Therapists in Tacoma, WA

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Photo of Shenika Williams- Integrated Family Medicine in Tacoma, WA
Shenika Williams- Integrated Family Medicine
MSN, ARNP, FNP-C
Verified Verified
Tacoma, WA 98408
I am a medication prescriber & Ketamine treatment Provider. Exceptional care is provided to clients struggling with Depression, Anxiety, ADHD, Eating Disorders, Mood Disorder, PTSD and Schizophrenia - their mental health, in need of a listening, non judgmental, empathetic, compassionate, supportive prescribing provider with whom they can build a lasting rapport with and who helps them achieve positive life experiences and outcomes. I offer Ketamine Therapy, management of chronic psychiatric and medically complex conditions with and without the utilization of medication.
I am a medication prescriber & Ketamine treatment Provider. Exceptional care is provided to clients struggling with Depression, Anxiety, ADHD, Eating Disorders, Mood Disorder, PTSD and Schizophrenia - their mental health, in need of a listening, non judgmental, empathetic, compassionate, supportive prescribing provider with whom they can build a lasting rapport with and who helps them achieve positive life experiences and outcomes. I offer Ketamine Therapy, management of chronic psychiatric and medically complex conditions with and without the utilization of medication.
(253) 559-1880 View (253) 559-1880
Photo of Lucas David Abernathy, Counselor in Tacoma, WA
Lucas David Abernathy
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Tacoma, WA 98402
Waitlist for new clients
Do you feel stuck? Stressed out? Are you confused about a relationship? Are you repeating the same destructive behavior you promised yourself that you would stop? You are not alone. To have problems means that you are human; but there is hope. Counseling can help you uncover the reasons for your troubles and help you learn to live in ways that are healthier, more productive and more fun. If you would like to become more of the person you want to be, call or email me to set up a consultation.
Do you feel stuck? Stressed out? Are you confused about a relationship? Are you repeating the same destructive behavior you promised yourself that you would stop? You are not alone. To have problems means that you are human; but there is hope. Counseling can help you uncover the reasons for your troubles and help you learn to live in ways that are healthier, more productive and more fun. If you would like to become more of the person you want to be, call or email me to set up a consultation.
(206) 745-5080 View (206) 745-5080
Photo of Sarah Sanderson, Counselor in Tacoma, WA
Sarah Sanderson
Counselor, MA, LMHC, CMHS
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
I provide individual therapy and coaching services to adults. Therapy is an active process of change. My role as your therapist is to guide and support you in strengthening your sense of self and personal power to make changes in your life. I strive to create a highly collaborative working relationship founded in respect and honesty.
I provide individual therapy and coaching services to adults. Therapy is an active process of change. My role as your therapist is to guide and support you in strengthening your sense of self and personal power to make changes in your life. I strive to create a highly collaborative working relationship founded in respect and honesty.
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Photo of Kiana Gobin, Clinical Social Work/Therapist in Tacoma, WA
Kiana Gobin
Clinical Social Work/Therapist, LICSWA, MSW
Verified Verified
Tacoma, WA 98402
Actively seeking help is a huge step forward in your journey of healing and self empowerment. Dealing with everyday life stressors can be overwhelming, but dealing with disorders like anxiety or depression can make you feel even more defeated and hopeless. Working in a partnership with a mental health professional; like myself, can help provide you with the right support and tools needed to conquer your healing journey. so, take a moment and celebrate yourself for taking this life changing step forward.
Actively seeking help is a huge step forward in your journey of healing and self empowerment. Dealing with everyday life stressors can be overwhelming, but dealing with disorders like anxiety or depression can make you feel even more defeated and hopeless. Working in a partnership with a mental health professional; like myself, can help provide you with the right support and tools needed to conquer your healing journey. so, take a moment and celebrate yourself for taking this life changing step forward.
(253) 523-2715 x9689 View (253) 523-2715 x9689
Photo of Laurel Madson-Lawson Losninger Counseling, Counselor in Tacoma, WA
Laurel Madson-Lawson Losninger Counseling
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98406
I work as a Couples (Family) and Individual counselor, serving their needs to improve connections and communication; to regain trust, compassion, and empathy. I work with Eating Disorders as well, with training from Residential Treatment facilities and managing a milieu for Outpatient Recovery. I am an artist who incorporates art therapy into sessions, as well as, EMDR. I would love to help you, or you and your partner in your recovery journey!
I work as a Couples (Family) and Individual counselor, serving their needs to improve connections and communication; to regain trust, compassion, and empathy. I work with Eating Disorders as well, with training from Residential Treatment facilities and managing a milieu for Outpatient Recovery. I am an artist who incorporates art therapy into sessions, as well as, EMDR. I would love to help you, or you and your partner in your recovery journey!
(253) 650-0166 View (253) 650-0166
Photo of Lindsey Moseman, Marriage & Family Therapist in Tacoma, WA
Lindsey Moseman
Marriage & Family Therapist, MA, LMFT
Verified Verified
Tacoma, WA 98407
Not accepting new clients
Have you noticed changes within your child's behavior that leave you feeling confused as to what to do or say? Perhaps your child has been struggling with overwhelming anxiety or emotional outbursts. Or perhaps you've noticed your teenager begin to isolate, drop in their grades, and become overly self-critical. Children and teenagers are often communicating their needs through their behaviors, and it is often very difficult as a parent to know what to do. I specialize in working with children, adolescents, and adults who are struggling within difficult emotional experiences, transitions like divorce, or within relationships.
Have you noticed changes within your child's behavior that leave you feeling confused as to what to do or say? Perhaps your child has been struggling with overwhelming anxiety or emotional outbursts. Or perhaps you've noticed your teenager begin to isolate, drop in their grades, and become overly self-critical. Children and teenagers are often communicating their needs through their behaviors, and it is often very difficult as a parent to know what to do. I specialize in working with children, adolescents, and adults who are struggling within difficult emotional experiences, transitions like divorce, or within relationships.
(253) 733-0136 View (253) 733-0136
Photo of Mallory Mackie, Clinical Social Work/Therapist in Tacoma, WA
Mallory Mackie
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98405  (Online Only)
••Immediate openings•• You may be feeling unfulfilled or overwhelmed, or maybe you are beating yourself up with thoughts that you are a failure and to blame for where you are now. You’ve been stuck like this for some time and it’s hard to imagine things changing. Many of my clients are people who are ‘new’ to therapy, although they are not new to pain. Whether you have experienced neglect or abuse, are navigating major life changes or grieving a loss, or just struggling managing your emotions, I work with people who feel unworthy of love or struggle to feel compassion for themselves.
••Immediate openings•• You may be feeling unfulfilled or overwhelmed, or maybe you are beating yourself up with thoughts that you are a failure and to blame for where you are now. You’ve been stuck like this for some time and it’s hard to imagine things changing. Many of my clients are people who are ‘new’ to therapy, although they are not new to pain. Whether you have experienced neglect or abuse, are navigating major life changes or grieving a loss, or just struggling managing your emotions, I work with people who feel unworthy of love or struggle to feel compassion for themselves.
(253) 321-1364 View (253) 321-1364
Photo of Wilson Clinical Services, PLLC. (Psychiatric Meds), Psychologist in Tacoma, WA
Wilson Clinical Services, PLLC. (Psychiatric Meds)
Psychologist, PhD, ABN, ABPP, MSCP
Verified Verified
1 Endorsed
Tacoma, WA 98402
For a quicker response time, please email us instead of calling- Thank You! Wilson Clinical Services (WCS) provides psychotropic medication prescriptions (for Idaho residents) and neuropsychological exams. WCS also accepts referrals for all individuals for psychotherapy (including couples, family, & group) sessions. WCS has several clinicians, both male and female, who work with a variety of individuals from diverse backgrounds.
For a quicker response time, please email us instead of calling- Thank You! Wilson Clinical Services (WCS) provides psychotropic medication prescriptions (for Idaho residents) and neuropsychological exams. WCS also accepts referrals for all individuals for psychotherapy (including couples, family, & group) sessions. WCS has several clinicians, both male and female, who work with a variety of individuals from diverse backgrounds.
(253) 785-9909 View (253) 785-9909
Photo of Brittany Ellmer, Counselor in Tacoma, WA
Brittany Ellmer
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Tacoma, WA 98402  (Online Only)
Not accepting new clients
Have you had experiences that have changed you? Are you wondering how you can heal? Let’s work together to find meaning in your suffering and heal the broken spaces within you. My aim is not to put a bandaid over your wound, let's get down to the roots. This enables us to really heal the wound, though you will be left with a scar. We'll explore the origin of your pain, see how this impacts you currently, and help you better understand your body’s response to adversity. We can also work to resolve common symptoms of depression, anxiety, and stress that are so prevalent among us.
Have you had experiences that have changed you? Are you wondering how you can heal? Let’s work together to find meaning in your suffering and heal the broken spaces within you. My aim is not to put a bandaid over your wound, let's get down to the roots. This enables us to really heal the wound, though you will be left with a scar. We'll explore the origin of your pain, see how this impacts you currently, and help you better understand your body’s response to adversity. We can also work to resolve common symptoms of depression, anxiety, and stress that are so prevalent among us.
(253) 262-0612 View (253) 262-0612
Photo of Jillian Boyte-White, Counselor in Tacoma, WA
Jillian Boyte-White
Counselor, MA, LMHCA
Verified Verified
Tacoma, WA 98402
I work with adults—individuals and couples—and am a LGBTQ+ and alternative relationship affirming practice. I value social justice, and make a commitment to you to be a safe and inviting space for you to be yourself. I may be a good fit for you if you are seeking support regarding anxiety, depression, major life transitions, exploring your identity, relationship issues, and/or couples counseling.
I work with adults—individuals and couples—and am a LGBTQ+ and alternative relationship affirming practice. I value social justice, and make a commitment to you to be a safe and inviting space for you to be yourself. I may be a good fit for you if you are seeking support regarding anxiety, depression, major life transitions, exploring your identity, relationship issues, and/or couples counseling.
(253) 364-4639 View (253) 364-4639
Photo of Kim Schreck, Counselor in Tacoma, WA
Kim Schreck
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Tacoma, WA 98409  (Online Only)
I offer compassion, empathy, and guidance to support you through various transitions in your life. I feel that individuals are not always defined by their circumstances and notice that when we set an intention it allows for personal growth. My hope is to assist you in gaining a greater understanding of your natural strengths and abilities in order to create change. Therapy can help you gain self-awareness, build self-compassion and set goals that will lead to decreased stress and improve overall happiness.
I offer compassion, empathy, and guidance to support you through various transitions in your life. I feel that individuals are not always defined by their circumstances and notice that when we set an intention it allows for personal growth. My hope is to assist you in gaining a greater understanding of your natural strengths and abilities in order to create change. Therapy can help you gain self-awareness, build self-compassion and set goals that will lead to decreased stress and improve overall happiness.
(253) 400-5423 View (253) 400-5423
Photo of Catherine Livaudais PLLC, Clinical Social Work/Therapist in Tacoma, WA
Catherine Livaudais PLLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98406  (Online Only)
Do you feel overwhelmed by the state of the world, the endless bombardment of one felt catastrophe after another in addition to all you already do each day? It can be easy to get lost in the monotony of the day to day and lose track of WHO we are. Life can also become overwhelming and even the smallest tasks feel insurmountable. In therapy we take the complexities all around and seek transformation.
Do you feel overwhelmed by the state of the world, the endless bombardment of one felt catastrophe after another in addition to all you already do each day? It can be easy to get lost in the monotony of the day to day and lose track of WHO we are. Life can also become overwhelming and even the smallest tasks feel insurmountable. In therapy we take the complexities all around and seek transformation.
(253) 321-1987 View (253) 321-1987
Photo of Sarah Beck, Marriage & Family Therapist in Tacoma, WA
Sarah Beck
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Tacoma, WA 98402
Waitlist for new clients
Life can often be incredibly overwhelming and sometimes it's helpful to have a little extra support. If you are struggling with anxiety, ADHD, parenting, postpartum or perinatal concerns, low self-esteem, panic, OCD, and/or intrusive thoughts, therapy can help. If you need support through different life transitions and are trying to adjust to a different normal, I am here for you. I specialize in supporting clients through anxiety-related concerns with empathy and kindness. I offer a holistic and systemic perspective for all of the people I work with and will identify how the systems you are a part of impact your current struggles.
Life can often be incredibly overwhelming and sometimes it's helpful to have a little extra support. If you are struggling with anxiety, ADHD, parenting, postpartum or perinatal concerns, low self-esteem, panic, OCD, and/or intrusive thoughts, therapy can help. If you need support through different life transitions and are trying to adjust to a different normal, I am here for you. I specialize in supporting clients through anxiety-related concerns with empathy and kindness. I offer a holistic and systemic perspective for all of the people I work with and will identify how the systems you are a part of impact your current struggles.
(253) 649-2403 View (253) 649-2403
Photo of Kelly Carr, Counselor in Tacoma, WA
Kelly Carr
Counselor, MA, MHP, LMHC
Verified Verified
Tacoma, WA 98402  (Online Only)
Attachment and trauma are my specialties. I work with clients that are struggling in their relationships (family, friends, romantic, etc.) and/or struggling with past or recent truama. I aim at helping client's explore their life's journey and see how the past is currently influencing the present. When growing up, we all needed to feel seen, soothed, safe, and secure by are caregivers, but many of our caregivers/parents, being human, fell short of their capacity to do so. I work with clients to help them see how their own family dynamics while growing up has influenced what they experience in the present day.
Attachment and trauma are my specialties. I work with clients that are struggling in their relationships (family, friends, romantic, etc.) and/or struggling with past or recent truama. I aim at helping client's explore their life's journey and see how the past is currently influencing the present. When growing up, we all needed to feel seen, soothed, safe, and secure by are caregivers, but many of our caregivers/parents, being human, fell short of their capacity to do so. I work with clients to help them see how their own family dynamics while growing up has influenced what they experience in the present day.
(253) 367-3163 View (253) 367-3163
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 Calmli Guided Psychotherapy, PLLC, Marriage & Family Therapist in Tacoma, WA
Calmli Guided Psychotherapy, PLLC
Marriage & Family Therapist, MA, LMFT
Verified Verified
Tacoma, WA 98446
Not accepting new clients
As a Systemic therapist who also understands the importance of a person-centered approach, I help individuals, couples, and family’s increase awareness of current emotional, behavioral, and communicative patterns that create a barrier to personal and interpersonal growth. Recognizing the importance of culture and identity, I utilize an intersectional approach to each individual and family.
As a Systemic therapist who also understands the importance of a person-centered approach, I help individuals, couples, and family’s increase awareness of current emotional, behavioral, and communicative patterns that create a barrier to personal and interpersonal growth. Recognizing the importance of culture and identity, I utilize an intersectional approach to each individual and family.
(253) 342-4289 View (253) 342-4289
Photo of Kay Kessel-Hanna, Marriage & Family Therapist in Tacoma, WA
Kay Kessel-Hanna
Marriage & Family Therapist, LMFT
Verified Verified
Tacoma, WA 98467
Kay Kessel-Hanna is a Licensed Marriage and Family Therapist in Washington with 27 years of experience. She has a Master of Arts degree in Applied Behavioral Science, specializing in Systems Counseling from Bastyr University, a post-graduate certification in Marriage and Family Therapy from the Presbyterian Counseling Service Marriage and Family Training, and a Master of Arts degree in Transforming Spirituality from Seattle University. Kay believes that an individual's struggles are often a sign of stressors within the larger context of relationships.
Kay Kessel-Hanna is a Licensed Marriage and Family Therapist in Washington with 27 years of experience. She has a Master of Arts degree in Applied Behavioral Science, specializing in Systems Counseling from Bastyr University, a post-graduate certification in Marriage and Family Therapy from the Presbyterian Counseling Service Marriage and Family Training, and a Master of Arts degree in Transforming Spirituality from Seattle University. Kay believes that an individual's struggles are often a sign of stressors within the larger context of relationships.
(253) 785-2458 View (253) 785-2458
Photo of Zaydoc Morgan, Clinical Social Work/Therapist in Tacoma, WA
Zaydoc Morgan
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Tacoma, WA 98402
Are you feeling unseen and often misunderstood? Unsure of your identity or how to assert yourself? Do you find that you dislike yourself or wish you were a different person? In today's world it can be easy to feel knocked down, broken and powerless. In therapy together we can explore ways to reclaim your own personal power and back on track to live the life you've always envisioned. We can also work together to help you feel more deeply connected to yourself and who you want to become.
Are you feeling unseen and often misunderstood? Unsure of your identity or how to assert yourself? Do you find that you dislike yourself or wish you were a different person? In today's world it can be easy to feel knocked down, broken and powerless. In therapy together we can explore ways to reclaim your own personal power and back on track to live the life you've always envisioned. We can also work together to help you feel more deeply connected to yourself and who you want to become.
(253) 364-0720 View (253) 364-0720
Photo of Mark R Ferrer, Marriage & Family Therapist in Tacoma, WA
Mark R Ferrer
Marriage & Family Therapist, MBA, MA, LMFT
Verified Verified
1 Endorsed
Tacoma, WA 98402
In my work as a therapist and organizational consultant over the last 35+ years, I have assisted youth, adults, families, and organizations in reducing barriers to and facilitating elements of healthy growth, functioning, and the achievement of goals. I work collaboratively with clients for I don't feel that I'm an expert on someone else life. We learn together what will work for you as the therapy progresses and by the work you do in therapy, it is hoped that you will reach the goals that you set for yourself at the very first appointment.
In my work as a therapist and organizational consultant over the last 35+ years, I have assisted youth, adults, families, and organizations in reducing barriers to and facilitating elements of healthy growth, functioning, and the achievement of goals. I work collaboratively with clients for I don't feel that I'm an expert on someone else life. We learn together what will work for you as the therapy progresses and by the work you do in therapy, it is hoped that you will reach the goals that you set for yourself at the very first appointment.
(253) 785-0451 View (253) 785-0451
Photo of Nancy Seamount, Counselor in Tacoma, WA
Nancy Seamount
Counselor, MA,LMHC
Verified Verified
Tacoma, WA 98402  (Online Only)
I see us struggling with a pandemic of loneliness. Especially after COVID isolation, teens and younger adults, especially are at risk of experiencing a debilitating lack of connection, momentum, and purpose. Loneliness has the power to drag down every facet of our lives. The insecurity and depression that creep up in the dark depths of loneliness keep us down and away from the connection that we need. Therapy can be the life rope that begins us on our journey toward the light. I work well with clients who are skeptical about therapy for any number of reasons. I am confident you can thrive.
I see us struggling with a pandemic of loneliness. Especially after COVID isolation, teens and younger adults, especially are at risk of experiencing a debilitating lack of connection, momentum, and purpose. Loneliness has the power to drag down every facet of our lives. The insecurity and depression that creep up in the dark depths of loneliness keep us down and away from the connection that we need. Therapy can be the life rope that begins us on our journey toward the light. I work well with clients who are skeptical about therapy for any number of reasons. I am confident you can thrive.
(253) 300-0620 View (253) 300-0620

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
88% 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.