Therapists in Puyallup, WA

Photo of Northwest Counsel, Counselor in Puyallup, WA
Northwest Counsel
Counselor, MA, LMHC, LMFT, BCPC
Verified Verified
9 Endorsed
Puyallup, WA 98373
Change comes through relationship and at Northwest Counsel I desire for you to see real, positive change in your life and your personal relationships. To give you an idea of what to expect, your first appointment is your chance to explain special circumstances and ask any questions about therapy. You will get a feel for who I am and how I can serve you, and together we can determine if I will help guide you to the next step on your journey of wellness. Sessions typically last 45-55 minutes and are custom tailored to your situation and your needs.
Change comes through relationship and at Northwest Counsel I desire for you to see real, positive change in your life and your personal relationships. To give you an idea of what to expect, your first appointment is your chance to explain special circumstances and ask any questions about therapy. You will get a feel for who I am and how I can serve you, and together we can determine if I will help guide you to the next step on your journey of wellness. Sessions typically last 45-55 minutes and are custom tailored to your situation and your needs.
(253) 256-2520 View (253) 256-2520
Photo of Lee Severson, Counselor in Puyallup, WA
Lee Severson
Counselor, LMHC
Verified Verified
Puyallup, WA 98372
Maybe you came here because you’re feeling anxious, feeling down or feeling stuck. Maybe you’ve had a recent loss, struggling in your job, or experiencing stress in your relationship. Maybe you struggle to find time for yourself. Maybe you’re a therapist or a first responder who gives so much and now it’s time to focus on your own wellness. Maybe you’ve had a recent life transition and you need support. Maybe you know exactly what you want and all you need is the validation and support to make a change. Maybe you don’t know what you’re feeling at the moment, but you know it’s time to seek support. You’re not alone.
Maybe you came here because you’re feeling anxious, feeling down or feeling stuck. Maybe you’ve had a recent loss, struggling in your job, or experiencing stress in your relationship. Maybe you struggle to find time for yourself. Maybe you’re a therapist or a first responder who gives so much and now it’s time to focus on your own wellness. Maybe you’ve had a recent life transition and you need support. Maybe you know exactly what you want and all you need is the validation and support to make a change. Maybe you don’t know what you’re feeling at the moment, but you know it’s time to seek support. You’re not alone.
(253) 648-0124 x516 View (253) 648-0124 x516
Photo of Michelle Baker, Counselor in Puyallup, WA
Michelle Baker
Counselor, LMHC, CMHS, MHP
Verified Verified
7 Endorsed
Puyallup, WA 98373
My focus has been on supporting clients experiencing depression, anxiety, domestic violence, and complex trauma. I believe that the therapeutic process looks different for each individual, and I believe in finding a unique, individualized approach for each client. I specialize in working with women, adolescents, children, and those in the queer community. I have a specialized background in art and play therapy.
My focus has been on supporting clients experiencing depression, anxiety, domestic violence, and complex trauma. I believe that the therapeutic process looks different for each individual, and I believe in finding a unique, individualized approach for each client. I specialize in working with women, adolescents, children, and those in the queer community. I have a specialized background in art and play therapy.
(253) 527-7789 View (253) 527-7789
Photo of Megan Moeller, Counselor in Puyallup, WA
Megan Moeller
Counselor, LMHC
Verified Verified
Puyallup, WA 98373
Not accepting new clients
Thank you for taking the first step towards improving your mental your health. Choosing a therapists big decision and I commend you for being here. I treat both individuals and couples for relationship issues and life challenges that present themselves throughout each season of life. I work from the stance that believes we all have the ability to make positive changes through acceptance of what is and movement towards authenticity. Please reach out today to schedule an in-person session at my office in Puyallup or via Telehealth at a time that is convenient for you!
Thank you for taking the first step towards improving your mental your health. Choosing a therapists big decision and I commend you for being here. I treat both individuals and couples for relationship issues and life challenges that present themselves throughout each season of life. I work from the stance that believes we all have the ability to make positive changes through acceptance of what is and movement towards authenticity. Please reach out today to schedule an in-person session at my office in Puyallup or via Telehealth at a time that is convenient for you!
(253) 352-4387 View (253) 352-4387
Photo of Amy M Plumb, Counselor in Puyallup, WA
Amy M Plumb
Counselor, MA, LMHC, SUDP, CPC, CWP
Verified Verified
1 Endorsed
Puyallup, WA 98371  (Online Only)
Talk therapy is great, but what many of the people I work with have missed in past therapy experiences is how to implement what they have learned about themselves into their real life. Self-regulation is key and after establishing a solid foundation using skills training for increasing distress tolerance and emotion regulation, I work with people to get at the root of the problems they are experiencing by using EMDR therapy and other interventions that address the core stuff, which is often the stuff that has kept us stuck in patterns that hurt. From there, we can work on improving your relationships and personal development.
Talk therapy is great, but what many of the people I work with have missed in past therapy experiences is how to implement what they have learned about themselves into their real life. Self-regulation is key and after establishing a solid foundation using skills training for increasing distress tolerance and emotion regulation, I work with people to get at the root of the problems they are experiencing by using EMDR therapy and other interventions that address the core stuff, which is often the stuff that has kept us stuck in patterns that hurt. From there, we can work on improving your relationships and personal development.
(206) 734-3718 View (206) 734-3718
Photo of Bethany Sutton, Marriage & Family Therapist in Puyallup, WA
Bethany Sutton
Marriage & Family Therapist, MA, LMFT
Verified Verified
Puyallup, WA 98371
Waitlist for new clients
Everyone is worthy of love and belonging. I am committed to creating a safe space for my clients no matter their background, story, or identity. I believe that each client is unique and deserves to be heard. Therapy is a collaborative process. My role is to meet you where you are and guide you toward healing. I will respect and honor your story and help you move through the pain to find new beginnings.
Everyone is worthy of love and belonging. I am committed to creating a safe space for my clients no matter their background, story, or identity. I believe that each client is unique and deserves to be heard. Therapy is a collaborative process. My role is to meet you where you are and guide you toward healing. I will respect and honor your story and help you move through the pain to find new beginnings.
(253) 499-8871 View (253) 499-8871
Photo of Kellie Wright, Pre-Licensed Professional in Puyallup, WA
Kellie Wright
Pre-Licensed Professional
Verified Verified
1 Endorsed
Puyallup, WA 98372  (Online Only)
My name is Kellie Wright and I am a Mental Health Counselor who teaches the importance of self-love and inner child healing. Intuitively, I use a whole-hearted integrative approach to therapy, using a blend of Cognitive Behavioral Theory (CBT), Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), and Insight Oriented Therapy. ​ I currently work with individuals 6 years old and older. My specialty is working with depression, anxiety, trauma-related issues, inner child healing, and adjustment periods of time. ​
My name is Kellie Wright and I am a Mental Health Counselor who teaches the importance of self-love and inner child healing. Intuitively, I use a whole-hearted integrative approach to therapy, using a blend of Cognitive Behavioral Theory (CBT), Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), and Insight Oriented Therapy. ​ I currently work with individuals 6 years old and older. My specialty is working with depression, anxiety, trauma-related issues, inner child healing, and adjustment periods of time. ​
(253) 242-9194 View (253) 242-9194
Photo of Kassandrea E Manuele, Counselor in Puyallup, WA
Kassandrea E Manuele
Counselor, LMHC
Verified Verified
Puyallup, WA 98372
In a world that can often feel heavy with forces pushing and pulling us downward in so many directions it can feel all too easy to lose track of your true self. Feeling confused and asking how did I get here? Or why me? Or, I just want to get back to myself, but I don’t even know who I am anymore. You are not alone and there is a way. I work with individuals who struggle with these same questions. Questions that arise from the struggles with trauma, anxiety, depression, attention, autism, and others. My counseling services focus on addressing the integrated person.
In a world that can often feel heavy with forces pushing and pulling us downward in so many directions it can feel all too easy to lose track of your true self. Feeling confused and asking how did I get here? Or why me? Or, I just want to get back to myself, but I don’t even know who I am anymore. You are not alone and there is a way. I work with individuals who struggle with these same questions. Questions that arise from the struggles with trauma, anxiety, depression, attention, autism, and others. My counseling services focus on addressing the integrated person.
(253) 900-2430 View (253) 900-2430
Photo of Jonathan Clarke Goodman, Counselor in Puyallup, WA
Jonathan Clarke Goodman
Counselor, LMHC, NCC
Verified Verified
1 Endorsed
Puyallup, WA 98373
Not accepting new clients
I am a counselor who has served clients with a wide range of issues from anxiety, depression, personality issues, and trauma for 8 years. Before this, I worked serving individuals with traumatic stress for 6 years as a victim advocate in Pierce County. I'm interested in helping motivated adults and teens who are seeking new coping skills to help themselves rediscover their power to heal and grow.
I am a counselor who has served clients with a wide range of issues from anxiety, depression, personality issues, and trauma for 8 years. Before this, I worked serving individuals with traumatic stress for 6 years as a victim advocate in Pierce County. I'm interested in helping motivated adults and teens who are seeking new coping skills to help themselves rediscover their power to heal and grow.
(253) 242-8605 View (253) 242-8605
Photo of Melissa Lowe, Clinical Social Work/Therapist in Puyallup, WA
Melissa Lowe
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Puyallup, WA 98371  (Online Only)
Accepting New Patients via telehealth/telemedicince. Seeing children, adults, and families. Those in my practice also can see couples. Melissa Lowe received her Masters in Social Work from Boise State in Idaho and holds an Associate License for Clinical Social Work. As a social worker, Melissa has over 15 years of experience working with children and families. She started out as a nanny before working crisis work in the school, assisting in the prisons, helping families, and at our local hospitals.
Accepting New Patients via telehealth/telemedicince. Seeing children, adults, and families. Those in my practice also can see couples. Melissa Lowe received her Masters in Social Work from Boise State in Idaho and holds an Associate License for Clinical Social Work. As a social worker, Melissa has over 15 years of experience working with children and families. She started out as a nanny before working crisis work in the school, assisting in the prisons, helping families, and at our local hospitals.
(253) 366-7771 View (253) 366-7771
Photo of Dr. Kevin Boll, Counselor in Puyallup, WA
Dr. Kevin Boll
Counselor, MDiv, DMin, LMHC
Verified Verified
2 Endorsed
Puyallup, WA 98371
I want to know you and what you are going through. If you are hurting, I will hear you and feel your pain. If you’re confused, I’ll help you figure it out. If you need direction and guidance, I am here to walk alongside of you. Whatever your struggle or concern might be--anxiety, trauma, relationship distress, grief, depression, searching for meaning and purpose, or facing some other hardship--I will help you sort it out, identify the root causes, and offer practical tools to help you overcome your personal challenges by using proven therapeutic methods to restore wholeness and healing to the broken parts of your life.
I want to know you and what you are going through. If you are hurting, I will hear you and feel your pain. If you’re confused, I’ll help you figure it out. If you need direction and guidance, I am here to walk alongside of you. Whatever your struggle or concern might be--anxiety, trauma, relationship distress, grief, depression, searching for meaning and purpose, or facing some other hardship--I will help you sort it out, identify the root causes, and offer practical tools to help you overcome your personal challenges by using proven therapeutic methods to restore wholeness and healing to the broken parts of your life.
(253) 343-9386 View (253) 343-9386
Photo of Chante Anderson, Counselor in Puyallup, WA
Chante Anderson
Counselor, LMHC, MS
Verified Verified
Puyallup, WA 98373
I've found that true healing unfolds when we honor the whole person, and I'm here to help you do just that. My practice specializes in several areas, including PTSD, ADHD, adult autism, other neurodivergencies, whole body health, and self-improvement. I also see a lot of individuals who struggle with depression and anxiety. I understand that healing is a multi-dimensional process, and to truly thrive, we must address all aspects of ourselves. I'm dedicated to creating a safe and supportive space for you to share your unique story. I am licensed in both WA and OR state.
I've found that true healing unfolds when we honor the whole person, and I'm here to help you do just that. My practice specializes in several areas, including PTSD, ADHD, adult autism, other neurodivergencies, whole body health, and self-improvement. I also see a lot of individuals who struggle with depression and anxiety. I understand that healing is a multi-dimensional process, and to truly thrive, we must address all aspects of ourselves. I'm dedicated to creating a safe and supportive space for you to share your unique story. I am licensed in both WA and OR state.
(253) 242-2565 View (253) 242-2565
Photo of Karen Beth Acheson, Psychologist in Puyallup, WA
Karen Beth Acheson
Psychologist, PhD
Verified Verified
Puyallup, WA 98374  (Online Only)
Waitlist for new clients
Greetings and welcome. I'm Dr. Karen Beth Acheson, Ph.D., and I have over 20 years of experience bringing warmth, compassion, and a sense of humor to help empower people to make healthy changes in their lives. My primary focus is adult psychotherapy. My style is down-to-earth; I draw from humanistic, psychodynamic, cognitive-behavioral & mindfulness-based therapies. My specialty areas include: Depression; Bipolar (manic) Depression; Anxiety; Trauma (including Post-Traumatic Stress Disorder); and Emotional/Sexual/physical Abuse. Also, I am now blending my lifelong passion for animals, including a B.S. in Animal Science, with
Greetings and welcome. I'm Dr. Karen Beth Acheson, Ph.D., and I have over 20 years of experience bringing warmth, compassion, and a sense of humor to help empower people to make healthy changes in their lives. My primary focus is adult psychotherapy. My style is down-to-earth; I draw from humanistic, psychodynamic, cognitive-behavioral & mindfulness-based therapies. My specialty areas include: Depression; Bipolar (manic) Depression; Anxiety; Trauma (including Post-Traumatic Stress Disorder); and Emotional/Sexual/physical Abuse. Also, I am now blending my lifelong passion for animals, including a B.S. in Animal Science, with
(253) 215-6726 View (253) 215-6726
Photo of Taryn Jae Collura, Counselor in Puyallup, WA
Taryn Jae Collura
Counselor, LMHCA
Verified Verified
Puyallup, WA 98372
I often notice when we finally find the time to catch a breath we tend to bring awareness to just how shallow our breathing may have been up to that point. Life moves fast and it doesn’t tend to slow down even when we need it the most; it's easy to slip into survival mode. As a therapist, it is my goal to not only guide my clients out of survival mode but help them find a way back to thriving and connection. While I honor the survival skills that got you here, it may be time to consider the possibility of healing. Whether it is PTSD or complex trauma, attachment wounds, depression, anxiety, or grief, I am honored to help.
I often notice when we finally find the time to catch a breath we tend to bring awareness to just how shallow our breathing may have been up to that point. Life moves fast and it doesn’t tend to slow down even when we need it the most; it's easy to slip into survival mode. As a therapist, it is my goal to not only guide my clients out of survival mode but help them find a way back to thriving and connection. While I honor the survival skills that got you here, it may be time to consider the possibility of healing. Whether it is PTSD or complex trauma, attachment wounds, depression, anxiety, or grief, I am honored to help.
(253) 455-7461 View (253) 455-7461
Photo of Michael E Brouillette, Counselor in Puyallup, WA
Michael E Brouillette
Counselor, EdD, LMHC, LCHt
Verified Verified
1 Endorsed
Puyallup, WA 98373
I am seeing new clients now. What can I do to help? I specialize in Anxiety, Depression, Anger, PTSD, Emotional, and Relationship issues. I work with individuals and couples. I would love the opportunity to work with you to help you heal. If you are dealing with relationship issues, I can work with one or both of you to get positive results. We will work together to find ways to empower you to resolve your issues. Please go to my website and book your first 50-minute session. When you go there, click Book Now, choose your in-person or virtual session, and then select your date and time. Let's see if we are a good fit.
I am seeing new clients now. What can I do to help? I specialize in Anxiety, Depression, Anger, PTSD, Emotional, and Relationship issues. I work with individuals and couples. I would love the opportunity to work with you to help you heal. If you are dealing with relationship issues, I can work with one or both of you to get positive results. We will work together to find ways to empower you to resolve your issues. Please go to my website and book your first 50-minute session. When you go there, click Book Now, choose your in-person or virtual session, and then select your date and time. Let's see if we are a good fit.
(253) 444-4131 View (253) 444-4131
Photo of Stephanie N. D'Cruz, Counselor in Puyallup, WA
Stephanie N. D'Cruz
Counselor, MA, LMHC, NCC
Verified Verified
1 Endorsed
Puyallup, WA 98374
Emotions and significant life stressors can leave a person feeling stuck or helpless. Finding a safe place to process emotions and address questions of shame, normalcy, and acceptance can be challenging. Without being able to process emotions and trauma, we can get stuck while the emotions stay in our bodies. Processing emotions not only provides mental relief, but can also transform a person’s connectedness to their bodies and relieve some physical manifestations of stressors. I hope to help people find hope which allows space for life to be messy and things to still be okay.
Emotions and significant life stressors can leave a person feeling stuck or helpless. Finding a safe place to process emotions and address questions of shame, normalcy, and acceptance can be challenging. Without being able to process emotions and trauma, we can get stuck while the emotions stay in our bodies. Processing emotions not only provides mental relief, but can also transform a person’s connectedness to their bodies and relieve some physical manifestations of stressors. I hope to help people find hope which allows space for life to be messy and things to still be okay.
(253) 446-7176 View (253) 446-7176
Photo of Jitani Mosley, Marriage & Family Therapist Associate in Puyallup, WA
Jitani Mosley
Marriage & Family Therapist Associate, MS, LMFTA
Verified Verified
Puyallup, WA 98372  (Online Only)
Jitani is a Marriage and Family Therapist. She graduated from Belmont Abbey College, where she received a bachelor’s degree in applied psychology, and went on to obtain a graduate degree in Marriage and Family Therapy from Capella University. Her philosophy is built on the notion that everything is connected to everything and that it is essential to explore how one’s family, co-workers, and friends, impact an individual’s mental health and vice versa.
Jitani is a Marriage and Family Therapist. She graduated from Belmont Abbey College, where she received a bachelor’s degree in applied psychology, and went on to obtain a graduate degree in Marriage and Family Therapy from Capella University. Her philosophy is built on the notion that everything is connected to everything and that it is essential to explore how one’s family, co-workers, and friends, impact an individual’s mental health and vice versa.
(253) 400-2663 View (253) 400-2663
Photo of Frankie M. Kennedy, Counselor in Puyallup, WA
Frankie M. Kennedy
Counselor, PhD, NCC, LMHC, SUDP
Verified Verified
Puyallup, WA 98375  (Online Only)
I am a Nationally Credentialed Mental Health Counselor and an Internationally Credentialed Clinical Addictions Counselor working with individuals struggling with mental health or substance use issues in Washington, Colorado, and North Carolina. I use a strengths-based approach and believe that everyone has the tools to solve their own problems and that each person is the expert of his/her own life.
I am a Nationally Credentialed Mental Health Counselor and an Internationally Credentialed Clinical Addictions Counselor working with individuals struggling with mental health or substance use issues in Washington, Colorado, and North Carolina. I use a strengths-based approach and believe that everyone has the tools to solve their own problems and that each person is the expert of his/her own life.
(206) 207-9198 View (206) 207-9198
Photo of Crozier Counseling, LLC, Counselor in Puyallup, WA
Crozier Counseling, LLC
Counselor, LMHC, GMHS
Verified Verified
Puyallup, WA 98373
I work with adult men and women of any age who are ready and motivated to change. I especially enjoy working with folks struggling with depression, anxiety, trauma, challenges associated with change, grief and loss and those struggling with relationships both at home and in the work place.
I work with adult men and women of any age who are ready and motivated to change. I especially enjoy working with folks struggling with depression, anxiety, trauma, challenges associated with change, grief and loss and those struggling with relationships both at home and in the work place.
(253) 299-2319 View (253) 299-2319
Photo of Abby White, Marriage & Family Therapist in Puyallup, WA
Abby White
Marriage & Family Therapist, MA, LMFT, CMHS
Verified Verified
6 Endorsed
Puyallup, WA 98372
I enjoy working with people experiencing difficulty in all elements of life. I look through the lens of family systems which means I incorporate family dynamics and looking at generational patterns to learn more about what is presently impacting the clients ability to function optimally. I specialize in working with families all together to support change longevity. I particularly enjoy working with clients suffering from anxiety, depression, or facing relationship difficulty. I use many methods to help people process their stress and trauma including art, movement, talk, and practicing alternative ways to navigate the world.
I enjoy working with people experiencing difficulty in all elements of life. I look through the lens of family systems which means I incorporate family dynamics and looking at generational patterns to learn more about what is presently impacting the clients ability to function optimally. I specialize in working with families all together to support change longevity. I particularly enjoy working with clients suffering from anxiety, depression, or facing relationship difficulty. I use many methods to help people process their stress and trauma including art, movement, talk, and practicing alternative ways to navigate the world.
(360) 780-3005 View (360) 780-3005

How does your Therapist compare?

Number of Therapists in Puyallup, WA

200+

Average cost per session

$150

Therapists in Puyallup, WA who prioritize treating:

91% Anxiety
88% Depression
80% Self Esteem
79% Trauma and PTSD
75% Coping Skills
73% Relationship Issues
73% Stress

Average years in practice

9 Years

Top 3 insurances accepted

77% Premera
74% Regence
73% First Choice Health | FCH

How Therapists in Puyallup, WA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Puyallup?

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.