Therapists in Coupeville, WA

Photo of Amy Click, Marriage & Family Therapist in Coupeville, WA
Amy Click
Marriage & Family Therapist, LMFT
Verified Verified
Coupeville, WA 98239
Waitlist for new clients
Thank you for considering how I might help you or a loved one with a positive outcome you seek. I'm a licensed child and family therapist with a strong background in community mental health and my approach is solution-focused therapy from an evidence-based background and education. This means that I base my approach in academic best-practices, but I attune our engagement to best suit your needs. My passion is working with children, adolescents, and their family’s to address many issues, including abuse, trauma, anxiety, learning disabilities, special needs, and bullying.
Thank you for considering how I might help you or a loved one with a positive outcome you seek. I'm a licensed child and family therapist with a strong background in community mental health and my approach is solution-focused therapy from an evidence-based background and education. This means that I base my approach in academic best-practices, but I attune our engagement to best suit your needs. My passion is working with children, adolescents, and their family’s to address many issues, including abuse, trauma, anxiety, learning disabilities, special needs, and bullying.
(360) 499-9703 View (360) 499-9703
Photo of Jenny Medsker, Pre-Licensed Professional in Coupeville, WA
Jenny Medsker
Pre-Licensed Professional, MSSW, LSWAIC
Verified Verified
Coupeville, WA 98239
Waitlist for new clients
Currently on a waitlist for new clients, priority given to active duty service members, veterans, and their families. Rising Phoenix Wellness Center is focused on providing evidence-based, trauma-informed interventions to our clients, specializing in serving active duty service members, veterans, and their families. RPWC offers psychotherapy in person and online.
Currently on a waitlist for new clients, priority given to active duty service members, veterans, and their families. Rising Phoenix Wellness Center is focused on providing evidence-based, trauma-informed interventions to our clients, specializing in serving active duty service members, veterans, and their families. RPWC offers psychotherapy in person and online.
(360) 968-7443 View (360) 968-7443
Photo of Mendy McLean-Stone, Counselor in Coupeville, WA
Mendy McLean-Stone
Counselor, MEd, MA, LMHC, BCN
Verified Verified
Coupeville, WA 98239
Waitlist for new clients
As a life-long learner, occasional artist, career educator and mental health therapist, I believe that becoming a "whole" self is the ultimate creative activity! I believe Mental Health is about healing, developing resilience and finding balance, by allowing the self to grow and change in response to life experience. There are many pathways to healing and developing healthy balance, and I would be honored to support you in finding yours. Using games, art, journaling and a variety of activities, I can provide support that is positive, growth oriented and focused on your personal strengths.
As a life-long learner, occasional artist, career educator and mental health therapist, I believe that becoming a "whole" self is the ultimate creative activity! I believe Mental Health is about healing, developing resilience and finding balance, by allowing the self to grow and change in response to life experience. There are many pathways to healing and developing healthy balance, and I would be honored to support you in finding yours. Using games, art, journaling and a variety of activities, I can provide support that is positive, growth oriented and focused on your personal strengths.
(360) 309-0120 View (360) 309-0120
Photo of New Perceptions Counseling PLLC, Danielle Smith, Pre-Licensed Professional in Coupeville, WA
New Perceptions Counseling PLLC, Danielle Smith
Pre-Licensed Professional, MSW, LSWAIC, RYT-200
Verified Verified
Coupeville, WA 98239  (Online Only)
Are you caught in repetitive, less-than-healthy cycles? If you're ready to embark on a journey of self-discovery, growth, and healing, then I'm here to extend a warm and welcoming hand. My aspiration is to help rekindle the flames of your inner strength as you undergo the transformative journey of healing. My approach to therapy is rooted in a holistic and integrative framework, customized to you. I will collaborate with you and help guide you through the uncharted territories within your own soul. Here, you’ll find invitation, compassion, and safety to explore your inner self.
Are you caught in repetitive, less-than-healthy cycles? If you're ready to embark on a journey of self-discovery, growth, and healing, then I'm here to extend a warm and welcoming hand. My aspiration is to help rekindle the flames of your inner strength as you undergo the transformative journey of healing. My approach to therapy is rooted in a holistic and integrative framework, customized to you. I will collaborate with you and help guide you through the uncharted territories within your own soul. Here, you’ll find invitation, compassion, and safety to explore your inner self.
(425) 736-7882 x6 View (425) 736-7882 x6
Photo of Aurora Oropeza, Clinical Social Work/Therapist in Coupeville, WA
Aurora Oropeza
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Coupeville, WA 98239
Not accepting new clients
Our practice is focused on providing evidence based interventions to active duty service members and veterans. RPWC offers psychotherapy in person and online as well as telemedicine.
Our practice is focused on providing evidence based interventions to active duty service members and veterans. RPWC offers psychotherapy in person and online as well as telemedicine.
(360) 585-4325 View (360) 585-4325
Photo of Rising Phoenix Wellness Center, LLC, Clinical Social Work/Therapist in Coupeville, WA
Rising Phoenix Wellness Center, LLC
Clinical Social Work/Therapist, DSW, LICSW
Verified Verified
3 Endorsed
Coupeville, WA 98239
Accepting new clients, priority given to active duty service members and veterans. Our practice is focused on providing evidence based interventions to active duty service members and veterans. RPWC offers psychotherapy in person and online as well as telemedicine for prescribing. The owner, Jennifer Ayers, is a navy veteran with over 20 years of experience in the field. She is a trauma therapist focusing on PTSD due to MST and complex trauma. Jenny Medsker is an Air Force spouse, and Aurora Oropeza is also a Navy Veteran.
Accepting new clients, priority given to active duty service members and veterans. Our practice is focused on providing evidence based interventions to active duty service members and veterans. RPWC offers psychotherapy in person and online as well as telemedicine for prescribing. The owner, Jennifer Ayers, is a navy veteran with over 20 years of experience in the field. She is a trauma therapist focusing on PTSD due to MST and complex trauma. Jenny Medsker is an Air Force spouse, and Aurora Oropeza is also a Navy Veteran.
(360) 323-6498 View (360) 323-6498
Photo of Hartshorn Counseling Services, Marriage & Family Therapist Associate in Coupeville, WA
Hartshorn Counseling Services
Marriage & Family Therapist Associate, MFTA
Verified Verified
Coupeville, WA 98239  (Online Only)
Hello, and welcome! Life can be very challenging and overwhelming at times. I know and I get it. For some, we tend to try to solve our problems on our own and reaching out for help is out of the question; sometimes it works. If you haven't been able to solve it on your own, I would love to meet you, and together we can create ways towards hope and begin the healing process. I believe that therapy can assist you by helping to identify what has worked in the past, what you already have within that you can draw upon in helping to obtain what you are hoping for in life.
Hello, and welcome! Life can be very challenging and overwhelming at times. I know and I get it. For some, we tend to try to solve our problems on our own and reaching out for help is out of the question; sometimes it works. If you haven't been able to solve it on your own, I would love to meet you, and together we can create ways towards hope and begin the healing process. I believe that therapy can assist you by helping to identify what has worked in the past, what you already have within that you can draw upon in helping to obtain what you are hoping for in life.
(360) 230-7348 View (360) 230-7348
Photo of Emily Munn, Pre-Licensed Professional in Coupeville, WA
Emily Munn
Pre-Licensed Professional, MSW, LSWAIC, MBA
Verified Verified
Coupeville, WA 98239  (Online Only)
I'm a therapist with the Rising Phoenix Wellness Center and specialize in grief and couples counseling. Currently, I only provide virtual sessions, but can be available on evenings and weekends at your convenience. My particular therapeutic style is based on not being someone that will nod silently for an hour. I focus on tackling concerns with the hopes that at the end of each session, you gain more and more tools specifically tailored to your needs. When we work together, we are a team built on mutual respect, empathy, and most importantly trust. Together we will find our smiles, curse a little, and learn often.
I'm a therapist with the Rising Phoenix Wellness Center and specialize in grief and couples counseling. Currently, I only provide virtual sessions, but can be available on evenings and weekends at your convenience. My particular therapeutic style is based on not being someone that will nod silently for an hour. I focus on tackling concerns with the hopes that at the end of each session, you gain more and more tools specifically tailored to your needs. When we work together, we are a team built on mutual respect, empathy, and most importantly trust. Together we will find our smiles, curse a little, and learn often.
(360) 288-7934 View (360) 288-7934
Photo of Thomas Beck, Mental Health Counselor in Coupeville, WA
Thomas Beck
Mental Health Counselor, PhD
Verified Verified
Coupeville, WA 98239  (Online Only)
In this time of unprecedented loss and stress due to COVID-19 and other world events such as accelerating climate change, I can help you deal with anxiety and depression. My orientation is transpersonal as I see physical and emotional issues as doorways to transformation and spiritual awakening. In my psychotherapy practice, people have achieved new levels of personal freedom and self-esteem. Together, we can enrich your quality of life and enhance your creativity. Integrative healing encompasses body, mind & spirit. We all deserve to be happy in our bodies and our lives. I work also with couples to resolve relationship issues.
In this time of unprecedented loss and stress due to COVID-19 and other world events such as accelerating climate change, I can help you deal with anxiety and depression. My orientation is transpersonal as I see physical and emotional issues as doorways to transformation and spiritual awakening. In my psychotherapy practice, people have achieved new levels of personal freedom and self-esteem. Together, we can enrich your quality of life and enhance your creativity. Integrative healing encompasses body, mind & spirit. We all deserve to be happy in our bodies and our lives. I work also with couples to resolve relationship issues.
(360) 678-7737 View (360) 678-7737
Photo of Jessica Volpentesta, Counselor in Coupeville, WA
Jessica Volpentesta
Counselor, LMHC, MA
Verified Verified
1 Endorsed
Coupeville, WA 98239
Accepting clients with Premera, First Choice, and private pay. My approach is holistic and humanistic in nature, meeting you where you're at and building a trusting relationship so that we can do powerful work together. My client focus is adults who want to explore and heal from complex trauma; individuals working through a major life stressor such as college, relationship changes, career stagnation, and empty nesting; and those simply wanting to create a more fulfilling life. You are enough, and I am here to support you. I am here to listen compassionately and offer you tools that cultivate a sense of calm and healing.
Accepting clients with Premera, First Choice, and private pay. My approach is holistic and humanistic in nature, meeting you where you're at and building a trusting relationship so that we can do powerful work together. My client focus is adults who want to explore and heal from complex trauma; individuals working through a major life stressor such as college, relationship changes, career stagnation, and empty nesting; and those simply wanting to create a more fulfilling life. You are enough, and I am here to support you. I am here to listen compassionately and offer you tools that cultivate a sense of calm and healing.
(425) 549-9537 View (425) 549-9537
Photo of Jennifer R Levin, Marriage & Family Therapist in Coupeville, WA
Jennifer R Levin
Marriage & Family Therapist, MFT, PhD, MFC
Verified Verified
Coupeville, WA 98239
As a therapist I have witnessed healing and its splendor in the darkest of circumstances and am honored when individuals choose to embark on this journey with me. I know the decision to enter therapy is not always easy. Therapy is not easy. But therapy heals. When you enter therapy you put forth a willingness to acknowledge painful emotions and circumstances and a readiness to explore life events that are often uncomfortable, sometimes even paralyzing. But the insight and meaning you will gain from therapy will lead to transformation, comfort and growth.
As a therapist I have witnessed healing and its splendor in the darkest of circumstances and am honored when individuals choose to embark on this journey with me. I know the decision to enter therapy is not always easy. Therapy is not easy. But therapy heals. When you enter therapy you put forth a willingness to acknowledge painful emotions and circumstances and a readiness to explore life events that are often uncomfortable, sometimes even paralyzing. But the insight and meaning you will gain from therapy will lead to transformation, comfort and growth.
(626) 465-7716 View (626) 465-7716
Photo of Susan S. Scott, Counselor in Coupeville, WA
Susan S. Scott
Counselor, PhD, CMHC
Verified Verified
Coupeville, WA 98239
Not accepting new clients
My practice is closed to new clients for now. Licensed as a Mental Health Counselor in Washington, my education and training is in Jungian analytical psychology. Emphasizing the creative principle in healing and growth, this work inspires a devotion to being honest and willing to self-reflect, then make life-enhancing changes in behavior and attitudes. I specialize in listening to, and collaborating with, the generative spark that is in-born within us all. In my book, Healing With Nature, I present fresh perspectives on the nature of psychological transformations.
My practice is closed to new clients for now. Licensed as a Mental Health Counselor in Washington, my education and training is in Jungian analytical psychology. Emphasizing the creative principle in healing and growth, this work inspires a devotion to being honest and willing to self-reflect, then make life-enhancing changes in behavior and attitudes. I specialize in listening to, and collaborating with, the generative spark that is in-born within us all. In my book, Healing With Nature, I present fresh perspectives on the nature of psychological transformations.
(206) 203-3539 View (206) 203-3539
Photo of Clarity Counseling-Joan Forest LICSW, Clinical Social Work/Therapist in Coupeville, WA
Clarity Counseling-Joan Forest LICSW
Clinical Social Work/Therapist, L, I, C, S, W
Verified Verified
Coupeville, WA 98239
Each client has unique circumstances, challenges and goals, and I adapt my treatment to best fit the particular needs of the individual, couple or family. I am experienced in helping clients with difficult life transitions, depression, anxiety, PTSD, and marital problems. I am currently seeing children age five and up, teens and adults. My office is located in Greenbank, WA, and I provide telehealth as well as in person therapy.
Each client has unique circumstances, challenges and goals, and I adapt my treatment to best fit the particular needs of the individual, couple or family. I am experienced in helping clients with difficult life transitions, depression, anxiety, PTSD, and marital problems. I am currently seeing children age five and up, teens and adults. My office is located in Greenbank, WA, and I provide telehealth as well as in person therapy.
(360) 284-1317 View (360) 284-1317
Photo of Gregory Robert Rolnick, Marriage & Family Therapist in Coupeville, WA
Gregory Robert Rolnick
Marriage & Family Therapist, MA, LMFT
Verified Verified
Coupeville, WA 98239
Waitlist for new clients
What kind of life do you want? Is it important to have truthful and clear communication, loving relationships, and successful work? Whatever your traumas, losses, and fears have been, there are ways to work through and let go of the past, enjoy the present, and create hope for the future. Skills are available to handle grief, anger, depression, guilt, procrastination, and resentment while maintaining the connection to those we care for and love. Good self-esteem is produced when through positive intention and careful attention we meet our challenges and difficulties to the best of our ability and live a meaningful life.
What kind of life do you want? Is it important to have truthful and clear communication, loving relationships, and successful work? Whatever your traumas, losses, and fears have been, there are ways to work through and let go of the past, enjoy the present, and create hope for the future. Skills are available to handle grief, anger, depression, guilt, procrastination, and resentment while maintaining the connection to those we care for and love. Good self-esteem is produced when through positive intention and careful attention we meet our challenges and difficulties to the best of our ability and live a meaningful life.
(206) 734-3905 View (206) 734-3905
Photo of Enid Braun, Counselor in Coupeville, WA
Enid Braun
Counselor, LMHC, MEd
Verified Verified
Coupeville, WA 98239  (Online Only)
Not accepting new clients
Eclectic treatment approach, drawing from a spectrum of techniques and schools of thought, and applying them as they seem useful to each client and his or her situation. Integrative and strengths-based.
Eclectic treatment approach, drawing from a spectrum of techniques and schools of thought, and applying them as they seem useful to each client and his or her situation. Integrative and strengths-based.
(360) 558-3264 View (360) 558-3264
Photo of Todd Webb, Counselor in Coupeville, WA
Todd Webb
Counselor, MEd, LMHC
Verified Verified
Coupeville, WA 98239
During my career, I've worked with many diverse individuals, couples, and families to find healing and restoration from a variety of complicated and often very messy problems. I offer a unique measure of acceptance, support, and assistance for my clients. Besides my experience and training, I've personally struggled with difficult life issues myself. I know healing is possible and I am committed to helping you find it. If you choose to work with me, together we'll discover the root causes of your predicament and strive toward making changes that will ultimately lead to greater happiness and satisfaction.
During my career, I've worked with many diverse individuals, couples, and families to find healing and restoration from a variety of complicated and often very messy problems. I offer a unique measure of acceptance, support, and assistance for my clients. Besides my experience and training, I've personally struggled with difficult life issues myself. I know healing is possible and I am committed to helping you find it. If you choose to work with me, together we'll discover the root causes of your predicament and strive toward making changes that will ultimately lead to greater happiness and satisfaction.
(360) 301-7976 View (360) 301-7976
Photo of Colin Ross Lindborg, Marriage & Family Therapist in Coupeville, WA
Colin Ross Lindborg
Marriage & Family Therapist, MA, LMFT
Verified Verified
Coupeville, WA 98239
Couples, Older Adults, Adults. Please call to schedule a free phone consultation. Are you feeling sad, anxious, overwhelmed, or have you simply found yourself wanting more from your life? People seek therapy for a variety of reasons, and this seeking is often the first brave step toward living into a sense of greater possibility and deeper relationships! I view therapy first and foremost as a relationship that arises from a conversation. That conversation can be transformative and healing, can take many forms, and is an act of co-creation between you and me.
Couples, Older Adults, Adults. Please call to schedule a free phone consultation. Are you feeling sad, anxious, overwhelmed, or have you simply found yourself wanting more from your life? People seek therapy for a variety of reasons, and this seeking is often the first brave step toward living into a sense of greater possibility and deeper relationships! I view therapy first and foremost as a relationship that arises from a conversation. That conversation can be transformative and healing, can take many forms, and is an act of co-creation between you and me.
(360) 614-2287 View (360) 614-2287
Photo of Aaron R. Burdge, Psychologist in Coupeville, WA
Aaron R. Burdge
Psychologist, PhD
Verified Verified
Coupeville, WA 98239
Not accepting new clients
My personal philosophy of human nature is optimistic, hopeful, and empowering. Human beings are the world's most valuable resource. We can be powerful agents for good and for self-improvement if we choose to engage in the work necessary to realize our potential. My ability to perceive the thoughts and feelings of my clients assists me in helping clients to make significant, positive changes in their lives.
My personal philosophy of human nature is optimistic, hopeful, and empowering. Human beings are the world's most valuable resource. We can be powerful agents for good and for self-improvement if we choose to engage in the work necessary to realize our potential. My ability to perceive the thoughts and feelings of my clients assists me in helping clients to make significant, positive changes in their lives.
(360) 682-5299 View (360) 682-5299
Photo of Amber D Flippo, Marriage & Family Therapist in Coupeville, WA
Amber D Flippo
Marriage & Family Therapist, PhD, MFT
Verified Verified
4 Endorsed
Coupeville, WA 98239  (Online Only)
Not accepting new clients
I primarily work with adult individuals and adult couples (for sexual health concerns). Telehealth only. I believe, as human beings, we want to feel respected, loved, valued, appreciated, and understood. I believe most of us want to make a difference in the lives of those around us - our loved ones, friends and community. Navigating life can be difficult at times. We can all benefit from a safe, knowledgeable, and compassionate guide. I strive to help people become more connected to themselves, so that we can connect more authentically to others and expand our capacity to feel better and cultivate lasting fulfillment.
I primarily work with adult individuals and adult couples (for sexual health concerns). Telehealth only. I believe, as human beings, we want to feel respected, loved, valued, appreciated, and understood. I believe most of us want to make a difference in the lives of those around us - our loved ones, friends and community. Navigating life can be difficult at times. We can all benefit from a safe, knowledgeable, and compassionate guide. I strive to help people become more connected to themselves, so that we can connect more authentically to others and expand our capacity to feel better and cultivate lasting fulfillment.
(360) 309-0531 View (360) 309-0531
Photo of DIANN E DUVENEZ, Counselor in Coupeville, WA
DIANN E DUVENEZ
Counselor, MA, LMHC, CDPT, EMDR
Verified Verified
Coupeville, WA 98239  (Online Only)
Waitlist for new clients
My passion is to help people live their life more fully. I start with a person's strengths and help a person develop tools to manage their emotions, traumas and/or mental illness. I offer telehealth, virtual therapy sessions. My work integrates many different therapeutic styles and techniques depending on what fits best with the client and their situation. Some of these include Trauma-Focused CBT, Dialectical Behavior Therapy (DBT) skills, Family Therapy, EMDR and EFT Tapping. I run DBT groups to teach people skills with mindfulness, emotional regulation, interpersonal effectiveness skills and distress tolerance skills.
My passion is to help people live their life more fully. I start with a person's strengths and help a person develop tools to manage their emotions, traumas and/or mental illness. I offer telehealth, virtual therapy sessions. My work integrates many different therapeutic styles and techniques depending on what fits best with the client and their situation. Some of these include Trauma-Focused CBT, Dialectical Behavior Therapy (DBT) skills, Family Therapy, EMDR and EFT Tapping. I run DBT groups to teach people skills with mindfulness, emotional regulation, interpersonal effectiveness skills and distress tolerance skills.
(360) 323-6327 View (360) 323-6327

See more therapy options for Coupeville

How does your Therapist compare?

Number of Therapists in Coupeville, WA

20+

Average cost per session

$150

Therapists in Coupeville, WA who prioritize treating:

81% Depression
81% Anxiety
78% Grief
78% Trauma and PTSD
74% Relationship Issues
70% Stress
63% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

79% Premera
74% Regence
58% Aetna

How Therapists in Coupeville, WA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

72% Female
28% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Coupeville?

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.