Therapists in Hansville, WA

Photo of David Daroff, LMHC, MDiv, MA, Counselor
David Daroff
Counselor, LMHC, MDiv, MA
Verified Verified
Hansville, WA 98340
As a Christian therapist with ten years of experience as a professional counselor and twenty years of experience in full-time pastoral ministry, I really do care about my clients. I love people and I find great satisfaction when my clients find success through personal and relational healing. I want you to know that you are safe to share whatever is on your heart and mind without fear of judgment. With a gentle, patient spirit, I will listen with care and compassion to really understand your story and help you process through the difficult and traumatic events in your life.
As a Christian therapist with ten years of experience as a professional counselor and twenty years of experience in full-time pastoral ministry, I really do care about my clients. I love people and I find great satisfaction when my clients find success through personal and relational healing. I want you to know that you are safe to share whatever is on your heart and mind without fear of judgment. With a gentle, patient spirit, I will listen with care and compassion to really understand your story and help you process through the difficult and traumatic events in your life.
(360) 583-5344 View (360) 583-5344
Photo of Serena Milroy, MSW, LSWAIC, Clinical Social Work/Therapist
Serena Milroy
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Online Only
I love working with a variety of clients and believe that there is no issue that is too big or too small for therapy. I have experience with working with clients experiencing grief/loss, anxiety, depression, and suicidal ideations. I also do have expertise and training in assisting veterans.
I love working with a variety of clients and believe that there is no issue that is too big or too small for therapy. I have experience with working with clients experiencing grief/loss, anxiety, depression, and suicidal ideations. I also do have expertise and training in assisting veterans.
(360) 505-7206 View (360) 505-7206
Photo of Lisa Elliott, LMHC, ST, Counselor
Lisa Elliott
Counselor, LMHC, ST
Verified Verified
Online Only
When you work with Lisa Elliott you are supported by her deep understanding of our embodiment of stress and trauma as it impacts our access to authenticity, empowerment, awareness, fulfilling relationships, creativity, and vitality. Transpersonal, ritual, and creative practices, depth and somatic psychotherapies, parts work with childhood imprints, and the skills of deep presence form the foundations of her approach to emotional and spiritual healing. She is the founder of the Vagus Study Group, which focuses on the ways our ancestral and personal life experiences imprint on our emotional, physical and relational lives.
When you work with Lisa Elliott you are supported by her deep understanding of our embodiment of stress and trauma as it impacts our access to authenticity, empowerment, awareness, fulfilling relationships, creativity, and vitality. Transpersonal, ritual, and creative practices, depth and somatic psychotherapies, parts work with childhood imprints, and the skills of deep presence form the foundations of her approach to emotional and spiritual healing. She is the founder of the Vagus Study Group, which focuses on the ways our ancestral and personal life experiences imprint on our emotional, physical and relational lives.
(808) 740-0674 View (808) 740-0674

More Therapists Nearby

Photo of Hanna Doyle, MSEd, LMHC, Counselor
Hanna Doyle
Counselor, MSEd, LMHC
Verified Verified
2 Endorsed
Poulsbo, WA 98370
At Within Counseling, I offer holistic mental health care rooted in empirically supported treatment, client-centered care, and the recognition of the individual’s unique human experience. I encourage you to openly and freely express yourself, without judgment. We work collaboratively to identify your areas of needed growth and create a plan to help you obtain wellness in all areas of your life. Together we create knowledge, understanding, and awareness of who you are and who you want to be. Through conversation, skill development, and genuine, intentional listening, your therapeutic goals will come to fruition.
At Within Counseling, I offer holistic mental health care rooted in empirically supported treatment, client-centered care, and the recognition of the individual’s unique human experience. I encourage you to openly and freely express yourself, without judgment. We work collaboratively to identify your areas of needed growth and create a plan to help you obtain wellness in all areas of your life. Together we create knowledge, understanding, and awareness of who you are and who you want to be. Through conversation, skill development, and genuine, intentional listening, your therapeutic goals will come to fruition.
(360) 641-7687 View (360) 641-7687
Photo of Jennifer L. Manlowe, LMFT, PhD, MDiv, Marriage & Family Therapist
Jennifer L. Manlowe
Marriage & Family Therapist, LMFT, PhD, MDiv
Verified Verified
Online Only
If you're feeling in the dark navigating a difficult transition, you're in the right place. You may doubt your power to change life as it is right now. You may have absorbed cultural messages that say, "There's nothing you can do, things will never improve." I disagree. My specialties include using solutions-oriented methods which include: “Compassionate Effectiveness Training,” "Enneagram profiling," and "Acceptance and Commitment Therapy." Together we’ll work with feelings you might have of being different from the norm; of hoping to find ground in an ever-changing world; of wanting to find a sense of home within yourself.
If you're feeling in the dark navigating a difficult transition, you're in the right place. You may doubt your power to change life as it is right now. You may have absorbed cultural messages that say, "There's nothing you can do, things will never improve." I disagree. My specialties include using solutions-oriented methods which include: “Compassionate Effectiveness Training,” "Enneagram profiling," and "Acceptance and Commitment Therapy." Together we’ll work with feelings you might have of being different from the norm; of hoping to find ground in an ever-changing world; of wanting to find a sense of home within yourself.
(206) 451-1332 View (206) 451-1332
Photo of Andi Hefton - Daybreak Counseling/Andi Hefton, MS, NCC, LMHC, Counselor
Daybreak Counseling/Andi Hefton
Counselor, MS, NCC, LMHC
Verified Verified
1 Endorsed
Silverdale, WA 98383
Waitlist for new clients
As your counselor, I will help you recognize where your true hope and peace can be found. Whether you’re dealing with trauma, PTSD, depression, anxiety, or other issues, I will work with you to find healing in your own mind, heart, and soul, as well as relational healing with those around you. I have witnessed the amazing work of God in my own life and so many others, and it would be my privilege to walk with you as you seek to discover Him as your true source of lasting hope.
As your counselor, I will help you recognize where your true hope and peace can be found. Whether you’re dealing with trauma, PTSD, depression, anxiety, or other issues, I will work with you to find healing in your own mind, heart, and soul, as well as relational healing with those around you. I have witnessed the amazing work of God in my own life and so many others, and it would be my privilege to walk with you as you seek to discover Him as your true source of lasting hope.
(206) 801-6584 View (206) 801-6584
Photo of Beth McCarty, MA, LMHC, CDP, CMHS, Counselor
Beth McCarty
Counselor, MA, LMHC, CDP, CMHS
Verified Verified
2 Endorsed
Online Only
You have been wounded by life's circumstances. You have had to leave parts of yourself behind in order to stay in relationship. You need relief from the pain, clarity about your situation, and to be able to maintain healthy relationships in your life, to be able to form deep, safe connection with others
You have been wounded by life's circumstances. You have had to leave parts of yourself behind in order to stay in relationship. You need relief from the pain, clarity about your situation, and to be able to maintain healthy relationships in your life, to be able to form deep, safe connection with others
(253) 201-0197 View (253) 201-0197
Photo of Victoria Venturella, MA, LMHC, Counselor
Victoria Venturella
Counselor, MA, LMHC
Verified Verified
10 Endorsed
Online Only
Accepting 2 more clients! Being human is a messy experience. It’s full of the ache to be cherished, to be loved, to feel a sense of belonging. While riddled with inevitable grief, loss, and suffering. It takes courage to love again even in our awareness of the potential heartbreak, to show up in the world as ourselves, to be vulnerable in fear of rejection, and move towards the things we fear. If you are facing sadness, anxiety, trauma, dependence, finding & contacting a therapist may be just as daunting a process! You are already closer to living your fullest life and truest self by acknowledging you need to look for a therapist!
Accepting 2 more clients! Being human is a messy experience. It’s full of the ache to be cherished, to be loved, to feel a sense of belonging. While riddled with inevitable grief, loss, and suffering. It takes courage to love again even in our awareness of the potential heartbreak, to show up in the world as ourselves, to be vulnerable in fear of rejection, and move towards the things we fear. If you are facing sadness, anxiety, trauma, dependence, finding & contacting a therapist may be just as daunting a process! You are already closer to living your fullest life and truest self by acknowledging you need to look for a therapist!
(206) 207-6437 View (206) 207-6437
Photo of Seaward Hayes, LMHC, CN, Counselor
Seaward Hayes
Counselor, LMHC, CN
Verified Verified
6 Endorsed
Online Only
Feeling stuck, overwhelmed, or unmotivated? Like something's off that you can't quite put your finger on? Maybe a recent stressor has left you spiraling or something from your past won't stay buried and you are looking for relief from the weight of your emotions. Therapy can be a refuge where you can feel safe to be vulnerable, fully seen, and heard. Beginning counseling is a courageous step towards growth and healing. A journey that you don't have to go on alone. Together we will co-create a safe space to explore what is holding you back and what you need to move forward with greater confidence and purpose.
Feeling stuck, overwhelmed, or unmotivated? Like something's off that you can't quite put your finger on? Maybe a recent stressor has left you spiraling or something from your past won't stay buried and you are looking for relief from the weight of your emotions. Therapy can be a refuge where you can feel safe to be vulnerable, fully seen, and heard. Beginning counseling is a courageous step towards growth and healing. A journey that you don't have to go on alone. Together we will co-create a safe space to explore what is holding you back and what you need to move forward with greater confidence and purpose.
(360) 217-9165 View (360) 217-9165
Photo of Shelby Frago, MA, LMHCA, Counselor
Shelby Frago
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Online Only
Are you standing on the threshold of a heartbreaking or unimaginable tragedy? It could be a midlife transition, a death, an empty nest, a divorce, a different unspeakable loss, or even a gnawing pain that haunts you from the past that you don't know how to shake. Despite how good you are at "holding it together," I understand how exhausting & painful it can be to navigate loss. I've been in this place before too, & I want you to know that hope is waiting for you even if you feel breathless, broken, or lost. My work is all about helping you claim your precious life despite the pain & maybe even because of it!
Are you standing on the threshold of a heartbreaking or unimaginable tragedy? It could be a midlife transition, a death, an empty nest, a divorce, a different unspeakable loss, or even a gnawing pain that haunts you from the past that you don't know how to shake. Despite how good you are at "holding it together," I understand how exhausting & painful it can be to navigate loss. I've been in this place before too, & I want you to know that hope is waiting for you even if you feel breathless, broken, or lost. My work is all about helping you claim your precious life despite the pain & maybe even because of it!
(206) 238-0013 View (206) 238-0013
Photo of Latisha Sternod, MS, LMHC, BSP, Counselor
Latisha Sternod
Counselor, MS, LMHC, BSP
Verified Verified
3 Endorsed
Bremerton, WA 98312
Weeks, months, or possibly years pass while ignoring a nagging sensation in our minds, bodies, and souls. The sensation is communicating to us that something is not right. When we listen, we might notice a few things. In our work, we might feel overwhelmed or dissatisfied. In our day-to-day life, we might feel irritated or uncertain. Maybe we notice overall feelings of worry and fatigue. Maybe we feel disconnected spiritually. We may have chronic stress, depressive feelings, and anxiety. We may not have a clear path or plan for our life. We want to be free and have more meaning in our lives, but we don’t know how to start.
Weeks, months, or possibly years pass while ignoring a nagging sensation in our minds, bodies, and souls. The sensation is communicating to us that something is not right. When we listen, we might notice a few things. In our work, we might feel overwhelmed or dissatisfied. In our day-to-day life, we might feel irritated or uncertain. Maybe we notice overall feelings of worry and fatigue. Maybe we feel disconnected spiritually. We may have chronic stress, depressive feelings, and anxiety. We may not have a clear path or plan for our life. We want to be free and have more meaning in our lives, but we don’t know how to start.
(253) 649-2689 View (253) 649-2689
Photo of Sarah Dubitzky, MSW, LICSWA, Clinical Social Work/Therapist
Sarah Dubitzky
Clinical Social Work/Therapist, MSW, LICSWA
Verified Verified
Bainbridge Island, WA 98110
On Maternity Leave Until Fall 2024 - Life is most fulfilling when we know and honor our true selves, and learn to live authentically from that place. Challenging life events, like grief, childhood trauma, divorce, career changes, parenthood, and even everyday stressors may leave you feeling lost over time. As a psychotherapist, it is my job to help you learn the tools you need to navigate these stressors and begin building the life you really want.
On Maternity Leave Until Fall 2024 - Life is most fulfilling when we know and honor our true selves, and learn to live authentically from that place. Challenging life events, like grief, childhood trauma, divorce, career changes, parenthood, and even everyday stressors may leave you feeling lost over time. As a psychotherapist, it is my job to help you learn the tools you need to navigate these stressors and begin building the life you really want.
(206) 450-4456 View (206) 450-4456
Photo of Sarah Pitcher - Full Humanity Therapy, LMHC, MHP, Counselor
Full Humanity Therapy
Counselor, LMHC, MHP
Verified Verified
1 Endorsed
Bremerton, WA 98310
We are accepting new clients! In our practice, we strive to help others embrace their own humanity, live authentically, and create meaning from their experiences and stories. We believe that therapy is a place to laugh, to cry, to reflect, to empathize, to evolve, and to understand and honor ourselves exactly where we are.
We are accepting new clients! In our practice, we strive to help others embrace their own humanity, live authentically, and create meaning from their experiences and stories. We believe that therapy is a place to laugh, to cry, to reflect, to empathize, to evolve, and to understand and honor ourselves exactly where we are.
(360) 743-3958 View (360) 743-3958
Photo of Emily Sebald, Clinical Social Work/Therapist
Emily Sebald
Clinical Social Work/Therapist
Verified Verified
3 Endorsed
Silverdale, WA 98383
Now accepting clients in both CA and WA! Feeling overwhelmed, racing thoughts, constant worry, and low self-confidence may be things you have become familiar with. Maybe you have recently experienced some life changes or maybe the way you typically cope just isn’t cutting it. Some days it may feel like your worries, fears, and self-doubt are completely taking over. No matter how hard you try, you can't seem to shake the "What ifs." You want to get through your day without feeling completely overwhelmed by work, school, or caring for your children. You want to stop that voice in your head that tells you that you’re not doing enough.
Now accepting clients in both CA and WA! Feeling overwhelmed, racing thoughts, constant worry, and low self-confidence may be things you have become familiar with. Maybe you have recently experienced some life changes or maybe the way you typically cope just isn’t cutting it. Some days it may feel like your worries, fears, and self-doubt are completely taking over. No matter how hard you try, you can't seem to shake the "What ifs." You want to get through your day without feeling completely overwhelmed by work, school, or caring for your children. You want to stop that voice in your head that tells you that you’re not doing enough.
(844) 982-3865 View (844) 982-3865
Photo of Laural K Casal - New Perceptions Counseling PLLC, Laural K. Casal, MA, LMHCA, Counselor
New Perceptions Counseling PLLC, Laural K. Casal
Counselor, MA, LMHCA
Verified Verified
Online Only
In this juncture of your life, you might feel overwhelmed or like life is slipping beyond your grasp or capacities, but I'm here to help and extend my hand. Let me join you on a journey toward discovering what stability feels like in your life. My foremost aim is to assist you in charting a course toward such an equilibrium. I firmly believe that you, and you alone, are the arbiter of what works best for your life. Guided by your lead, our collaborative efforts will be directed by your lead. I hold the conviction that each person possess the potential to create enduring changes that align with your pursuit of health and wellness.
In this juncture of your life, you might feel overwhelmed or like life is slipping beyond your grasp or capacities, but I'm here to help and extend my hand. Let me join you on a journey toward discovering what stability feels like in your life. My foremost aim is to assist you in charting a course toward such an equilibrium. I firmly believe that you, and you alone, are the arbiter of what works best for your life. Guided by your lead, our collaborative efforts will be directed by your lead. I hold the conviction that each person possess the potential to create enduring changes that align with your pursuit of health and wellness.
(206) 627-4541 x1002 View (206) 627-4541 x1002
Photo of Jennifer Fisher, LCSW, RPT-S, Clinical Social Work/Therapist
Jennifer Fisher
Clinical Social Work/Therapist, LCSW, RPT-S
Verified Verified
Online Only
I have been working in the mental health field for over 30 years, the last 20 being in private practice. Sometimes it helps to have a place to put your stress and feelings so you can release them and take a break from them. I offer a safe space to explore and process your feelings. I teach coping strategies, or reinforce the ones you already use.
I have been working in the mental health field for over 30 years, the last 20 being in private practice. Sometimes it helps to have a place to put your stress and feelings so you can release them and take a break from them. I offer a safe space to explore and process your feelings. I teach coping strategies, or reinforce the ones you already use.
(980) 351-5390 View (980) 351-5390
Photo of Rafaela De Leon - Whole Therapies Collective, LMHC, Counselor
Whole Therapies Collective
Counselor, LMHC
Verified Verified
1 Endorsed
Kenmore, WA 98028
Whole Therapies Collective is a group of licensed mental health clinicians offering holistic, social justice informed, equitable care. We function on a payment model that always ensures you have access to a sliding scale. We are not here to pathologize, label, or categorize, therefore we do not contract with insurance. Our collective aim is to empower and facilitate internal trust, balance, and compassion in those we work alongside. Our collective offers integrative therapies such as individual and couples counseling, nutrition counseling, EMDR, sound healing, Reiki, therapeutic yoga, and nature therapy.
Whole Therapies Collective is a group of licensed mental health clinicians offering holistic, social justice informed, equitable care. We function on a payment model that always ensures you have access to a sliding scale. We are not here to pathologize, label, or categorize, therefore we do not contract with insurance. Our collective aim is to empower and facilitate internal trust, balance, and compassion in those we work alongside. Our collective offers integrative therapies such as individual and couples counseling, nutrition counseling, EMDR, sound healing, Reiki, therapeutic yoga, and nature therapy.
(425) 532-4172 View (425) 532-4172
Photo of Lisa Bernardin (She Her), MA, LMHC, Counselor
Lisa Bernardin (She Her)
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Poulsbo, WA 98370
Waitlist for new clients
I am a general practice therapist treating children, youth and adult individuals in Washington state - primarily by Telehealth. As your therapist, I bring intentional listening skills, professional insight, and a safe, no-judgement space in which we can partner together to reach solutions that work for you. I believe that every person deserves "unconditional positive regard" and in our relationship you will know that I am on your side and working hard with you to find peace, hope, and a way forward. I do not treat couples.
I am a general practice therapist treating children, youth and adult individuals in Washington state - primarily by Telehealth. As your therapist, I bring intentional listening skills, professional insight, and a safe, no-judgement space in which we can partner together to reach solutions that work for you. I believe that every person deserves "unconditional positive regard" and in our relationship you will know that I am on your side and working hard with you to find peace, hope, and a way forward. I do not treat couples.
(206) 866-2845 View (206) 866-2845
Photo of Aleah Reaves, MA, LMHCA, Counselor
Aleah Reaves
Counselor, MA, LMHCA
Verified Verified
Silverdale, WA 98383
I offer counseling for teens and adult individuals dealing with a variety of struggles including personal and professional development, anxiety, trauma, depression, relationship issues, anger, grief, and more. I offer a safe, welcoming space where you can process your trials honestly. As a goal-oriented therapist, I will work with you to establish an actionable treatment plan that meets your needs and desires for therapy. I will provide you with tangible processes and sometimes homework assignments to help you move toward your goals.
I offer counseling for teens and adult individuals dealing with a variety of struggles including personal and professional development, anxiety, trauma, depression, relationship issues, anger, grief, and more. I offer a safe, welcoming space where you can process your trials honestly. As a goal-oriented therapist, I will work with you to establish an actionable treatment plan that meets your needs and desires for therapy. I will provide you with tangible processes and sometimes homework assignments to help you move toward your goals.
(206) 593-4470 View (206) 593-4470
Photo of Cresaya E. Kingsbury, MA, LMHCA, Counselor
Cresaya E. Kingsbury
Counselor, MA, LMHCA
Verified Verified
2 Endorsed
Bainbridge Island, WA 98110
I invite you to a better second half of your life than the first half was. My specialties? Healing childhood abuse, couples, & brain injury. So often we settle for less—I invite you to a life full of more. Our lives are stories that intersect with those around us. Who we are, our relationship patterns, careers, & how we navigate life's events are rooted in our formational experiences. In a kind and conversational style, I invite you to step into the earth of those places. By walking barefoot through the dirt of your deepest heartache and how you were (and are) shaped by it, you will find that you return to your truest self.
I invite you to a better second half of your life than the first half was. My specialties? Healing childhood abuse, couples, & brain injury. So often we settle for less—I invite you to a life full of more. Our lives are stories that intersect with those around us. Who we are, our relationship patterns, careers, & how we navigate life's events are rooted in our formational experiences. In a kind and conversational style, I invite you to step into the earth of those places. By walking barefoot through the dirt of your deepest heartache and how you were (and are) shaped by it, you will find that you return to your truest self.
(206) 944-5684 View (206) 944-5684

See more therapy options for Hansville

How does your Therapist compare?

Number of Therapists in Hansville, WA

< 10

Therapists in Hansville, WA who prioritize treating:

100% Anxiety
100% Grief
67% Relationship Issues
67% Depression
67% Spirituality
67% Divorce
67% Emotional Disturbance

Average years in practice

4 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% First Choice Health | FCH

How Therapists in Hansville, WA see their clients

66% Online Only
34% In Person and Online

Gender breakdown

67% Female
33% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Hansville?

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.