Therapists in Spokane, WA

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Photo of Becka Shaw, Counselor in Spokane, WA
Becka Shaw
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Spokane, WA 99205  (Online Only)
Feeling stuck? Stop putting yourself last and get the support you need to make changes you want to see in your life. If you are struggling with life's difficulties, let's talk about how we can shift the balance. I believe one of the best ways to achieve a better daily life experience and feelings of contentment is through healing hurts, learning new skills for emotional management, and enhancing your knowledge of yourself. Together we can work towards your life goals while decreasing emotional reactivity and improving your sense of wellbeing.
Feeling stuck? Stop putting yourself last and get the support you need to make changes you want to see in your life. If you are struggling with life's difficulties, let's talk about how we can shift the balance. I believe one of the best ways to achieve a better daily life experience and feelings of contentment is through healing hurts, learning new skills for emotional management, and enhancing your knowledge of yourself. Together we can work towards your life goals while decreasing emotional reactivity and improving your sense of wellbeing.
(509) 476-8286 View (509) 476-8286
Photo of Debbie Teixeira, Counselor in Spokane, WA
Debbie Teixeira
Counselor, MA, LMHCA, SUDPT
Verified Verified
1 Endorsed
Spokane, WA 99204
Life is hard and messy. You feel like there is no hope, you have nowhere to turn, leaving you feeling helpless. Or it can begin to feel like a roller coaster ride, moods lifting you up and down, issue after issue rolling in waves of emotions. Not knowing how to think or feel. Therapy can empower you to create growth, build confidence, and increase your self-esteem. Find the strength to face your journey and empower change within yourself.
Life is hard and messy. You feel like there is no hope, you have nowhere to turn, leaving you feeling helpless. Or it can begin to feel like a roller coaster ride, moods lifting you up and down, issue after issue rolling in waves of emotions. Not knowing how to think or feel. Therapy can empower you to create growth, build confidence, and increase your self-esteem. Find the strength to face your journey and empower change within yourself.
(509) 517-6593 View (509) 517-6593
Photo of Katelynn Harmon, Clinical Social Work/Therapist in Spokane, WA
Katelynn Harmon
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Spokane, WA 99202
I believe everyone strives to be happy and healthy, but for some that finish line is harder to get to. Whether acknowledged or not, our society tends to marginalize individuals who identify in minority populations. In addition to the normal struggles we face as humans, life can be that much more difficult for those who are disadvantaged whether by race, ethnicity, sexual orientation, gender identity, or ability to name a few. While I cannot change the course of society, I can help you identify how it's shaped you, how to find coping skills that support you, and how to find new insight and strategies to whether the storms.
I believe everyone strives to be happy and healthy, but for some that finish line is harder to get to. Whether acknowledged or not, our society tends to marginalize individuals who identify in minority populations. In addition to the normal struggles we face as humans, life can be that much more difficult for those who are disadvantaged whether by race, ethnicity, sexual orientation, gender identity, or ability to name a few. While I cannot change the course of society, I can help you identify how it's shaped you, how to find coping skills that support you, and how to find new insight and strategies to whether the storms.
(509) 681-3995 View (509) 681-3995
Photo of Cody Paul Brumbelow, Pre-Licensed Professional in Spokane, WA
Cody Paul Brumbelow
Pre-Licensed Professional, LMHCA
Verified Verified
Spokane, WA 99201  (Online Only)
Deep at my core, I would like to believe I can work with anyone regarding any potential concern. I do not wish to discriminate or weed out any clients in that way, it feels wrong to me. There very well may be some clients that don't feel I meet their needs and that is certainly okay with me. I do not bring a lot of structure, guidance, or advice to my counseling and that is not always what some clients need or desire. My ideal client is someone looking to change and grow, someone that wants to be the best version of themselves in a holistic manner.
Deep at my core, I would like to believe I can work with anyone regarding any potential concern. I do not wish to discriminate or weed out any clients in that way, it feels wrong to me. There very well may be some clients that don't feel I meet their needs and that is certainly okay with me. I do not bring a lot of structure, guidance, or advice to my counseling and that is not always what some clients need or desire. My ideal client is someone looking to change and grow, someone that wants to be the best version of themselves in a holistic manner.
(509) 361-1055 View (509) 361-1055
Photo of Dr. Jessica Fritzges, Psychologist in Spokane, WA
Dr. Jessica Fritzges
Psychologist, PhD
Verified Verified
Spokane, WA 99201  (Online Only)
After work hours! As a licensed psychologist and trauma therapist, I'm here to help you heal a painful past for a brighter tomorrow. My patients are usually seeking to heal emotional wounds caused by relationship issues, abuse, disasters, and other overwhelming life events that are difficult to work through alone. Often, when my patients first reach out, they're feeling overwhelmed by their needs and emotions; they want a psychologist who will listen, reassure them, and provide directed help for their challenges. They want connection, comfort, and guidance, and they're ready to do what is needed to enjoy their lives again.
After work hours! As a licensed psychologist and trauma therapist, I'm here to help you heal a painful past for a brighter tomorrow. My patients are usually seeking to heal emotional wounds caused by relationship issues, abuse, disasters, and other overwhelming life events that are difficult to work through alone. Often, when my patients first reach out, they're feeling overwhelmed by their needs and emotions; they want a psychologist who will listen, reassure them, and provide directed help for their challenges. They want connection, comfort, and guidance, and they're ready to do what is needed to enjoy their lives again.
(509) 673-7382 View (509) 673-7382
Photo of Lisa Estelle, Psychologist in Spokane, WA
Lisa Estelle
Psychologist, PsyD
Verified Verified
Spokane, WA 99208
With over 30 years of experience in providing mental health services, my approach integrates varied perspectives in supporting people in finding relief from emotional and relational pain. Symptoms are often expressing deeper experiences that have wounded your sense of trust in yourself, in others, in life in general, and may have left you struggling with knowing your own sense of meaning, purpose, and hope. You deserve an authentic, compassionate, safe, and hopeful place to reflect, and to seek help and healing. I am committed to providing effective, genuine, and meaningful help primarily to adults and teens.
With over 30 years of experience in providing mental health services, my approach integrates varied perspectives in supporting people in finding relief from emotional and relational pain. Symptoms are often expressing deeper experiences that have wounded your sense of trust in yourself, in others, in life in general, and may have left you struggling with knowing your own sense of meaning, purpose, and hope. You deserve an authentic, compassionate, safe, and hopeful place to reflect, and to seek help and healing. I am committed to providing effective, genuine, and meaningful help primarily to adults and teens.
(509) 774-3980 View (509) 774-3980
Photo of Brito-Melo Counseling, PLLC , Counselor in Spokane, WA
Brito-Melo Counseling, PLLC
Counselor, MA, NCC, LMHC
Verified Verified
1 Endorsed
Spokane, WA 99201
Waitlist for new clients
Hello, my name is Venette and I am a transplant from San Diego. My primary areas of focus are anxiety/panic disorders, mood disorders, PTSD, adjustment disorder, cultural and ethnic issues, spiritual and faith-based counseling, and working with the veteran/military connected population. As a 20-year Marine Corps veteran myself, I am both confident and comfortable serving this population that I have proudly identified with for the last three decades. I have witnessed through my own children, stepchildren, spouse, and fellow veterans, the psychological distress that comes from serving in the military.
Hello, my name is Venette and I am a transplant from San Diego. My primary areas of focus are anxiety/panic disorders, mood disorders, PTSD, adjustment disorder, cultural and ethnic issues, spiritual and faith-based counseling, and working with the veteran/military connected population. As a 20-year Marine Corps veteran myself, I am both confident and comfortable serving this population that I have proudly identified with for the last three decades. I have witnessed through my own children, stepchildren, spouse, and fellow veterans, the psychological distress that comes from serving in the military.
(509) 739-3546 View (509) 739-3546
Photo of Lindsay Stockton, Counselor in Spokane, WA
Lindsay Stockton
Counselor, LMHC-A, MA, NCC
Verified Verified
Spokane, WA 99202
My practice focuses on individual and couple counseling with an emphasis on finding and living the most authentic expression of yourself. My education and training experience allows me to dive further into the connection between physical and mental health, while allowing each individual to cultivate their own authentic path to complete wellness.
My practice focuses on individual and couple counseling with an emphasis on finding and living the most authentic expression of yourself. My education and training experience allows me to dive further into the connection between physical and mental health, while allowing each individual to cultivate their own authentic path to complete wellness.
(509) 236-1477 View (509) 236-1477
Photo of Julie Anton, Counselor in Spokane, WA
Julie Anton
Counselor, LMHCA, LPCC
Verified Verified
Spokane, WA 99201  (Online Only)
After struggling through my formative years with no therapeutic support, I became the person I wish that I had at that age: someone who would see and accept me as I am while supporting me to make the things that I wanted to be better. I work with neurodivergent adults, am LGBTQIA+ affirming, and work well with neurodiverse folx aged 13-35 addressing depression, anxiety, stress, self-esteem, goal-setting, and life transition issues. If you have something in your life that you would like to improve, I'm here to help you do it. I will love and accept you for who you are while supporting you to make the changes you would like.
After struggling through my formative years with no therapeutic support, I became the person I wish that I had at that age: someone who would see and accept me as I am while supporting me to make the things that I wanted to be better. I work with neurodivergent adults, am LGBTQIA+ affirming, and work well with neurodiverse folx aged 13-35 addressing depression, anxiety, stress, self-esteem, goal-setting, and life transition issues. If you have something in your life that you would like to improve, I'm here to help you do it. I will love and accept you for who you are while supporting you to make the changes you would like.
(509) 401-8561 View (509) 401-8561
Photo of Angela M. Klein, Counselor in Spokane, WA
Angela M. Klein
Counselor, LMHCA
Verified Verified
Spokane, WA 99202
No matter what you're struggling with, we are all naturally wired to heal and find restoration. My goal is to help clients find peace in their bodies and minds by working to heal their overstressed nervous system. This includes providing a supportive relationship and a personalized approach for every client. I use a variety of evidence based techniques including EMDR, Polyvagal Theory, Somatic Experiencing, Internal Family Systems Therapy (IFS) and Mindfulness Based Cognitive therapies (DBT & ACT). This flexible approach helps me tailor the sessions to each client in order to provide the most helpful resources.
No matter what you're struggling with, we are all naturally wired to heal and find restoration. My goal is to help clients find peace in their bodies and minds by working to heal their overstressed nervous system. This includes providing a supportive relationship and a personalized approach for every client. I use a variety of evidence based techniques including EMDR, Polyvagal Theory, Somatic Experiencing, Internal Family Systems Therapy (IFS) and Mindfulness Based Cognitive therapies (DBT & ACT). This flexible approach helps me tailor the sessions to each client in order to provide the most helpful resources.
(509) 408-3578 View (509) 408-3578
Photo of Ilana Skarling, Clinical Social Work/Therapist in Spokane, WA
Ilana Skarling
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Spokane, WA 99201  (Online Only)
You are not too much. Nor is what you have been through too much. If you struggle with gender or sexual identity, sexual or domestic violence, or other forms of lasting trauma, I can help. Just know that I believe you to be, at this moment, exactly who you need to be in order to survive. I also believe that things can get better.
You are not too much. Nor is what you have been through too much. If you struggle with gender or sexual identity, sexual or domestic violence, or other forms of lasting trauma, I can help. Just know that I believe you to be, at this moment, exactly who you need to be in order to survive. I also believe that things can get better.
(206) 752-5508 View (206) 752-5508
Photo of Kerry Hill, Counselor in Spokane, WA
Kerry Hill
Counselor, MA, LMHC
Verified Verified
Spokane, WA 99201
Sometimes life does not go in the direction you may have hoped, and you may face suffering, feeling broken, and other challenging circumstances, without always knowing how to handle them. Whether you're dealing with a difficult relationship, trauma, anxiety, grief & loss or spiritually feeling there are obstacles in the way, I will come alongside you to help you get to where you want to be.
Sometimes life does not go in the direction you may have hoped, and you may face suffering, feeling broken, and other challenging circumstances, without always knowing how to handle them. Whether you're dealing with a difficult relationship, trauma, anxiety, grief & loss or spiritually feeling there are obstacles in the way, I will come alongside you to help you get to where you want to be.
(509) 652-2093 View (509) 652-2093
Photo of Amy McManus, Clinical Social Work/Therapist in Spokane, WA
Amy McManus
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Spokane, WA 99201  (Online Only)
I serve clients from a plethora of diverse backgrounds and situations; I enjoy learning about cultures, traditions, and customs! Our differences are our natural strengths; these differences don't separate us, they bring us closer together! With this perspective I enjoy working with clients that are looking, and ready, to embrace the challenges they are experiencing. Clients often encounter multiple obstacles that intersect with their past, present, and future selves. My goal is to deliver the appropriate treatment that is needed for clients to experience optimal relief.
I serve clients from a plethora of diverse backgrounds and situations; I enjoy learning about cultures, traditions, and customs! Our differences are our natural strengths; these differences don't separate us, they bring us closer together! With this perspective I enjoy working with clients that are looking, and ready, to embrace the challenges they are experiencing. Clients often encounter multiple obstacles that intersect with their past, present, and future selves. My goal is to deliver the appropriate treatment that is needed for clients to experience optimal relief.
(509) 253-5305 x9214 View (509) 253-5305 x9214
Photo of Lindsay Anne Daehlin, Clinical Social Work/Therapist in Spokane, WA
Lindsay Anne Daehlin
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Spokane, WA 99201
Not accepting new clients
Life is challenging and even harder when we have large and small traumas that get in the way of our wellness and growth. I find it a great honor to help people overcome life's inevitable difficulties to improve their lives and strengthen their families. I teach skills and build upon strengths as clients reconnect with and live into their highest and best self. Spiritual growth and healing is a specialty of mine, and an optional part of therapy.
Life is challenging and even harder when we have large and small traumas that get in the way of our wellness and growth. I find it a great honor to help people overcome life's inevitable difficulties to improve their lives and strengthen their families. I teach skills and build upon strengths as clients reconnect with and live into their highest and best self. Spiritual growth and healing is a specialty of mine, and an optional part of therapy.
(509) 416-5461 View (509) 416-5461
Photo of Kaitlyn Chapman, Counselor in Spokane, WA
Kaitlyn Chapman
Counselor, MS, LMHC, NCC
Verified Verified
Spokane, WA 99201
Not accepting new clients
My counseling approach is holistic, creating a foundation of unconditional positive regard, resilience and empowerment. I believe counseling can offer a sense of safety and warmth that allows for personal growth to unveil, fostering positive changes in all aspects of life. This can be particularly powerful during times of suffering and adversity that can affect us all. The therapeautic journey, while challenging, may offer time to heal, promoting wellness in the mind and the body.
My counseling approach is holistic, creating a foundation of unconditional positive regard, resilience and empowerment. I believe counseling can offer a sense of safety and warmth that allows for personal growth to unveil, fostering positive changes in all aspects of life. This can be particularly powerful during times of suffering and adversity that can affect us all. The therapeautic journey, while challenging, may offer time to heal, promoting wellness in the mind and the body.
(509) 822-5602 View (509) 822-5602
Photo of Lila Carthens, Counselor in Spokane, WA
Lila Carthens
Counselor, MS, LMHCA
Verified Verified
1 Endorsed
Spokane, WA 99205
From an early age, we are surrounded by systems that shape our lives. These systems include our upbringing, our culture, and even our everyday language. In therapy, we are asked how we navigate these systems to create meaning in our lives. Through engaging these meanings, and openly acknowledging the role that suffering plays in our lives, psychotherapy addresses one’s psychological symptoms as well as one’s innermost fears and desires. This occurs in a manner that does not stigmatize the different, sometimes contradictory, aspects of our lives, but sees them as meaningful and as a way forward.
From an early age, we are surrounded by systems that shape our lives. These systems include our upbringing, our culture, and even our everyday language. In therapy, we are asked how we navigate these systems to create meaning in our lives. Through engaging these meanings, and openly acknowledging the role that suffering plays in our lives, psychotherapy addresses one’s psychological symptoms as well as one’s innermost fears and desires. This occurs in a manner that does not stigmatize the different, sometimes contradictory, aspects of our lives, but sees them as meaningful and as a way forward.
(509) 265-6962 View (509) 265-6962
Photo of Layne E Pavey, Clinical Social Work/Therapist in Spokane, WA
Layne E Pavey
Clinical Social Work/Therapist, LICSW
Verified Verified
Spokane, WA 99205
Hello, I'm Layne. I know it can be hard reaching out. There is always the fear that you might be judged or made to feel like there is something wrong with you. Not in my book! I will provide you with an open and caring therapeutic relationship that will help you face your biggest fears and challenges. Has trauma held you back from building healthy relationships? Has anxiety been a barrier to achieving your hopes and dreams? Has grief kept you stuck for years? There is hope. You won't have to miss out on life any longer! Please reach out and we can talk more about any questions you might have about EMDR or the therapeutic process.
Hello, I'm Layne. I know it can be hard reaching out. There is always the fear that you might be judged or made to feel like there is something wrong with you. Not in my book! I will provide you with an open and caring therapeutic relationship that will help you face your biggest fears and challenges. Has trauma held you back from building healthy relationships? Has anxiety been a barrier to achieving your hopes and dreams? Has grief kept you stuck for years? There is hope. You won't have to miss out on life any longer! Please reach out and we can talk more about any questions you might have about EMDR or the therapeutic process.
(509) 215-2733 View (509) 215-2733
Photo of Jordan Dunn, LPC Intern in Spokane, WA
Jordan Dunn
LPC Intern, LMHCA
Verified Verified
Spokane, WA 99201  (Online Only)
Welcome! My name is Jordan and I am a Licensed Associate Counselor. I graduated from Capella University and began my career working with crisis-oriented clients. If you are struggling with anxiety, depression, trauma, self-esteem or relationship/family issues, I am here to help. My goal is for you to gain confidence and understanding to improve your life in a variety of ways. If you want to stop feeling stuck, take control back of your life and find your purpose, I am here to guide you!
Welcome! My name is Jordan and I am a Licensed Associate Counselor. I graduated from Capella University and began my career working with crisis-oriented clients. If you are struggling with anxiety, depression, trauma, self-esteem or relationship/family issues, I am here to help. My goal is for you to gain confidence and understanding to improve your life in a variety of ways. If you want to stop feeling stuck, take control back of your life and find your purpose, I am here to guide you!
(509) 401-8157 View (509) 401-8157
Photo of Cami Huysman, Counselor in Spokane, WA
Cami Huysman
Counselor, MA, LMHC, NCC, CMHS
Verified Verified
2 Endorsed
Spokane, WA 99205  (Online Only)
Not accepting new clients
You are ready for more-fulfilling relationships and a rewarding life; you're ready for change. If you are looking for a caring, private and confidential environment where you can identify and explore the topics that may be getting in the way of what you want, we might be a great match for one another to complete your therapeutic services. Together, we can begin developing insight and the tools you need to implement life changes and achieve your goals using methods proven to work, called evidence-based practices. While I am not accepting new clients, the clinicians in my practice have openings!
You are ready for more-fulfilling relationships and a rewarding life; you're ready for change. If you are looking for a caring, private and confidential environment where you can identify and explore the topics that may be getting in the way of what you want, we might be a great match for one another to complete your therapeutic services. Together, we can begin developing insight and the tools you need to implement life changes and achieve your goals using methods proven to work, called evidence-based practices. While I am not accepting new clients, the clinicians in my practice have openings!
(509) 778-4066 View (509) 778-4066
Photo of Kalyn Dahl, Clinical Social Work/Therapist in Spokane, WA
Kalyn Dahl
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Spokane, WA 99201
Waitlist for new clients
If you are hoping to heal from unresolved traumatic experiences, anxiety and depression symptoms, my goal as your therapist is to create a safe space for you to engage in your healing process. My approach is trauma informed, collaborative and client centered. My areas of expertise and interest include treatment of PTSD, anxiety, and depression symptoms, suicide risk assessment, crisis intervention and coping with grief and loss. I most enjoy working with teens and young adults.
If you are hoping to heal from unresolved traumatic experiences, anxiety and depression symptoms, my goal as your therapist is to create a safe space for you to engage in your healing process. My approach is trauma informed, collaborative and client centered. My areas of expertise and interest include treatment of PTSD, anxiety, and depression symptoms, suicide risk assessment, crisis intervention and coping with grief and loss. I most enjoy working with teens and young adults.
(509) 567-3768 View (509) 567-3768

How does your Therapist compare?

Number of Therapists in Spokane, WA

1,000+

Average cost per session

$135

Therapists in Spokane, WA who prioritize treating:

92% Anxiety
87% Depression
76% Self Esteem
74% Trauma and PTSD
73% Stress
72% Relationship Issues
71% Coping Skills

Average years in practice

8 Years

Top 3 insurances accepted

74% Premera
72% Aetna
58% Regence

How Therapists in Spokane, WA see their clients

52% In Person and Online
48% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Spokane?

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.