Therapists in Tacoma, WA

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Photo of George L Calderon, Clinical Social Work/Therapist in Tacoma, WA
George L Calderon
Clinical Social Work/Therapist, LICSW, SUDP
Verified Verified
Tacoma, WA 98422  (Online Only)
My practice is built on the vigorous pursuit of consciousness aimed at “knowing thyself”, wedding therapy, insight, lifestyle, coaching, being and drawing inspiration from philosophy, art, science, ancient holistic healing traditions, nature, and music. Our collaboration will help you gain a mindful recognition of your woundedness and shadow(s), to raise your vibrational frequency, and help you unleash the mastery, joy and wisdom that inhabits you. You, your community, and our world as a whole need you to shine your light as brightly as you can. And I’m here to help you do just that. I know we can do it!
My practice is built on the vigorous pursuit of consciousness aimed at “knowing thyself”, wedding therapy, insight, lifestyle, coaching, being and drawing inspiration from philosophy, art, science, ancient holistic healing traditions, nature, and music. Our collaboration will help you gain a mindful recognition of your woundedness and shadow(s), to raise your vibrational frequency, and help you unleash the mastery, joy and wisdom that inhabits you. You, your community, and our world as a whole need you to shine your light as brightly as you can. And I’m here to help you do just that. I know we can do it!
(206) 312-5882 View (206) 312-5882
Photo of Heart to Heart Counseling, Clinical Social Work/Therapist in Tacoma, WA
Heart to Heart Counseling
Clinical Social Work/Therapist, MA, MSW, LCSW, LICSW
Verified Verified
Tacoma, WA 98403
I believe that each person holds a unique essence and recipe for happiness within. Feeling confused about the direction of your life, "stuck" in the same patterns, same "mistakes" even though you "know better"? You are not alone. It happens because we can't just think our way out of patterns, blocks, and imprints of trauma. My clients report significant, tangible improvements in the quality of their lives and relationships. While the time it takes for changes to take hold varies, all clients report feeling better after the very first session. Sessions are non-intimidating, compassionate, supportive, and inspiring.
I believe that each person holds a unique essence and recipe for happiness within. Feeling confused about the direction of your life, "stuck" in the same patterns, same "mistakes" even though you "know better"? You are not alone. It happens because we can't just think our way out of patterns, blocks, and imprints of trauma. My clients report significant, tangible improvements in the quality of their lives and relationships. While the time it takes for changes to take hold varies, all clients report feeling better after the very first session. Sessions are non-intimidating, compassionate, supportive, and inspiring.
(206) 504-3044 View (206) 504-3044
Photo of Krista Brown, Clinical Social Work/Therapist in Tacoma, WA
Krista Brown
Clinical Social Work/Therapist, LICSW, MHP, CMHS
Verified Verified
6 Endorsed
Tacoma, WA 98409  (Online Only)
**Accepting new clients** Do you feel that you, or someone you know, are not living the most gratifying life? I work with both kids and adults on reaching their best potential. Whether working through trauma, depression, anxiety, adjusting, or discovering yourself, I would be happy to walk with you along the journey. I will collaborate with you to explore what you need. I have extensive experience working with trauma and LGBTQ+ related concerns, and enjoy researching them in my spare time. I work with individuals, relationship systems, and family systems.
**Accepting new clients** Do you feel that you, or someone you know, are not living the most gratifying life? I work with both kids and adults on reaching their best potential. Whether working through trauma, depression, anxiety, adjusting, or discovering yourself, I would be happy to walk with you along the journey. I will collaborate with you to explore what you need. I have extensive experience working with trauma and LGBTQ+ related concerns, and enjoy researching them in my spare time. I work with individuals, relationship systems, and family systems.
(253) 649-2915 View (253) 649-2915
Photo of Oliver J. Levin-Koopman, Clinical Social Work/Therapist in Tacoma, WA
Oliver J. Levin-Koopman
Clinical Social Work/Therapist, MSW, LICSW, CCTP-II
Verified Verified
Tacoma, WA 98407
I am an interpersonal trauma and family systems therapist specializing in clients with depression, anxiety, behavioral issues, and PTSD. I have over ten years of experience working with children, adolescents, adults, and couples. I use cognitive behavioral therapy (CBT) and a trauma informed care model that focuses on the individual within their current social systems in order to resolve issues and improve your overall quality of life. Currently accepting in-person and virtual clients. I look forward to connecting with you.
I am an interpersonal trauma and family systems therapist specializing in clients with depression, anxiety, behavioral issues, and PTSD. I have over ten years of experience working with children, adolescents, adults, and couples. I use cognitive behavioral therapy (CBT) and a trauma informed care model that focuses on the individual within their current social systems in order to resolve issues and improve your overall quality of life. Currently accepting in-person and virtual clients. I look forward to connecting with you.
(253) 753-1605 View (253) 753-1605
Photo of Jessica E Frost, Counselor in Tacoma, WA
Jessica E Frost
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98418  (Online Only)
I have a history of working with many different types of people and concerns. I work best with people who are willing to do self-observation as that is the key to learning about your own thinking and feeling patterns, which is what we are trying to modify. I take a holistic approach and self-observation provides the basis for all of the other work. It is important to start noticing and working with the sensations in the body that accompany our thoughts and feelings, as our body holds the memories of everything we have ever experienced and is the vehicle in which we move and feel in the world.
I have a history of working with many different types of people and concerns. I work best with people who are willing to do self-observation as that is the key to learning about your own thinking and feeling patterns, which is what we are trying to modify. I take a holistic approach and self-observation provides the basis for all of the other work. It is important to start noticing and working with the sensations in the body that accompany our thoughts and feelings, as our body holds the memories of everything we have ever experienced and is the vehicle in which we move and feel in the world.
(253) 398-8472 View (253) 398-8472
Photo of Sharmayne Arrington, Counselor in Tacoma, WA
Sharmayne Arrington
Counselor, LMHC, CMHS, EMMHS, MACP
Verified Verified
6 Endorsed
Tacoma, WA 98403
Women seeking healthier relationships are my specialty. Even now, if you are deciding to change how you exist in this world you are already in transformation. Transformation comes through making choices that are conscious, consistent & compassionate and through dis-internalizing systems that are set up to repress and minimize your preciousness. The more we do this, the more we can give & receive love, find our fellow travelers (because we aren't meant to do this alone!) and create safe spaces in otherwise stormy places. With hearts open, and wisdom engaged, change becomes beautifully inevitable.
Women seeking healthier relationships are my specialty. Even now, if you are deciding to change how you exist in this world you are already in transformation. Transformation comes through making choices that are conscious, consistent & compassionate and through dis-internalizing systems that are set up to repress and minimize your preciousness. The more we do this, the more we can give & receive love, find our fellow travelers (because we aren't meant to do this alone!) and create safe spaces in otherwise stormy places. With hearts open, and wisdom engaged, change becomes beautifully inevitable.
(253) 893-4810 View (253) 893-4810
Photo of Dr. Brook Gillaspie, Counselor in Tacoma, WA
Dr. Brook Gillaspie
Counselor, PhD, LMHC
Verified Verified
Tacoma, WA 98406
I am currently accepting patients seeking trauma-informed therapy through EMDR or CPT. I have a diverse background helping adults improve their ability to manage challenges life has thrown their way. Maybe you are struggling with relationships or experiencing difficulty managing stressors and thoughts that impact your daily life. Together we can work to make tackling life's curveballs more manageable. You can schedule with me directly at headway.co/providers/brook-gillaspie.
I am currently accepting patients seeking trauma-informed therapy through EMDR or CPT. I have a diverse background helping adults improve their ability to manage challenges life has thrown their way. Maybe you are struggling with relationships or experiencing difficulty managing stressors and thoughts that impact your daily life. Together we can work to make tackling life's curveballs more manageable. You can schedule with me directly at headway.co/providers/brook-gillaspie.
(253) 499-8298 View (253) 499-8298
Photo of Stacie Harcus, Counselor in Tacoma, WA
Stacie Harcus
Counselor, LMHC
Verified Verified
3 Endorsed
Tacoma, WA 98403
Not accepting new clients
I specialize in men and women's issues, life transitions, grief, anxiety, ADHD and childhood trauma. I believe therapy should be a safe place. I have an empathetic but direct approach that creates an open environment where the client can explore who they are or want to be.
I specialize in men and women's issues, life transitions, grief, anxiety, ADHD and childhood trauma. I believe therapy should be a safe place. I have an empathetic but direct approach that creates an open environment where the client can explore who they are or want to be.
(206) 483-1058 View (206) 483-1058
Photo of Jessica Gonzalez, Counselor in Tacoma, WA
Jessica Gonzalez
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
It is a great honor to walk beside you on this journey. As your therapist, I accept you as you are and not as you should be. Although I believe that therapy is a self healing process , I am here to hold space for you and provide tools to assist you as you navigate your life experience. In 2019, I transitioned into Community Mental Health which is where I have practiced different therapeutic models with individuals from all walks of life. Therapy is not a one size fits all experience which is why I adopt many therapeutic lenses and tailor them to each client.
It is a great honor to walk beside you on this journey. As your therapist, I accept you as you are and not as you should be. Although I believe that therapy is a self healing process , I am here to hold space for you and provide tools to assist you as you navigate your life experience. In 2019, I transitioned into Community Mental Health which is where I have practiced different therapeutic models with individuals from all walks of life. Therapy is not a one size fits all experience which is why I adopt many therapeutic lenses and tailor them to each client.
(253) 316-8345 View (253) 316-8345
Photo of Douglas W. Lane, Psychologist in Tacoma, WA
Douglas W. Lane
Psychologist, PhD, ABPP
Verified Verified
Tacoma, WA 98402
Not accepting new clients
I provide care to adults and older adults using standard, well-established approaches to psychotherapy. I am board certified in the specialties of Clinical Psychology and Geriatric Psychology by the American Board of Professional Psychology. These are the highest credentials a psychologist can earn in these specialties. I also hold an appointment as a Clinical Professor in the Department of Psychiatry of the University of Washington School of Medicine. My areas of focus include general mental health needs such as depression and anxiety, as well as promoting resilience, and coping with medical illnesses such as dementia.
I provide care to adults and older adults using standard, well-established approaches to psychotherapy. I am board certified in the specialties of Clinical Psychology and Geriatric Psychology by the American Board of Professional Psychology. These are the highest credentials a psychologist can earn in these specialties. I also hold an appointment as a Clinical Professor in the Department of Psychiatry of the University of Washington School of Medicine. My areas of focus include general mental health needs such as depression and anxiety, as well as promoting resilience, and coping with medical illnesses such as dementia.
(253) 478-8497 View (253) 478-8497
Photo of Maureen Coley, Clinical Social Work/Therapist in Tacoma, WA
Maureen Coley
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Tacoma, WA 98406  (Online Only)
Navigating life's challenges can be overwhelming and we can all use some help and support along the way. Over the past 30 years I have helped people dealing with Depression, Anxiety; HIV and other Chronic Illness; Childhood Trauma; Gender and Sexual Identity Issues; and Substance Use. I specialize in working with the LGBTQ+ community from a place of inclusion, support and empowerment.
Navigating life's challenges can be overwhelming and we can all use some help and support along the way. Over the past 30 years I have helped people dealing with Depression, Anxiety; HIV and other Chronic Illness; Childhood Trauma; Gender and Sexual Identity Issues; and Substance Use. I specialize in working with the LGBTQ+ community from a place of inclusion, support and empowerment.
(253) 649-2765 View (253) 649-2765
Photo of Jasmine Spaulding in Tacoma, WA
Jasmine Spaulding
CH
Verified Verified
Tacoma, WA 98402
Not accepting new clients
Hello! my name is Jasmine Spaulding, I am a certified and registered Hypnotists. With my office located in down town Tacoma WA. I am trained in 5-PATH, 7-PATH and other modalities of Hypnosis. I love to help and work with all people, from all walks of life. From adults of all ages, to children 6 years and older. I have a heart to help, and I am grateful to be able to guide people towards positive change, to change their habits, their beliefs and ultimately their lives. I also love to work with woman, working through any problems that they are going through. As a woman myself, I feel I really connect and relate.
Hello! my name is Jasmine Spaulding, I am a certified and registered Hypnotists. With my office located in down town Tacoma WA. I am trained in 5-PATH, 7-PATH and other modalities of Hypnosis. I love to help and work with all people, from all walks of life. From adults of all ages, to children 6 years and older. I have a heart to help, and I am grateful to be able to guide people towards positive change, to change their habits, their beliefs and ultimately their lives. I also love to work with woman, working through any problems that they are going through. As a woman myself, I feel I really connect and relate.
(253) 264-0269 View (253) 264-0269
Photo of Elizabeth Klein, Clinical Social Work/Therapist in Tacoma, WA
Elizabeth Klein
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Tacoma, WA 98403
Not accepting new clients
I focus on trauma work by creating a safe space for healthy healing. As a holistic practitioner, I believe in treating the body, mind, and spirit as one unit. My approach to healing is compassionate and tailored to each individual's needs. I want to help you achieve optimal growth, health, and wellness in all areas of your life. That's why I offer a range of services that focus on healing the root causes of your health concerns.
I focus on trauma work by creating a safe space for healthy healing. As a holistic practitioner, I believe in treating the body, mind, and spirit as one unit. My approach to healing is compassionate and tailored to each individual's needs. I want to help you achieve optimal growth, health, and wellness in all areas of your life. That's why I offer a range of services that focus on healing the root causes of your health concerns.
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Photo of Gilbert Romero-Mewharter, Counselor in Tacoma, WA
Gilbert Romero-Mewharter
Counselor, LMCHA, NCC
Verified Verified
Tacoma, WA 98402
In general people who are experiencing anxiety, depression, and adjustment disorders seem to be the clients I am most successful with. People who are invested in doing the hard slow work for the long term gains. While I can provide some short term skills. Long term skills will best support you throughout your life.
In general people who are experiencing anxiety, depression, and adjustment disorders seem to be the clients I am most successful with. People who are invested in doing the hard slow work for the long term gains. While I can provide some short term skills. Long term skills will best support you throughout your life.
(253) 400-4575 View (253) 400-4575
Photo of Taren Williams, Counselor in Tacoma, WA
Taren Williams
Counselor, MAED, LMHC
Verified Verified
2 Endorsed
Tacoma, WA 98403
Hello! I thoroughly enjoy working with people and feel honored when a person trusts in me their life story/current difficulties. I believe there are many different reasons to seek therapy, and that each of us have walked such unique and sometimes challenging paths to get to where we are today. I enjoy getting to know the intricacies of these paths and what has led an individual to where they are today, and from there beginning the work, collaboratively, towards where one would ideally like to be.
Hello! I thoroughly enjoy working with people and feel honored when a person trusts in me their life story/current difficulties. I believe there are many different reasons to seek therapy, and that each of us have walked such unique and sometimes challenging paths to get to where we are today. I enjoy getting to know the intricacies of these paths and what has led an individual to where they are today, and from there beginning the work, collaboratively, towards where one would ideally like to be.
(253) 215-8564 View (253) 215-8564
Photo of Joseph Anthony Velazquez, Marriage & Family Therapist in Tacoma, WA
Joseph Anthony Velazquez
Marriage & Family Therapist, MA LMFT
Verified Verified
Tacoma, WA 98407  (Online Only)
What are the most important attributes of healthy modern men? Being a man today is not always easy. I have worked with men for years to help bring clarity and balance to their lives around emotions, family, work-life balance, overall health, sexuality, intimacy, fatherhood, commitment, anger/stress management, creative outlets, and communication.
What are the most important attributes of healthy modern men? Being a man today is not always easy. I have worked with men for years to help bring clarity and balance to their lives around emotions, family, work-life balance, overall health, sexuality, intimacy, fatherhood, commitment, anger/stress management, creative outlets, and communication.
(253) 364-6664 View (253) 364-6664
Photo of Brittany Tillman, Counselor in Tacoma, WA
Brittany Tillman
Counselor, LMHCA
Verified Verified
Tacoma, WA 98446
Welcome! I am so glad you are here. My primary focus as a licensed mental health counselor associate is on anxiety-related disorders, and I have worked extensively with clients facing a range of challenges, from generalized anxiety or specific phobias, to perfectionism or insecure attachment styles. I understand that each person's experience with anxiety is unique, and I tailor my therapeutic approach to meet individual needs. Whether that involves use of common evidence-based practices like cognitive-behavioral therapy (CBT), or traditional talk therapy, we will find what works best for you.
Welcome! I am so glad you are here. My primary focus as a licensed mental health counselor associate is on anxiety-related disorders, and I have worked extensively with clients facing a range of challenges, from generalized anxiety or specific phobias, to perfectionism or insecure attachment styles. I understand that each person's experience with anxiety is unique, and I tailor my therapeutic approach to meet individual needs. Whether that involves use of common evidence-based practices like cognitive-behavioral therapy (CBT), or traditional talk therapy, we will find what works best for you.
(509) 519-1420 View (509) 519-1420
Photo of Eleesa Blake, Counselor in Tacoma, WA
Eleesa Blake
Counselor, MA, LMHC, SUDPT
Verified Verified
3 Endorsed
Tacoma, WA 98402
Not accepting new clients
Pain and struggle are parts of being human. You are an incredible survivor to have withstood so much, and I believe you don't have to navigate struggle alone. Your authentic you is welcome with me, as is the chance to explore who that human is, what's happened to you, what you need, and who you want to be. You are welcome here. I support you in the challenges and triumphs unique to you being you. I find diversity beautiful and love the spectrums of race, gender, and sexuality. I am trans-affirming and support transitions. I support the health of traditional and non-traditional intimate relationships. You are my teacher about you.
Pain and struggle are parts of being human. You are an incredible survivor to have withstood so much, and I believe you don't have to navigate struggle alone. Your authentic you is welcome with me, as is the chance to explore who that human is, what's happened to you, what you need, and who you want to be. You are welcome here. I support you in the challenges and triumphs unique to you being you. I find diversity beautiful and love the spectrums of race, gender, and sexuality. I am trans-affirming and support transitions. I support the health of traditional and non-traditional intimate relationships. You are my teacher about you.
(253) 884-8543 View (253) 884-8543
Photo of Destiny City Counseling, Counselor in Tacoma, WA
Destiny City Counseling
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
Current openings. Do you feel stuck in your relationships, career, or dysfunctional patterns? This isn't where you thought you'd be at age 25, 30, or 40. The anxiety and constant second-guessing yourself is exhausting. You feel like you are always "the helper" in relationships, but deep down, you feel unseen and resentful that your needs don't feel acknowledged by others. Even your spirituality has felt stale lately, leaving you drained. You need help navigating through the anxiety and negativity. Imagine having a deep sense of peace and joy with who you are right now and your process of becoming.
Current openings. Do you feel stuck in your relationships, career, or dysfunctional patterns? This isn't where you thought you'd be at age 25, 30, or 40. The anxiety and constant second-guessing yourself is exhausting. You feel like you are always "the helper" in relationships, but deep down, you feel unseen and resentful that your needs don't feel acknowledged by others. Even your spirituality has felt stale lately, leaving you drained. You need help navigating through the anxiety and negativity. Imagine having a deep sense of peace and joy with who you are right now and your process of becoming.
(253) 246-1946 View (253) 246-1946
Photo of Jennifer Croke, Clinical Social Work/Therapist in Tacoma, WA
Jennifer Croke
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98422
Preferred contact method is email, please check your junk for my reply! I feel so fortunate to have found a career that I love, and cherish! My practice came about in the form of an epiphany one day, as I sat on the AIDS unit in NYC as a volunteer. As I listened to a man share his story, I realized that he had not been celebrated for his many talents, but had been ostracized for having AIDS. I decided that my philosophy was going to be-"our differences are what make us beautiful, we should all be celebrated for our uniqueness." This is the philosophy I live by daily.
Preferred contact method is email, please check your junk for my reply! I feel so fortunate to have found a career that I love, and cherish! My practice came about in the form of an epiphany one day, as I sat on the AIDS unit in NYC as a volunteer. As I listened to a man share his story, I realized that he had not been celebrated for his many talents, but had been ostracized for having AIDS. I decided that my philosophy was going to be-"our differences are what make us beautiful, we should all be celebrated for our uniqueness." This is the philosophy I live by daily.
(253) 259-3202 View (253) 259-3202

How does your Therapist compare?

Number of Therapists in Tacoma, WA

1,000+

Average cost per session

$150

Therapists in Tacoma, WA who prioritize treating:

93% Anxiety
87% Depression
76% Trauma and PTSD
75% Relationship Issues
75% Self Esteem
70% Stress
67% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

78% Premera
66% Regence
61% Aetna

How Therapists in Tacoma, WA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

75% Female
21% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Tacoma?

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.