. Every step of the way, I want you to feel deeply seen, heard, and empowered.
(425) 655-1463 View (425) 655-1463
Photo of Jenny Leung, Marriage & Family Therapist in Seattle, WA
Jenny Leung
Marriage & Family Therapist, MA, LMFT, E-RYT
Verified Verified
Seattle, WA 98103
Couple Counseling Only! I am a Licensed Marriage and Family Therapist, Certified in Emotionally-Focused Therapy (EFT). Working exclusively with couples, I help partners to uncover underlying emotions and to communicate more effectively for attention, understanding, compassion and caring. The result is greater warmth, trust, safety and emotional connection. Honest and direct in my approach yet gentle and patient, I am committed to creating compassionate and authentic relationships where each partner feels deeply supported, understood, and seen. I work frequently with couples where one or both partners are of Asian ancestry.
Couple Counseling Only! I am a Licensed Marriage and Family Therapist, Certified in Emotionally-Focused Therapy (EFT). Working exclusively with couples, I help partners to uncover underlying emotions and to communicate more effectively for attention, understanding, compassion and caring. The result is greater warmth, trust, safety and emotional connection. Honest and direct in my approach yet gentle and patient, I am committed to creating compassionate and authentic relationships where each partner feels deeply supported, understood, and seen. I work frequently with couples where one or both partners are of Asian ancestry.
(206) 966-4172 View (206) 966-4172
Photo of Cascades Wellness Center, Psychologist in Seattle, WA
Cascades Wellness Center
Psychologist, PsyD, PhD
Verified Verified
1 Endorsed
Seattle, WA 98103
We are committed to restoring you to your best. Using an individualized, client-centered approach, we work with you to identify strengths and deepen relationships for sustainable and holistic change. At Cascades Wellness Center, our team offers extensive experience as well as a holistic approach to mental health and wellness. Through awareness, compassion, and acceptance, we work with our clients to return you to the life you want and deserve. For us, therapy is not about fixing what is wrong, but about recapturing your capacities to increase your overall health, well-being, and sense of connection in the world.
We are committed to restoring you to your best. Using an individualized, client-centered approach, we work with you to identify strengths and deepen relationships for sustainable and holistic change. At Cascades Wellness Center, our team offers extensive experience as well as a holistic approach to mental health and wellness. Through awareness, compassion, and acceptance, we work with our clients to return you to the life you want and deserve. For us, therapy is not about fixing what is wrong, but about recapturing your capacities to increase your overall health, well-being, and sense of connection in the world.
(206) 258-7498 View (206) 258-7498

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.