Therapists in Seattle, WA

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Photo of Julie DeBoer, Counselor in Seattle, WA
Julie DeBoer
Counselor, MA, LMHC
Verified Verified
6 Endorsed
Seattle, WA 98125  (Online Only)
I believe that often, our deepest experiences of harm and trauma take place within relationships, and the ways that others relate to us has an enormous impact on the ways we learn to relate to ourselves. My work with clients often centers around exploring and integrating past experiences of harm, and through this, inviting clients to new ways of relating to themselves in the present. I am passionate about helping clients grow in self-awareness, courage, and self-compassion.
I believe that often, our deepest experiences of harm and trauma take place within relationships, and the ways that others relate to us has an enormous impact on the ways we learn to relate to ourselves. My work with clients often centers around exploring and integrating past experiences of harm, and through this, inviting clients to new ways of relating to themselves in the present. I am passionate about helping clients grow in self-awareness, courage, and self-compassion.
(206) 737-0935 View (206) 737-0935
Photo of Josh D Spell, Clinical Social Work/Therapist in Seattle, WA
Josh D Spell
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98119
At times, we may lose our ability to trust our intuition. We may feel like imposters in our relationships, jobs or within ourselves. Therapy can offer a bridge back to understanding your authentic needs. I work with adults of all genders, races and sexual orientations experiencing anxiety, self-doubt and perfectionism. Symptoms related to these issues can manifest as feeling cut off from emotions, overwhelm, stress and burnout. I also provide services to athletes and performing artists who may be experiencing life transitions, performance anxiety or injury.
At times, we may lose our ability to trust our intuition. We may feel like imposters in our relationships, jobs or within ourselves. Therapy can offer a bridge back to understanding your authentic needs. I work with adults of all genders, races and sexual orientations experiencing anxiety, self-doubt and perfectionism. Symptoms related to these issues can manifest as feeling cut off from emotions, overwhelm, stress and burnout. I also provide services to athletes and performing artists who may be experiencing life transitions, performance anxiety or injury.
(206) 589-1440 View (206) 589-1440
Photo of Justin Pere, Counselor in Seattle, WA
Justin Pere
Counselor, LMHC, CST, CGT
Verified Verified
2 Endorsed
Seattle, WA 98109  (Online Only)
Now Accepting New Clients! Our team of 7 therapists - Corey, Lisa, Stephen, Misa, Maggie, Lindsey and myself - can help you, with the specialty of our practice, Clarity Counseling Seattle, being Relationships / Couples / Marriage / Premarital and Sex / Sexuality/Intimacy. Couples often use our website (ClarityCounselingSeattle.com) to start receiving help with communication, conflict, and deepening emotional & sexual intimacy. The individuals who often seek us out are looking to feel less stress, less worry, less depression/anxiety, and wanting to experience more joy, contentment, and peace within themselves.
Now Accepting New Clients! Our team of 7 therapists - Corey, Lisa, Stephen, Misa, Maggie, Lindsey and myself - can help you, with the specialty of our practice, Clarity Counseling Seattle, being Relationships / Couples / Marriage / Premarital and Sex / Sexuality/Intimacy. Couples often use our website (ClarityCounselingSeattle.com) to start receiving help with communication, conflict, and deepening emotional & sexual intimacy. The individuals who often seek us out are looking to feel less stress, less worry, less depression/anxiety, and wanting to experience more joy, contentment, and peace within themselves.
(206) 855-3934 View (206) 855-3934
Photo of Meagan M. Hyde, Marriage & Family Therapist in Seattle, WA
Meagan M. Hyde
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Seattle, WA 98105  (Online Only)
Are you struggling with communication and unable to resolve conflict in your relationship? Do you feel stuck, misunderstood, unappreciated or dismissed? Uncertain whether things can actually change? If so, I can help. As an empathic advocate for you and your relationship, I help you to explore and expand perspectives, hear different sides, learn and practice communication skills for more productive conversations and be able to resolve gridlocked conflict more effectively. We work together to set goals and create a roadmap for making progress, and I provide support and feedback about what it will take to reach your goals.
Are you struggling with communication and unable to resolve conflict in your relationship? Do you feel stuck, misunderstood, unappreciated or dismissed? Uncertain whether things can actually change? If so, I can help. As an empathic advocate for you and your relationship, I help you to explore and expand perspectives, hear different sides, learn and practice communication skills for more productive conversations and be able to resolve gridlocked conflict more effectively. We work together to set goals and create a roadmap for making progress, and I provide support and feedback about what it will take to reach your goals.
(425) 374-0852 View (425) 374-0852
Photo of Shakira Cruz, Clinical Social Work/Therapist in Seattle, WA
Shakira Cruz
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98109  (Online Only)
Not accepting new clients
I enjoy working with supervisees as a thought partner, coach, supervisor, and mentor. I believe growth happens when we are rooted in our integrity, engaging curiosity, leaning into discomfort, and embracing humor. I have extensive experience supervising clinical and macro social workers, advocates, counselors and clinicians in community health, non-profit, and private practice settings.
I enjoy working with supervisees as a thought partner, coach, supervisor, and mentor. I believe growth happens when we are rooted in our integrity, engaging curiosity, leaning into discomfort, and embracing humor. I have extensive experience supervising clinical and macro social workers, advocates, counselors and clinicians in community health, non-profit, and private practice settings.
(206) 339-4581 View (206) 339-4581
Photo of Lynsey Isaacs, Counselor in Seattle, WA
Lynsey Isaacs
Counselor, MA, LMHC, CDPT
Verified Verified
Seattle, WA 98119  (Online Only)
Waitlist for new clients
Even when you check all the right boxes in life, it can be overwhelming and feel like your emotions are in control. Maybe you feel "stuck" or hopeless that real change is possible. There are a multitude of reasons why we seek treatment. Regardless of the why, your pain is real and you deserve support. With your willingness to do the work, I will show up and meet you wherever you are at on your journey. If you are ready to invest in yourself, feel free to reach out for a consultation.
Even when you check all the right boxes in life, it can be overwhelming and feel like your emotions are in control. Maybe you feel "stuck" or hopeless that real change is possible. There are a multitude of reasons why we seek treatment. Regardless of the why, your pain is real and you deserve support. With your willingness to do the work, I will show up and meet you wherever you are at on your journey. If you are ready to invest in yourself, feel free to reach out for a consultation.
(425) 243-0305 View (425) 243-0305
Photo of Mollie Player, Counselor in Seattle, WA
Mollie Player
Counselor, LMHC
Verified Verified
10 Endorsed
Seattle, WA 98109  (Online Only)
I'm a solution-focused, results-oriented counselor with a passion for helping people in the most efficient yet comprehensive manner possible. My clients and I identify opportunities for growth in all three aspects of mental health: behaviors, thoughts and emotions. I then suggest evidence-based treatment methods to match our specified goals. This often includes lifestyle change, healthy habit formation and cognitive therapy. Most often, I work with clients' present-day experiences, with less focus on the past. Many of my clients tell me that traditional talk therapy has not worked for them, and they want to try something different.
I'm a solution-focused, results-oriented counselor with a passion for helping people in the most efficient yet comprehensive manner possible. My clients and I identify opportunities for growth in all three aspects of mental health: behaviors, thoughts and emotions. I then suggest evidence-based treatment methods to match our specified goals. This often includes lifestyle change, healthy habit formation and cognitive therapy. Most often, I work with clients' present-day experiences, with less focus on the past. Many of my clients tell me that traditional talk therapy has not worked for them, and they want to try something different.
(206) 451-1356 View (206) 451-1356
Photo of Sauda Porter, Clinical Social Work/Therapist in Seattle, WA
Sauda Porter
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98178  (Online Only)
You may be dealing with anxiety, depression, racialized trauma or generational trauma that make it harder to function. For too long, the idea of mental wellness was viewed as a luxury only allotted to the few. Someone was considered “strong” if they endured a traumatic or life-changing event, regardless of functionality. We are now beginning to understand that those events can change the way we relate to everything. You may continue to engage in your day to day expectations like taking care of children, going to work, going to school, but you may not be sleeping well, may no longer enjoy things that brought you peace or happiness.
You may be dealing with anxiety, depression, racialized trauma or generational trauma that make it harder to function. For too long, the idea of mental wellness was viewed as a luxury only allotted to the few. Someone was considered “strong” if they endured a traumatic or life-changing event, regardless of functionality. We are now beginning to understand that those events can change the way we relate to everything. You may continue to engage in your day to day expectations like taking care of children, going to work, going to school, but you may not be sleeping well, may no longer enjoy things that brought you peace or happiness.
(206) 278-3509 View (206) 278-3509
Photo of Kelly Thoma, Clinical Social Work/Therapist in Seattle, WA
Kelly Thoma
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Seattle, WA 98105
I work with people in an authentic and collaborative way, where we first build a safe environment so that you can feel open to exploring what you want to talk about at your own pace. I believe in relationally focused therapy, using the relationship between us to look into patterns, difficulties, wants, and goals in life. I believe therapy can help us find meaning, connection, and alignment with our own values. Whether it be your upbringing, life transitions, relationships, or understanding your feelings better, therapy can help you navigate these topics and live in a way that feels more integrated.
I work with people in an authentic and collaborative way, where we first build a safe environment so that you can feel open to exploring what you want to talk about at your own pace. I believe in relationally focused therapy, using the relationship between us to look into patterns, difficulties, wants, and goals in life. I believe therapy can help us find meaning, connection, and alignment with our own values. Whether it be your upbringing, life transitions, relationships, or understanding your feelings better, therapy can help you navigate these topics and live in a way that feels more integrated.
(206) 210-3602 View (206) 210-3602
Photo of Rivkah Posner, Clinical Social Work/Therapist in Seattle, WA
Rivkah Posner
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Seattle, WA 98125  (Online Only)
I have partnered with Mindful Therapy Group for scheduling and billing. To schedule an appointment, please call (425) 640-7009 x1
I have partnered with Mindful Therapy Group for scheduling and billing. To schedule an appointment, please call (425) 640-7009 x1
(425) 406-4675 x1185 View (425) 406-4675 x1185
Photo of Michelle Punt, Counselor in Seattle, WA
Michelle Punt
Counselor, RN, MA, LMHC
Verified Verified
Seattle, WA 98105  (Online Only)
Binge eating, compulsive eating, emotional overeating - when food seems to be in charge, life can be miserable. Healing is possible using a mindful approach that helps to reconnect eating and food choices with physical needs, while also taking care of our emotional needs. Together we will explore the effects that food and eating have on your thoughts, emotions, physical appearance, body image, and personal relationships, and set mindful goals that will help you increase your well-being at deeper levels. Discover renewed hope and quality of life that relates to your unique situation and personal resources. Welcome to Deep Well-Being.
Binge eating, compulsive eating, emotional overeating - when food seems to be in charge, life can be miserable. Healing is possible using a mindful approach that helps to reconnect eating and food choices with physical needs, while also taking care of our emotional needs. Together we will explore the effects that food and eating have on your thoughts, emotions, physical appearance, body image, and personal relationships, and set mindful goals that will help you increase your well-being at deeper levels. Discover renewed hope and quality of life that relates to your unique situation and personal resources. Welcome to Deep Well-Being.
(206) 866-6058 View (206) 866-6058
Photo of Denise Benitez, Counselor in Seattle, WA
Denise Benitez
Counselor, BFA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98115
You are not a problem to be solved. I believe we are each evolutionarily designed for growth and change. In the right container and supportive environment, you have the potential to understand yourself better than anyone else, to access your own insight, and to know what will help. My role as a therapist is to be a fellow traveler in the room as you navigate the session. I can point out moments of interest, places of frozenness, and potentially useful signs, and support your own innate creativity in meeting the story of your life.
You are not a problem to be solved. I believe we are each evolutionarily designed for growth and change. In the right container and supportive environment, you have the potential to understand yourself better than anyone else, to access your own insight, and to know what will help. My role as a therapist is to be a fellow traveler in the room as you navigate the session. I can point out moments of interest, places of frozenness, and potentially useful signs, and support your own innate creativity in meeting the story of your life.
(206) 966-4619 View (206) 966-4619
Photo of Mark E. Mirante LMFT, Counseling on Green Lake, Marriage & Family Therapist in Seattle, WA
Mark E. Mirante LMFT, Counseling on Green Lake
Marriage & Family Therapist, MA, LMFT, CMHS
Verified Verified
1 Endorsed
Seattle, WA 98115
I am a licensed Marriage (Couple) and Family Therapist and an American Association for Marriage and Family Therapy Clinical Fellow and Approved Supervisor with over 30 years of experience helping individuals, couples, and families from a broad range of ethnic, cultural, physical health, gender, socio-economic and sexual diversity. My experience includes many persons and families challenged by high conflict and multiple interlaced problems. I have extensive experience helping children, teens, and adults struggling with anxiety, depression, and the impact of grief, trauma and challenging relationships and/or a family member's chemical dependency.
I am a licensed Marriage (Couple) and Family Therapist and an American Association for Marriage and Family Therapy Clinical Fellow and Approved Supervisor with over 30 years of experience helping individuals, couples, and families from a broad range of ethnic, cultural, physical health, gender, socio-economic and sexual diversity. My experience includes many persons and families challenged by high conflict and multiple interlaced problems. I have extensive experience helping children, teens, and adults struggling with anxiety, depression, and the impact of grief, trauma and challenging relationships and/or a family member's chemical dependency.
(253) 214-3229 View (253) 214-3229
Photo of Catherine Gua, Marriage & Family Therapist in Seattle, WA
Catherine Gua
Marriage & Family Therapist
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
My therapeutic approach is holistic, client-centered, and solution-focused. Everyone is unique, and once I get to know you, I’ll use the therapeutic tools and methods that I determine will be most beneficial to you. I like to draw from solution-focused therapy, cognitive behavioral therapy, and narrative therapy, all of which offer ways of viewing problems from different perspectives and the opportunity for empowered participation in the unfolding of new realities. With compassion and understanding, I seek to work collaboratively with each client to encourage investigation and productive problem solving.
My therapeutic approach is holistic, client-centered, and solution-focused. Everyone is unique, and once I get to know you, I’ll use the therapeutic tools and methods that I determine will be most beneficial to you. I like to draw from solution-focused therapy, cognitive behavioral therapy, and narrative therapy, all of which offer ways of viewing problems from different perspectives and the opportunity for empowered participation in the unfolding of new realities. With compassion and understanding, I seek to work collaboratively with each client to encourage investigation and productive problem solving.
(425) 230-6794 View (425) 230-6794
Photo of Peter Thomas, Psychologist in Seattle, WA
Peter Thomas
Psychologist, PhD
Verified Verified
Seattle, WA 98103
Waitlist for new clients
I am a direct, warm, engaged and interactive therapist. I love working with couples and families seeking deeper intimacy and with individuals who approach their life challenges as opportunities for personal growth. I encourage clients to trust themselves, follow the wisdom of their bodies, and do what they truly love. My best work is with clients who not only seek immediate relief but also want to empower themselves emotionally, creatively, and spiritually.
I am a direct, warm, engaged and interactive therapist. I love working with couples and families seeking deeper intimacy and with individuals who approach their life challenges as opportunities for personal growth. I encourage clients to trust themselves, follow the wisdom of their bodies, and do what they truly love. My best work is with clients who not only seek immediate relief but also want to empower themselves emotionally, creatively, and spiritually.
View
Photo of Christopher J Lowe, Psychologist in Seattle, WA
Christopher J Lowe
Psychologist, PsyD
Verified Verified
Seattle, WA 98102  (Online Only)
Not accepting new clients
I work frequently with individuals and couples who are motivated to gain more insight into themselves and who are struggling with career stress, overcoming early trauma and neglect, mild addictive behaviors, depression, anxiety, obsessive thoughts and behaviors, relationship conflict, and those who are trying to find a sense of meaning and purpose in their lives. My aim is to not only treat or view you as a set of symptoms, but to also help you acquire a deeper understanding of your self and from where those symptoms might be coming.
I work frequently with individuals and couples who are motivated to gain more insight into themselves and who are struggling with career stress, overcoming early trauma and neglect, mild addictive behaviors, depression, anxiety, obsessive thoughts and behaviors, relationship conflict, and those who are trying to find a sense of meaning and purpose in their lives. My aim is to not only treat or view you as a set of symptoms, but to also help you acquire a deeper understanding of your self and from where those symptoms might be coming.
(206) 589-5627 View (206) 589-5627
Photo of Shanyn Gilio-Tenan, Clinical Social Work/Therapist in Seattle, WA
Shanyn Gilio-Tenan
Clinical Social Work/Therapist, LICSW, MHP, CMHS
Verified Verified
Seattle, WA 98136
In my practice I provide individual, family, and couples therapy to help adolescents and adults grow and change into the person they want to be. I support my clients through healing from abuse, divorce, domestic violence, behavioral problems, anxiety, depression, suicidal thoughts and more. I am experienced in working with clients from the LGBTQ community, as well as those in non-traditional family/relationship structures. I have experience working with crisis intervention and assessments for hospitalizations. I currently do not take insurance but will provide a receipt for reimbursement from your insurance.
In my practice I provide individual, family, and couples therapy to help adolescents and adults grow and change into the person they want to be. I support my clients through healing from abuse, divorce, domestic violence, behavioral problems, anxiety, depression, suicidal thoughts and more. I am experienced in working with clients from the LGBTQ community, as well as those in non-traditional family/relationship structures. I have experience working with crisis intervention and assessments for hospitalizations. I currently do not take insurance but will provide a receipt for reimbursement from your insurance.
(541) 241-2777 View (541) 241-2777
Photo of DJ Burr - Addiction, Codependency & Trauma in Seattle, WA
DJ Burr - Addiction, Codependency & Trauma
MA, LMHC, CCTP
Verified Verified
12 Endorsed
Seattle, WA 98121  (Online Only)
Do you find yourself having intrusive thoughts about sex throughout the day that you can't stop? Are you spending too much time pursuing your sexual desires and fantasies? Are these thoughts starting to impact your relationships with your friends and family? Do you feel responsibility for the happiness of the other people in your life? Are you able to handle the thought of someone not liking you? Have you experienced trauma? Do you struggle with anxiety, depression, insomnia, or other emotions that make life feel unmanageable? With the right tools, you can live a more balanced life. I look forward to hearing your story.
Do you find yourself having intrusive thoughts about sex throughout the day that you can't stop? Are you spending too much time pursuing your sexual desires and fantasies? Are these thoughts starting to impact your relationships with your friends and family? Do you feel responsibility for the happiness of the other people in your life? Are you able to handle the thought of someone not liking you? Have you experienced trauma? Do you struggle with anxiety, depression, insomnia, or other emotions that make life feel unmanageable? With the right tools, you can live a more balanced life. I look forward to hearing your story.
(206) 278-2932 View (206) 278-2932
Photo of Naomi Huffman, Counselor in Seattle, WA
Naomi Huffman
Counselor, LMHCA
Verified Verified
Seattle, WA 98107  (Online Only)
With several years of counseling experience in mental health clinics, rehabilitation centers, and K-12 schools, I've supported individuals of all ages, from kindergartners to elderly. I believe in accompanying individuals on their healing journey, whether they're adjusting to a new school or navigating challenges later in life. Let's embark on this journey together.
With several years of counseling experience in mental health clinics, rehabilitation centers, and K-12 schools, I've supported individuals of all ages, from kindergartners to elderly. I believe in accompanying individuals on their healing journey, whether they're adjusting to a new school or navigating challenges later in life. Let's embark on this journey together.
(206) 687-1496 View (206) 687-1496
Photo of Kate Sandoval, Pre-Licensed Professional in Seattle, WA
Kate Sandoval
Pre-Licensed Professional, Intern
Verified Verified
1 Endorsed
Seattle, WA 98122  (Online Only)
Relationships are complicated - they're a place where love and pain often co-exist. Even the best relationships suffer wreckage after a storm which can leave us feeling resentful, critical, and like we're not enough. It takes a lot of courage and bravery to seek support and lean into rebuilding and co-creating a new life together. Healing can happen.
Relationships are complicated - they're a place where love and pain often co-exist. Even the best relationships suffer wreckage after a storm which can leave us feeling resentful, critical, and like we're not enough. It takes a lot of courage and bravery to seek support and lean into rebuilding and co-creating a new life together. Healing can happen.
(206) 589-5726 View (206) 589-5726

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.