Therapists in Tacoma, WA

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Photo of Melissa Haney, Marriage & Family Therapist in Tacoma, WA
Melissa Haney
Marriage & Family Therapist, LMFT
Verified Verified
Tacoma, WA 98404  (Online Only)
Currently Accepting New Patients.......... Are you tired to being stuck thinking about the same problems and not being able to change them? Have you tried everything that you can think of to have a more satisfying and less stressful relationship with the people you care about? Are these problems having an impact on sleep, work, relationships with others, or living a full life? Many people find themselves mentally and emotionally stuck and have a difficult time finding a way out.
Currently Accepting New Patients.......... Are you tired to being stuck thinking about the same problems and not being able to change them? Have you tried everything that you can think of to have a more satisfying and less stressful relationship with the people you care about? Are these problems having an impact on sleep, work, relationships with others, or living a full life? Many people find themselves mentally and emotionally stuck and have a difficult time finding a way out.
(253) 400-5842 View (253) 400-5842
Photo of Lori Lindholm, Clinical Social Work/Therapist in Tacoma, WA
Lori Lindholm
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Tacoma, WA 98406  (Online Only)
Are you struggling with relentless stress, anxiety, and/or depression? Maybe you find yourself isolating from others, feeling constantly triggered, or worried your life feels out of control. Whether you’ve experienced an old or recent trauma, loss of a loved one or pet, relationship betrayal or career stress, or you simply feel stuck and yearn to become your best self, I am glad you reached out. My hope is to create a place where you can come completely and authentically as you are, where the unspeakable can be spoken, and for you to be met with compassion and non-judgement.
Are you struggling with relentless stress, anxiety, and/or depression? Maybe you find yourself isolating from others, feeling constantly triggered, or worried your life feels out of control. Whether you’ve experienced an old or recent trauma, loss of a loved one or pet, relationship betrayal or career stress, or you simply feel stuck and yearn to become your best self, I am glad you reached out. My hope is to create a place where you can come completely and authentically as you are, where the unspeakable can be spoken, and for you to be met with compassion and non-judgement.
(206) 752-4647 View (206) 752-4647
Photo of Joseph Velazquez, Marriage & Family Therapist in Tacoma, WA
Joseph Velazquez
Marriage & Family Therapist, MA , LMFT
Verified Verified
Tacoma, WA 98422  (Online Only)
What is the goal of your marriage or relationship? Relationships are vital to becoming a whole person. At times, connecting with your spouse may feel magical, but every relationship goes through tough seasons. I understand how overwhelming it can feel when distance and resentment is the only thing growing between you. At times, it may feel like the hurt you are experiencing is not worth the effort. Maybe your relationship is still strong, but can stand a bit of tweaking to recapture the zest it once had. Whatever the case, there is always hope!
What is the goal of your marriage or relationship? Relationships are vital to becoming a whole person. At times, connecting with your spouse may feel magical, but every relationship goes through tough seasons. I understand how overwhelming it can feel when distance and resentment is the only thing growing between you. At times, it may feel like the hurt you are experiencing is not worth the effort. Maybe your relationship is still strong, but can stand a bit of tweaking to recapture the zest it once had. Whatever the case, there is always hope!
(206) 350-3636 View (206) 350-3636
Photo of Reviving Light Counseling & Consulting, PLLC , Clinical Social Work/Therapist in Tacoma, WA
Reviving Light Counseling & Consulting, PLLC
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Tacoma, WA 98402  (Online Only)
Hello and Welcome! I hold a Master’s Degree in Social Work from Eastern Washington University. I am also licensed by the State of Washington as a Licensed Independent Clinical Social Worker provider (LICSW). I have been in the Social Work field since 2004 and in private practice since 2021. I was drawn to Social Work as my passion is to serve others.
Hello and Welcome! I hold a Master’s Degree in Social Work from Eastern Washington University. I am also licensed by the State of Washington as a Licensed Independent Clinical Social Worker provider (LICSW). I have been in the Social Work field since 2004 and in private practice since 2021. I was drawn to Social Work as my passion is to serve others.
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Photo of Alyshia Collins, Counselor in Tacoma, WA
Alyshia Collins
Counselor, LMHCA, MEd
Verified Verified
Tacoma, WA 98407  (Online Only)
My therapeutic philosophy is rooted in compassion and a person-centered approach, which forms the cornerstone of my practice. I meet clients where they are in their journey, fostering a safe and supportive space for exploration and growth. Utilizing HIPAA-compliant telehealth platforms, I provide convenient and confidential services exclusively through remote sessions. A lifelong learner myself, I am committed to continuous professional development, recognizing the importance of self-improvement, just as my clients endeavor to enhance their lives. My areas of focus include self-esteem, life-transitions, depression, grief, & anxiety.
My therapeutic philosophy is rooted in compassion and a person-centered approach, which forms the cornerstone of my practice. I meet clients where they are in their journey, fostering a safe and supportive space for exploration and growth. Utilizing HIPAA-compliant telehealth platforms, I provide convenient and confidential services exclusively through remote sessions. A lifelong learner myself, I am committed to continuous professional development, recognizing the importance of self-improvement, just as my clients endeavor to enhance their lives. My areas of focus include self-esteem, life-transitions, depression, grief, & anxiety.
(253) 367-4739 View (253) 367-4739
Photo of Kimberly Meade, Marriage & Family Therapist in Tacoma, WA
Kimberly Meade
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Tacoma, WA 98406
I love listening to people's stories. I have been a therapist for almost 20 years and am drawn to the thoughts, feelings and experiences that become our personal journey. I work with children, teens and adults. I am married and have 4 children. You can trust that I understand the excruciating joy of navigating life with many different personalities. I have worked as a therapist in homes and offices, taught parent trainings in groups and to individuals, consulted with teachers and families in local school districts, and worked at a local hospital.
I love listening to people's stories. I have been a therapist for almost 20 years and am drawn to the thoughts, feelings and experiences that become our personal journey. I work with children, teens and adults. I am married and have 4 children. You can trust that I understand the excruciating joy of navigating life with many different personalities. I have worked as a therapist in homes and offices, taught parent trainings in groups and to individuals, consulted with teachers and families in local school districts, and worked at a local hospital.
(253) 248-7271 View (253) 248-7271
Photo of Brittany Owen, Clinical Social Work/Therapist in Tacoma, WA
Brittany Owen
Clinical Social Work/Therapist, LSWAIC
Verified Verified
1 Endorsed
Tacoma, WA 98422  (Online Only)
Living in today's society is not easy. Children and families are experiencing long last effects from the Covid-19 pandemic that occurred during state wide lockdowns and the inability to process those experiences. Intergenerational trauma has many individuals unable to break the cycle. I am a firm believer that we have the power to break cycles and change our lives. I also believe in breaking down societal systems as they play a major part in what families experience. I will be a helpful guide while we unpack and break down barriers within ourselves while acknowledging things that are out of your control. Join me in the journey
Living in today's society is not easy. Children and families are experiencing long last effects from the Covid-19 pandemic that occurred during state wide lockdowns and the inability to process those experiences. Intergenerational trauma has many individuals unable to break the cycle. I am a firm believer that we have the power to break cycles and change our lives. I also believe in breaking down societal systems as they play a major part in what families experience. I will be a helpful guide while we unpack and break down barriers within ourselves while acknowledging things that are out of your control. Join me in the journey
(253) 785-3639 View (253) 785-3639
Photo of Joshua Lennox, Counselor in Tacoma, WA
Joshua Lennox
Counselor, MA, LMHC
Verified Verified
5 Endorsed
Tacoma, WA 98444
Hello. My name is Joshua Lennox, of Northwest Pastoral Counseling. I am a Licensed Mental Health Counselor serving South Tacoma, and surrounding areas. I realize that if you are reading this there is most likely something painful, or difficult in your life. Maybe it is: depression, infidelity, anxiety, relationship problems, the loss of someone or something, a struggling child, spiritual issues, infertility, or any of the other many issues we as humans sometimes experience. I'm here to tell you that there is hope. I look forward to meeting with you to assist you with the situations you are currently facing.
Hello. My name is Joshua Lennox, of Northwest Pastoral Counseling. I am a Licensed Mental Health Counselor serving South Tacoma, and surrounding areas. I realize that if you are reading this there is most likely something painful, or difficult in your life. Maybe it is: depression, infidelity, anxiety, relationship problems, the loss of someone or something, a struggling child, spiritual issues, infertility, or any of the other many issues we as humans sometimes experience. I'm here to tell you that there is hope. I look forward to meeting with you to assist you with the situations you are currently facing.
(253) 218-4469 View (253) 218-4469
Photo of Sandra Killebrew, Marriage & Family Therapist in Tacoma, WA
Sandra Killebrew
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Tacoma, WA 98402
If you’re tired of recycling the same argument, walking on eggshells with each other or don’t know how to repair your relationship, I can help you get to the root of your disconnection. I help distressed, disconnected couples remember what it's like to be sexy best friends instead of roommates. Together, we will identify your entrenched ways of arguing so that both of you can break these patterns by learning how to clearly state how you’re feeling to your partner and in turn, listen deeply. I'll help you pay close attention to each other, so that you both feel a little more held each time we meet.
If you’re tired of recycling the same argument, walking on eggshells with each other or don’t know how to repair your relationship, I can help you get to the root of your disconnection. I help distressed, disconnected couples remember what it's like to be sexy best friends instead of roommates. Together, we will identify your entrenched ways of arguing so that both of you can break these patterns by learning how to clearly state how you’re feeling to your partner and in turn, listen deeply. I'll help you pay close attention to each other, so that you both feel a little more held each time we meet.
(253) 652-5842 View (253) 652-5842
Photo of Kim Butler, Counselor in Tacoma, WA
Kim Butler
Counselor, MA, LMHCA
Verified Verified
2 Endorsed
Tacoma, WA 98406
I am a person-centered therapist accepting new clients. I aim to provide a collaborative safe space for clients to process at their own pace. I welcome couples, adult, and adolescent clients who are seeking support in deepening their understanding of emotions, mental processes, and behaviors, as well as those wanting help navigating through difficult life adjustments, painful pasts, stress management, coping strategies, relationship struggles, and mind-body health and wellness. I am passionate about honoring diversity and providing therapy from a multicultural and global perspective.
I am a person-centered therapist accepting new clients. I aim to provide a collaborative safe space for clients to process at their own pace. I welcome couples, adult, and adolescent clients who are seeking support in deepening their understanding of emotions, mental processes, and behaviors, as well as those wanting help navigating through difficult life adjustments, painful pasts, stress management, coping strategies, relationship struggles, and mind-body health and wellness. I am passionate about honoring diversity and providing therapy from a multicultural and global perspective.
(253) 338-8760 View (253) 338-8760
Photo of Ruby Howes, Pre-Licensed Professional in Tacoma, WA
Ruby Howes
Pre-Licensed Professional, LSWAIC
Verified Verified
Tacoma, WA 98402
I am a trauma-informed therapist that strives to create a collaborative relationship to build safety and trust so that you can move towards healing and growth. I help clients by identifying how their past is still affecting them in the present, process difficult and painful memories, and use cognitive approaches to challenge feelings of shame and fixed negative beliefs. In addition, I explore with clients the impact trauma and family dynmaics has on their relationships and teach skills to help them meet their emotional needs with friends, family, and partners.
I am a trauma-informed therapist that strives to create a collaborative relationship to build safety and trust so that you can move towards healing and growth. I help clients by identifying how their past is still affecting them in the present, process difficult and painful memories, and use cognitive approaches to challenge feelings of shame and fixed negative beliefs. In addition, I explore with clients the impact trauma and family dynmaics has on their relationships and teach skills to help them meet their emotional needs with friends, family, and partners.
(509) 903-8316 View (509) 903-8316
Photo of Rebecca Gallagher, Counselor in Tacoma, WA
Rebecca Gallagher
Counselor, MA, LMHC, CHHC
Verified Verified
Tacoma, WA 98407
"I must be a mermaid; I have no fear of depths & a great fear of shallow living" (A. Nin). Are you wanting a deeper experience of life? I will explore those depths with you & help you craft a life that feels more balanced, that is rich and rewarding. I am an active & supportive listener & aim to help you feel held in your own journey yet challenged to be your best self. My deepest desire is to help you meet your own goals for balance, relationships, health & happiness so that you can truly feel the joy of living an enchanted life.
"I must be a mermaid; I have no fear of depths & a great fear of shallow living" (A. Nin). Are you wanting a deeper experience of life? I will explore those depths with you & help you craft a life that feels more balanced, that is rich and rewarding. I am an active & supportive listener & aim to help you feel held in your own journey yet challenged to be your best self. My deepest desire is to help you meet your own goals for balance, relationships, health & happiness so that you can truly feel the joy of living an enchanted life.
(425) 947-2838 View (425) 947-2838
Photo of Ariana Milman in Tacoma, WA
Ariana Milman
ND, LMHC, MA
Verified Verified
Tacoma, WA 98406
Not accepting new clients
I work with emerging adults who are overwhelmed with stress and anxiety. We will work together to help you reclaim your momentum, sleep without struggle, and build better relationships with yourself and others.
I work with emerging adults who are overwhelmed with stress and anxiety. We will work together to help you reclaim your momentum, sleep without struggle, and build better relationships with yourself and others.
(253) 600-2397 View (253) 600-2397
Photo of Donna Jacobs, Clinical Social Work/Therapist in Tacoma, WA
Donna Jacobs
Clinical Social Work/Therapist, LSWAIC
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
Hi, I’m Donna, MSW Therapist and Wholistic Life Coach. I’m elated to serve you during your most vital transitions and help you succeed on the path that best suits your ability to live optimally. Life can be a challenge, I know. I am also aware that with every obstacle comes solutions that are viable for maintaining better outcomes. Particularly, there are times when we have to identify and examine uncomfortable behavioral patterns and dynamics that impede on our ability to function at our best. Confronting these limitations can often times feel like shame and guilt, and disassemble our ability to possess compassion for our process
Hi, I’m Donna, MSW Therapist and Wholistic Life Coach. I’m elated to serve you during your most vital transitions and help you succeed on the path that best suits your ability to live optimally. Life can be a challenge, I know. I am also aware that with every obstacle comes solutions that are viable for maintaining better outcomes. Particularly, there are times when we have to identify and examine uncomfortable behavioral patterns and dynamics that impede on our ability to function at our best. Confronting these limitations can often times feel like shame and guilt, and disassemble our ability to possess compassion for our process
(360) 502-4111 View (360) 502-4111
Photo of Pedro Ruiz, Counselor in Tacoma, WA
Pedro Ruiz
Counselor, LMHCA
Verified Verified
Tacoma, WA 98405
Pedro Ruiz is a Licensed Mental Health Counselor Associate in Washington who has been practicing since 2017. He has a Master's of Science in Professional Counseling, with 17+ years of experience with addiction counseling, and depression, anxiety, PTSD, and trauma. Pedro strives to listen actively, gain understanding of the underlying issues and problems, and provide guidance to overcome, find relief, and experience healing from emotional/psychological pain/discomfort.
Pedro Ruiz is a Licensed Mental Health Counselor Associate in Washington who has been practicing since 2017. He has a Master's of Science in Professional Counseling, with 17+ years of experience with addiction counseling, and depression, anxiety, PTSD, and trauma. Pedro strives to listen actively, gain understanding of the underlying issues and problems, and provide guidance to overcome, find relief, and experience healing from emotional/psychological pain/discomfort.
(253) 400-3222 View (253) 400-3222
Photo of Jennae Phillippe, Clinical Social Work/Therapist in Tacoma, WA
Jennae Phillippe
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
2 Endorsed
Tacoma, WA 98465  (Online Only)
Asking for help may be the hardest and most courageous thing any of us can do. Utilizing Narrative Therapy, I help clients identify their values and skills to help them effectively confront current and future problems. I want to help people challenge and change the scripts that hold them back from self-compassion, curiosity, and creativity. My ultimate goal is to help people cultivate joy in their lives so that they can feel connected to the moments and people that matter to them most.
Asking for help may be the hardest and most courageous thing any of us can do. Utilizing Narrative Therapy, I help clients identify their values and skills to help them effectively confront current and future problems. I want to help people challenge and change the scripts that hold them back from self-compassion, curiosity, and creativity. My ultimate goal is to help people cultivate joy in their lives so that they can feel connected to the moments and people that matter to them most.
(253) 364-1109 View (253) 364-1109
Photo of Marshall Altheimer, Pre-Licensed Professional in Tacoma, WA
Marshall Altheimer
Pre-Licensed Professional
Verified Verified
Tacoma, WA 98405
Life throws you all types of curveballs. Things will happen in life that you just can’t avoid. My goal is to help you find solutions to these issues. Together we will find your strengths, resources and coping abilities that will help you reach your future goals. You will find that positive change is always possible and you don’t have to feel stuck in the past.
Life throws you all types of curveballs. Things will happen in life that you just can’t avoid. My goal is to help you find solutions to these issues. Together we will find your strengths, resources and coping abilities that will help you reach your future goals. You will find that positive change is always possible and you don’t have to feel stuck in the past.
(253) 316-8404 View (253) 316-8404
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 Stanford Stringham, Mental Health Counselor in Tacoma, WA
Stanford Stringham
Mental Health Counselor
Verified Verified
Tacoma, WA 98405
S. Todd Stringham, LMHC, received his Master of Science in Mental Health Counseling from Walden University in 2016, and has been working for Comprehensive Life Resources as a therapist in Tacoma. Todd's eclectic style draws from a variety of techniques that include: (ACT) Acceptance and Commitment Therapy, (DBT) Dialectical Behavior Therapy, (EMDR) Eye Movement Desensitization and Reprocessing, and (MI) Motivational Interview. He works with adults suffering from anxiety disorders including phobias and OCD, depression, trauma, stress and adjustment disorder.
S. Todd Stringham, LMHC, received his Master of Science in Mental Health Counseling from Walden University in 2016, and has been working for Comprehensive Life Resources as a therapist in Tacoma. Todd's eclectic style draws from a variety of techniques that include: (ACT) Acceptance and Commitment Therapy, (DBT) Dialectical Behavior Therapy, (EMDR) Eye Movement Desensitization and Reprocessing, and (MI) Motivational Interview. He works with adults suffering from anxiety disorders including phobias and OCD, depression, trauma, stress and adjustment disorder.
(253) 364-4695 View (253) 364-4695
Photo of Keziah Grindeland, Marriage & Family Therapist Associate in Tacoma, WA
Keziah Grindeland
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
2 Endorsed
Tacoma, WA 98402  (Online Only)
Waitlist for new clients
I specialize in working with adult individuals navigating ADHD, depression, anxiety, and the impacts of trauma. I feel honored to walk alongside clients searching for connection and healing within themselves and their relationships. My therapeutic approach is grounded in Narrative and Solution-Focused modalities, and I tailor my approach to fit each individual client. Additionally, I am trained in Cognitive Processing Therapy, a 12-week manualized therapy designed to assist clients in healing from PTSD.
I specialize in working with adult individuals navigating ADHD, depression, anxiety, and the impacts of trauma. I feel honored to walk alongside clients searching for connection and healing within themselves and their relationships. My therapeutic approach is grounded in Narrative and Solution-Focused modalities, and I tailor my approach to fit each individual client. Additionally, I am trained in Cognitive Processing Therapy, a 12-week manualized therapy designed to assist clients in healing from PTSD.
(253) 785-2675 View (253) 785-2675

How does your Therapist compare?

Number of Therapists in Tacoma, WA

1,000+

Average cost per session

$150

Therapists in Tacoma, WA who prioritize treating:

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

Average years in practice

9 Years

Top 3 insurances accepted

78% Premera
66% Regence
61% Aetna

How Therapists in Tacoma, WA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

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

How can I find a therapist in Tacoma?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.