Therapists in Lacey, WA

Photo of Marlene Bennett - Evergreen Counseling & Hypnotherapy, Counselor, LMHC, CHT
Evergreen Counseling & Hypnotherapy
Counselor, LMHC, CHT
Lacey, WA 98503
A Dynamic Approach to Inner Change: By combining conventional therapy with different modalities of working with the subconscious, I offer resources for those situations where you have previously done therapy without feeling much movement or change. Because the subconscious is in control 95% of the time, I offer a different approach to work through issues much faster. My experience has been that it does not need to take a long time to heal if given the right resources. If you desire change and create a more peaceful life, call, or email me and we can set up a consultation at no charge or obligation.
A Dynamic Approach to Inner Change: By combining conventional therapy with different modalities of working with the subconscious, I offer resources for those situations where you have previously done therapy without feeling much movement or change. Because the subconscious is in control 95% of the time, I offer a different approach to work through issues much faster. My experience has been that it does not need to take a long time to heal if given the right resources. If you desire change and create a more peaceful life, call, or email me and we can set up a consultation at no charge or obligation.
(360) 868-5105 View (360) 868-5105
Photo of Andrew D Kingsley, Marriage & Family Therapist Associate, MA, LMFTA
Andrew D Kingsley
Marriage & Family Therapist Associate, MA, LMFTA
1 Endorsed
Lacey, WA 98503
Are you experiencing frustration or irritability that feels overwhelming or difficult to explain? Have you noticed a sense of resentment creeping in—toward your partner, your job, or even the broader community—but feel unable to voice it? It’s okay to feel this way, and you don’t have to navigate it alone. Sometimes, the root of these emotions isn’t in our relationships with others but in the relationship we have with ourselves. Together, we can create a safe, non-judgmental space where your thoughts and feelings are heard and validated. I focus on understanding your unique strengths and needs, helping you uncover solutions. Come!
Are you experiencing frustration or irritability that feels overwhelming or difficult to explain? Have you noticed a sense of resentment creeping in—toward your partner, your job, or even the broader community—but feel unable to voice it? It’s okay to feel this way, and you don’t have to navigate it alone. Sometimes, the root of these emotions isn’t in our relationships with others but in the relationship we have with ourselves. Together, we can create a safe, non-judgmental space where your thoughts and feelings are heard and validated. I focus on understanding your unique strengths and needs, helping you uncover solutions. Come!
(360) 228-3448 View (360) 228-3448
Photo of Amy Lennon Riggio, Counselor, LMHC, LGBTQIA
Amy Lennon Riggio
Counselor, LMHC, LGBTQIA
2 Endorsed
Lacey, WA 98516
Please go to nwtherapygroup dot com to connect with me - it's much faster than emailing me here! I work with ages 21+. I work with the queer community, transgender and gender non-conforming individuals, the ethically non-monogamous and the kink community, substance use issues, those struggling to manage depression or anxiety, and clients whose issues stem from PTSD, trauma, or grief. Giving witness and presence to pain helps facilitate a space in which people can heal. I am HAES (Health At Every Size) informed. I believe we all have what we need within us - we just need those qualities recognized, called forth, and polished.
Please go to nwtherapygroup dot com to connect with me - it's much faster than emailing me here! I work with ages 21+. I work with the queer community, transgender and gender non-conforming individuals, the ethically non-monogamous and the kink community, substance use issues, those struggling to manage depression or anxiety, and clients whose issues stem from PTSD, trauma, or grief. Giving witness and presence to pain helps facilitate a space in which people can heal. I am HAES (Health At Every Size) informed. I believe we all have what we need within us - we just need those qualities recognized, called forth, and polished.
(360) 334-3447 View (360) 334-3447
Photo of Ben Steel, Counselor, EdD, LMHC, CMPC
Ben Steel
Counselor, EdD, LMHC, CMPC
Lacey, WA 98503
I believe that you can experience healing and growth. I believe that everyone has experienced setbacks, hardships, and traumas in life that make it harder to love well and fulfill your personal goals. I believe that healthy, honest, vulnerable relationships are foundational to growth and healing. I believe that it is ultimately up to you to decide how to move forward and choose the path towards improvement. I believe that through honest evaluation and the hard work of taking ownership of your life along with improved relationships you can become empowered to address those issues and become who you are meant to be.
I believe that you can experience healing and growth. I believe that everyone has experienced setbacks, hardships, and traumas in life that make it harder to love well and fulfill your personal goals. I believe that healthy, honest, vulnerable relationships are foundational to growth and healing. I believe that it is ultimately up to you to decide how to move forward and choose the path towards improvement. I believe that through honest evaluation and the hard work of taking ownership of your life along with improved relationships you can become empowered to address those issues and become who you are meant to be.
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Photo of Yuki Richel - Yuki Richel , Counselor, MA, LMHC, EMMHS
Yuki Richel
Counselor, MA, LMHC, EMMHS
Online Only
Despite trying so hard, why is it so painful? Have you ever experienced being confused about your own feelings, being unsure of what to do, or not knowing whom to talk to?" Welcome to Komorebi Counseling Services! Komorebi 木漏れ日 is a Japanese term that describes sunlight filtering through the leaves of trees. It symbolizes the act of finding harmony, beauty, and serenity in shadows. I believe in the transformative power of the therapeutic relationship and I strive to create a safe, supportive, and uplifting environment for my clients aged 18 and up.
Despite trying so hard, why is it so painful? Have you ever experienced being confused about your own feelings, being unsure of what to do, or not knowing whom to talk to?" Welcome to Komorebi Counseling Services! Komorebi 木漏れ日 is a Japanese term that describes sunlight filtering through the leaves of trees. It symbolizes the act of finding harmony, beauty, and serenity in shadows. I believe in the transformative power of the therapeutic relationship and I strive to create a safe, supportive, and uplifting environment for my clients aged 18 and up.
(360) 523-1630 View (360) 523-1630
Photo of Melissa A Yang, Counselor, LMHC, SUDP
Melissa A Yang
Counselor, LMHC, SUDP
Lacey, WA 98503
I focus on creating a warm environment for my client to feel safe and able to process whatever their wanting to work on. There is no pressure to focus on one topic, as life has it's ups and downs. The treatment plan is created by my client and myself, in order to ensure the focus is on what my client would like to work on .
I focus on creating a warm environment for my client to feel safe and able to process whatever their wanting to work on. There is no pressure to focus on one topic, as life has it's ups and downs. The treatment plan is created by my client and myself, in order to ensure the focus is on what my client would like to work on .
(253) 259-3715 View (253) 259-3715
Photo of Ash O'Brien, Mental Health Counselor Associate, MA, LMHCA
Ash O'Brien
Mental Health Counselor Associate, MA, LMHCA
1 Endorsed
Online Only
When all aspects of our identities are fully welcomed into the counseling space transformation, healing, and growth transpires. If you're looking for a therapist with experience supporting youth and adults navigating life transitions, identity exploration, neurodiversity, grief, complex trauma, anxiety, or depression, I can help. My counseling approach is liberatory, anti-racist, trauma-responsive, and LGBTQ+ and SWer affirming. We're probably a good fit if you're looking for telehealth sessions, need a sliding scale to afford therapy, require flexible scheduling, and want support that brings relief and helps move you forward.
When all aspects of our identities are fully welcomed into the counseling space transformation, healing, and growth transpires. If you're looking for a therapist with experience supporting youth and adults navigating life transitions, identity exploration, neurodiversity, grief, complex trauma, anxiety, or depression, I can help. My counseling approach is liberatory, anti-racist, trauma-responsive, and LGBTQ+ and SWer affirming. We're probably a good fit if you're looking for telehealth sessions, need a sliding scale to afford therapy, require flexible scheduling, and want support that brings relief and helps move you forward.
(360) 245-6411 View (360) 245-6411
Photo of Carolyn Gatlin, Clinical Social Work/Therapist, MSW, LICSWA
Carolyn Gatlin
Clinical Social Work/Therapist, MSW, LICSWA
1 Endorsed
Lacey, WA 98503
Hi! I have over a decade of experience working with clients who have history with the child welfare system as a child, parent, or caregiver. I also have experience with navigating life changes including career changes, divorce, moving, or loss. I believe that you are the expert in your life and offer a person-centered approach. would like to partner with you to help you heal, learn to navigate life’s ups and downs, and to accomplish the goals you have for your life.
Hi! I have over a decade of experience working with clients who have history with the child welfare system as a child, parent, or caregiver. I also have experience with navigating life changes including career changes, divorce, moving, or loss. I believe that you are the expert in your life and offer a person-centered approach. would like to partner with you to help you heal, learn to navigate life’s ups and downs, and to accomplish the goals you have for your life.
(509) 588-0544 View (509) 588-0544
Photo of Juanita Elizabeth Evans - Circle in a Square Counseling, Counselor, MA, LMHC
Circle in a Square Counseling
Counselor, MA, LMHC
1 Endorsed
Online Only
Many times in our lives we believe that overcoming obstacles is like attempting the impossible. We continue to feel lonely, make the same mistakes, and have the same fears, self- doubts that eventually cause us to believe that life will always be the same. Counseling can assist you in making the changes that you desire in your life. Providing you the opportunity to explore new avenues in which you might not have believed before. This journey may not be easy; however, it is one that can bring out the change you have been longing for.
Many times in our lives we believe that overcoming obstacles is like attempting the impossible. We continue to feel lonely, make the same mistakes, and have the same fears, self- doubts that eventually cause us to believe that life will always be the same. Counseling can assist you in making the changes that you desire in your life. Providing you the opportunity to explore new avenues in which you might not have believed before. This journey may not be easy; however, it is one that can bring out the change you have been longing for.
(253) 655-1048 View (253) 655-1048
Photo of Caroline Pettepiece, Counselor, MA, LMHCA
Caroline Pettepiece
Counselor, MA, LMHCA
Lacey, WA 98503
Navigating the trial and tribulations that occur during the transformation from childhood to adulthood can be challenging for both an individual and their family. My professional experience includes working within the various systems a young person and their family might be a part of, including the foster care system, school systems, the juvenile justice system and a variety of different family constellations. I also have a passion for supporting LGBTQIA+ youth and their families.
Navigating the trial and tribulations that occur during the transformation from childhood to adulthood can be challenging for both an individual and their family. My professional experience includes working within the various systems a young person and their family might be a part of, including the foster care system, school systems, the juvenile justice system and a variety of different family constellations. I also have a passion for supporting LGBTQIA+ youth and their families.
(360) 849-8057 View (360) 849-8057
Photo of Steven Rudnick - Noble Physicians, MD
Noble Physicians
Verified Verified
Lacey, WA 98503
Support you crave by providers who are caring and competent. Immediate/Discreet/Confidential. Experienced Doctors and Nurse Practitioners who treat the WHOLE person. We utilize Licensed Professionals. Partnered with the finest ancillary support for chemical dependency counseling and group therapy/support groups. Come to a non-judgmental environment. Feel like you're truly heard-we do listen. Convenient consultations in a warm, inviting appointment setting, serviced by friendly staff who understand your situation. We take nearly all insurances.
Support you crave by providers who are caring and competent. Immediate/Discreet/Confidential. Experienced Doctors and Nurse Practitioners who treat the WHOLE person. We utilize Licensed Professionals. Partnered with the finest ancillary support for chemical dependency counseling and group therapy/support groups. Come to a non-judgmental environment. Feel like you're truly heard-we do listen. Convenient consultations in a warm, inviting appointment setting, serviced by friendly staff who understand your situation. We take nearly all insurances.
(844) 334-0598 View (844) 334-0598
Photo of Sarah Schmidt, Counselor, LMHC
Sarah Schmidt
Counselor, LMHC
Online Only
Clients that I typically see are facing the routine problems of life. Stress, marital/family issues, anxiety and problems related to school, work, and everyday living. I work frequently with 1st responders/military. They may have experienced challenges that are unique due to abuse or trauma. In therapy we learn that we have the tools within us to gain perspective and hope, that we can take good care of ourselves and those in our care. Ultimately, the end goal is that we get to a place where therapy may no longer be needed other than an occasional check in.
Clients that I typically see are facing the routine problems of life. Stress, marital/family issues, anxiety and problems related to school, work, and everyday living. I work frequently with 1st responders/military. They may have experienced challenges that are unique due to abuse or trauma. In therapy we learn that we have the tools within us to gain perspective and hope, that we can take good care of ourselves and those in our care. Ultimately, the end goal is that we get to a place where therapy may no longer be needed other than an occasional check in.
(360) 227-0679 View (360) 227-0679
Photo of Kathyrn Helene Maurine, Clinical Social Work/Therapist, MBA, MSW, LICSW
Kathyrn Helene Maurine
Clinical Social Work/Therapist, MBA, MSW, LICSW
Online Only
My name is Kathyrn Maurine, and I am a LICSW with a passion for supporting the LGBTQ community. I also find great satisfaction in helping people who have experienced narcissistic abuse to heal and thrive. With a compassionate and both trauma- and evidence-informed approach, I work collaboratively to foster healing, growth, and clarity. In our early sessions, I take time to understand your story—your strengths, struggles, and goals. You can expect a safe, nonjudgmental space where together we explore what’s working, what’s not, and what possibilities exist.
My name is Kathyrn Maurine, and I am a LICSW with a passion for supporting the LGBTQ community. I also find great satisfaction in helping people who have experienced narcissistic abuse to heal and thrive. With a compassionate and both trauma- and evidence-informed approach, I work collaboratively to foster healing, growth, and clarity. In our early sessions, I take time to understand your story—your strengths, struggles, and goals. You can expect a safe, nonjudgmental space where together we explore what’s working, what’s not, and what possibilities exist.
(253) 447-5774 View (253) 447-5774
Photo of Kerri Stoehr, Counselor, MA, LMHC, CPC
Kerri Stoehr
Counselor, MA, LMHC, CPC
Lacey, WA 98503
HELPING PEOPLE DISCOVER NEW POSSIBILITIES! Do you want: Help overcoming challenges or issues your are facing? Help to experience more fulfilling and meaningful relationships? Help addressing anxiety, fear, depression or self esteem issues? Help with child mood /behavior problems? Help working through major life transitions? Help discovering your life passion, vision and goals? Help making a career change? I provide a supportive, non-judgmental, and confidential place where you can discover, learn and grow. We work together to explore issues and develop solutions to fit your needs so that you can experience a healthier and happier life.
HELPING PEOPLE DISCOVER NEW POSSIBILITIES! Do you want: Help overcoming challenges or issues your are facing? Help to experience more fulfilling and meaningful relationships? Help addressing anxiety, fear, depression or self esteem issues? Help with child mood /behavior problems? Help working through major life transitions? Help discovering your life passion, vision and goals? Help making a career change? I provide a supportive, non-judgmental, and confidential place where you can discover, learn and grow. We work together to explore issues and develop solutions to fit your needs so that you can experience a healthier and happier life.
(360) 797-5939 View (360) 797-5939
Photo of Deborah M Grace - Deborah Grace Counseling, Mental Health Counselor, MA, LMHC
Deborah Grace Counseling
Mental Health Counselor, MA, LMHC
1 Endorsed
Lacey, WA 98503
Join me for a couples retreat this August 27-30 at Breitenbush Hot Springs, OR! You will learn how to build a strong foundation, better intimacy, share your authentic desires. For more information visit my website!
Join me for a couples retreat this August 27-30 at Breitenbush Hot Springs, OR! You will learn how to build a strong foundation, better intimacy, share your authentic desires. For more information visit my website!
(360) 205-9974 View (360) 205-9974
Photo of Maria Williams, Counselor, LMHC
Maria Williams
Counselor, LMHC
Online Only
I am a licensed therapist with over nine years of experience providing compassionate, evidence-based behavioral health care to adolescents and adults. I am dedicated to helping individuals navigate life’s challenges, heal from difficult experiences, and create meaningful, lasting change. I earned her Doctor of Psychology with a minor in Addictions, along with a Master of Counseling Psychology. My clinical experience spans both inpatient and outpatient settings, where she has supported individuals with a wide range of mental health and substance use concerns.
I am a licensed therapist with over nine years of experience providing compassionate, evidence-based behavioral health care to adolescents and adults. I am dedicated to helping individuals navigate life’s challenges, heal from difficult experiences, and create meaningful, lasting change. I earned her Doctor of Psychology with a minor in Addictions, along with a Master of Counseling Psychology. My clinical experience spans both inpatient and outpatient settings, where she has supported individuals with a wide range of mental health and substance use concerns.
(360) 227-7986 View (360) 227-7986
Photo of J. Gail Carson-Webb, Psychologist, PsyD, LP
J. Gail Carson-Webb
Psychologist, PsyD, LP
Online Only
Not accepting new clients
Every person who steps through my door is a unique individual. Like many multi-faceted people, you may be experiencing confusing or conflicting internal "signals" telling you your life needs changing. Ongoing frustration, worry, sadness, tension, relationship conflict, or disinterest in things that used to give you joy are signs that your life really wants your attention! Distress may drive you to seek relief, but may also indicate your readiness for change. With careful attention, hard work, and the right therapeutic fit, your deepest challenges could, ironically, become the bedrock for a better life.
Every person who steps through my door is a unique individual. Like many multi-faceted people, you may be experiencing confusing or conflicting internal "signals" telling you your life needs changing. Ongoing frustration, worry, sadness, tension, relationship conflict, or disinterest in things that used to give you joy are signs that your life really wants your attention! Distress may drive you to seek relief, but may also indicate your readiness for change. With careful attention, hard work, and the right therapeutic fit, your deepest challenges could, ironically, become the bedrock for a better life.
(423) 892-1795 View (423) 892-1795
Photo of Katrina Karmen Prime - Katrina Prime Counseling PLLC, Clinical Social Work/Therapist, MSW, LICSW
Katrina Prime Counseling PLLC
Clinical Social Work/Therapist, MSW, LICSW
Lacey, WA 98503
Not accepting new clients
I work with clients experiencing anxiety, depression, grief, and a host of other conditions. My role is to help you identify and address the barriers that prevent you from living your best life. Together we will explore what is important to you and how to make choices that align with your goals and values. I utilize various modalities including ACT, CBT, Relational Therapy, Solutions Focused Therapy, and Mindfulness Based techniques. In addition to my work as a therapist, I am a part-time associate professor in psychology and sociology at a community college, and a crisis clinician at a large regional hospital.
I work with clients experiencing anxiety, depression, grief, and a host of other conditions. My role is to help you identify and address the barriers that prevent you from living your best life. Together we will explore what is important to you and how to make choices that align with your goals and values. I utilize various modalities including ACT, CBT, Relational Therapy, Solutions Focused Therapy, and Mindfulness Based techniques. In addition to my work as a therapist, I am a part-time associate professor in psychology and sociology at a community college, and a crisis clinician at a large regional hospital.
(360) 200-1469 View (360) 200-1469
Photo of Elaine Vaughn, Counselor, LMHC
Elaine Vaughn
Counselor, LMHC
1 Endorsed
Lacey, WA 98503
Growing up is hard and it’s completely normal to need a little help along the way. I believe that addressing mental health and behavioral concerns at a young age can help kids to prosper and grow into healthy adults. I offer kids and teens a safe place to express themselves, process whatever it is they are experiencing in their world, and someone who will listen without any judgements or biases. My focus is to teach kids and teens skills they can use to cope with their symptoms and be successful in whatever they choose to do. I also help parents learn skills to improve communication and their relationship with their kid/teen.
Growing up is hard and it’s completely normal to need a little help along the way. I believe that addressing mental health and behavioral concerns at a young age can help kids to prosper and grow into healthy adults. I offer kids and teens a safe place to express themselves, process whatever it is they are experiencing in their world, and someone who will listen without any judgements or biases. My focus is to teach kids and teens skills they can use to cope with their symptoms and be successful in whatever they choose to do. I also help parents learn skills to improve communication and their relationship with their kid/teen.
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Photo of Amy Vitacolonna, Counselor, MS, LMHC, RT/CT
Amy Vitacolonna
Counselor, MS, LMHC, RT/CT
3 Endorsed
Online Only
Are you are feeling overwhelmed, anxious, or depressed? Sometimes life brings us to a place where we need to reach out and find help. If this is you, I would love to partner with you and help you find the solution that best fits your needs. Healing starts with connection and finding the space for yourself to discover what is happening within yourself. Counseling is most effective when there is a connection with your therapist while discovering the triggers, patterns, and thoughts that often interrupt your quality of life.
Are you are feeling overwhelmed, anxious, or depressed? Sometimes life brings us to a place where we need to reach out and find help. If this is you, I would love to partner with you and help you find the solution that best fits your needs. Healing starts with connection and finding the space for yourself to discover what is happening within yourself. Counseling is most effective when there is a connection with your therapist while discovering the triggers, patterns, and thoughts that often interrupt your quality of life.
(360) 799-5244 View (360) 799-5244

See more therapy options for Lacey

How does your Therapist compare?

Number of Therapists in Lacey, WA

200+

Average cost per session

$150

Therapists in Lacey, WA who prioritize treating:

91% Anxiety
91% Social Anxiety
91% Health Anxiety
91% Driving Anxiety
84% Depression
77% Trauma and PTSD
77% Complex PTSD

Average years in practice

9 Years

Top 3 insurances accepted

76% Premera Blue Cross
74% Regence
72% Aetna

How Therapists in Lacey, WA see their clients

62% In Person and Online
38% Online Only

Gender breakdown

73% Female
24% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lacey?

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.