Therapists in Seattle, WA

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Photo of Karen M Johnson Counseling Services, Mental Health Counselor in Seattle, WA
Karen M Johnson Counseling Services
Mental Health Counselor, LMHC
Verified Verified
Seattle, WA 98103
I’ve been in private practice for nearly 20 years. My passion is to work with individuals, couples, and groups who are committed to growth and change. I want to empower people to be more connected and integrated with the core of who they are and the roles they are living. I work with a combination of somatic approaches that examine how the body holds our thoughts, beliefs, stressors, and anxieties and how to understand, relieve, and shift them.
I’ve been in private practice for nearly 20 years. My passion is to work with individuals, couples, and groups who are committed to growth and change. I want to empower people to be more connected and integrated with the core of who they are and the roles they are living. I work with a combination of somatic approaches that examine how the body holds our thoughts, beliefs, stressors, and anxieties and how to understand, relieve, and shift them.
(360) 797-5956 View (360) 797-5956
Photo of Jed Hill Jacobson, Counselor in Seattle, WA
Jed Hill Jacobson
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98104  (Online Only)
I enjoy working with a broad range of humans with varying strengths and challenges. Areas of focus include trauma, depression, anxiety, relationship challenges, spiritual/identity exploration, and psychedelic integration. I particularly connect with open-minded humans with a creative, artistic, or athletic side, who are on a journey of self-discovery and growth. If you want to co-create a version of therapy that makes sense for you, I'm ready to go down that path together.
I enjoy working with a broad range of humans with varying strengths and challenges. Areas of focus include trauma, depression, anxiety, relationship challenges, spiritual/identity exploration, and psychedelic integration. I particularly connect with open-minded humans with a creative, artistic, or athletic side, who are on a journey of self-discovery and growth. If you want to co-create a version of therapy that makes sense for you, I'm ready to go down that path together.
(206) 237-4779 View (206) 237-4779
Photo of Stephanie Brewer, Psychologist in Seattle, WA
Stephanie Brewer
Psychologist, PhD
Verified Verified
Seattle, WA 98103
I work with young adults and teens who have anxiety, OCD, and depression. I believe we can all find meaning and joy despite the obstacles life presents. My hope is to build a genuine connection with you so we can work toward the life you want. Together we will develop a treatment plan that integrates your inner wisdom with my expertise in evidence based techniques.
I work with young adults and teens who have anxiety, OCD, and depression. I believe we can all find meaning and joy despite the obstacles life presents. My hope is to build a genuine connection with you so we can work toward the life you want. Together we will develop a treatment plan that integrates your inner wisdom with my expertise in evidence based techniques.
(206) 429-4348 View (206) 429-4348
Photo of Alison Bruns, Psychologist in Seattle, WA
Alison Bruns
Psychologist, PsyD
Verified Verified
Seattle, WA 98109
I am a licensed clinical psychologist who is focused on helping adults who are experiencing distress in their lives. My areas of specialty include, but are not limited to, trauma, Posttraumatic Stress, depression, anxiety, and dissociation. I emphasize an individual's strengths and work to help people feel empowered in their daily lives. I use a variety of tools to do this, including EMDR, DBT, and other evidence based practices.
I am a licensed clinical psychologist who is focused on helping adults who are experiencing distress in their lives. My areas of specialty include, but are not limited to, trauma, Posttraumatic Stress, depression, anxiety, and dissociation. I emphasize an individual's strengths and work to help people feel empowered in their daily lives. I use a variety of tools to do this, including EMDR, DBT, and other evidence based practices.
(206) 455-7149 View (206) 455-7149
Photo of Healing Counseling, Counselor in Seattle, WA
Healing Counseling
Counselor
Verified Verified
Seattle, WA 98101  (Online Only)
Healing Counseling is a private group practice offering Mental Health Counseling. We use a person centered approach where inclusion and acceptance for diversity is our main objective. Is very important for us that all our clients feels hear and seen . The cultural, educational and background diversity of our team is an example of how we emphasized on individual/personalized treatment to meet all our client's needs. Our team has experience/education working with different cultural backgrounds, different mental health disorders and life issues, Domestic Violence and Women issues, LGBTQIA+ and more.
Healing Counseling is a private group practice offering Mental Health Counseling. We use a person centered approach where inclusion and acceptance for diversity is our main objective. Is very important for us that all our clients feels hear and seen . The cultural, educational and background diversity of our team is an example of how we emphasized on individual/personalized treatment to meet all our client's needs. Our team has experience/education working with different cultural backgrounds, different mental health disorders and life issues, Domestic Violence and Women issues, LGBTQIA+ and more.
(253) 259-2638 View (253) 259-2638
Photo of Alicia Eddy, Counselor in Seattle, WA
Alicia Eddy
Counselor, MA, EdM, LMHC
Verified Verified
Seattle, WA 98109  (Online Only)
Are you looking for a safe, nonjudgmental haven to explore what might be preventing you from living a fulfilling life? May it be depression, anxiety, stress, family/relationship issues, when life is unbalanced it can seem overwhelming. I will embrace your unique background and qualities to provide support and guidance through periods of stress, searching, or imbalance. I believe that forming a trusting relationship with each client is the foundation for personal growth. We will work as a team to help you reach your personal goals and to overcome any obstacles along the way.
Are you looking for a safe, nonjudgmental haven to explore what might be preventing you from living a fulfilling life? May it be depression, anxiety, stress, family/relationship issues, when life is unbalanced it can seem overwhelming. I will embrace your unique background and qualities to provide support and guidance through periods of stress, searching, or imbalance. I believe that forming a trusting relationship with each client is the foundation for personal growth. We will work as a team to help you reach your personal goals and to overcome any obstacles along the way.
(206) 208-6736 View (206) 208-6736
Photo of Zakia Ovington, Counselor in Seattle, WA
Zakia Ovington
Counselor, LMHCA, CCC, RCC, MACP
Verified Verified
4 Endorsed
Seattle, WA 98107  (Online Only)
I am a clinical counselor with a profound dedication to guiding clients on their unique paths of healing and self-discovery. Specializing in trauma recovery, emotional well-being, and authentic self-leadership, my approach is deeply rooted in compassion and professional clinical expertise. I provide a nurturing and safe environment where individuals can freely explore and overcome their personal challenges. My commitment extends beyond mere coping strategies, aiming to empower each client with resilience, self-awareness, and a deeper understanding of their own journey.
I am a clinical counselor with a profound dedication to guiding clients on their unique paths of healing and self-discovery. Specializing in trauma recovery, emotional well-being, and authentic self-leadership, my approach is deeply rooted in compassion and professional clinical expertise. I provide a nurturing and safe environment where individuals can freely explore and overcome their personal challenges. My commitment extends beyond mere coping strategies, aiming to empower each client with resilience, self-awareness, and a deeper understanding of their own journey.
(206) 208-2924 View (206) 208-2924
Photo of Haley Boscolo, Marriage & Family Therapist Intern in Seattle, WA
Haley Boscolo
Marriage & Family Therapist Intern
Verified Verified
Seattle, WA 98119
Currently only accepting new couples. Conflict in interpersonal relationships is one of the most difficult challenges we may face. If you are looking to overcome a communication rut and get back on the same team with your partner, I am here to help! I can help you rekindle your connection and see a future again. I want you to feel safe to openly explore your challenges as we collaborate on a plan toward change.
Currently only accepting new couples. Conflict in interpersonal relationships is one of the most difficult challenges we may face. If you are looking to overcome a communication rut and get back on the same team with your partner, I am here to help! I can help you rekindle your connection and see a future again. I want you to feel safe to openly explore your challenges as we collaborate on a plan toward change.
(206) 312-4936 View (206) 312-4936
Photo of Katey Blagden, Clinical Social Work/Therapist in Seattle, WA
Katey Blagden
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
2 Endorsed
Seattle, WA 98122  (Online Only)
Certain phases of life can leave us feeling directionless or uncertain about who we are and what is next. While these time periods are difficult to navigate, they can be times of deep transformation. As your therapist, I will support you in developing curiosity and clarity around your decisions, your relationships, and your internal experience. From a place of collaboration and warmth, I will work with you to navigate life’s obstacles, meet your challenges, and take steps towards becoming your most authentic self.
Certain phases of life can leave us feeling directionless or uncertain about who we are and what is next. While these time periods are difficult to navigate, they can be times of deep transformation. As your therapist, I will support you in developing curiosity and clarity around your decisions, your relationships, and your internal experience. From a place of collaboration and warmth, I will work with you to navigate life’s obstacles, meet your challenges, and take steps towards becoming your most authentic self.
(206) 339-5042 View (206) 339-5042
Photo of Joelle Sotebeer, Counselor in Seattle, WA
Joelle Sotebeer
Counselor, LMHC
Verified Verified
Seattle, WA 98107
Joelle is a Washington State Licensed Mental Health Counselor and has been practicing since 2015. She graduated from Capella University in Minneapolis, Minnesota with highest honors, earning a Master's degree in Mental Health Counseling. Joelle offers client-centered guidance, support, and structure and believes individuals have the ability to look for personalized solutions to improve circumstances. Her main areas of focus include treatment of anxiety, depression, PTSD, ADHD, and OCD symptoms in adolescents and adults.
Joelle is a Washington State Licensed Mental Health Counselor and has been practicing since 2015. She graduated from Capella University in Minneapolis, Minnesota with highest honors, earning a Master's degree in Mental Health Counseling. Joelle offers client-centered guidance, support, and structure and believes individuals have the ability to look for personalized solutions to improve circumstances. Her main areas of focus include treatment of anxiety, depression, PTSD, ADHD, and OCD symptoms in adolescents and adults.
(206) 593-3169 View (206) 593-3169
Photo of Mimi Simon, Pre-Licensed Professional in Seattle, WA
Mimi Simon
Pre-Licensed Professional
Verified Verified
Seattle, WA 98105  (Online Only)
As a Doctoral Candidate supervised by Jeff Grant, Ph.D., owner of Portage Bay Clinic, my practice has been reliably successful with individuals struggling with depression, anxiety, grief, anticipatory grief, trauma, and PTSD. I have extensive experience as a mental health advocate for disabled and underserved individuals. Informed by depth psychological and relational psychoanalytic approaches, my goal remains to act as a guide identifying strategies and highlighting solutions to access inner strength, and tap into sources including insight, courage, and resilience critical in making important mental health and lifestyle changes.
As a Doctoral Candidate supervised by Jeff Grant, Ph.D., owner of Portage Bay Clinic, my practice has been reliably successful with individuals struggling with depression, anxiety, grief, anticipatory grief, trauma, and PTSD. I have extensive experience as a mental health advocate for disabled and underserved individuals. Informed by depth psychological and relational psychoanalytic approaches, my goal remains to act as a guide identifying strategies and highlighting solutions to access inner strength, and tap into sources including insight, courage, and resilience critical in making important mental health and lifestyle changes.
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Photo of Casey Jordan, Counselor in Seattle, WA
Casey Jordan
Counselor, MA, LMHC
Verified Verified
5 Endorsed
Seattle, WA 98103
Not currently accepting new clients. I work with adults and teens in the state of Washington and focus on issues of depression, anxiety, complex trauma and abuse, church/cult related trauma, LGBTQ+ concerns, relationship difficulties, and more. In therapy, we will tend to the parts of your story that feel troublesome and work toward a deepening experience of freedom, connection, and joy. We will explore the nature of your individual concerns within the context of your narrative, which may include important relationships, your past experiences, and the societal systems that have impacted you.
Not currently accepting new clients. I work with adults and teens in the state of Washington and focus on issues of depression, anxiety, complex trauma and abuse, church/cult related trauma, LGBTQ+ concerns, relationship difficulties, and more. In therapy, we will tend to the parts of your story that feel troublesome and work toward a deepening experience of freedom, connection, and joy. We will explore the nature of your individual concerns within the context of your narrative, which may include important relationships, your past experiences, and the societal systems that have impacted you.
(206) 222-1852 View (206) 222-1852
Photo of Brian Jones, Counselor in Seattle, WA
Brian Jones
Counselor, MEd, LMHC, LPC
Verified Verified
7 Endorsed
Seattle, WA 98107  (Online Only)
Did you grow up in a controlling religious environment? Did you receive shaming messages leaving you to feel divided on the inside? These experiences can be confusing, making it difficult to know who you really are or what you want out of life. Even though you’ve left the church where you grew up, you still feel shame, guilt, anger, and more. Your family relationships are strained because you no longer fit in with the family culture. These problems have negatively affected the way you interact with romantic partners, authority figures at work, and even with your own body.
Did you grow up in a controlling religious environment? Did you receive shaming messages leaving you to feel divided on the inside? These experiences can be confusing, making it difficult to know who you really are or what you want out of life. Even though you’ve left the church where you grew up, you still feel shame, guilt, anger, and more. Your family relationships are strained because you no longer fit in with the family culture. These problems have negatively affected the way you interact with romantic partners, authority figures at work, and even with your own body.
(206) 350-5344 View (206) 350-5344
Photo of Janine Katrina Maria Julien, Clinical Social Work/Therapist in Seattle, WA
Janine Katrina Maria Julien
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98107
There are moments in our lives where we can benefit from additional support. Whether you desire better personal or intimate relationships, you are going through a life transition, or you are adjusting to recent change in your health, you have taken the first and most difficult step by seeking support. I work from a strengths-based and collaborative perspective that focuses on helping people identify and develop the skills and tools they already have within. I have an eclectic therapeutic approach that draws from different modalities. I provide a safe, grounded, and compassionate space for processing, change, and healing.
There are moments in our lives where we can benefit from additional support. Whether you desire better personal or intimate relationships, you are going through a life transition, or you are adjusting to recent change in your health, you have taken the first and most difficult step by seeking support. I work from a strengths-based and collaborative perspective that focuses on helping people identify and develop the skills and tools they already have within. I have an eclectic therapeutic approach that draws from different modalities. I provide a safe, grounded, and compassionate space for processing, change, and healing.
(425) 448-6923 View (425) 448-6923
Photo of Katie Roskilly, Pre-Licensed Professional in Seattle, WA
Katie Roskilly
Pre-Licensed Professional, BA
Verified Verified
Seattle, WA 98104  (Online Only)
Life can be isolating at times. This is especially true when you add in ADHD, PTSD, Anxiety, Depression, chronic illness, and Queerness, cultural, and relationship issues. We hold so many identities and struggles that influence who we are and how we move through our place in the world. It is essential to find yourself among those identities and move into the whole version of yourself that finds comfort in the here and now. This includes finding your community and support through all that life throws at us. As a therapist, I move through sessions with a person-centered, feminist, and multicultural lens.
Life can be isolating at times. This is especially true when you add in ADHD, PTSD, Anxiety, Depression, chronic illness, and Queerness, cultural, and relationship issues. We hold so many identities and struggles that influence who we are and how we move through our place in the world. It is essential to find yourself among those identities and move into the whole version of yourself that finds comfort in the here and now. This includes finding your community and support through all that life throws at us. As a therapist, I move through sessions with a person-centered, feminist, and multicultural lens.
(425) 521-6691 View (425) 521-6691
Photo of Allison Dworkin, Marriage & Family Therapist Associate in Seattle, WA
Allison Dworkin
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Seattle, WA 98122
I support individuals, couples, and families through periods of stress or transition, whether they feel overwhelmed, stuck in negative patterns, or just want to explore and grow. My style is warm, genuine, and down-to-earth. I listen closely, tune in deeply, ask guiding questions, and offer compassionate yet candid observations and a space space to explore. My approach is collaborative, honoring clients' feelings, beliefs, and experiences as valid and true and recognizing the powerful wisdom and resilience that all of us possess. My goal is to help clients utilize their strengths and resources to create a life that's nourishing.
I support individuals, couples, and families through periods of stress or transition, whether they feel overwhelmed, stuck in negative patterns, or just want to explore and grow. My style is warm, genuine, and down-to-earth. I listen closely, tune in deeply, ask guiding questions, and offer compassionate yet candid observations and a space space to explore. My approach is collaborative, honoring clients' feelings, beliefs, and experiences as valid and true and recognizing the powerful wisdom and resilience that all of us possess. My goal is to help clients utilize their strengths and resources to create a life that's nourishing.
(206) 741-0533 View (206) 741-0533
Photo of Mary Lou Macarius, Marriage & Family Therapist in Seattle, WA
Mary Lou Macarius
Marriage & Family Therapist, LMFT
Verified Verified
Seattle, WA 98133  (Online Only)
Mary Lou Macarius is a Licensed Marriage and Family Therapist (LMFT) who specializes in treating anxiety, depression, ADHD, behavioral issues, grief, parenting issues, school issues, stress, women's issues, and child therapy. She has more than 20 years of experience, working at institutions such as the Pacific Lutheran University Marriage and Family Therapy Clinic, the Good Samaritan Behavioral Health Care Center, as well as in public schools serving students K-12th grade. She also has experience serving individuals from six years old to 65 years old from her time in another group private practice.
Mary Lou Macarius is a Licensed Marriage and Family Therapist (LMFT) who specializes in treating anxiety, depression, ADHD, behavioral issues, grief, parenting issues, school issues, stress, women's issues, and child therapy. She has more than 20 years of experience, working at institutions such as the Pacific Lutheran University Marriage and Family Therapy Clinic, the Good Samaritan Behavioral Health Care Center, as well as in public schools serving students K-12th grade. She also has experience serving individuals from six years old to 65 years old from her time in another group private practice.
(206) 889-6042 View (206) 889-6042
Photo of Bailey D S Cheshire, Marriage & Family Therapist Associate in Seattle, WA
Bailey D S Cheshire
Marriage & Family Therapist Associate, LMFTA
Verified Verified
3 Endorsed
Seattle, WA 98119
I know that reaching out for therapy can be so intimidating, especially with issues related to sexuality. You may be looking to step into a more authentic versions of yourself or you may be dealing with relationship struggles. You may have felt stuck for some time or are just beginning to question what doesn't feel right. Together, we can embrace the challenges of life's struggles and work towards your dreams and goals. I am an identity affirming therapist who especially loves working with people who are queer, BIPOC, neurodivergent, disabled, or somehow 'othered' by society.
I know that reaching out for therapy can be so intimidating, especially with issues related to sexuality. You may be looking to step into a more authentic versions of yourself or you may be dealing with relationship struggles. You may have felt stuck for some time or are just beginning to question what doesn't feel right. Together, we can embrace the challenges of life's struggles and work towards your dreams and goals. I am an identity affirming therapist who especially loves working with people who are queer, BIPOC, neurodivergent, disabled, or somehow 'othered' by society.
(206) 752-3683 View (206) 752-3683
Photo of Nordia Shackelford, Clinical Social Work/Therapist in Seattle, WA
Nordia Shackelford
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98116
Not accepting new clients
I have over 15 years of experience working with people of diverse backgrounds and life experiences. My focus areas of practice include depression, anxiety, relationship issues, and life transitions. I also work with individuals seeking to improve their relationship with money by correlating financial circumstances and mental health.
I have over 15 years of experience working with people of diverse backgrounds and life experiences. My focus areas of practice include depression, anxiety, relationship issues, and life transitions. I also work with individuals seeking to improve their relationship with money by correlating financial circumstances and mental health.
(206) 222-0194 View (206) 222-0194
Geoffrey A Wiegand
Psychologist, PhD
Verified Verified
Seattle, WA 98102
I like to start with a 2 session diagnostic evaluation to help identify the most appropriate evidence based treatment for the problem. Cognitive Behavior Therapy (CBT) for Depression, CBT for OCD, Parent Behavior Management Training for Attention Deficit Hyperactivity Disorder and Oppositional Defiant Disorder, Habit Reversal Training for Skin Picking, Nail Biting, and Trichotillomania, and Comprehensive Behavioral Intervention for Tics are some of the evidence based treatments that I commonly provide. My work with families focuses on providing skills to both the child/adolescent and parents.
I like to start with a 2 session diagnostic evaluation to help identify the most appropriate evidence based treatment for the problem. Cognitive Behavior Therapy (CBT) for Depression, CBT for OCD, Parent Behavior Management Training for Attention Deficit Hyperactivity Disorder and Oppositional Defiant Disorder, Habit Reversal Training for Skin Picking, Nail Biting, and Trichotillomania, and Comprehensive Behavioral Intervention for Tics are some of the evidence based treatments that I commonly provide. My work with families focuses on providing skills to both the child/adolescent and parents.
(206) 981-3119 View (206) 981-3119

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.