Therapists in Tacoma, WA

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Photo of Lily E Ramirez, Counselor in Tacoma, WA
Lily E Ramirez
Counselor, MEd, LMHCA
Verified Verified
Tacoma, WA 98402  (Online Only)
Hello! I am a licensed mental health counselor associate (LMHCA) working in Western Washington. I work with children and adults experiencing depression, anxiety, and behavioral issues. Struggling in any one of these areas can leave you feeling stuck, hopeless, helpless, and frustrated. I am an empathetic therapist who focuses on the client's needs. I will help guide you through these difficult emotions while helping to identify the root cause. I do not want to only help you alleviate the symptoms you experience but help you to deal with the underlying issue(s) at hand.
Hello! I am a licensed mental health counselor associate (LMHCA) working in Western Washington. I work with children and adults experiencing depression, anxiety, and behavioral issues. Struggling in any one of these areas can leave you feeling stuck, hopeless, helpless, and frustrated. I am an empathetic therapist who focuses on the client's needs. I will help guide you through these difficult emotions while helping to identify the root cause. I do not want to only help you alleviate the symptoms you experience but help you to deal with the underlying issue(s) at hand.
(253) 243-2389 x2365 View (253) 243-2389 x2365
Photo of David R. Moore - - Jill Nealey-Moore, Psychologist in Tacoma, WA
David R. Moore - - Jill Nealey-Moore
Psychologist, PhD
Verified Verified
Tacoma, WA 98402
Not accepting new clients
Utilizing evidence-based interventions, we specialize in helping individuals & couples achieve greater personal growth, manage stress, enhance relationships, and improve their overall health & well being. In addition to relieving distress and helping you break free from unwanted patterns in your relationships with self and others, we also work to help you learn new coping skills and gain greater insight into yourself to prevent future difficulties.
Utilizing evidence-based interventions, we specialize in helping individuals & couples achieve greater personal growth, manage stress, enhance relationships, and improve their overall health & well being. In addition to relieving distress and helping you break free from unwanted patterns in your relationships with self and others, we also work to help you learn new coping skills and gain greater insight into yourself to prevent future difficulties.
(253) 248-4521 View (253) 248-4521
Photo of Sarah M Stanton, Counselor in Tacoma, WA
Sarah M Stanton
Counselor, MEd, LMHC, CMHS
Verified Verified
Tacoma, WA 98404
Not accepting new clients
**I am currently not accepting new clients.** My focus is to align with each client to provide hope and healing through the use of skill building and personal strengths so that they may experience positive change, peace and true fulfillment. I use client-centered, strength-based and cognitive/ behavioral interventions and will work with each client to develop specific goals by breaking them down into short and long term goals with action steps. My ideal client is one who is motivated to seek change and is willing to do whatever it takes to achieve this. I feel comfortable working with young and old; male and female.
**I am currently not accepting new clients.** My focus is to align with each client to provide hope and healing through the use of skill building and personal strengths so that they may experience positive change, peace and true fulfillment. I use client-centered, strength-based and cognitive/ behavioral interventions and will work with each client to develop specific goals by breaking them down into short and long term goals with action steps. My ideal client is one who is motivated to seek change and is willing to do whatever it takes to achieve this. I feel comfortable working with young and old; male and female.
(253) 218-4479 View (253) 218-4479
Photo of Elizabeth Ecklund, Clinical Social Work/Therapist in Tacoma, WA
Elizabeth Ecklund
Clinical Social Work/Therapist, MSW, BSN, LSWAIC, RN
Verified Verified
Tacoma, WA 98402
Elizabeth specializes in working with adults who experience stress, anxiety and/or depression, are high achievers (or would like to be), legal system workers, healthcare workers, first responders, law enforcement, athletes, entrepreneurs and military members. Her clients generally report feeling “burned out”, “stuck”, “lost”, “misdirected” and/or have anxiety about the future. Young adult clients may be experiencing family pressures and conflict internally between what they would like to do with their future and what their family wants/expects. Elizabeth helps them to gain focus, find joy, purpose and sense of control.
Elizabeth specializes in working with adults who experience stress, anxiety and/or depression, are high achievers (or would like to be), legal system workers, healthcare workers, first responders, law enforcement, athletes, entrepreneurs and military members. Her clients generally report feeling “burned out”, “stuck”, “lost”, “misdirected” and/or have anxiety about the future. Young adult clients may be experiencing family pressures and conflict internally between what they would like to do with their future and what their family wants/expects. Elizabeth helps them to gain focus, find joy, purpose and sense of control.
(253) 319-1299 View (253) 319-1299
Photo of Saltwater Supervision & Consulting, Clinical Social Work/Therapist in Tacoma, WA
Saltwater Supervision & Consulting
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98402
Are you looking for high quality, low cost group supervision hours? I am starting clinical social work supervision groups in May that will meet for four hours one weekend a month. We will divide the time into seminar-style learning, case presentation and discussion, guest speakers and test prep.
Are you looking for high quality, low cost group supervision hours? I am starting clinical social work supervision groups in May that will meet for four hours one weekend a month. We will divide the time into seminar-style learning, case presentation and discussion, guest speakers and test prep.
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Photo of Sarah Velazquez, Clinical Social Work/Therapist in Tacoma, WA
Sarah Velazquez
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98407  (Online Only)
I strive to meet people where they are and offer honest feedback for change while providing a non-judgemental space for all. The decision to start or return to therapy can be difficult and I am glad you are taking the first step. I have dedicated the last 20 years to the Social Services field and have provided therapy since 2018. Whether you are looking for short- or long-term therapy, I look forward to helping you during your journey.
I strive to meet people where they are and offer honest feedback for change while providing a non-judgemental space for all. The decision to start or return to therapy can be difficult and I am glad you are taking the first step. I have dedicated the last 20 years to the Social Services field and have provided therapy since 2018. Whether you are looking for short- or long-term therapy, I look forward to helping you during your journey.
(253) 893-4805 View (253) 893-4805
Photo of Tanya Larson, Counselor in Tacoma, WA
Tanya Larson
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Tacoma, WA 98402
Are you feeling overwhelmed? Everyday stressors and relationship losses can leave you feeling disconnected from others, anxious or depressed. Whatever you are going through, I am here to help empower you with support, acceptance, and empathy. Let me help you align with your strengths, confront old patterns that impede your progress, learn new ways to interact in relationships, and deepen your self-understanding.
Are you feeling overwhelmed? Everyday stressors and relationship losses can leave you feeling disconnected from others, anxious or depressed. Whatever you are going through, I am here to help empower you with support, acceptance, and empathy. Let me help you align with your strengths, confront old patterns that impede your progress, learn new ways to interact in relationships, and deepen your self-understanding.
(253) 259-3042 View (253) 259-3042
Photo of Annette Tardif, Psychologist in Tacoma, WA
Annette Tardif
Psychologist, PhD, MA
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
Hello! I specialize in health challenges, grief & loss, caretaking, and professional burnout. If you are experiencing anxiety, depression, difficulty functioning, or maintaining your relationships, those might be interacting with a big change in your health and life. You might feel lost, stuck, unsure what to do or what is happening. This is normal. It is a passion for me to work with people to open up their lives in a way that are aligned with their values and build confidence in facing and managing their realities.
Hello! I specialize in health challenges, grief & loss, caretaking, and professional burnout. If you are experiencing anxiety, depression, difficulty functioning, or maintaining your relationships, those might be interacting with a big change in your health and life. You might feel lost, stuck, unsure what to do or what is happening. This is normal. It is a passion for me to work with people to open up their lives in a way that are aligned with their values and build confidence in facing and managing their realities.
(253) 904-3729 View (253) 904-3729
Photo of Olivia McKenna, Marriage & Family Therapist in Tacoma, WA
Olivia McKenna
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Tacoma, WA 98422
Not accepting new clients
There are times in our lives when we feel stuck. We struggle with transition, grief, and loss. We may find it difficult to relate to others or even ourselves. My approach to therapy with adolescents, men, women, and families is client-centered and collaborative. My role is to help you solve your problems in positive and fulfilling ways. I provide a safe and compassionate place where you can find balance, connection and growth. Because my experience involves working with children, teens, adults and families, I hold a broad scope and view you as a whole person.
There are times in our lives when we feel stuck. We struggle with transition, grief, and loss. We may find it difficult to relate to others or even ourselves. My approach to therapy with adolescents, men, women, and families is client-centered and collaborative. My role is to help you solve your problems in positive and fulfilling ways. I provide a safe and compassionate place where you can find balance, connection and growth. Because my experience involves working with children, teens, adults and families, I hold a broad scope and view you as a whole person.
(253) 214-3725 View (253) 214-3725
Photo of Sorya Pao, Clinical Social Work/Therapist in Tacoma, WA
Sorya Pao
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Tacoma, WA 98408  (Online Only)
I believe that therapy is one of the best tools for self-exploration and healing. I aim to cultivate a genuine relationship with you so that we can safely discuss challenges in your life. I believe in an approach that is strengths-based and culturally-sensitive as we work together. I honor you as the expert in your life and I am here to be alongside you on this journey to the life you envision for yourself.
I believe that therapy is one of the best tools for self-exploration and healing. I aim to cultivate a genuine relationship with you so that we can safely discuss challenges in your life. I believe in an approach that is strengths-based and culturally-sensitive as we work together. I honor you as the expert in your life and I am here to be alongside you on this journey to the life you envision for yourself.
(253) 893-6176 View (253) 893-6176
Photo of Lauren Pallay, Marriage & Family Therapist in Tacoma, WA
Lauren Pallay
Marriage & Family Therapist, MS, LMFT
Verified Verified
3 Endorsed
Tacoma, WA 98408  (Online Only)
Not accepting new clients
Do you feel a persistent sense of unease? Exhausted from the pressures of life? Frustrated with how your past is impacting you? Overwhelmed by the thought of starting therapy? Often our struggles alone feel unbearable, and the idea of addressing them only adds more stress. But you can get to where you'd like to be. It just takes learning to endure the discomfort of the growth and healing process. I am dedicated to helping you walk through the discomfort —to gain self insight, to make changes in your life, to feel more at ease, and attain your goals.
Do you feel a persistent sense of unease? Exhausted from the pressures of life? Frustrated with how your past is impacting you? Overwhelmed by the thought of starting therapy? Often our struggles alone feel unbearable, and the idea of addressing them only adds more stress. But you can get to where you'd like to be. It just takes learning to endure the discomfort of the growth and healing process. I am dedicated to helping you walk through the discomfort —to gain self insight, to make changes in your life, to feel more at ease, and attain your goals.
(253) 400-1619 View (253) 400-1619
Photo of Elizabeth Marshall, Counselor in Tacoma, WA
Elizabeth Marshall
Counselor, BSW, MFT, LMHC, EMDR
Verified Verified
Tacoma, WA 98407  (Online Only)
It takes courage to ask for help. Do you struggle with anxiety, depression, loneliness, cPTSD, or trauma? Are you at a crossroads in life or feeling stuck? I specialize in helping people through these times to transitions to lead fulfilling lives. My approach is person centered and tailored to your unique needs and goals. Together, we will work to identify root causes and core beliefs. I'm skilled in EMDR, Brainspotting, DBT, TF-CBT, family systems, and Inner child work. I will teach you skills to decrease and overcome these symptoms. Together, we will increase emotional regulation and feelings of safety. Teens and parents love me!
It takes courage to ask for help. Do you struggle with anxiety, depression, loneliness, cPTSD, or trauma? Are you at a crossroads in life or feeling stuck? I specialize in helping people through these times to transitions to lead fulfilling lives. My approach is person centered and tailored to your unique needs and goals. Together, we will work to identify root causes and core beliefs. I'm skilled in EMDR, Brainspotting, DBT, TF-CBT, family systems, and Inner child work. I will teach you skills to decrease and overcome these symptoms. Together, we will increase emotional regulation and feelings of safety. Teens and parents love me!
(253) 262-0294 View (253) 262-0294
Photo of Shardae L Collins, Clinical Social Work/Therapist in Tacoma, WA
Shardae L Collins
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98402  (Online Only)
Hello my name is Shardae Collins I am a licensed clinical social worker who offers telehealth therapy to individuals residing in CA, WA, NV, NJ, and MA. I support individuals in recognizing their strength and resilience regardless of the cards that were dealt to them. My therapeutic approach explores your environment and lived experience to better understand your strengths, needs, and hopes for the future. I believe that you have the power to heal yourself. I am simply a guide.
Hello my name is Shardae Collins I am a licensed clinical social worker who offers telehealth therapy to individuals residing in CA, WA, NV, NJ, and MA. I support individuals in recognizing their strength and resilience regardless of the cards that were dealt to them. My therapeutic approach explores your environment and lived experience to better understand your strengths, needs, and hopes for the future. I believe that you have the power to heal yourself. I am simply a guide.
(253) 281-4939 View (253) 281-4939
Photo of Sound Practice, Clinical Social Work/Therapist in Tacoma, WA
Sound Practice
Clinical Social Work/Therapist, LICSW, DVC, SUDP
Verified Verified
1 Endorsed
Tacoma, WA 98402
Now accepting new clients! My theoretical approach is one of self-awareness. Having a healthy relationship with you in order to have healthy relationships with others. The modalities I use the most are CBT, DBT, and ACT. Learn how to communicate more effectively and live an intentional life. We address trauma, boundaries, emotional self-management, and how to have relationships that work. LGBTQA+ friendly. As a certified domestic violence, and substance use clinician, I am well versed in trauma informed care and systems needs.
Now accepting new clients! My theoretical approach is one of self-awareness. Having a healthy relationship with you in order to have healthy relationships with others. The modalities I use the most are CBT, DBT, and ACT. Learn how to communicate more effectively and live an intentional life. We address trauma, boundaries, emotional self-management, and how to have relationships that work. LGBTQA+ friendly. As a certified domestic violence, and substance use clinician, I am well versed in trauma informed care and systems needs.
(253) 286-0992 View (253) 286-0992
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 Tacoma Counseling Services, Marriage & Family Therapist Associate in Tacoma, WA
Tacoma Counseling Services
Marriage & Family Therapist Associate, MAT, MA, LMFTA
Verified Verified
9 Endorsed
Tacoma, WA 98405  (Online Only)
One of the things I’ve come to value the most in life is honest conversation. It’s freeing to share about things we’re struggling with, and to be truly heard without judgment. In every session, I aim to give this opportunity to my clients. I use a number of therapeutic approaches, all of which consider the whole person and recognize the impact of their closest relationships.
One of the things I’ve come to value the most in life is honest conversation. It’s freeing to share about things we’re struggling with, and to be truly heard without judgment. In every session, I aim to give this opportunity to my clients. I use a number of therapeutic approaches, all of which consider the whole person and recognize the impact of their closest relationships.
(253) 300-1258 View (253) 300-1258
Photo of Alysa Haas, Pre-Licensed Professional in Tacoma, WA
Alysa Haas
Pre-Licensed Professional
Verified Verified
1 Endorsed
Tacoma, WA 98402
I love working with adults who are experiencing challenges related to parenting, anxiety, perfectionism and trauma. If you're struggling to face certain parts of yourself, I'll guide your towards attending to the places within that trouble you the most. My gentle and welcoming approach will allow you to trust yourself and guide you towards understand your reactions and emotions during parenting struggles, anxiety loops and high reactivity. I'm a clinical intern, which means I'm currently finishing my degree. I bring a depth of experience, including IFS coaching, teaching dance to all ages and working closely with families.
I love working with adults who are experiencing challenges related to parenting, anxiety, perfectionism and trauma. If you're struggling to face certain parts of yourself, I'll guide your towards attending to the places within that trouble you the most. My gentle and welcoming approach will allow you to trust yourself and guide you towards understand your reactions and emotions during parenting struggles, anxiety loops and high reactivity. I'm a clinical intern, which means I'm currently finishing my degree. I bring a depth of experience, including IFS coaching, teaching dance to all ages and working closely with families.
(253) 242-8731 View (253) 242-8731
Photo of Confidential Associates, LLC, Counselor in Tacoma, WA
Confidential Associates, LLC
Counselor, MA, LMHC, NCC
Verified Verified
Tacoma, WA 98405
The Confidential Associates staff is highly experienced (over 60 years combined experience) and extensively trained. We stay current with the latest research/evidence-based treatments for such patient concerns as: Depression, Anxiety, Relationship Issues, Couples Therapy, Family Therapy, Pre-Marriage Counseling, Communication Problems, Chemical Dependency, Anger, Stress, Self-Esteem, LGBT, Work Stress, Bereavement, Trauma, and Child/Adolescent Behavior Problems. To promote positive changes, we utilize a combination of interview, direction, and education to create a sense of trust and respect. This approach has been found to increase efficiency of the counseling process, which saves treatment time and costs.
The Confidential Associates staff is highly experienced (over 60 years combined experience) and extensively trained. We stay current with the latest research/evidence-based treatments for such patient concerns as: Depression, Anxiety, Relationship Issues, Couples Therapy, Family Therapy, Pre-Marriage Counseling, Communication Problems, Chemical Dependency, Anger, Stress, Self-Esteem, LGBT, Work Stress, Bereavement, Trauma, and Child/Adolescent Behavior Problems. To promote positive changes, we utilize a combination of interview, direction, and education to create a sense of trust and respect. This approach has been found to increase efficiency of the counseling process, which saves treatment time and costs.
(253) 242-6789 View (253) 242-6789
Photo of Amy Dwyer, Clinical Social Work/Therapist in Tacoma, WA
Amy Dwyer
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98467
I believe in a collaborative approach to therapy. In partnership, we will work to explore your needs and develop a treatment plan to address identified issues. I primarily employ a cognitive-behavioral approach as this treatment modality has been shown to be effective in therapy. In addition, I use a strengths-based framework. Together we will address symptom management, build on your pre-existing strengths, and further develop your coping strategies. In addition, our work will likely include making meaning of important life events.
I believe in a collaborative approach to therapy. In partnership, we will work to explore your needs and develop a treatment plan to address identified issues. I primarily employ a cognitive-behavioral approach as this treatment modality has been shown to be effective in therapy. In addition, I use a strengths-based framework. Together we will address symptom management, build on your pre-existing strengths, and further develop your coping strategies. In addition, our work will likely include making meaning of important life events.
(253) 944-9019 View (253) 944-9019
Photo of Dr. Kathleen King, Psychologist in Tacoma, WA
Dr. Kathleen King
Psychologist, PhD
Verified Verified
5 Endorsed
Tacoma, WA 98402  (Online Only)
Not accepting new clients
I specialize in working with adults, who struggle with building and maintaining healthy/happy relationships. Many of my clients feel a lot of pain in their romantic and/or familial relationships. Some clients feel unsupported, unappreciated, or invalidated and struggle with communicating with their loved ones. Others feel unsafe with their partner because of their own past trauma, anxiety, or depression. Some of the individuals I work with have been diagnosed with ADHD or have a partner with that diagnosis. They may have a difficult time connecting with one another and understanding each other's experiences.
I specialize in working with adults, who struggle with building and maintaining healthy/happy relationships. Many of my clients feel a lot of pain in their romantic and/or familial relationships. Some clients feel unsupported, unappreciated, or invalidated and struggle with communicating with their loved ones. Others feel unsafe with their partner because of their own past trauma, anxiety, or depression. Some of the individuals I work with have been diagnosed with ADHD or have a partner with that diagnosis. They may have a difficult time connecting with one another and understanding each other's experiences.
(425) 364-6604 View (425) 364-6604

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.