Therapists in Seattle, WA

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Photo of Randy Marinez, Counselor in Seattle, WA
Randy Marinez
Counselor, MS, LMHC
Verified Verified
Seattle, WA 98104
I have been counseling since 1981 and opened my private practice in 1988. I have expertise in working with individuals around their history of sexual victimization, people healing from trauma and LGBTQ life issues. I also specialize in working with couples whether poly, open, heterosexual and/or gay. Included within my expertise is the breadth of issues surrounding sexuality and attachment. I also specialize in helping people become aware of and channel their emotions in a healthy way. Moreover, people who are grappling with existential issues, developmental transitions or life changes find meaning in working with me as well.
I have been counseling since 1981 and opened my private practice in 1988. I have expertise in working with individuals around their history of sexual victimization, people healing from trauma and LGBTQ life issues. I also specialize in working with couples whether poly, open, heterosexual and/or gay. Included within my expertise is the breadth of issues surrounding sexuality and attachment. I also specialize in helping people become aware of and channel their emotions in a healthy way. Moreover, people who are grappling with existential issues, developmental transitions or life changes find meaning in working with me as well.
(206) 745-5831 View (206) 745-5831
Photo of Karen O'Connell, Counselor in Seattle, WA
Karen O'Connell
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98121
Are you struggling with thoughts, emotions, memories, grief, loss, trauma, stress, anxiety, depression, panic, anger, feeling stuck, or worried about your relationships? My therapy practice is based on a belief that everyone has a unique history with many experiences that shape and transform our ways of being and interactions. Each person is beautiful and whole with a powerful story. So many factors impact our development, how we see ourselves, and how we relate to one another. Sometimes it can be difficult to know who we are, who we want to be, or how to take the next step.
Are you struggling with thoughts, emotions, memories, grief, loss, trauma, stress, anxiety, depression, panic, anger, feeling stuck, or worried about your relationships? My therapy practice is based on a belief that everyone has a unique history with many experiences that shape and transform our ways of being and interactions. Each person is beautiful and whole with a powerful story. So many factors impact our development, how we see ourselves, and how we relate to one another. Sometimes it can be difficult to know who we are, who we want to be, or how to take the next step.
(206) 488-1990 View (206) 488-1990
Photo of Bob Matthews, Marriage & Family Therapist in Seattle, WA
Bob Matthews
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
Seattle, WA 98109
I work together with my wife, Karin, to help couples who are struggling with conflict, emotional distance, or distress. If you're fighting too much, avoiding important issues altogether, or feeling disconnected from your partner, we can help you learn how to better navigate your differences and experience a deeper, more compassionate connection with each other.
I work together with my wife, Karin, to help couples who are struggling with conflict, emotional distance, or distress. If you're fighting too much, avoiding important issues altogether, or feeling disconnected from your partner, we can help you learn how to better navigate your differences and experience a deeper, more compassionate connection with each other.
(206) 673-2457 View (206) 673-2457
Photo of Lauren Serl, Pre-Licensed Professional in Seattle, WA
Lauren Serl
Pre-Licensed Professional, MSW, LSWAIC
Verified Verified
Seattle, WA 98115  (Online Only)
I specialize in working with emerging adults experiencing anxiety, depression, panic, and suicidal ideations. My goal is to help my clients reach their goals through person-centered therapy, dialectical behavioral therapy, cognitive behavioral therapy, mindfulness, motivational interviewing, psycho-education, and other therapeutic techniques.
I specialize in working with emerging adults experiencing anxiety, depression, panic, and suicidal ideations. My goal is to help my clients reach their goals through person-centered therapy, dialectical behavioral therapy, cognitive behavioral therapy, mindfulness, motivational interviewing, psycho-education, and other therapeutic techniques.
(425) 382-8129 View (425) 382-8129
Photo of Alyson Boness, Counselor in Seattle, WA
Alyson Boness
Counselor, LMHC
Verified Verified
Seattle, WA 98127  (Online Only)
I strive to help clients understand what is beneath the motivation of using harmful behaviors and attempt to help focus on self-compassion with an understanding that health and wellness is achievable. I like to view myself as a teacher of healthy coping skills where clients are able to over time, enact these skills in their own lives to have the confidence to make changes for themselves. Techniques used to help facilitate our sessions may include family therapy, exposure therapy, journaling and use of psycho-educational resources (homework, books, videos, etc).
I strive to help clients understand what is beneath the motivation of using harmful behaviors and attempt to help focus on self-compassion with an understanding that health and wellness is achievable. I like to view myself as a teacher of healthy coping skills where clients are able to over time, enact these skills in their own lives to have the confidence to make changes for themselves. Techniques used to help facilitate our sessions may include family therapy, exposure therapy, journaling and use of psycho-educational resources (homework, books, videos, etc).
(206) 737-1009 View (206) 737-1009
Photo of Gretchen W. Savage, Counselor in Seattle, WA
Gretchen W. Savage
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98115  (Online Only)
I work with individuals who are noticing a change in themselves through life transition, relationship loss, grief symptoms, feeling sadness 'when everything seems fine.' I work with clients who are experiencing long established triggers and grief symptoms through gentleness, safety, and respect for defenses. I have faith in the natural tendency of humans to grow toward healing and integration of mind, body, and spirit.
I work with individuals who are noticing a change in themselves through life transition, relationship loss, grief symptoms, feeling sadness 'when everything seems fine.' I work with clients who are experiencing long established triggers and grief symptoms through gentleness, safety, and respect for defenses. I have faith in the natural tendency of humans to grow toward healing and integration of mind, body, and spirit.
(206) 429-4610 View (206) 429-4610
Photo of Erin Roberts, Counselor in Seattle, WA
Erin Roberts
Counselor, MA, LMHC, RPT, CMHS
Verified Verified
1 Endorsed
Seattle, WA 98116
Not accepting new clients
I specialize in providing counseling services to children aged 3-12 & their families. Childhood is an extraordinary time of growth and change, and often it can be hard to know when extra support may be needed. Many times, the first step is in supporting parents in understanding the current challenge. I strive to witness each child/family uniquely while building a safe therapeutic relationship. My approach to therapy is warm, creative, and playful. I view caregivers as an important part of the treatment process and carve out space to meet with them routinely. To learn more about me & my practice, please visit: umbrellabaytherapy.com.
I specialize in providing counseling services to children aged 3-12 & their families. Childhood is an extraordinary time of growth and change, and often it can be hard to know when extra support may be needed. Many times, the first step is in supporting parents in understanding the current challenge. I strive to witness each child/family uniquely while building a safe therapeutic relationship. My approach to therapy is warm, creative, and playful. I view caregivers as an important part of the treatment process and carve out space to meet with them routinely. To learn more about me & my practice, please visit: umbrellabaytherapy.com.
(206) 895-6249 View (206) 895-6249
Photo of Cindy Gilbert, Clinical Social Work/Therapist in Seattle, WA
Cindy Gilbert
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98109
As a member of the LGBTQIA+ community, I feel uniquely qualified to support other members of the community. Issues related to identity and sexuality, including anxiety, depression, and PTSD are of particular interest to me. I get excited knowing I will help someone come to terms with who they are and how they fit in the world. I have worked in mental health for 30 years, and specifically as an individual therapist since 2017. I approach therapy with a relaxed, sort of informal attitude. I do make the occasional pop culture reference, and often people don't get them, then we have a laugh.Are you an LGBTQIA+ veteran? Come see me!
As a member of the LGBTQIA+ community, I feel uniquely qualified to support other members of the community. Issues related to identity and sexuality, including anxiety, depression, and PTSD are of particular interest to me. I get excited knowing I will help someone come to terms with who they are and how they fit in the world. I have worked in mental health for 30 years, and specifically as an individual therapist since 2017. I approach therapy with a relaxed, sort of informal attitude. I do make the occasional pop culture reference, and often people don't get them, then we have a laugh.Are you an LGBTQIA+ veteran? Come see me!
(206) 385-8558 View (206) 385-8558
Photo of Victoria Baker, Counselor in Seattle, WA
Victoria Baker
Counselor, LPC, LMHCA
Verified Verified
Seattle, WA 98104  (Online Only)
Hello! I'm Victoria Baker, a dedicated and empathetic therapist who enjoys working with adolescents and adults. Witnessing transformation and growth during pivotal life stages is incredibly rewarding. My goal is to empower clients, foster healthy coping, and build skills for fulfilling lives. I create a safe, non-judgmental space where clients are heard and understood. Tailoring each session to individual needs, preferences, and goals, I view clients as experts in their lives.
Hello! I'm Victoria Baker, a dedicated and empathetic therapist who enjoys working with adolescents and adults. Witnessing transformation and growth during pivotal life stages is incredibly rewarding. My goal is to empower clients, foster healthy coping, and build skills for fulfilling lives. I create a safe, non-judgmental space where clients are heard and understood. Tailoring each session to individual needs, preferences, and goals, I view clients as experts in their lives.
(425) 400-2793 View (425) 400-2793
Photo of Yarden Maya Solomon, Pre-Licensed Professional in Seattle, WA
Yarden Maya Solomon
Pre-Licensed Professional, Intern
Verified Verified
1 Endorsed
Seattle, WA 98102  (Online Only)
Accepting New Clients with weekly availability! I offer therapy that is compassionate, non-judgemental, and accepting of who you are and what you are carrying in the present moment. My work is creating a warm environment to explore different layers and parts of yourself, interpersonal relationships, goals and desires, as well as body-based mindfulness practices to process emotions in other ways besides talking. As a queer therapist centered in liberation frameworks, advocacy, and justice, I recognize how systemic oppression effects our mental health.
Accepting New Clients with weekly availability! I offer therapy that is compassionate, non-judgemental, and accepting of who you are and what you are carrying in the present moment. My work is creating a warm environment to explore different layers and parts of yourself, interpersonal relationships, goals and desires, as well as body-based mindfulness practices to process emotions in other ways besides talking. As a queer therapist centered in liberation frameworks, advocacy, and justice, I recognize how systemic oppression effects our mental health.
(253) 367-3679 View (253) 367-3679
Photo of Anthony Pennant Jr, Marriage & Family Therapist in Seattle, WA
Anthony Pennant Jr
Marriage & Family Therapist, LMFT, PhD
Verified Verified
3 Endorsed
Seattle, WA 98103
Not accepting new clients
Anxiety, Depression, and other issues seem like they can never get any better. You might also feel like things will never change in life or that perhaps you are going backwards. When you first call, you will experience compassion and empathy from me that will assist you in making the decision to find resolution to these problems. In therapy, I provide a safe and non-judgmental space to hear your story and work to give hope to hopeless situations. Call to schedule a session and begin therapy. In addition to therapy, I am able to conduct assessments and evaluations for Autism Spectrum Disorder and ADHD for both children and adults.
Anxiety, Depression, and other issues seem like they can never get any better. You might also feel like things will never change in life or that perhaps you are going backwards. When you first call, you will experience compassion and empathy from me that will assist you in making the decision to find resolution to these problems. In therapy, I provide a safe and non-judgmental space to hear your story and work to give hope to hopeless situations. Call to schedule a session and begin therapy. In addition to therapy, I am able to conduct assessments and evaluations for Autism Spectrum Disorder and ADHD for both children and adults.
(206) 202-4866 View (206) 202-4866
Photo of Bernie R Hershberger, Psychologist in Seattle, WA
Bernie R Hershberger
Psychologist, PhD
Verified Verified
Seattle, WA 98112
I help people develop resources to work more mindfully with impermanence. Aging, illness, death, identity transitions, relationships – all bring us face to face with fear, anxiety, and insecurity. The courage and wisdom to live through change and loss become possible with a clear, steady commitment to loving oneself and others. I work with my clients to become curious, have a sense of humor, feel grace, cultivate friendships, and embody kindness in order to access joy in the everyday moments of life, even with life's many challenges.
I help people develop resources to work more mindfully with impermanence. Aging, illness, death, identity transitions, relationships – all bring us face to face with fear, anxiety, and insecurity. The courage and wisdom to live through change and loss become possible with a clear, steady commitment to loving oneself and others. I work with my clients to become curious, have a sense of humor, feel grace, cultivate friendships, and embody kindness in order to access joy in the everyday moments of life, even with life's many challenges.
(206) 222-9371 View (206) 222-9371
Photo of Whole Beings Counseling & Consultation LLC, Counselor in Seattle, WA
Whole Beings Counseling & Consultation LLC
Counselor, MA, CDP, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98107  (Online Only)
Welcome to counseling; to be helpful lets regain access to inner wisdom for self advocacy through review of your strength base building practices by use of expressive arts therapy (life has been your stage), explore dreams (Adlerian therapies), explore play& traumas to connect with your inner child/teen or find your inner parent, track sensations with the mind, body and spirit for grounding purposes in our sessions. Welcome and thank you for adding me to your search!
Welcome to counseling; to be helpful lets regain access to inner wisdom for self advocacy through review of your strength base building practices by use of expressive arts therapy (life has been your stage), explore dreams (Adlerian therapies), explore play& traumas to connect with your inner child/teen or find your inner parent, track sensations with the mind, body and spirit for grounding purposes in our sessions. Welcome and thank you for adding me to your search!
(206) 207-4683 View (206) 207-4683
Photo of Caroline Becker, Counselor in Seattle, WA
Caroline Becker
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98109
Not accepting new clients
I enjoy working with adults who are experiencing anxiety, stress and other difficulties in relationships and at work as well as individuals who are in a period of life transition or who are struggling with making important changes. I have experience working with adults in their 20s and 30s, with parents raising children, with individuals sorting out job interests and relationship dynamics, as well as with those struggling with mood disorders.
I enjoy working with adults who are experiencing anxiety, stress and other difficulties in relationships and at work as well as individuals who are in a period of life transition or who are struggling with making important changes. I have experience working with adults in their 20s and 30s, with parents raising children, with individuals sorting out job interests and relationship dynamics, as well as with those struggling with mood disorders.
(206) 707-9256 View (206) 707-9256
Photo of Elizabeth Anderson, Counselor in Seattle, WA
Elizabeth Anderson
Counselor, MA, LMHC, CHT
Verified Verified
Seattle, WA 98126  (Online Only)
Welcome to Creative Guidance, PLLC. I believe that our ability to stay in the moment, especially when things are difficult, can be tough. Wanting to escape the present moment is a normal human response. When we are able to remain present, that is where healing, wisdom and change truly lies. When we can stay with what we are feeling and experiencing, both good and challenging, we are then awake and empowered to change our lives. I am here to help you become present and unfold the YOU that has always been there from the start.
Welcome to Creative Guidance, PLLC. I believe that our ability to stay in the moment, especially when things are difficult, can be tough. Wanting to escape the present moment is a normal human response. When we are able to remain present, that is where healing, wisdom and change truly lies. When we can stay with what we are feeling and experiencing, both good and challenging, we are then awake and empowered to change our lives. I am here to help you become present and unfold the YOU that has always been there from the start.
(206) 495-6147 View (206) 495-6147
Photo of Jamie Welch, Psychologist in Seattle, WA
Jamie Welch
Psychologist, PhD
Verified Verified
1 Endorsed
Seattle, WA 98125  (Online Only)
Waitlist for new clients
Updated 2/19/24: My clients have come to me experiencing stress, anxiety, depression, and many other presenting concerns. In therapy I strive to understand and clarify my clients' goals and help them work toward building insight around their concerns. You don't have to know exactly what your goals might be, and during our work you can always add or change goals. This is your treatment and my hope is that you take an active role in determining the direction and depth of the work that we do together. My hope is that we can end every session feeling that we have made progress.
Updated 2/19/24: My clients have come to me experiencing stress, anxiety, depression, and many other presenting concerns. In therapy I strive to understand and clarify my clients' goals and help them work toward building insight around their concerns. You don't have to know exactly what your goals might be, and during our work you can always add or change goals. This is your treatment and my hope is that you take an active role in determining the direction and depth of the work that we do together. My hope is that we can end every session feeling that we have made progress.
(206) 589-1101 View (206) 589-1101
Photo of Tsion Kidane, Counselor in Seattle, WA
Tsion Kidane
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98125
Are you feeling frustrated and stuck with things that matter to you? Are you facing life challenges? Do you need support with depression, anxiety or trauma? Are you seeking assistance with parenting and family relationship issues? I might be able to help. I am a multi-cultural and multi-lingual therapist who is trained in Marriage and Family Therapy. My skill set includes therapy techniques such as Life Span integration, Cognitive Behavioral Therapy, Person-centered therapy, Emotion Focused Therapy and Faith-Based approaches.
Are you feeling frustrated and stuck with things that matter to you? Are you facing life challenges? Do you need support with depression, anxiety or trauma? Are you seeking assistance with parenting and family relationship issues? I might be able to help. I am a multi-cultural and multi-lingual therapist who is trained in Marriage and Family Therapy. My skill set includes therapy techniques such as Life Span integration, Cognitive Behavioral Therapy, Person-centered therapy, Emotion Focused Therapy and Faith-Based approaches.
(206) 693-4342 View (206) 693-4342
Photo of Maria Costello, Clinical Social Work/Therapist in Seattle, WA
Maria Costello
Clinical Social Work/Therapist, LSWAIC
Verified Verified
1 Endorsed
Seattle, WA 98155  (Online Only)
I specialize in treating trauma-related disorders, including PTSD, depression, and anxiety, using a compassionate and client-centered approach. Over the years, I've had the privilege of guiding many individuals through the complexities of trauma, addiction, and codependency. I am dedicated to working with clients who are struggling to cope with the aftermath of trauma in their daily lives. Whether you're facing challenges in managing emotions, maintaining relationships, or simply navigating daily stressors, my comprehensive and skilled approach will help you find healing, hope, and stability.
I specialize in treating trauma-related disorders, including PTSD, depression, and anxiety, using a compassionate and client-centered approach. Over the years, I've had the privilege of guiding many individuals through the complexities of trauma, addiction, and codependency. I am dedicated to working with clients who are struggling to cope with the aftermath of trauma in their daily lives. Whether you're facing challenges in managing emotions, maintaining relationships, or simply navigating daily stressors, my comprehensive and skilled approach will help you find healing, hope, and stability.
(206) 594-5154 View (206) 594-5154
Photo of Cheyenne McGuire, Marriage & Family Therapist Associate in Seattle, WA
Cheyenne McGuire
Marriage & Family Therapist Associate, LMFT-A
Verified Verified
1 Endorsed
Seattle, WA 98109
As a sex, marriage, and family therapist, I am happy to work with individuals and any relational constellation that fits you. I strive to enhance safety from an anti-oppressive and inclusive framework. A passion of mine is working with those looking to reclaim their sexual selves. My areas of focus is working with those who have experienced sexual trauma, particularly those impacted by purity culture, and pelvic pain disorders. I enjoy working with those who are looking to reclaim their pleasure and desire. Other specialties of mine are helping folks navigate gender and explore sexual identity and orientation.
As a sex, marriage, and family therapist, I am happy to work with individuals and any relational constellation that fits you. I strive to enhance safety from an anti-oppressive and inclusive framework. A passion of mine is working with those looking to reclaim their sexual selves. My areas of focus is working with those who have experienced sexual trauma, particularly those impacted by purity culture, and pelvic pain disorders. I enjoy working with those who are looking to reclaim their pleasure and desire. Other specialties of mine are helping folks navigate gender and explore sexual identity and orientation.
(425) 407-5989 View (425) 407-5989
Photo of Sierra LaPonte, Marriage & Family Therapist in Seattle, WA
Sierra LaPonte
Marriage & Family Therapist, MA, LMFT, MHP
Verified Verified
Seattle, WA 98103
Working with clients has been both a personal and professional honor and privilege. Life is a journey filled with desired or undesired opportunities for growth. My approach is deeply rooted in connection while we work together to navigate all of life's moments. I like to use techniques and interventions from Family Systems and Solution Focused Therapy. In sessions we will explore how family systems, previous or current, can impact life experiences while working to identify relevant solutions and highlight your personal strengths and capabilities.
Working with clients has been both a personal and professional honor and privilege. Life is a journey filled with desired or undesired opportunities for growth. My approach is deeply rooted in connection while we work together to navigate all of life's moments. I like to use techniques and interventions from Family Systems and Solution Focused Therapy. In sessions we will explore how family systems, previous or current, can impact life experiences while working to identify relevant solutions and highlight your personal strengths and capabilities.
(206) 752-4522 View (206) 752-4522

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.