Therapists in Tacoma, WA

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Photo of Courtney Covington, Clinical Social Work/Therapist in Tacoma, WA
Courtney Covington
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Tacoma, WA 98418
As your therapist, my goal is to partner with you on your journey towards healing and personal growth. With over 5 years of experience in the field, I offer a compassionate and non-judgmental space where you can explore your experiences and find relief. In our sessions, we will collaborate to create customized goals and a plan to achieve them. By addressing today's obstacles, you'll emerge better equipped to handle future challenges. I strive to create an environment where humor and authenticity are welcome and where we can work together to find the path forward that feels best for you.
As your therapist, my goal is to partner with you on your journey towards healing and personal growth. With over 5 years of experience in the field, I offer a compassionate and non-judgmental space where you can explore your experiences and find relief. In our sessions, we will collaborate to create customized goals and a plan to achieve them. By addressing today's obstacles, you'll emerge better equipped to handle future challenges. I strive to create an environment where humor and authenticity are welcome and where we can work together to find the path forward that feels best for you.
(253) 262-0151 View (253) 262-0151
Photo of Bowie K Sagle, Counselor in Tacoma, WA
Bowie K Sagle
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Tacoma, WA 98407
I create a dynamic and healing place for personal growth, productive communication and positive change. I have a diverse and experienced background in helping teenagers, adults, and families through challenging times. You will gain tools you can use right away to begin making progress on the goals set in counseling. I have provided solution-focused therapy with results for my clients for over 20 years. I additionally use cognitive-behavioral therapy and motivational interviewing techniques to facilitate insight and growth. This is a welcoming place for you to process the events of your life and effectively meet the challenges.
I create a dynamic and healing place for personal growth, productive communication and positive change. I have a diverse and experienced background in helping teenagers, adults, and families through challenging times. You will gain tools you can use right away to begin making progress on the goals set in counseling. I have provided solution-focused therapy with results for my clients for over 20 years. I additionally use cognitive-behavioral therapy and motivational interviewing techniques to facilitate insight and growth. This is a welcoming place for you to process the events of your life and effectively meet the challenges.
(253) 655-1390 View (253) 655-1390
Photo of Loni Fillmore, Psychologist in Tacoma, WA
Loni Fillmore
Psychologist, PsyD
Verified Verified
Tacoma, WA 98402
*Email is the best way to contact me for an appointment* Welcome! You are in the right place. Now is the time. The first step toward getting somewhere, changing something, is to become aware that you can’t stay where you are. Accepting the change and all that follows takes courage, compassion and curiosity. YOU’VE GOT THIS.
*Email is the best way to contact me for an appointment* Welcome! You are in the right place. Now is the time. The first step toward getting somewhere, changing something, is to become aware that you can’t stay where you are. Accepting the change and all that follows takes courage, compassion and curiosity. YOU’VE GOT THIS.
(253) 238-7551 View (253) 238-7551
Photo of Heart to Heart Counseling, Clinical Social Work/Therapist in Tacoma, WA
Heart to Heart Counseling
Clinical Social Work/Therapist, MA, MSW, LCSW, LICSW
Verified Verified
Tacoma, WA 98403
I believe that each person holds a unique essence and recipe for happiness within. Feeling confused about the direction of your life, "stuck" in the same patterns, same "mistakes" even though you "know better"? You are not alone. It happens because we can't just think our way out of patterns, blocks, and imprints of trauma. My clients report significant, tangible improvements in the quality of their lives and relationships. While the time it takes for changes to take hold varies, all clients report feeling better after the very first session. Sessions are non-intimidating, compassionate, supportive, and inspiring.
I believe that each person holds a unique essence and recipe for happiness within. Feeling confused about the direction of your life, "stuck" in the same patterns, same "mistakes" even though you "know better"? You are not alone. It happens because we can't just think our way out of patterns, blocks, and imprints of trauma. My clients report significant, tangible improvements in the quality of their lives and relationships. While the time it takes for changes to take hold varies, all clients report feeling better after the very first session. Sessions are non-intimidating, compassionate, supportive, and inspiring.
(206) 504-3044 View (206) 504-3044
Photo of Loving Kindness Family Counseling Services, Counselor in Tacoma, WA
Loving Kindness Family Counseling Services
Counselor, LMHC
Verified Verified
Tacoma, WA 98409
There are times in our lives that sometimes we just need a listening ear. There are other times when life comes at you fast with experiences and challenges that can be difficult to face alone. I am 100% committed to helping you find that extra help you need. My goal is to provide a safe, non-judgmental and compassionate place for you to feel comfortable in sharing and expressing yourself.
There are times in our lives that sometimes we just need a listening ear. There are other times when life comes at you fast with experiences and challenges that can be difficult to face alone. I am 100% committed to helping you find that extra help you need. My goal is to provide a safe, non-judgmental and compassionate place for you to feel comfortable in sharing and expressing yourself.
(253) 655-2265 View (253) 655-2265
Photo of Diana Quinn, Counselor in Tacoma, WA
Diana Quinn
Counselor, MA, LMHC, CMHS
Verified Verified
1 Endorsed
Tacoma, WA 98409
You're probably wondering if therapy can help. You may be feeling unsure how to label what you are going through and don't know yet what you want to get out of therapy. Even if you are unsure about what your goals are, you do know that some of what is going on right now isn't working and you are thinking about getting help. Feel free to call or email to start a conversation to see if we might be a good fit for working together so that you can get closer to being yourself and feeling happier.
You're probably wondering if therapy can help. You may be feeling unsure how to label what you are going through and don't know yet what you want to get out of therapy. Even if you are unsure about what your goals are, you do know that some of what is going on right now isn't working and you are thinking about getting help. Feel free to call or email to start a conversation to see if we might be a good fit for working together so that you can get closer to being yourself and feeling happier.
(253) 242-6619 View (253) 242-6619
Photo of Anne Mauro, Marriage & Family Therapist in Tacoma, WA
Anne Mauro
Marriage & Family Therapist, LMFT, DHS, CST, CSE, CST-S
Verified Verified
46 Endorsed
Tacoma, WA 98406  (Online Only)
Are you frustrated with your sexual relationship(s)? Are you struggling with breakdowns in communication around sex? Are you feeling distance from your partner(s) and feel the loneliness creeping in? People normally see me when they need support in the "bedroom". If intimacy is a concern, seeking assistance through sex therapy can be a transformative journey. Sex therapy can help you move past barriers and teach you new skills that will enhance your relationship and improve sex life. Together, we can process concerns and work towards creating realistic and sustainable change. My clients include adult individuals and relationships.
Are you frustrated with your sexual relationship(s)? Are you struggling with breakdowns in communication around sex? Are you feeling distance from your partner(s) and feel the loneliness creeping in? People normally see me when they need support in the "bedroom". If intimacy is a concern, seeking assistance through sex therapy can be a transformative journey. Sex therapy can help you move past barriers and teach you new skills that will enhance your relationship and improve sex life. Together, we can process concerns and work towards creating realistic and sustainable change. My clients include adult individuals and relationships.
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Photo of Micaela Cooley, Marriage & Family Therapist Associate in Tacoma, WA
Micaela Cooley
Marriage & Family Therapist Associate, LMFTA
Verified Verified
2 Endorsed
Tacoma, WA 98403
Embarking on your healing journey is no small task. It is my hope that you feel seen, safe and emboldened in your connections through our work together. You can expect me to be honest, compassionate, humorous, and deeply curious with you on your journey towards you and your family’s goals. I come with a socio-emotional approach, which looks at the ways our relating to others and ourselves has been shaped by culture and context. Slowly untangling our own stories from the stories we’ve been told about who we are is done through a steady, gentle, compassionate and collaborative rhythm.
Embarking on your healing journey is no small task. It is my hope that you feel seen, safe and emboldened in your connections through our work together. You can expect me to be honest, compassionate, humorous, and deeply curious with you on your journey towards you and your family’s goals. I come with a socio-emotional approach, which looks at the ways our relating to others and ourselves has been shaped by culture and context. Slowly untangling our own stories from the stories we’ve been told about who we are is done through a steady, gentle, compassionate and collaborative rhythm.
(253) 600-3307 View (253) 600-3307
Photo of Dr. David M Slagle, Psychologist in Tacoma, WA
Dr. David M Slagle
Psychologist, PhD
Verified Verified
Tacoma, WA 98407
Not accepting new clients
I typically work with individuals whose lives have become unmanageable due to exposure to stressors, adversity, and trauma. Encounters with trauma often markedly disrupt a person’s life, making emotions difficult to manage and misdirecting energies away from important life goals and aspirations. Trauma also makes it difficult to navigate life transitions smoothly, establish and maintain close, meaningful relationships, and feel good about oneself. Psychotherapy is a collaborative, empathic endeavor that works to create a positive sense of self. It promotes agency, choice, and freedom, and, ultimately, engenders a life well-lived.
I typically work with individuals whose lives have become unmanageable due to exposure to stressors, adversity, and trauma. Encounters with trauma often markedly disrupt a person’s life, making emotions difficult to manage and misdirecting energies away from important life goals and aspirations. Trauma also makes it difficult to navigate life transitions smoothly, establish and maintain close, meaningful relationships, and feel good about oneself. Psychotherapy is a collaborative, empathic endeavor that works to create a positive sense of self. It promotes agency, choice, and freedom, and, ultimately, engenders a life well-lived.
(253) 881-8142 View (253) 881-8142
Photo of Germé Poston, Clinical Social Work/Therapist in Tacoma, WA
Germé Poston
Clinical Social Work/Therapist, MPH, MSW, LSWAIC
Verified Verified
Tacoma, WA 98422
Not accepting new clients
Contact by PHONE preferred. If by EMAIL make sure to check your JUNK mail for a response from me. I am here to help you through your issues and concerns. Whether they be old or new ones I am here to help you develop a sense of control, order and relief from whatever is causing havoc and or issues in your life. All sessions are individualized and focused around the client as a whole. It takes two to tango. I will never push my clients over their capacity but I will challenge you to believe in yourself, put in the work to reach the goals and the person you want to be in life.
Contact by PHONE preferred. If by EMAIL make sure to check your JUNK mail for a response from me. I am here to help you through your issues and concerns. Whether they be old or new ones I am here to help you develop a sense of control, order and relief from whatever is causing havoc and or issues in your life. All sessions are individualized and focused around the client as a whole. It takes two to tango. I will never push my clients over their capacity but I will challenge you to believe in yourself, put in the work to reach the goals and the person you want to be in life.
(253) 242-9677 View (253) 242-9677
Photo of Therapy Associates of Tacoma, Counselor in Tacoma, WA
Therapy Associates of Tacoma
Counselor, LMHC, LMFT
Verified Verified
Tacoma, WA 98402
Therapy Associates of Tacoma strives to make quality counseling an affordable resource. Therapy Associates of Tacoma counselors work collaboratively with individuals, teens, couples, and families to identify and create movement toward your desired goals.
Therapy Associates of Tacoma strives to make quality counseling an affordable resource. Therapy Associates of Tacoma counselors work collaboratively with individuals, teens, couples, and families to identify and create movement toward your desired goals.
(253) 343-9478 View (253) 343-9478
Photo of Ian Callahan, Counselor in Tacoma, WA
Ian Callahan
Counselor
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
It’s a pleasure to meet you. I am a licensed mental health counselor in Washington State with over 25 years of experience in the behavioral health field. Change is difficult, change is scary, change is not undertaken lightly, but change is necessary, and it can be achieved. Therapy and counseling are an individualized process, and it is my responsibility to create an individualized approach that values the uniqueness of who you are. Working together we will create a safe, supportive, and non-judgmental environment for you to talk about that change and what that looks like for you.
It’s a pleasure to meet you. I am a licensed mental health counselor in Washington State with over 25 years of experience in the behavioral health field. Change is difficult, change is scary, change is not undertaken lightly, but change is necessary, and it can be achieved. Therapy and counseling are an individualized process, and it is my responsibility to create an individualized approach that values the uniqueness of who you are. Working together we will create a safe, supportive, and non-judgmental environment for you to talk about that change and what that looks like for you.
(360) 295-9132 x1 View (360) 295-9132 x1
Photo of Tara Hollander, Clinical Social Work/Therapist in Tacoma, WA
Tara Hollander
Clinical Social Work/Therapist, MSW, ACSW, LICSW
Verified Verified
2 Endorsed
Tacoma, WA 98407
I am a LICSW with a focus on psychotherapy with adults, children and families. I have been a practitioner for 48 years, in private practice for 12 1/2 years and had been a psychotherapist for 26 years in the Behavioral Health Department at Group Health. While there, in addition to a general caseload that included Medicare patients, I ran a Children's Therapy Group, served on a county-wide child abuse oversight committee, co-chaired an inter-disciplinary case consultation team, and managed an intern program.
I am a LICSW with a focus on psychotherapy with adults, children and families. I have been a practitioner for 48 years, in private practice for 12 1/2 years and had been a psychotherapist for 26 years in the Behavioral Health Department at Group Health. While there, in addition to a general caseload that included Medicare patients, I ran a Children's Therapy Group, served on a county-wide child abuse oversight committee, co-chaired an inter-disciplinary case consultation team, and managed an intern program.
(253) 336-8720 View (253) 336-8720
Photo of Christel Wilder, Marriage & Family Therapist in Tacoma, WA
Christel Wilder
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Tacoma, WA 98402
Are you tired of the same argument, different day? Each argument results in one person shutting down, the other person feeling alone, and both partners feeling misunderstood and hurt. Things don't have to be this way. I assist couples in developing safety and vulnerability to strengthen the relationship bond and learn how to talk about the complex issues of the relationship. Many of us never learned how to have our emotional needs met, or how to respond to someone's emotional needs. It can feel like speaking a foreign language.
Are you tired of the same argument, different day? Each argument results in one person shutting down, the other person feeling alone, and both partners feeling misunderstood and hurt. Things don't have to be this way. I assist couples in developing safety and vulnerability to strengthen the relationship bond and learn how to talk about the complex issues of the relationship. Many of us never learned how to have our emotional needs met, or how to respond to someone's emotional needs. It can feel like speaking a foreign language.
(253) 893-6058 View (253) 893-6058
Photo of Ryan Coon, Psychologist in Tacoma, WA
Ryan Coon
Psychologist, PsyD
Verified Verified
Tacoma, WA 98467
I grew up in the small town of Silverton, Oregon. I took my first psychology class my junior year of high school and I've been a theory geek since that time. After two years of playing golf for Santa Barbara Community College I realized golf wasn't going to pay the bills. My undergraduate degree was in Sociology and my minor was in Philosophy. I began graduate at George Fox University. I choose that program because in addition to the graduate level psychology classes, we were required to take theology classes as well. I have been a licensed psychologist since 2007 and I have been at this current practice since 2009.
I grew up in the small town of Silverton, Oregon. I took my first psychology class my junior year of high school and I've been a theory geek since that time. After two years of playing golf for Santa Barbara Community College I realized golf wasn't going to pay the bills. My undergraduate degree was in Sociology and my minor was in Philosophy. I began graduate at George Fox University. I choose that program because in addition to the graduate level psychology classes, we were required to take theology classes as well. I have been a licensed psychologist since 2007 and I have been at this current practice since 2009.
(253) 364-4293 View (253) 364-4293
Photo of Gaaren Anderson MFT, Marriage & Family Therapist in Tacoma, WA
Gaaren Anderson MFT
Marriage & Family Therapist, MEd, LMFT, LMHC
Verified Verified
Tacoma, WA 98402  (Online Only)
We will not try to make you do what somebody else wants you to do. We start with your goals & find ways to help you develop the necessary skills. We have found that, if a person's individual wishes are not represented in the solution, it will not work in the long run. So there is a strong emphasis on helping each person take responsibility and control over their own happiness. Some things are better handled individually, and some things are better handled with both people in the room. Our unique blend of individual & couples therapy is quite effective.
We will not try to make you do what somebody else wants you to do. We start with your goals & find ways to help you develop the necessary skills. We have found that, if a person's individual wishes are not represented in the solution, it will not work in the long run. So there is a strong emphasis on helping each person take responsibility and control over their own happiness. Some things are better handled individually, and some things are better handled with both people in the room. Our unique blend of individual & couples therapy is quite effective.
(206) 745-0931 View (206) 745-0931
Photo of Destiny City Counseling, Counselor in Tacoma, WA
Destiny City Counseling
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
Current openings. Do you feel stuck in your relationships, career, or dysfunctional patterns? This isn't where you thought you'd be at age 25, 30, or 40. The anxiety and constant second-guessing yourself is exhausting. You feel like you are always "the helper" in relationships, but deep down, you feel unseen and resentful that your needs don't feel acknowledged by others. Even your spirituality has felt stale lately, leaving you drained. You need help navigating through the anxiety and negativity. Imagine having a deep sense of peace and joy with who you are right now and your process of becoming.
Current openings. Do you feel stuck in your relationships, career, or dysfunctional patterns? This isn't where you thought you'd be at age 25, 30, or 40. The anxiety and constant second-guessing yourself is exhausting. You feel like you are always "the helper" in relationships, but deep down, you feel unseen and resentful that your needs don't feel acknowledged by others. Even your spirituality has felt stale lately, leaving you drained. You need help navigating through the anxiety and negativity. Imagine having a deep sense of peace and joy with who you are right now and your process of becoming.
(253) 246-1946 View (253) 246-1946
Photo of Dr. Brook Gillaspie, Counselor in Tacoma, WA
Dr. Brook Gillaspie
Counselor, PhD, LMHC
Verified Verified
Tacoma, WA 98406
I am currently accepting patients seeking trauma-informed therapy through EMDR or CPT. I have a diverse background helping adults improve their ability to manage challenges life has thrown their way. Maybe you are struggling with relationships or experiencing difficulty managing stressors and thoughts that impact your daily life. Together we can work to make tackling life's curveballs more manageable. You can schedule with me directly at headway.co/providers/brook-gillaspie.
I am currently accepting patients seeking trauma-informed therapy through EMDR or CPT. I have a diverse background helping adults improve their ability to manage challenges life has thrown their way. Maybe you are struggling with relationships or experiencing difficulty managing stressors and thoughts that impact your daily life. Together we can work to make tackling life's curveballs more manageable. You can schedule with me directly at headway.co/providers/brook-gillaspie.
(253) 499-8298 View (253) 499-8298
Photo of Collette Bishop, Clinical Social Work/Therapist in Tacoma, WA
Collette Bishop
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
6 Endorsed
Tacoma, WA 98406
Common to the human experience are periods of sadness, fear, anxiety, harm, and loss. Various factors may be deriving this pain, such as our most significant relationships, the ways we have learned to relate to others, and oppressive societal and cultural systems in which we live. Although relationships are often the source of our deepest wounds, they hold the possibility for our greatest healing and transformation. Therapy is a place to explore our life's story within a safe and secure relationship. It is a courageous act to begin therapy and enter onto a path towards fulfillment, freedom and wholeness.
Common to the human experience are periods of sadness, fear, anxiety, harm, and loss. Various factors may be deriving this pain, such as our most significant relationships, the ways we have learned to relate to others, and oppressive societal and cultural systems in which we live. Although relationships are often the source of our deepest wounds, they hold the possibility for our greatest healing and transformation. Therapy is a place to explore our life's story within a safe and secure relationship. It is a courageous act to begin therapy and enter onto a path towards fulfillment, freedom and wholeness.
(253) 331-2746 View (253) 331-2746
Photo of Maddie Robertson, Clinical Social Work/Therapist in Tacoma, WA
Maddie Robertson
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Tacoma, WA 98406  (Online Only)
Accepting Clients.I am a clinical social worker who has experiance working with people who are experiencing a variety of concerns, from those who have survived complex trauma to those that need support in managing the stressors of day to day life. Through individualized, person-centered care I will work with you to create a supportive relationship that will allow us to face the problems you are experiencing and find a pathway to healing. Our time together will be rooted in partnership and collaboration.
Accepting Clients.I am a clinical social worker who has experiance working with people who are experiencing a variety of concerns, from those who have survived complex trauma to those that need support in managing the stressors of day to day life. Through individualized, person-centered care I will work with you to create a supportive relationship that will allow us to face the problems you are experiencing and find a pathway to healing. Our time together will be rooted in partnership and collaboration.
(253) 387-1981 View (253) 387-1981

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.