Therapists in Seattle, WA

View neighborhoods in Seattle
Photo of Ellen Mariko Roney, Pre-Licensed Professional in Seattle, WA
Ellen Mariko Roney
Pre-Licensed Professional, MSW, LSWAIC
Verified Verified
Seattle, WA 98105  (Online Only)
Hello and welcome to my page! As a mixed POC (Asian) practitioner, I am passionate about healing work that is rooted in anti-oppression and collective liberation. It brings me joy to help people access more freedom, peace, and connection in their lives. My approach to therapy is collaborative and one in which we will honor who you are as a person. I specialize in working with people of color, women/AFAB/non-binary folks, and adults roughly ages 18-35. Note: In addition to talk therapy, I offer Brainspotting, a brain-body therapy developed out of EMDR which helps to release trauma and symptoms of anxiety and depression.
Hello and welcome to my page! As a mixed POC (Asian) practitioner, I am passionate about healing work that is rooted in anti-oppression and collective liberation. It brings me joy to help people access more freedom, peace, and connection in their lives. My approach to therapy is collaborative and one in which we will honor who you are as a person. I specialize in working with people of color, women/AFAB/non-binary folks, and adults roughly ages 18-35. Note: In addition to talk therapy, I offer Brainspotting, a brain-body therapy developed out of EMDR which helps to release trauma and symptoms of anxiety and depression.
View
Photo of Belinda Fello, Clinical Social Work/Therapist in Seattle, WA
Belinda Fello
Clinical Social Work/Therapist, LCSW
Verified Verified
Seattle, WA 98104  (Online Only)
I specialize in cognitive-behavioral therapy and dialectical behavioral therapy for anxiety, depression, and trauma. I have an extensive background providing services for young adults, families and individual therapy. I believe in emotional, mental and physical wellness through holistic healing.
I specialize in cognitive-behavioral therapy and dialectical behavioral therapy for anxiety, depression, and trauma. I have an extensive background providing services for young adults, families and individual therapy. I believe in emotional, mental and physical wellness through holistic healing.
(702) 903-2437 View (702) 903-2437
Photo of Andrew Zarate, Clinical Social Work/Therapist in Seattle, WA
Andrew Zarate
Clinical Social Work/Therapist, MSW, RDN, LICSW
Verified Verified
3 Endorsed
Seattle, WA 98102  (Online Only)
Hi, I'm Andrew (he/him/his). I’m here to work with you to improve the quality of your life using insight oriented talk therapy. I work with adults on issues ranging from, but not limited to, general stressors of life, interpersonal and relational issues, shame, multicultural issues, LGBTQ+ issues, and navigating life transitions. I also have experience in treating chronic mental health conditions such as anxiety, and depression.
Hi, I'm Andrew (he/him/his). I’m here to work with you to improve the quality of your life using insight oriented talk therapy. I work with adults on issues ranging from, but not limited to, general stressors of life, interpersonal and relational issues, shame, multicultural issues, LGBTQ+ issues, and navigating life transitions. I also have experience in treating chronic mental health conditions such as anxiety, and depression.
(206) 737-0650 View (206) 737-0650
Photo of Kristan Dziurzynski, Psychologist in Seattle, WA
Kristan Dziurzynski
Psychologist, PhD, MHCA
Verified Verified
1 Endorsed
Seattle, WA 98134  (Online Only)
I believe finding a therapist you genuinely trust and feel safe with is the most essential piece to gain from any therapeutic intervention. As such, I strongly encourage you to be patient with yourself and listen to how you feel when searching for that fit. I value transparency; my style is compassionately direct. Psychotherapy can be uncomfortable because the process involves approaching the barriers that restrict you. In our work, we will approach discomfort together as I believe exposure and empowerment are catalysts for true change and personal growth.
I believe finding a therapist you genuinely trust and feel safe with is the most essential piece to gain from any therapeutic intervention. As such, I strongly encourage you to be patient with yourself and listen to how you feel when searching for that fit. I value transparency; my style is compassionately direct. Psychotherapy can be uncomfortable because the process involves approaching the barriers that restrict you. In our work, we will approach discomfort together as I believe exposure and empowerment are catalysts for true change and personal growth.
(425) 217-2037 View (425) 217-2037
Photo of Heather Michelle Gorden, Clinical Social Work/Therapist in Seattle, WA
Heather Michelle Gorden
Clinical Social Work/Therapist, LSWAIC, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98112  (Online Only)
Hi, My name is Heather Gorden, and I am a Licensed Associate Mental Health Counselor, License MC61361403. I believe in respect, integrity, collaboration and kindness. This is your journey. I am here to listen, guide and encourage you along the way. I work primarily with adults and provide individual therapy for a variety of needs, including depression, anxiety, grief and loss, anger management and co-occurring disorders.
Hi, My name is Heather Gorden, and I am a Licensed Associate Mental Health Counselor, License MC61361403. I believe in respect, integrity, collaboration and kindness. This is your journey. I am here to listen, guide and encourage you along the way. I work primarily with adults and provide individual therapy for a variety of needs, including depression, anxiety, grief and loss, anger management and co-occurring disorders.
(425) 947-9235 x1 View (425) 947-9235 x1
Photo of Simon B Livingstone in Seattle, WA
Simon B Livingstone
MD
Verified Verified
Seattle, WA 98103
Hello! Embarking on a course of therapy can feel incredibly vulnerable. The demands placed on your time, energy, trust and finances are significant. On top of that, many people come to therapy after having already experienced a variety of invalidating interactions when attempting to open up to others. For that reason, I am particularly sensitive to the importance of hearing your story with curiosity, empathy, open-mindedness and humility. Therapy works best when you are in the driver’s seat and my role is to support your agency by guiding you towards making the healthiest choices possible based on YOUR identity, values, and needs.
Hello! Embarking on a course of therapy can feel incredibly vulnerable. The demands placed on your time, energy, trust and finances are significant. On top of that, many people come to therapy after having already experienced a variety of invalidating interactions when attempting to open up to others. For that reason, I am particularly sensitive to the importance of hearing your story with curiosity, empathy, open-mindedness and humility. Therapy works best when you are in the driver’s seat and my role is to support your agency by guiding you towards making the healthiest choices possible based on YOUR identity, values, and needs.
(206) 737-1929 View (206) 737-1929
Photo of Natasha Wahi, Counselor in Seattle, WA
Natasha Wahi
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98118
I aim to empower others like me who have constantly heard “it is not okay to go to therapy and share your personal life with anyone,” to help shift this tabooed narrative into a more positive one. It is OKAY to share your personal life with someone who can help build that trusting relationship with you, and it is also okay to express your feelings and emotions without feeling the pressures of shame and guilt. I use the space we create together to encourage deconstructing harmful internalized messages, processing experiences of attachment and trauma, and managing relational and personal challenges.
I aim to empower others like me who have constantly heard “it is not okay to go to therapy and share your personal life with anyone,” to help shift this tabooed narrative into a more positive one. It is OKAY to share your personal life with someone who can help build that trusting relationship with you, and it is also okay to express your feelings and emotions without feeling the pressures of shame and guilt. I use the space we create together to encourage deconstructing harmful internalized messages, processing experiences of attachment and trauma, and managing relational and personal challenges.
(206) 589-2056 View (206) 589-2056
Photo of Dr. Katharine Fitzpatrick in Seattle, WA
Dr. Katharine Fitzpatrick
ND
Verified Verified
Seattle, WA 98103  (Online Only)
Clinical hypnotherapy is a powerful treatment strategy with broad applications. Hypnosis engages with the subconscious mind by offering new ideas and new stories to help shift unhelpful or harmful patterns of behavior. Hypnosis can be used to treat a variety of clinical conditions (e.g. insomnia, jaw clenching), phobias (dogs, flying), and even addiction.
Clinical hypnotherapy is a powerful treatment strategy with broad applications. Hypnosis engages with the subconscious mind by offering new ideas and new stories to help shift unhelpful or harmful patterns of behavior. Hypnosis can be used to treat a variety of clinical conditions (e.g. insomnia, jaw clenching), phobias (dogs, flying), and even addiction.
(206) 800-7547 View (206) 800-7547
Photo of Autumn del Fierro, Psychologist in Seattle, WA
Autumn del Fierro
Psychologist, PhD
Verified Verified
Seattle, WA 98133
Not accepting new clients
No openings. The decision to start therapy can often be a significant one. "Goodness of fit" is an important part of this decision. My goal in therapy is to help you to feel better, to learn ways to actualize your full potential, and to be able to overcome barriers that get in the way of living a full and rewarding life. I use empirically-supported therapies which focus on strategies that have been shown through research to be effective in addressing various concerns. These strategies are used in a flexible manner to work best with your unique perspective based on your life experience, personality, and cultural considerations.
No openings. The decision to start therapy can often be a significant one. "Goodness of fit" is an important part of this decision. My goal in therapy is to help you to feel better, to learn ways to actualize your full potential, and to be able to overcome barriers that get in the way of living a full and rewarding life. I use empirically-supported therapies which focus on strategies that have been shown through research to be effective in addressing various concerns. These strategies are used in a flexible manner to work best with your unique perspective based on your life experience, personality, and cultural considerations.
(206) 981-5896 View (206) 981-5896
Photo of Sarah J Kyle, Marriage & Family Therapist in Seattle, WA
Sarah J Kyle
Marriage & Family Therapist, MA, LMFT
Verified Verified
9 Endorsed
Seattle, WA 98109
I specialize in couples therapy, where I help partners work toward relational repair after infidelity, betrayal, or ongoing conflict. I also work with individuals who want to work through attachment and relationship issues, identity development, spirituality, trauma, anxiety, and depression. Therapy is work that asks a great deal from us, but it also holds potential for meaningful change: to awaken to your own life, to make strides toward repairing broken bonds, and to imagine new possibilities and new ways of being, for yourself and for your relationships.
I specialize in couples therapy, where I help partners work toward relational repair after infidelity, betrayal, or ongoing conflict. I also work with individuals who want to work through attachment and relationship issues, identity development, spirituality, trauma, anxiety, and depression. Therapy is work that asks a great deal from us, but it also holds potential for meaningful change: to awaken to your own life, to make strides toward repairing broken bonds, and to imagine new possibilities and new ways of being, for yourself and for your relationships.
(206) 339-4277 View (206) 339-4277
Photo of Rosalind (Roz) Ando, Counselor in Seattle, WA
Rosalind (Roz) Ando
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98103  (Online Only)
Are you unable to shake anxious or depressed feelings? Are your personal relationships less than ideal? Would you like to be happier? Sometimes it's difficult for us to see the patterns that keep us stuck. I will listen with compassion and acceptance, and together we will unravel your experiences and make sense of your story. Using talk therapy and newer, innovative therapies it is possible to let go of thinking and behavior patterns that keep you from feeling joy. It's time to start enjoying your life.
Are you unable to shake anxious or depressed feelings? Are your personal relationships less than ideal? Would you like to be happier? Sometimes it's difficult for us to see the patterns that keep us stuck. I will listen with compassion and acceptance, and together we will unravel your experiences and make sense of your story. Using talk therapy and newer, innovative therapies it is possible to let go of thinking and behavior patterns that keep you from feeling joy. It's time to start enjoying your life.
(206) 388-4589 View (206) 388-4589
Photo of Kim McCullough, Counselor in Seattle, WA
Kim McCullough
Counselor, MA, LMHCA
Verified Verified
Seattle, WA 98112
I love to work with individuals who are struggling with the big questions of life. These often surface during times of transition. This time of transition might be the result of loss such as death, divorce, or the end of relationship. This transition could be a time of entering into a new season of life. Sometimes we are longing for transition and yet we are feeling stuck and unable to find our way forward. There is such fertile ground here, I would be honored to accompany you.
I love to work with individuals who are struggling with the big questions of life. These often surface during times of transition. This time of transition might be the result of loss such as death, divorce, or the end of relationship. This transition could be a time of entering into a new season of life. Sometimes we are longing for transition and yet we are feeling stuck and unable to find our way forward. There is such fertile ground here, I would be honored to accompany you.
(425) 966-2023 View (425) 966-2023
Photo of Seattle Counseling and Wellness, Psychologist in Seattle, WA
Seattle Counseling and Wellness
Psychologist, PsyD
Verified Verified
2 Endorsed
Seattle, WA 98105
Sometimes life poses challenges, and we need some extra support to get us through. Are you wanting to make improvements in your relationship? Or maybe with yourself? Are you feeling overwhelmed? Depressed? Stuck? Therapists at SCAW bring a diverse range of academic and clinical training to their work with adults, teens, and children (ages 2+). We provide individual and couples counseling, psychological testing, parent training, PCIT, and play therapy.
Sometimes life poses challenges, and we need some extra support to get us through. Are you wanting to make improvements in your relationship? Or maybe with yourself? Are you feeling overwhelmed? Depressed? Stuck? Therapists at SCAW bring a diverse range of academic and clinical training to their work with adults, teens, and children (ages 2+). We provide individual and couples counseling, psychological testing, parent training, PCIT, and play therapy.
(206) 922-4437 View (206) 922-4437
Photo of Shira Hasson-Schiff, Counselor in Seattle, WA
Shira Hasson-Schiff
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98115
Not accepting new clients
I work with adults, youth, and families who want to have stronger and more satisfying relationships, find more happiness, and feel less pain. If you are struggling to connect due to past hurts, trying heal from the wounds of childhood or past relationships, or just looking for better tools to navigate family relationships I may be the therapist you are looking for. I believe that all people have the potential to heal and grow. I am particularly passionate about working with youth, young adults and parents. The season of adolescents can be turbulent to navigate and I would love to support you to find your way through it.
I work with adults, youth, and families who want to have stronger and more satisfying relationships, find more happiness, and feel less pain. If you are struggling to connect due to past hurts, trying heal from the wounds of childhood or past relationships, or just looking for better tools to navigate family relationships I may be the therapist you are looking for. I believe that all people have the potential to heal and grow. I am particularly passionate about working with youth, young adults and parents. The season of adolescents can be turbulent to navigate and I would love to support you to find your way through it.
(206) 929-4353 View (206) 929-4353
Photo of Dr. Mary Murphy, Clinical Social Work/Therapist in Seattle, WA
Dr. Mary Murphy
Clinical Social Work/Therapist, EdD, LICSW, MSW
Verified Verified
Seattle, WA 98103  (Online Only)
It is not uncommon for individuals considering talk therapy to put it off. Time. Money. Scheduling. But what about the cost of NOT doing talk therapy? What about the cost of stress? Unhealthy relationships? Limiting your full potential because of low self esteem or lack of self confidence? Impulsive behaviors that leave you feeling empty? The real bargain is living a life of healthy functioning. Working toward enduring change. Replacing those parts of your life that hold you back to make room for a life in which you flourish.
It is not uncommon for individuals considering talk therapy to put it off. Time. Money. Scheduling. But what about the cost of NOT doing talk therapy? What about the cost of stress? Unhealthy relationships? Limiting your full potential because of low self esteem or lack of self confidence? Impulsive behaviors that leave you feeling empty? The real bargain is living a life of healthy functioning. Working toward enduring change. Replacing those parts of your life that hold you back to make room for a life in which you flourish.
(206) 745-0954 View (206) 745-0954
Photo of Dr. Jarryn Robinson-Ellis, Marriage & Family Therapist in Seattle, WA
Dr. Jarryn Robinson-Ellis
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98121  (Online Only)
I am deeply committed to creating a safe and inclusive therapeutic space for individuals and couples. My passion lies in addressing the unique challenges faced by women, particularly in the realm of motherhood and parenting. I recognize the complexities and emotional nuances of these roles, and I'm dedicated to helping clients navigate their journeys with empathy, resilience, and self-discovery. In addition to my focus on women's issues and motherhood, I am passionate about exploring the experiences of BIPOC individuals, Couples, and those struggling with concerns like anxiety, depression, and attachment related concerns.
I am deeply committed to creating a safe and inclusive therapeutic space for individuals and couples. My passion lies in addressing the unique challenges faced by women, particularly in the realm of motherhood and parenting. I recognize the complexities and emotional nuances of these roles, and I'm dedicated to helping clients navigate their journeys with empathy, resilience, and self-discovery. In addition to my focus on women's issues and motherhood, I am passionate about exploring the experiences of BIPOC individuals, Couples, and those struggling with concerns like anxiety, depression, and attachment related concerns.
(206) 800-6366 x100 View (206) 800-6366 x100
Photo of Cait King, Marriage & Family Therapist in Seattle, WA
Cait King
Marriage & Family Therapist, LMFT
Not Verified Not Verified
1 Endorsed
Seattle, WA 98109
As a Couple and Family Therapist, I am honored to collaborate with clients in deciphering what may be holding you back from the freedom to live a more whole, robust life. A concentration of mine is in working with those who have attentional difficulties or learning differences such as ADHD, whether in a couple, family, or individual setting.
As a Couple and Family Therapist, I am honored to collaborate with clients in deciphering what may be holding you back from the freedom to live a more whole, robust life. A concentration of mine is in working with those who have attentional difficulties or learning differences such as ADHD, whether in a couple, family, or individual setting.
(267) 953-8094 View (267) 953-8094
Photo of Nancy E Cohen, Psychologist in Seattle, WA
Nancy E Cohen
Psychologist, PhD
Verified Verified
Seattle, WA 98119  (Online Only)
I can help you feel happier & less stressed, improve your relationships, and manage your health issues. If your child, teen, or young adult struggles, I can help them thrive at home, school, & work. I offer individual, family, and group parenting therapy. I've provided psychotherapy for 20 years, and trained at the UW (internship), UC Berkeley (PhD & MA), & Harvard (BA). I'm interactive, practical, and will tailor my approach to you. We'll sort issues, identify priorities, make plans, and achieve goals. I'll teach you effective, evidence-based tools that you can use to live with more ease and success.
I can help you feel happier & less stressed, improve your relationships, and manage your health issues. If your child, teen, or young adult struggles, I can help them thrive at home, school, & work. I offer individual, family, and group parenting therapy. I've provided psychotherapy for 20 years, and trained at the UW (internship), UC Berkeley (PhD & MA), & Harvard (BA). I'm interactive, practical, and will tailor my approach to you. We'll sort issues, identify priorities, make plans, and achieve goals. I'll teach you effective, evidence-based tools that you can use to live with more ease and success.
(206) 329-1230 View (206) 329-1230
Photo of Brent Potter, Counselor in Seattle, WA
Brent Potter
Counselor, PhD, PhD , PsyD
Verified Verified
Seattle, WA 98119
I am a psychotherapist and psychoanalyst with 30 years of direct experience. I have worked with diverse populations and Washington State endorses me as a Child Mental Health Specialist and Ethnic Minority Mental Health Specialist (Native and African American populations). I hold licenses in multiple states in both mental health as well as chemical dependency. I am the author of multiple Amazon best-sellers including 'Elements of Self-Destruction', 'Borderline Personality Disorder' (co-authored with Jacquie Gunn), and 'Elements of Reparation'. Above all, I am a proud father of two and a husband.
I am a psychotherapist and psychoanalyst with 30 years of direct experience. I have worked with diverse populations and Washington State endorses me as a Child Mental Health Specialist and Ethnic Minority Mental Health Specialist (Native and African American populations). I hold licenses in multiple states in both mental health as well as chemical dependency. I am the author of multiple Amazon best-sellers including 'Elements of Self-Destruction', 'Borderline Personality Disorder' (co-authored with Jacquie Gunn), and 'Elements of Reparation'. Above all, I am a proud father of two and a husband.
(206) 558-6391 View (206) 558-6391
Photo of Ewa Lichnowska (Eh-Vuh), Counselor in Seattle, WA
Ewa Lichnowska (Eh-Vuh)
Counselor, MS, LMHC, CST
Verified Verified
Seattle, WA 98101
I am both a psychotherapist and a certified sex therapist (AASECT certified) and I help couples and individuals fulfill their emotional, sexual and relational needs by building a therapeutic relationship based on empathy, safety and trust. I will support you in clarifying your needs and goals without judgement so that you can take the insight and skills we develop together into your life and relationships. If you struggle with intimacy, desire or preference discrepancy in your relationship or if you struggle with performance, anxiety related ED or ability to experience sexual pleasure and orgasm, I look forward to meeting you.
I am both a psychotherapist and a certified sex therapist (AASECT certified) and I help couples and individuals fulfill their emotional, sexual and relational needs by building a therapeutic relationship based on empathy, safety and trust. I will support you in clarifying your needs and goals without judgement so that you can take the insight and skills we develop together into your life and relationships. If you struggle with intimacy, desire or preference discrepancy in your relationship or if you struggle with performance, anxiety related ED or ability to experience sexual pleasure and orgasm, I look forward to meeting you.
(206) 538-2871 View (206) 538-2871

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

71% Premera
54% 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.