Therapists in Tacoma, WA

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Photo of McKenna Erhardt, Mental Health Counselor in Tacoma, WA
McKenna Erhardt
Mental Health Counselor, MSW, LMHC
Verified Verified
2 Endorsed
Tacoma, WA 98409
Life can be challenging, and every day brings a new series of events that impact our daily lives. Are you struggling with anxiety, depression, or behavioral problems and you just aren't sure where to turn? I have spent the majority of my career working with children ages 3-17 and their families to support those who struggle with anxiety, depression, trauma, and behavioral challenges. I also have several years of experience working with adults who struggle with depression, anxiety, life transitions, parenting skills, and relationship challenges.
Life can be challenging, and every day brings a new series of events that impact our daily lives. Are you struggling with anxiety, depression, or behavioral problems and you just aren't sure where to turn? I have spent the majority of my career working with children ages 3-17 and their families to support those who struggle with anxiety, depression, trauma, and behavioral challenges. I also have several years of experience working with adults who struggle with depression, anxiety, life transitions, parenting skills, and relationship challenges.
(253) 400-4482 View (253) 400-4482
Photo of Sarah Velazquez, Clinical Social Work/Therapist in Tacoma, WA
Sarah Velazquez
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98407  (Online Only)
I strive to meet people where they are and offer honest feedback for change while providing a non-judgemental space for all. The decision to start or return to therapy can be difficult and I am glad you are taking the first step. I have dedicated the last 20 years to the Social Services field and have provided therapy since 2018. Whether you are looking for short- or long-term therapy, I look forward to helping you during your journey.
I strive to meet people where they are and offer honest feedback for change while providing a non-judgemental space for all. The decision to start or return to therapy can be difficult and I am glad you are taking the first step. I have dedicated the last 20 years to the Social Services field and have provided therapy since 2018. Whether you are looking for short- or long-term therapy, I look forward to helping you during your journey.
(253) 893-4805 View (253) 893-4805
Photo of Jessica E Frost, Counselor in Tacoma, WA
Jessica E Frost
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98418  (Online Only)
I have a history of working with many different types of people and concerns. I work best with people who are willing to do self-observation as that is the key to learning about your own thinking and feeling patterns, which is what we are trying to modify. I take a holistic approach and self-observation provides the basis for all of the other work. It is important to start noticing and working with the sensations in the body that accompany our thoughts and feelings, as our body holds the memories of everything we have ever experienced and is the vehicle in which we move and feel in the world.
I have a history of working with many different types of people and concerns. I work best with people who are willing to do self-observation as that is the key to learning about your own thinking and feeling patterns, which is what we are trying to modify. I take a holistic approach and self-observation provides the basis for all of the other work. It is important to start noticing and working with the sensations in the body that accompany our thoughts and feelings, as our body holds the memories of everything we have ever experienced and is the vehicle in which we move and feel in the world.
(253) 398-8472 View (253) 398-8472
Photo of Ariana Valentina Rukeyser, Counselor in Tacoma, WA
Ariana Valentina Rukeyser
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Tacoma, WA 98402
I hold Master's degree in Counseling from Seattle University. I work with clients on relationship issues, co-dependency, separation, divorce and co-parenting, anxiety and depression, grief and loss, sexual trauma and major life transitions. It is my belief that the ultimate human need is connection and meaningful relationships. My desire is to help clients clarify feelings, improve communication, and strengthen and deepen connections.
I hold Master's degree in Counseling from Seattle University. I work with clients on relationship issues, co-dependency, separation, divorce and co-parenting, anxiety and depression, grief and loss, sexual trauma and major life transitions. It is my belief that the ultimate human need is connection and meaningful relationships. My desire is to help clients clarify feelings, improve communication, and strengthen and deepen connections.
(206) 745-5829 View (206) 745-5829
Photo of Troy Huffman, Marriage & Family Therapist in Tacoma, WA
Troy Huffman
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Tacoma, WA 98408
I enjoy working with couples, families and individuals. As a therapist, I look to identify your strengths and utilize those to find solutions to the specific problems you are experiencing. Some of the ways we will accomplish this are by looking at the various ways that thoughts and emotions may be driving your behaviors. I also like to explore the context of your life and situations that may be contributing to the problem in ways you may not have recognized. We'll use the insights, information, and strengths to help you transition more into your solutions.
I enjoy working with couples, families and individuals. As a therapist, I look to identify your strengths and utilize those to find solutions to the specific problems you are experiencing. Some of the ways we will accomplish this are by looking at the various ways that thoughts and emotions may be driving your behaviors. I also like to explore the context of your life and situations that may be contributing to the problem in ways you may not have recognized. We'll use the insights, information, and strengths to help you transition more into your solutions.
(253) 766-5537 View (253) 766-5537
Photo of Paul Hunziker, Marriage & Family Therapist in Tacoma, WA
Paul Hunziker
Marriage & Family Therapist, MA, LMFT, SUDP
Verified Verified
1 Endorsed
Tacoma, WA 98403
My ideal clients are couples in early recovery from substance use disorders or other addictions. Early recovery can be a critical time for both partners to quickly gain the skills needed to be successful and stay strong as a couple. I also have extensive experience working with youth and young adults with substance use and mental health challenges.
My ideal clients are couples in early recovery from substance use disorders or other addictions. Early recovery can be a critical time for both partners to quickly gain the skills needed to be successful and stay strong as a couple. I also have extensive experience working with youth and young adults with substance use and mental health challenges.
(253) 237-8351 View (253) 237-8351
Photo of Taren Williams, Counselor in Tacoma, WA
Taren Williams
Counselor, MAED, LMHC
Verified Verified
2 Endorsed
Tacoma, WA 98403
Hello! I thoroughly enjoy working with people and feel honored when a person trusts in me their life story/current difficulties. I believe there are many different reasons to seek therapy, and that each of us have walked such unique and sometimes challenging paths to get to where we are today. I enjoy getting to know the intricacies of these paths and what has led an individual to where they are today, and from there beginning the work, collaboratively, towards where one would ideally like to be.
Hello! I thoroughly enjoy working with people and feel honored when a person trusts in me their life story/current difficulties. I believe there are many different reasons to seek therapy, and that each of us have walked such unique and sometimes challenging paths to get to where we are today. I enjoy getting to know the intricacies of these paths and what has led an individual to where they are today, and from there beginning the work, collaboratively, towards where one would ideally like to be.
(253) 215-8564 View (253) 215-8564
Photo of Thomas Roe, Psychologist in Tacoma, WA
Thomas Roe
Psychologist, PsyD
Verified Verified
Tacoma, WA 98467
Dr. Roe works with individuals who are looking to grow, heal, and thrive. He believes intersections of identity and culture are important. Dr. Roe considers social justice an important aspect to his work. He uses a variety of collaborative approaches in therapy depending on the nature of the work, identities present in the room, and cultural considerations. Some of these approaches and interventions include cognitive-behavioral(CBT), psychodynamic, motivational interviewing, interpersonal process, humanistic, and feminist modalities. Dr. Roe is a Brazilian-American father, a dog lover, and PNW local.
Dr. Roe works with individuals who are looking to grow, heal, and thrive. He believes intersections of identity and culture are important. Dr. Roe considers social justice an important aspect to his work. He uses a variety of collaborative approaches in therapy depending on the nature of the work, identities present in the room, and cultural considerations. Some of these approaches and interventions include cognitive-behavioral(CBT), psychodynamic, motivational interviewing, interpersonal process, humanistic, and feminist modalities. Dr. Roe is a Brazilian-American father, a dog lover, and PNW local.
(253) 352-3828 View (253) 352-3828
Photo of Sound Practice, Clinical Social Work/Therapist in Tacoma, WA
Sound Practice
Clinical Social Work/Therapist, LICSW, DVC, SUDP
Verified Verified
1 Endorsed
Tacoma, WA 98402
Now accepting new clients! My theoretical approach is one of self-awareness. Having a healthy relationship with you in order to have healthy relationships with others. The modalities I use the most are CBT, DBT, and ACT. Learn how to communicate more effectively and live an intentional life. We address trauma, boundaries, emotional self-management, and how to have relationships that work. LGBTQA+ friendly. As a certified domestic violence, and substance use clinician, I am well versed in trauma informed care and systems needs.
Now accepting new clients! My theoretical approach is one of self-awareness. Having a healthy relationship with you in order to have healthy relationships with others. The modalities I use the most are CBT, DBT, and ACT. Learn how to communicate more effectively and live an intentional life. We address trauma, boundaries, emotional self-management, and how to have relationships that work. LGBTQA+ friendly. As a certified domestic violence, and substance use clinician, I am well versed in trauma informed care and systems needs.
(253) 286-0992 View (253) 286-0992
Photo of Baobab Psychology LLC, Psychologist in Tacoma, WA
Baobab Psychology LLC
Psychologist, PsyD
Verified Verified
1 Endorsed
Tacoma, WA 98409
Currently accepting new clients - Hello! If you have found yourself here it is likely you have set an intention of working psychologically to reduce distress, consider your traumatic experiences and/or understand yourself better. I believe that there's often a number of factors that contribute to people struggling with mental health. The things we experience shape us all, in many ways, affecting how we feel, the things we do, and/or our relationships with others. As such, I view mental wellbeing as something we all need to take the time to invest in, although this is not always easy!
Currently accepting new clients - Hello! If you have found yourself here it is likely you have set an intention of working psychologically to reduce distress, consider your traumatic experiences and/or understand yourself better. I believe that there's often a number of factors that contribute to people struggling with mental health. The things we experience shape us all, in many ways, affecting how we feel, the things we do, and/or our relationships with others. As such, I view mental wellbeing as something we all need to take the time to invest in, although this is not always easy!
(360) 641-7154 View (360) 641-7154
Photo of Mackenzie Nitz, Counselor in Tacoma, WA
Mackenzie Nitz
Counselor, LMHC, MEd
Verified Verified
1 Endorsed
Tacoma, WA 98405  (Online Only)
Waitlist for new clients
My mission is clear: to guide individuals towards long-term solutions, instill healthy coping mechanisms, and cultivate positive relationships. For this reason I am drawn to clients who share a desire for overall well-being and are ready to confront negative tendencies. This often involves exploring challenging questions, a process that leads to a deeper understanding of oneself. In order to do this I delve into my clients' histories, recognizing that understanding the past is crucial to addressing present challenges. I am dedicated to cutting through the noise and fostering honest communication within a safe and supportive space.
My mission is clear: to guide individuals towards long-term solutions, instill healthy coping mechanisms, and cultivate positive relationships. For this reason I am drawn to clients who share a desire for overall well-being and are ready to confront negative tendencies. This often involves exploring challenging questions, a process that leads to a deeper understanding of oneself. In order to do this I delve into my clients' histories, recognizing that understanding the past is crucial to addressing present challenges. I am dedicated to cutting through the noise and fostering honest communication within a safe and supportive space.
(253) 262-0102 View (253) 262-0102
Photo of Serenity Counseling Service, Marriage & Family Therapist in Tacoma, WA
Serenity Counseling Service
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Tacoma, WA 98446  (Online Only)
Hello! My name is Monica and I'm on a journey to understand the connection between hope and healing. Lately, it feels like we're all plants that have been left out in the cold for far too long, and at times it feels like there is no way forward, no way to keep growing in the bitter winter chill. It is my hope, however, that together we can find a new way to grow, one that challenges our own assumptions, pushes us out of our comfort zone, and motivates us to work toward something better and brighter.
Hello! My name is Monica and I'm on a journey to understand the connection between hope and healing. Lately, it feels like we're all plants that have been left out in the cold for far too long, and at times it feels like there is no way forward, no way to keep growing in the bitter winter chill. It is my hope, however, that together we can find a new way to grow, one that challenges our own assumptions, pushes us out of our comfort zone, and motivates us to work toward something better and brighter.
(253) 893-4939 View (253) 893-4939
Photo of Ashaniece Anderson, Counselor in Tacoma, WA
Ashaniece Anderson
Counselor, AAC, CPC
Verified Verified
Tacoma, WA 98402
Let's face it, life is hard, and it doesn't seem to be getting any easier. I noticed that most people just live their lives on a day-by-day basis and struggle with finding true meaning in their lives. This may be due to the internal struggles that we all face such as anxiety, depression, grief, fear, anger, and so many other issues. We may try to deal with our issues on our own, and sometimes this works for many of us. Yet, there are some issues that may seem tougher than others, which can weigh on our moods and negatively impact our relationships with others and ourselves. Seeking help is easier said than done for most.
Let's face it, life is hard, and it doesn't seem to be getting any easier. I noticed that most people just live their lives on a day-by-day basis and struggle with finding true meaning in their lives. This may be due to the internal struggles that we all face such as anxiety, depression, grief, fear, anger, and so many other issues. We may try to deal with our issues on our own, and sometimes this works for many of us. Yet, there are some issues that may seem tougher than others, which can weigh on our moods and negatively impact our relationships with others and ourselves. Seeking help is easier said than done for most.
(253) 893-6805 x7707 View (253) 893-6805 x7707
Photo of Jennifer Gaines, Counselor in Tacoma, WA
Jennifer Gaines
Counselor, MA, LMHC, LMFTA, NCC
Verified Verified
Tacoma, WA 98405  (Online Only)
Are you feeling unfulfilled in life? Maybe you want to find more joy, or maybe your relationship feels stale. Are you struggling to communicate with the important people in your life? Maybe you just feel like something is missing in your life. If any of this feels familiar, you are not alone! I work with clients facing a variety of concerns, working alongside my clients to find solutions to their concerns is my focus. I bring my authentic self to session so you feel comfortable being yourself too. Reach out to me for a free 15 minute consultation to see if we may be a good fit.
Are you feeling unfulfilled in life? Maybe you want to find more joy, or maybe your relationship feels stale. Are you struggling to communicate with the important people in your life? Maybe you just feel like something is missing in your life. If any of this feels familiar, you are not alone! I work with clients facing a variety of concerns, working alongside my clients to find solutions to their concerns is my focus. I bring my authentic self to session so you feel comfortable being yourself too. Reach out to me for a free 15 minute consultation to see if we may be a good fit.
(253) 201-4462 View (253) 201-4462
Photo of Alma Marion Christean, Counselor in Tacoma, WA
Alma Marion Christean
Counselor, MA, CHT, LMHC
Verified Verified
Tacoma, WA 98403  (Online Only)
Waitlist for new clients
In my practice, I blend NARM with other mindfulness-based methods to help clients gently access and heal unresolved issues in order to decrease unnecessary suffering in their lives. My practice is ideal for clients who are curious about expanding their capacity for intimacy in their relationships and creating greater joy and satisfaction in their lives. I enjoy working with clients who are curious about and engaged in their own healing process, and who are committed to compassion and nonviolence in their relationships with others and with themselves. I welcome adults, adolescents, couples, and clients from the LGBTQI+ community.
In my practice, I blend NARM with other mindfulness-based methods to help clients gently access and heal unresolved issues in order to decrease unnecessary suffering in their lives. My practice is ideal for clients who are curious about expanding their capacity for intimacy in their relationships and creating greater joy and satisfaction in their lives. I enjoy working with clients who are curious about and engaged in their own healing process, and who are committed to compassion and nonviolence in their relationships with others and with themselves. I welcome adults, adolescents, couples, and clients from the LGBTQI+ community.
(360) 339-8787 View (360) 339-8787
Photo of Shardae L Collins, Clinical Social Work/Therapist in Tacoma, WA
Shardae L Collins
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98402  (Online Only)
Hello my name is Shardae Collins I am a licensed clinical social worker who offers telehealth therapy to individuals residing in CA, WA, NV, NJ, and MA. I support individuals in recognizing their strength and resilience regardless of the cards that were dealt to them. My therapeutic approach explores your environment and lived experience to better understand your strengths, needs, and hopes for the future. I believe that you have the power to heal yourself. I am simply a guide.
Hello my name is Shardae Collins I am a licensed clinical social worker who offers telehealth therapy to individuals residing in CA, WA, NV, NJ, and MA. I support individuals in recognizing their strength and resilience regardless of the cards that were dealt to them. My therapeutic approach explores your environment and lived experience to better understand your strengths, needs, and hopes for the future. I believe that you have the power to heal yourself. I am simply a guide.
(253) 281-4939 View (253) 281-4939
Photo of Adam Bishop, Counselor in Tacoma, WA
Adam Bishop
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98402
It is often quite difficult to be honest with ourselves and with the world around us, particularly as it relates to our experiences of pain and suffering. As a result, patterns of relating with self and others often reinforce even deeper feelings of loneliness, isolation, fear, and anxiety. The various factors that may be driving this cycle include experiences of trauma, strained relationships, loss, and oppressive social/cultural systems.
It is often quite difficult to be honest with ourselves and with the world around us, particularly as it relates to our experiences of pain and suffering. As a result, patterns of relating with self and others often reinforce even deeper feelings of loneliness, isolation, fear, and anxiety. The various factors that may be driving this cycle include experiences of trauma, strained relationships, loss, and oppressive social/cultural systems.
(206) 260-2022 View (206) 260-2022
Photo of Brenna Scaringella, Counselor in Tacoma, WA
Brenna Scaringella
Counselor, LMHC, MHP
Verified Verified
Tacoma, WA 98402
Not accepting new clients
To decide and take the step toward seeking a counselor is an extremely difficult and courageous one, and here you are. Counseling to me is a collaborative and holistic process. I walk with you and help you to identify your challenges, and pain, as well as finding peace, relief, joy, pieces of you that may be lost and self acceptance. Life is difficult, as we all experience, and having a counselor on your side can assist you in finding your authentic self and reach your goals. Through life's many transitions, barriers, and successes, as as well as past trauma, I hope to help you in this.
To decide and take the step toward seeking a counselor is an extremely difficult and courageous one, and here you are. Counseling to me is a collaborative and holistic process. I walk with you and help you to identify your challenges, and pain, as well as finding peace, relief, joy, pieces of you that may be lost and self acceptance. Life is difficult, as we all experience, and having a counselor on your side can assist you in finding your authentic self and reach your goals. Through life's many transitions, barriers, and successes, as as well as past trauma, I hope to help you in this.
(253) 243-3720 View (253) 243-3720
Photo of Collin Hoctor, Marriage & Family Therapist in Tacoma, WA
Collin Hoctor
Marriage & Family Therapist, LMFT
Verified Verified
Tacoma, WA 98405  (Online Only)
Psychotherapy can be a truly liberating experience! With a background in addiction treatment, ketamine assisted therapy, and sensorimotor psychotherapy, I can help you begin to identify what is keeping you stuck and co-create ways to get you unstuck. By working with mind, emotion, and body, you will feel supported and grounded throughout the process. You will develop a deeper awareness of yourself, create new ways of looking at your experience, and find ways to feel safe/ present in your daily life.
Psychotherapy can be a truly liberating experience! With a background in addiction treatment, ketamine assisted therapy, and sensorimotor psychotherapy, I can help you begin to identify what is keeping you stuck and co-create ways to get you unstuck. By working with mind, emotion, and body, you will feel supported and grounded throughout the process. You will develop a deeper awareness of yourself, create new ways of looking at your experience, and find ways to feel safe/ present in your daily life.
(253) 398-7863 View (253) 398-7863
Photo of Jenn Parretta - Relationship And Sex Therapist, Marriage & Family Therapist Associate in Tacoma, WA
Jenn Parretta - Relationship And Sex Therapist
Marriage & Family Therapist Associate, MA, LMFTA, ABS, ATR-P
Verified Verified
9 Endorsed
Tacoma, WA 98402
Now Accepting New Clients! - Ready to start on a journey of self-discovery, understanding, and fulfillment? Specializing in the intricate intersections of mental health, sexuality, and creativity, I guide individuals through the process of connecting with their desires. I’ll guide you through the challenges of understanding your needs, fostering healthy relationships, and unlocking your true passions. In our safe and supportive space, we'll work together to enhance communication, embrace authenticity, and build newfound confidence that will allow you to prioritize pleasure and your wellbeing.
Now Accepting New Clients! - Ready to start on a journey of self-discovery, understanding, and fulfillment? Specializing in the intricate intersections of mental health, sexuality, and creativity, I guide individuals through the process of connecting with their desires. I’ll guide you through the challenges of understanding your needs, fostering healthy relationships, and unlocking your true passions. In our safe and supportive space, we'll work together to enhance communication, embrace authenticity, and build newfound confidence that will allow you to prioritize pleasure and your wellbeing.
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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
87% 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.