Therapists in Seattle, WA

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Photo of Sara Smucker Barnwell, Psychologist in Seattle, WA
Sara Smucker Barnwell
Psychologist, PhD, MA, MEd
Verified Verified
Seattle, WA 98122
I am a doctor of psychology delivering coaching services to facilitate the creation and development of professional goals and to develop and carry out a strategic plan for achieving those goals.
I am a doctor of psychology delivering coaching services to facilitate the creation and development of professional goals and to develop and carry out a strategic plan for achieving those goals.
(253) 336-7998 View (253) 336-7998
Photo of Kate Dorman, Clinical Social Work/Therapist in Seattle, WA
Kate Dorman
Clinical Social Work/Therapist, LICSW, MHP
Verified Verified
Seattle, WA 98115  (Online Only)
All too often there is an absence of communication about money within our most intimate relationships. While discussing finances with your partner may feel vulnerable or uncomfortable, the risks of avoiding the discussion are too high, and while arguing about finances with your partner may be second nature at this point, it doesn't have to be. Compulsive spending, financial enabling, financial avoidance, and financial marriage prep, are a few reasons you might seek financial therapy. Through financial therapy, you will be able to implement healthy financial behaviors, adapt to financial changes, and feel confident in your decisions.
All too often there is an absence of communication about money within our most intimate relationships. While discussing finances with your partner may feel vulnerable or uncomfortable, the risks of avoiding the discussion are too high, and while arguing about finances with your partner may be second nature at this point, it doesn't have to be. Compulsive spending, financial enabling, financial avoidance, and financial marriage prep, are a few reasons you might seek financial therapy. Through financial therapy, you will be able to implement healthy financial behaviors, adapt to financial changes, and feel confident in your decisions.
(206) 208-7041 View (206) 208-7041
Photo of Caroline Jane Plummer, Counselor in Seattle, WA
Caroline Jane Plummer
Counselor, MS, LMHC
Verified Verified
Seattle, WA 98119
Not accepting new clients
At the heart of my counseling practice is my desire to help you live your best life. To become clearer about what is meaningful to you, rather than what others might have told you about yourself along the way. I am committed to working deeply and gently with your life story and issues. We create your treatment plan together, carefully identifying your goals for therapy. I have extensive training to work with trauma, emotional regulation, behavioral issues with children and adolescents,healthier relationships, depression and anxiety, increased self awareness, healing from loss, and spirituality.
At the heart of my counseling practice is my desire to help you live your best life. To become clearer about what is meaningful to you, rather than what others might have told you about yourself along the way. I am committed to working deeply and gently with your life story and issues. We create your treatment plan together, carefully identifying your goals for therapy. I have extensive training to work with trauma, emotional regulation, behavioral issues with children and adolescents,healthier relationships, depression and anxiety, increased self awareness, healing from loss, and spirituality.
(206) 535-1563 View (206) 535-1563
Photo of Phillip Coulson, Counselor in Seattle, WA
Phillip Coulson
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98122
Do you feel isolated? Do you simultaneously want connection and feel that you have a hard time trusting people and opening up to them? Do you have a tendency to intellectualize your problems? Is it sometimes hard for you to feel your feelings? When you do feel them, do you often feel sad or anxious but are usually able to redirect and feel “fine”? Do you cope by focusing on external goals and hobbies? Do you wish that you could feel a deep and lasting sense of security, peace, and belonging?
Do you feel isolated? Do you simultaneously want connection and feel that you have a hard time trusting people and opening up to them? Do you have a tendency to intellectualize your problems? Is it sometimes hard for you to feel your feelings? When you do feel them, do you often feel sad or anxious but are usually able to redirect and feel “fine”? Do you cope by focusing on external goals and hobbies? Do you wish that you could feel a deep and lasting sense of security, peace, and belonging?
(206) 759-2041 View (206) 759-2041
Photo of Christy Forrester, Marriage & Family Therapist in Seattle, WA
Christy Forrester
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Seattle, WA 98109  (Online Only)
Are you wishing for better relationships? Feeling anxious, down, lost, or wondering about the meaning of life? Would you like to feel more confident? Hoping to heal after trauma? Going through loss or life transition? We need lots of self-compassion so we can heal and find a better approach to our lives and relationships. I offer a non-judgmental space to be open about your struggles and explore what it means to live in your values. It is through our common humanity that I relate to my clients. I believe the struggles we face also occur in the systems of race, class, gender, sexuality, age, ability, religion, and national identity.
Are you wishing for better relationships? Feeling anxious, down, lost, or wondering about the meaning of life? Would you like to feel more confident? Hoping to heal after trauma? Going through loss or life transition? We need lots of self-compassion so we can heal and find a better approach to our lives and relationships. I offer a non-judgmental space to be open about your struggles and explore what it means to live in your values. It is through our common humanity that I relate to my clients. I believe the struggles we face also occur in the systems of race, class, gender, sexuality, age, ability, religion, and national identity.
(206) 207-6684 View (206) 207-6684
Photo of Jasmine Howard, Clinical Social Work/Therapist in Seattle, WA
Jasmine Howard
Clinical Social Work/Therapist, Jasmine, Howard, LSWAIC
Verified Verified
Seattle, WA 98119
Hi there! I'm Jasmine, I'm experienced in working with clients ages 12-23 years old struggling from depression, anxiety, low self-esteem, and school and behavioral struggles. My therapeutic approach is to lead with empathy to create a safe and non-judgmental space for healing and growth. I believe that by offering understanding and support, clients can embark on a journey towards growth and change. My ultimate goal is to empower individuals, equipping them with the necessary tools and coping strategies to navigate life's challenges with confidence and resilience.
Hi there! I'm Jasmine, I'm experienced in working with clients ages 12-23 years old struggling from depression, anxiety, low self-esteem, and school and behavioral struggles. My therapeutic approach is to lead with empathy to create a safe and non-judgmental space for healing and growth. I believe that by offering understanding and support, clients can embark on a journey towards growth and change. My ultimate goal is to empower individuals, equipping them with the necessary tools and coping strategies to navigate life's challenges with confidence and resilience.
(206) 875-2954 View (206) 875-2954
Photo of Blossom Through Therapy, PLLC, Counselor in Seattle, WA
Blossom Through Therapy, PLLC
Counselor, LMHC, MA, PMH-C
Verified Verified
1 Endorsed
Seattle, WA 98107  (Online Only)
Updated April 2024. Practice currently full. Hello! I'm Niamh (pronounced Neve). I specialize in depression, anxiety, adjustment issues, and pregnancy and postpartum (perinatal) mental health. I often work with clients who are dealing with high stress environments, burn-out, relationship issues, self-esteem, and adjustment issues. I believe that healing begins in a safe space. A place you can feel comfortable to grow, to explore, to reflect, and change. In your sessions with me, you should expect a warm, empathetic, non-judgmental person to accompany you on your therapy journey.
Updated April 2024. Practice currently full. Hello! I'm Niamh (pronounced Neve). I specialize in depression, anxiety, adjustment issues, and pregnancy and postpartum (perinatal) mental health. I often work with clients who are dealing with high stress environments, burn-out, relationship issues, self-esteem, and adjustment issues. I believe that healing begins in a safe space. A place you can feel comfortable to grow, to explore, to reflect, and change. In your sessions with me, you should expect a warm, empathetic, non-judgmental person to accompany you on your therapy journey.
(206) 589-1149 View (206) 589-1149
Photo of Edward Mosshart, Counselor in Seattle, WA
Edward Mosshart
Counselor, LMHC, CDP
Verified Verified
Seattle, WA 98112
Consider this an open invitation, to join together in authentic dialogue, to get real. I offer you the confidence of my experience, and the warmth of my compassion, my courage and my strength as an ally. I offer honesty, simplicity and safety. I encourage you to stand tall, and to claim and truly own this life, to direct this journey, to master your particular (or peculiar) style, and to express the beauty of a life that you desire.
Consider this an open invitation, to join together in authentic dialogue, to get real. I offer you the confidence of my experience, and the warmth of my compassion, my courage and my strength as an ally. I offer honesty, simplicity and safety. I encourage you to stand tall, and to claim and truly own this life, to direct this journey, to master your particular (or peculiar) style, and to express the beauty of a life that you desire.
(206) 299-1722 View (206) 299-1722
Photo of Drea Gramps, Counselor in Seattle, WA
Drea Gramps
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98103  (Online Only)
Hi there! I see therapy as a place to come to strengthen one's inner resources. I believe we are all whole beings - that sometimes need help remembering our strengths, inner wisdoms, and resourcefulness that have gotten us to where we are today. My goal as a therapist is to provide a warm, safe, and non-judgmental presence so that you, the client, can explore and strengthen your ever-fluctuating and forming Self. I consider myself an integrational therapist- meaning that I like to work collaboratively with my clients and will often pull from different modalities such as mindfulness meditation, psychodynamic theory, IFS
Hi there! I see therapy as a place to come to strengthen one's inner resources. I believe we are all whole beings - that sometimes need help remembering our strengths, inner wisdoms, and resourcefulness that have gotten us to where we are today. My goal as a therapist is to provide a warm, safe, and non-judgmental presence so that you, the client, can explore and strengthen your ever-fluctuating and forming Self. I consider myself an integrational therapist- meaning that I like to work collaboratively with my clients and will often pull from different modalities such as mindfulness meditation, psychodynamic theory, IFS
(206) 385-5892 View (206) 385-5892
Photo of Julia Pascualy, Counselor in Seattle, WA
Julia Pascualy
Counselor, LMHCA
Verified Verified
2 Endorsed
Seattle, WA 98107
Implementing a client-centered and trauma-informed, I support clients on their mental health journey through empathic understanding, empowerment, and a belief in their ability to evolve and heal. I value cultural humility, a lifelong process that involves acknowledging my limitations as a counselor, suspension of judgment, meeting clients where they are, and respecting diverse experiences and points of view.
Implementing a client-centered and trauma-informed, I support clients on their mental health journey through empathic understanding, empowerment, and a belief in their ability to evolve and heal. I value cultural humility, a lifelong process that involves acknowledging my limitations as a counselor, suspension of judgment, meeting clients where they are, and respecting diverse experiences and points of view.
(206) 752-4287 View (206) 752-4287
Photo of James Benoit, Counselor in Seattle, WA
James Benoit
Counselor, LMHC, MHP
Verified Verified
3 Endorsed
Seattle, WA 98126
Not accepting new clients
In seeking support, you have shifted your perspective toward growth and healing. Human beings are social creatures. We need others. We are hurt by others. We heal in relation to others. We all need support during the challenging times life throws our way. You may feel like you have been here before, and that's normal. You have likely tried countless approaches to resolve a conflict and have run out of solutions. Some days and some conversations feel impossible to start. You might call it stress, anxiety, fear, depression, or heaviness, or see those traits in your child or loved one. Whatever its name, your work has begun.
In seeking support, you have shifted your perspective toward growth and healing. Human beings are social creatures. We need others. We are hurt by others. We heal in relation to others. We all need support during the challenging times life throws our way. You may feel like you have been here before, and that's normal. You have likely tried countless approaches to resolve a conflict and have run out of solutions. Some days and some conversations feel impossible to start. You might call it stress, anxiety, fear, depression, or heaviness, or see those traits in your child or loved one. Whatever its name, your work has begun.
(206) 350-3021 View (206) 350-3021
Photo of Sarah Waymouth, Counselor in Seattle, WA
Sarah Waymouth
Counselor, LMHC, MEd, NCC
Verified Verified
Seattle, WA 98109
I approach my counseling with a belief that all children and young people have the potential to make positive change for themselves and for the world around them. I adapt my therapeutic approach to the client but often utilize strength-based counseling, positive talk therapy, and cognitive behavioral therapy techniques to encourage personal growth while I coach and help guide the way. I believe counseling has the power to change the direction of your life, by developing techniques, skills, and perspective that builds confidence and creates social emotional growth that lasts a lifetime.
I approach my counseling with a belief that all children and young people have the potential to make positive change for themselves and for the world around them. I adapt my therapeutic approach to the client but often utilize strength-based counseling, positive talk therapy, and cognitive behavioral therapy techniques to encourage personal growth while I coach and help guide the way. I believe counseling has the power to change the direction of your life, by developing techniques, skills, and perspective that builds confidence and creates social emotional growth that lasts a lifetime.
(206) 429-4285 View (206) 429-4285
Photo of Ari Goodman, Clinical Social Work/Therapist in Seattle, WA
Ari Goodman
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98118
Waitlist for new clients
If you're reading this, chances are you're feeling stuck, anxious, or even overwhelmed by the challenges you are experiencing. You crave connection, understanding, and fulfillment but might be unsure of how to attain it. Your goals are not just about overcoming the feelings of being stuck, anxious, and depressed; they're about finding satisfaction, discovering the root causes of your struggles, and learning effective strategies to cope and thrive. My ideal client is someone like you – brave individuals looking for guidance in navigating the complexities of their emotions and relationships.
If you're reading this, chances are you're feeling stuck, anxious, or even overwhelmed by the challenges you are experiencing. You crave connection, understanding, and fulfillment but might be unsure of how to attain it. Your goals are not just about overcoming the feelings of being stuck, anxious, and depressed; they're about finding satisfaction, discovering the root causes of your struggles, and learning effective strategies to cope and thrive. My ideal client is someone like you – brave individuals looking for guidance in navigating the complexities of their emotions and relationships.
(206) 539-2738 View (206) 539-2738
Photo of Zia Cloud, Marriage & Family Therapist Associate in Seattle, WA
Zia Cloud
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Seattle, WA 98104
I specialize in working with adults, adolescents, couples, and families. I also am a sex therapist. With my clients, I utilize a client-centered approach, which highlights the client as the expert in their life. While creating a warm and compassionate therapeutic environment, I follow my client's lead in what they would like out of therapy. The most effective therapeutic spaces are also collaborative ones, those in which people are encouraged to cultivate a curiosity about their lives and investigate their place within it. If we work together, we will find the balance between comfort and a healthy amount of challenge.
I specialize in working with adults, adolescents, couples, and families. I also am a sex therapist. With my clients, I utilize a client-centered approach, which highlights the client as the expert in their life. While creating a warm and compassionate therapeutic environment, I follow my client's lead in what they would like out of therapy. The most effective therapeutic spaces are also collaborative ones, those in which people are encouraged to cultivate a curiosity about their lives and investigate their place within it. If we work together, we will find the balance between comfort and a healthy amount of challenge.
(206) 895-7174 View (206) 895-7174
Photo of Kyle Forrest, Counselor in Seattle, WA
Kyle Forrest
Counselor, PhD, LMHC
Verified Verified
Seattle, WA 98102  (Online Only)
Is there something holding you back from the life you want? Do you feel stuck or overwhelmed by changes you would like to make but find yourself repeating old patterns? Working with the body and the mind, clients are supported in exploring and bringing awareness to habits that are no longer working, accessing their natural curiosity, loosening stuck, scary, or confusing places, and reconnecting to their creativity, resilience, and well being.
Is there something holding you back from the life you want? Do you feel stuck or overwhelmed by changes you would like to make but find yourself repeating old patterns? Working with the body and the mind, clients are supported in exploring and bringing awareness to habits that are no longer working, accessing their natural curiosity, loosening stuck, scary, or confusing places, and reconnecting to their creativity, resilience, and well being.
(206) 408-2615 View (206) 408-2615
Photo of Garden Counseling & Wellness Group, Counselor in Seattle, WA
Garden Counseling & Wellness Group
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98104
Our mission is to provide a safe, confidential and meaningful therapy experience for you. Whether you are in need of a safe space to share your thoughts or are looking for assistance in navigating a difficult time in your life, we are here to help.
Our mission is to provide a safe, confidential and meaningful therapy experience for you. Whether you are in need of a safe space to share your thoughts or are looking for assistance in navigating a difficult time in your life, we are here to help.
(206) 539-0333 View (206) 539-0333
Photo of Kris S. Morgan, Psychologist in Seattle, WA
Kris S. Morgan
Psychologist, PhD
Verified Verified
Seattle, WA 98126  (Online Only)
Waitlist for new clients
I have 28 years experience specializing in LGBTQ therapy, trauma treatment, and working with seniors and their caregivers. I work well with a wide variety of clients, best with those who are curious about themselves and are ready to consider changing things in their lives for the better. I support your well-being as you define it. I am interested in learning what is most important to you, what has heart and meaning for you. I help you apply your strengths wherever needed. I offer warm, compassionate conversation which focuses on connecting with you.
I have 28 years experience specializing in LGBTQ therapy, trauma treatment, and working with seniors and their caregivers. I work well with a wide variety of clients, best with those who are curious about themselves and are ready to consider changing things in their lives for the better. I support your well-being as you define it. I am interested in learning what is most important to you, what has heart and meaning for you. I help you apply your strengths wherever needed. I offer warm, compassionate conversation which focuses on connecting with you.
(206) 518-9753 View (206) 518-9753
Photo of Sarah Dailey, Marriage & Family Therapist in Seattle, WA
Sarah Dailey
Marriage & Family Therapist, MA, LMFT
Verified Verified
Seattle, WA 98118  (Online Only)
I love to work with supervisees and mentees (supervision of supervision) as we grow, laugh, and learn together. The process of deepening knowledge, experience, and wisdom can be rewarding for both the supervisor and supervisee. I approach supervision and mentorship from a structural supervision perspective as I believe we all thrive with the right balance of structure and support. I use a good amount of humor and curiosity in my approach, as I believe the elements of fun, delight, and joy are important parts of the professional growth process. If we work together, you will be challenged and you will be uplifted.
I love to work with supervisees and mentees (supervision of supervision) as we grow, laugh, and learn together. The process of deepening knowledge, experience, and wisdom can be rewarding for both the supervisor and supervisee. I approach supervision and mentorship from a structural supervision perspective as I believe we all thrive with the right balance of structure and support. I use a good amount of humor and curiosity in my approach, as I believe the elements of fun, delight, and joy are important parts of the professional growth process. If we work together, you will be challenged and you will be uplifted.
(206) 823-2930 View (206) 823-2930
Photo of Brenda Xu, Counselor in Seattle, WA
Brenda Xu
Counselor, MA, LMHCA, NCC
Verified Verified
4 Endorsed
Seattle, WA 98112  (Online Only)
I work with those who would like to dive deeper into understanding themselves and how they relate to others. Perhaps you're having difficulty balancing work, relationships, or establishing healthy boundaries. You might be feeling stuck in a life path that is no longer serving you, and are struggling to see a way to change your situation. You may also be succeeding in various aspects of life, but would like some guidance to help you thrive in other areas. We can work together to find ways that allow you to move through life more intentionally and show up as your authentic self.
I work with those who would like to dive deeper into understanding themselves and how they relate to others. Perhaps you're having difficulty balancing work, relationships, or establishing healthy boundaries. You might be feeling stuck in a life path that is no longer serving you, and are struggling to see a way to change your situation. You may also be succeeding in various aspects of life, but would like some guidance to help you thrive in other areas. We can work together to find ways that allow you to move through life more intentionally and show up as your authentic self.
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Photo of Syzygy Psychotherapy Collective, Marriage & Family Therapist in Seattle, WA
Syzygy Psychotherapy Collective
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98134
At Syzygy, we offer a truly holistic path forward through supporting the alignment of your mind, body, and spirit with comprehensive mental health treatments. Our integrated approach to mental wellness combines cutting-edge advances in psychiatry, nutritional support, psychotherapy, psychedelic medicine, movement, yoga, expressive arts, group work, couples/relational therapy, and more. We believe in the healing potential of Non-Ordinary States of Consciousness and Psychedelic-Assisted therapy. We are committed to adequatley preparing you, and supporting the integration of these profoundly transformational experiences.
At Syzygy, we offer a truly holistic path forward through supporting the alignment of your mind, body, and spirit with comprehensive mental health treatments. Our integrated approach to mental wellness combines cutting-edge advances in psychiatry, nutritional support, psychotherapy, psychedelic medicine, movement, yoga, expressive arts, group work, couples/relational therapy, and more. We believe in the healing potential of Non-Ordinary States of Consciousness and Psychedelic-Assisted therapy. We are committed to adequatley preparing you, and supporting the integration of these profoundly transformational experiences.
(206) 231-5953 View (206) 231-5953

How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
79% Relationship Issues
76% Self Esteem
72% Trauma and PTSD
71% Stress
69% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

70% Premera
53% Aetna
47% Regence

How Therapists in Seattle, WA see their clients

51% Online Only
49% In Person and Online

Gender breakdown

75% Female
21% Male
4% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Seattle?

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.