Therapists in Mercer Island, WA

Photo of Dan Reiff, Counselor, PhD, MPH, LMHC, FAED
Dan Reiff
Counselor, PhD, MPH, LMHC, FAED
Online Only
The alliance we build as client and therapist is a necessary and very important part of the therapeutic process. I carefully assess each individuals or couples strengths, history of relationships, sense of self, developmental status, learning styles, symptoms and readiness to change. I believe that what you find helpful to talk about in each session is most important. You and I will develop a treatment plan based upon these factors, your experience, my professional experience, research findings and what you would like to accomplish in therapy. I have a general practice and also have areas of specialty.
The alliance we build as client and therapist is a necessary and very important part of the therapeutic process. I carefully assess each individuals or couples strengths, history of relationships, sense of self, developmental status, learning styles, symptoms and readiness to change. I believe that what you find helpful to talk about in each session is most important. You and I will develop a treatment plan based upon these factors, your experience, my professional experience, research findings and what you would like to accomplish in therapy. I have a general practice and also have areas of specialty.
(206) 701-7728 View (206) 701-7728
Photo of Laura Anne Bowlin, Marriage & Family Therapist Associate, MS, LMFTA
Laura Anne Bowlin
Marriage & Family Therapist Associate, MS, LMFTA
8 Endorsed
Mercer Island, WA 98040
We all experience moments when we feel down, confused, or lost. We begin to question how we ended up here—unsure if we even recognize ourselves or our relationships. We may doubt whether we have the tools to find our way out. Strategies that once worked seem to fall short, leaving us back where we started or feeling even more alone. It makes sense that you're ready for change and seeking a compassionate guide to help. Therapy offers safe space to rediscover clarity, curiosity, confidence, and compassion for yourself and others. Together, we can begin where you are, and step by step, move toward the growth you’re seeking.
We all experience moments when we feel down, confused, or lost. We begin to question how we ended up here—unsure if we even recognize ourselves or our relationships. We may doubt whether we have the tools to find our way out. Strategies that once worked seem to fall short, leaving us back where we started or feeling even more alone. It makes sense that you're ready for change and seeking a compassionate guide to help. Therapy offers safe space to rediscover clarity, curiosity, confidence, and compassion for yourself and others. Together, we can begin where you are, and step by step, move toward the growth you’re seeking.
(206) 800-8356 View (206) 800-8356
Photo of Janet Mead Leamon, Marriage & Family Therapist, MA, LMFT
Janet Mead Leamon
Marriage & Family Therapist, MA, LMFT
Online Only
Not accepting new clients
Relationships. Trust. Well being. Recognition of undiscovered possibilities. These core values are at the crux of my therapy practice. Whatever brings you to therapy...whether you are working on a personal issue that has been making you feel stuck, recovering from a trauma or difficult life transition, feeling inadequate or unworthy in some area of your life or feeling misunderstood in your relationship(s)...I am committed to being a skillful and compassionate practitioner who will ALWAYS keep your goals in focus. I am honored to accompany you on this journey of powerful insight, awareness, and transformation.
Relationships. Trust. Well being. Recognition of undiscovered possibilities. These core values are at the crux of my therapy practice. Whatever brings you to therapy...whether you are working on a personal issue that has been making you feel stuck, recovering from a trauma or difficult life transition, feeling inadequate or unworthy in some area of your life or feeling misunderstood in your relationship(s)...I am committed to being a skillful and compassionate practitioner who will ALWAYS keep your goals in focus. I am honored to accompany you on this journey of powerful insight, awareness, and transformation.
(206) 745-0580 View (206) 745-0580
Photo of Laura Claire DelGrippo, Licensed Mental Health Counselor Associate , MA, LMHCA
Laura Claire DelGrippo
Licensed Mental Health Counselor Associate , MA, LMHCA
1 Endorsed
Mercer Island, WA 98040
The psychic wounding left from feeling unseen, unheard, or unsafe in the spaces meant to hold us with care can be profound and run deep. I work with a range of experiences, but feel particularly called to support those navigating the lasting impact of relational trauma, emotional neglect, narcissistic abuse, and complex family systems. These dynamics can erode our ability to trust our instincts, recognize our needs, maintain boundaries, and connect authentically with ourselves, with others, and to the world around us.
The psychic wounding left from feeling unseen, unheard, or unsafe in the spaces meant to hold us with care can be profound and run deep. I work with a range of experiences, but feel particularly called to support those navigating the lasting impact of relational trauma, emotional neglect, narcissistic abuse, and complex family systems. These dynamics can erode our ability to trust our instincts, recognize our needs, maintain boundaries, and connect authentically with ourselves, with others, and to the world around us.
(206) 672-9038 View (206) 672-9038
Photo of Derynne Samson, Licensed Professional Counselor, LMHC
Derynne Samson
Licensed Professional Counselor, LMHC
2 Endorsed
Mercer Island, WA 98040
Are you thrown off balance when the remnants of your past collides with your present life, and disrupts your sanity and your joy? Sometimes this shows up as symptoms of anxiety and depression, or a need to control the internal chaos by focusing on food and our bodies. For many, it is difficult to make sense of our lives when we've been affected by a history of complex trauma. I believe that that only way out is in. I welcome you to embark on a journey into yourself, where you may discover abandoned and rejected parts of yourself, and a wellspring of insight and self-compassion for your most difficult challenges.
Are you thrown off balance when the remnants of your past collides with your present life, and disrupts your sanity and your joy? Sometimes this shows up as symptoms of anxiety and depression, or a need to control the internal chaos by focusing on food and our bodies. For many, it is difficult to make sense of our lives when we've been affected by a history of complex trauma. I believe that that only way out is in. I welcome you to embark on a journey into yourself, where you may discover abandoned and rejected parts of yourself, and a wellspring of insight and self-compassion for your most difficult challenges.
(206) 222-4168 View (206) 222-4168
Photo of Kim Lampson, Psychologist, PhD
Kim Lampson
Psychologist, PhD
Online Only
Building a strong, collaborative therapeutic relationship is my highest priority. My approach is very relational and client centered. Creating a safe place for you to talk about challenging issues and express painful feelings is the essence of good therapy. I provide gentle confrontation to promote growth balanced with empathy, acceptance, and caring. I truly love my work and would be honored to help you to feel better.
Building a strong, collaborative therapeutic relationship is my highest priority. My approach is very relational and client centered. Creating a safe place for you to talk about challenging issues and express painful feelings is the essence of good therapy. I provide gentle confrontation to promote growth balanced with empathy, acceptance, and caring. I truly love my work and would be honored to help you to feel better.
(206) 745-0936 View (206) 745-0936
Photo of Katherine A Wynn - Aviva Wynn, Licensed Social Worker Associate , MSW, LSWAIC
Aviva Wynn
Licensed Social Worker Associate , MSW, LSWAIC
Mercer Island, WA 98040
Navigating family, health, love, work, and your mental health can be complicated– especially when one or more of those areas begin to slip into crisis. You might struggle to connect with yourself or your loved ones, build new relationships, or manage new hardships. Through non-judgmental discussion and an in-depth exploration of your symptoms, we'll develop solutions for a more resilient, connected, and fulfilling way of life. I frequently work with adults and adolescents navigating life transitions, relational difficulties, depression, anxiety, identity exploration, and terminal diagnoses.
Navigating family, health, love, work, and your mental health can be complicated– especially when one or more of those areas begin to slip into crisis. You might struggle to connect with yourself or your loved ones, build new relationships, or manage new hardships. Through non-judgmental discussion and an in-depth exploration of your symptoms, we'll develop solutions for a more resilient, connected, and fulfilling way of life. I frequently work with adults and adolescents navigating life transitions, relational difficulties, depression, anxiety, identity exploration, and terminal diagnoses.
(425) 386-3376 x13 View (425) 386-3376 x13
Photo of Aude Geltzer, Counselor, MA, LMHC
Aude Geltzer
Counselor, MA, LMHC
2 Endorsed
Online Only
Visiting a therapist is a brave step towards support and growth. Here you will find a safe and compassionate space to explore your experience at your own pace. I help people who struggle with anxiety (worry, panic attacks, phobias such as fear of flying or driving, ruminations, social anxiety), people stuck in rituals and avoidance, OCD (Obsessive Compulsive Disorder), depression and low self-esteem. If you are feeling stuck and don't know what else to do, we can work together to help you overcome your current challenges.
Visiting a therapist is a brave step towards support and growth. Here you will find a safe and compassionate space to explore your experience at your own pace. I help people who struggle with anxiety (worry, panic attacks, phobias such as fear of flying or driving, ruminations, social anxiety), people stuck in rituals and avoidance, OCD (Obsessive Compulsive Disorder), depression and low self-esteem. If you are feeling stuck and don't know what else to do, we can work together to help you overcome your current challenges.
(206) 538-2485 View (206) 538-2485
Photo of Diane Dempcy, Licensed Mental Health Counselor, MA, LMHC
Diane Dempcy
Licensed Mental Health Counselor, MA, LMHC
Mercer Island, WA 98040
You may find yourself moving through your days feeling tense, overwhelmed, or stuck in patterns that don’t make sense, no matter how hard you try to change them. You want to feel calm and steady, but instead you feel hijacked by emotions and thoughts that seem out of your control—leaving you discouraged and exhausted. Even when you are successful in your career or relationships, joy can feel out of reach. Your mind stays busy—replaying the past, anticipating what might go wrong, or wondering why things feel harder for you than they seem to for others. You're not falling apart. But you're not okay, either.
You may find yourself moving through your days feeling tense, overwhelmed, or stuck in patterns that don’t make sense, no matter how hard you try to change them. You want to feel calm and steady, but instead you feel hijacked by emotions and thoughts that seem out of your control—leaving you discouraged and exhausted. Even when you are successful in your career or relationships, joy can feel out of reach. Your mind stays busy—replaying the past, anticipating what might go wrong, or wondering why things feel harder for you than they seem to for others. You're not falling apart. But you're not okay, either.
(206) 429-4802 View (206) 429-4802
Photo of Stephanie Creswell, Counselor, MA, LMHC, CMHS
Stephanie Creswell
Counselor, MA, LMHC, CMHS
Mercer Island, WA 98040
I am passionate about working with women who are looking for balance in their social, emotional, physical, spiritual and vocational needs. Women have many roles and the complexities of those demands are difficult to manage. My goal is to provide an individualized approach to your needs. I can employ a faith based approach if you prefer. If you are a parent, our work together may include parent education and coaching. Parents consult with me when they are facing challenges with their children. I provide individualized information, practical skills, support and inspiration to enrich the parent-child relationship and help families flourish.
I am passionate about working with women who are looking for balance in their social, emotional, physical, spiritual and vocational needs. Women have many roles and the complexities of those demands are difficult to manage. My goal is to provide an individualized approach to your needs. I can employ a faith based approach if you prefer. If you are a parent, our work together may include parent education and coaching. Parents consult with me when they are facing challenges with their children. I provide individualized information, practical skills, support and inspiration to enrich the parent-child relationship and help families flourish.
(206) 900-9165 View (206) 900-9165
Photo of Andrielle Vialpando Kristinat, Clinical Social Work/Therapist, MSW, LMHCA
Andrielle Vialpando Kristinat
Clinical Social Work/Therapist, MSW, LMHCA
1 Endorsed
Online Only
I became a therapist after experiencing what it means to carry invisible grief. When my father passed away at 14, no one asked how I was doing, and that silence shaped the path I walk today. As a Latina and neurodivergent therapist, I’m passionate about holding space for LGBTQ+ young adults, athletes, and anyone navigating anxiety, trauma, burnout, or identity fatigue. In our work together, you’ll find a grounded, collaborative space where your story is honored, your feelings are validated, and your healing unfolds at your own pace.
I became a therapist after experiencing what it means to carry invisible grief. When my father passed away at 14, no one asked how I was doing, and that silence shaped the path I walk today. As a Latina and neurodivergent therapist, I’m passionate about holding space for LGBTQ+ young adults, athletes, and anyone navigating anxiety, trauma, burnout, or identity fatigue. In our work together, you’ll find a grounded, collaborative space where your story is honored, your feelings are validated, and your healing unfolds at your own pace.
(425) 475-2361 View (425) 475-2361
Photo of Kevin Rodas - Grace MindCare (Ketamine Services)
Grace MindCare (Ketamine Services)
Verified Verified
1 Endorsed
Mercer Island, WA 98040
At Grace Mindcare we specialize in comprehensive psychiatric care, cutting-edge ketamine therapy infusions to enhance your mental and physical well-being. Our services are designed to provide holistic support, catering to your unique needs with compassion and expertise.
At Grace Mindcare we specialize in comprehensive psychiatric care, cutting-edge ketamine therapy infusions to enhance your mental and physical well-being. Our services are designed to provide holistic support, catering to your unique needs with compassion and expertise.
(206) 984-6038 View (206) 984-6038
Photo of Donna S Ellis, Counselor, LMHC
Donna S Ellis
Counselor, LMHC
1 Endorsed
Mercer Island, WA 98040
Are you wondering if psychotherapy may help? Many, many clients have discovered that speaking to another about their stresses and symptoms, in a safe and non-judgemental place, alleviates their anxiety or depression. This is because it is easy to feel overwhelmed alone by the many difficult feelings and confusing thoughts and because another mind and heart can clear the way for deeper understanding, support and healing. I encourage you to take the step to call.
Are you wondering if psychotherapy may help? Many, many clients have discovered that speaking to another about their stresses and symptoms, in a safe and non-judgemental place, alleviates their anxiety or depression. This is because it is easy to feel overwhelmed alone by the many difficult feelings and confusing thoughts and because another mind and heart can clear the way for deeper understanding, support and healing. I encourage you to take the step to call.
(206) 258-7534 View (206) 258-7534
Photo of Kelsey Marinda, Counselor, MA, LMHC, CPT
Kelsey Marinda
Counselor, MA, LMHC, CPT
Online Only
Everyone has a unique story that deserves care and support. It brings me immense joy to use my experience and education to serve each client and their specific needs. My background includes extensive studies in nutrition, physical health, and mental health. I am experienced working with a variety of individuals from industry professionals to adolescents. I am passionate about the importance of mental health as the foundation of optimal performance and a healthy life. Together, we will explore what that may look like for you. ​
Everyone has a unique story that deserves care and support. It brings me immense joy to use my experience and education to serve each client and their specific needs. My background includes extensive studies in nutrition, physical health, and mental health. I am experienced working with a variety of individuals from industry professionals to adolescents. I am passionate about the importance of mental health as the foundation of optimal performance and a healthy life. Together, we will explore what that may look like for you. ​
(425) 307-4551 View (425) 307-4551
Photo of Kate Blumstein, Psychologist, PhD
Kate Blumstein
Psychologist, PhD
Online Only
So happy you're here! I am a licensed clinical psychologist living and practicing in the Seattle area. In both individual and group psychotherapy, I work with adults of all ages to overcome fear and anxiety, enhance sleep and mood, navigate life transitions, and improve their relationships. I also support and guide clients processing trauma, grief, and adjustment issues. While my primary areas of expertise are women in the perinatal period, veterans’ mental health, and multicultural persons and families, I have vast experience working with a diverse array of clients and presenting concerns.
So happy you're here! I am a licensed clinical psychologist living and practicing in the Seattle area. In both individual and group psychotherapy, I work with adults of all ages to overcome fear and anxiety, enhance sleep and mood, navigate life transitions, and improve their relationships. I also support and guide clients processing trauma, grief, and adjustment issues. While my primary areas of expertise are women in the perinatal period, veterans’ mental health, and multicultural persons and families, I have vast experience working with a diverse array of clients and presenting concerns.
(206) 208-2821 View (206) 208-2821
Photo of Renee Kubota, Clinical Social Work/Therapist, MSW, LICSW
Renee Kubota
Clinical Social Work/Therapist, MSW, LICSW
1 Endorsed
Online Only
My therapeutic style is compassionate, warm, relational and strengths-based. I view my role as collaborating with clients as they move towards their goals and desires. The people I work with are often learning to cultivate healthy relationships, healing trauma, tending to anxiety, depression and neurodivergence (often late-diagnosed ADHD and/or autism), exploring identity (racial, gender, sexual etc.), grieving a loss, and/or cultivating a stronger sense of self-worth. If you would like to learn more, please contact me. I would be happy to schedule a free, 20-minute consultation call!
My therapeutic style is compassionate, warm, relational and strengths-based. I view my role as collaborating with clients as they move towards their goals and desires. The people I work with are often learning to cultivate healthy relationships, healing trauma, tending to anxiety, depression and neurodivergence (often late-diagnosed ADHD and/or autism), exploring identity (racial, gender, sexual etc.), grieving a loss, and/or cultivating a stronger sense of self-worth. If you would like to learn more, please contact me. I would be happy to schedule a free, 20-minute consultation call!
(206) 339-9089 View (206) 339-9089
Photo of Kaya Wynn, Clinical Social Work/Therapist, MEd, MSW, LICSW
Kaya Wynn
Clinical Social Work/Therapist, MEd, MSW, LICSW
1 Endorsed
Mercer Island, WA 98040
Over time we develop patterns of behavior that may have once supported us through a difficult time, but these ways of being may be hurting our ability to connect with loved ones or form new connections. Through our work together, we will reflect on how your past experiences may influence who you are today and identify interventions to support you in connecting with who you want to become. In addition to working with individuals, I enjoy supporting people to better engage in the important relationships in their lives; this may be within a couple, but can also be in a parent-child relationship.
Over time we develop patterns of behavior that may have once supported us through a difficult time, but these ways of being may be hurting our ability to connect with loved ones or form new connections. Through our work together, we will reflect on how your past experiences may influence who you are today and identify interventions to support you in connecting with who you want to become. In addition to working with individuals, I enjoy supporting people to better engage in the important relationships in their lives; this may be within a couple, but can also be in a parent-child relationship.
(206) 651-4729 View (206) 651-4729
Photo of Matt Leibsohn, Psychologist, PhD
Matt Leibsohn
Psychologist, PhD
Online Only
Our work together can help you to better understand the challenges you are facing and discover solutions that can lead to greater fulfillment and life purpose. By applying complementary therapy approaches and techniques, you will gain insight into the patterns and perceptions that may be holding you back from experiencing a more meaningful and joyful life. In a comfortable and supportive atmosphere, I offer a highly personalized approach tailored to your individual needs to help attain the personal growth you're striving for.
Our work together can help you to better understand the challenges you are facing and discover solutions that can lead to greater fulfillment and life purpose. By applying complementary therapy approaches and techniques, you will gain insight into the patterns and perceptions that may be holding you back from experiencing a more meaningful and joyful life. In a comfortable and supportive atmosphere, I offer a highly personalized approach tailored to your individual needs to help attain the personal growth you're striving for.
(425) 453-7722 View (425) 453-7722
Photo of Miwo Anne Lung Wong, Clinical Social Work/Therapist
Miwo Anne Lung Wong
Clinical Social Work/Therapist
Mercer Island, WA 98040
A licensed mental health therapist serious about life, hope and light. I've 25 years' experience helping clients w/ anxiety, depression, trauma, grief & loss, and issues in adjustment, relationship, parenting, family, & school. I provide EMDR and various models of cognitive behavioral therapy. I believe every person is blessed with strengths and potentials and worthy of respect and honor. Certain life & family circumstances hurt us and put life in limbo. Together, we focus on healing and rebuilding. Expect to receive comfort, activate strengths, achieve healing, resume growth and begin rebuilding.
A licensed mental health therapist serious about life, hope and light. I've 25 years' experience helping clients w/ anxiety, depression, trauma, grief & loss, and issues in adjustment, relationship, parenting, family, & school. I provide EMDR and various models of cognitive behavioral therapy. I believe every person is blessed with strengths and potentials and worthy of respect and honor. Certain life & family circumstances hurt us and put life in limbo. Together, we focus on healing and rebuilding. Expect to receive comfort, activate strengths, achieve healing, resume growth and begin rebuilding.
(206) 829-6715 View (206) 829-6715
Photo of Katy Crouch, Clinical Social Work/Therapist, MSW, LICSW
Katy Crouch
Clinical Social Work/Therapist, MSW, LICSW
Mercer Island, WA 98040
I specialize in working with people in transition, individuals, couples and young adults. As a Generalist with an emphasis in Cognitive Behavioral Therapy, I tailor my approach to each individual I work with. I want to fully understand your story; however, I recognize it is important for you to feel comfortable. My first job is to help you become comfortable enough to begin sharing your story. Without a therapeutic partnership, it is difficult to make progress and build the trust necessary for growth and change.
I specialize in working with people in transition, individuals, couples and young adults. As a Generalist with an emphasis in Cognitive Behavioral Therapy, I tailor my approach to each individual I work with. I want to fully understand your story; however, I recognize it is important for you to feel comfortable. My first job is to help you become comfortable enough to begin sharing your story. Without a therapeutic partnership, it is difficult to make progress and build the trust necessary for growth and change.
(425) 390-8062 View (425) 390-8062

See more therapy options for Mercer Island

How does your Therapist compare?

Number of Therapists in Mercer Island, WA

200+

Average cost per session

$175

Therapists in Mercer Island, WA who prioritize treating:

94% Anxiety
83% Depression
80% Relationship Issues
77% Self Esteem
70% Trauma and PTSD
69% Stress
60% Grief

Average years in practice

11 Years

Top 3 insurances accepted

81% Premera Blue Cross
56% Aetna
56% Regence

How Therapists in Mercer Island, WA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Mercer Island?

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.