Therapists in Pierce County, WA

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Photo of Dr. Kevin Boll, Counselor, MDiv, DMin, LMHC
Dr. Kevin Boll
Counselor, MDiv, DMin, LMHC
2 Endorsed
Online Only
I want to know you and what you are going through. If you are hurting, I will hear you and feel your pain. If you’re confused, I’ll help you figure it out. If you need direction and guidance, I am here to walk alongside of you. Whatever your struggle or concern might be--anxiety, trauma, relationship distress, grief, depression, searching for meaning and purpose, or facing some other hardship--I will help you sort it out, identify the root causes, and offer practical tools to help you overcome your personal challenges by using proven therapeutic methods to restore wholeness and healing to the broken parts of your life.
I want to know you and what you are going through. If you are hurting, I will hear you and feel your pain. If you’re confused, I’ll help you figure it out. If you need direction and guidance, I am here to walk alongside of you. Whatever your struggle or concern might be--anxiety, trauma, relationship distress, grief, depression, searching for meaning and purpose, or facing some other hardship--I will help you sort it out, identify the root causes, and offer practical tools to help you overcome your personal challenges by using proven therapeutic methods to restore wholeness and healing to the broken parts of your life.
(253) 343-9386 View (253) 343-9386
Photo of Bonnie McKenney, Counselor, MS, LMHC, C-EMDR, C-AAIP, NCC
Bonnie McKenney
Counselor, MS, LMHC, C-EMDR, C-AAIP, NCC
7 Endorsed
Gig Harbor, WA 98335
Completely stressed out, anxious, depressed or feeling "stuck?" Is there too much to think about and sort out? Did something(s) really bad happen? Not sure what to do next or if it's even worth it? I would like to help you feel better, process hard things and help discover greater meaning and purpose. As a certified EMDR therapist, I can help you process complex, traumatic events that have occurred. Together we can help you feel better, perform optimally, and work towards creating the new story you want for your life. I partner with teens, parents and individual adults to help sort through the difficult issues your facing today.
Completely stressed out, anxious, depressed or feeling "stuck?" Is there too much to think about and sort out? Did something(s) really bad happen? Not sure what to do next or if it's even worth it? I would like to help you feel better, process hard things and help discover greater meaning and purpose. As a certified EMDR therapist, I can help you process complex, traumatic events that have occurred. Together we can help you feel better, perform optimally, and work towards creating the new story you want for your life. I partner with teens, parents and individual adults to help sort through the difficult issues your facing today.
(253) 265-4074 View (253) 265-4074
Photo of Lizbeth Orozco, Marriage & Family Therapist Associate, LMFTA
Lizbeth Orozco
Marriage & Family Therapist Associate, LMFTA
Online Only
Therapy is a safe space to explore our lives and the things that can be hard about being human. Challenges can often present as anxiety, depression, or as relationship difficulties within ourselves or with others. I respect and admire my clients for taking the step to enter into therapy as advocates for their needs and goals.
Therapy is a safe space to explore our lives and the things that can be hard about being human. Challenges can often present as anxiety, depression, or as relationship difficulties within ourselves or with others. I respect and admire my clients for taking the step to enter into therapy as advocates for their needs and goals.
(360) 322-1765 x100 View (360) 322-1765 x100
Photo of Edward L Coyle, Psychologist, PhD
Edward L Coyle
Psychologist, PhD
University Place, WA 98466
Currently accepting new patients, Saturday and evening appointments available. My practice focuses on working with individuals who are processing significant transitions within their lives, particularly those related to developmental processes such as career change, retirement and family care-giving challenges. With an emphasis on creating meaning and exploring new potentials, our work together will help you act intentionally rather than reacting in response to old patterns that may no longer fit the person you are becoming.
Currently accepting new patients, Saturday and evening appointments available. My practice focuses on working with individuals who are processing significant transitions within their lives, particularly those related to developmental processes such as career change, retirement and family care-giving challenges. With an emphasis on creating meaning and exploring new potentials, our work together will help you act intentionally rather than reacting in response to old patterns that may no longer fit the person you are becoming.
(253) 201-3215 View (253) 201-3215
Photo of Sydney Hudson, Counselor, MA, LMHC
Sydney Hudson
Counselor, MA, LMHC
1 Endorsed
Puyallup, WA 98371
First, I would like to acknowledge what it has taken for you to come this far. Searching for a therapist can be challenging, and it often brings up feelings of uncertainty, fear, or vulnerability. I hope that you will soon be able to experience some relief and comfort in finding a therapist that meets your needs. If you are feeling motivated to make a change in your life, I would love to help you on that journey.
First, I would like to acknowledge what it has taken for you to come this far. Searching for a therapist can be challenging, and it often brings up feelings of uncertainty, fear, or vulnerability. I hope that you will soon be able to experience some relief and comfort in finding a therapist that meets your needs. If you are feeling motivated to make a change in your life, I would love to help you on that journey.
(253) 303-5817 View (253) 303-5817
Photo of Jennifer Vazquez, Counselor, MA, LMHCA, CEFT
Jennifer Vazquez
Counselor, MA, LMHCA, CEFT
1 Endorsed
Gig Harbor, WA 98335
We all have stories to tell. What happened in our lives isn’t who we are, it is what happened to us. The challenging stories are based on past events, being activated now via negative automatic thoughts, feelings, beliefs, and repeated behaviors…which can keep us stuck and/or prevent us from living in genuine alignment with who we are. I believe we each have the ability to reset, readjust, restart, and rewrite the parts of our story that are no longer helpful or serving us. We are amazingly intelligent, creative, resilient, and adaptive beings! What story(ies) do you want to rewrite, or let go of, that are no longer helpful?
We all have stories to tell. What happened in our lives isn’t who we are, it is what happened to us. The challenging stories are based on past events, being activated now via negative automatic thoughts, feelings, beliefs, and repeated behaviors…which can keep us stuck and/or prevent us from living in genuine alignment with who we are. I believe we each have the ability to reset, readjust, restart, and rewrite the parts of our story that are no longer helpful or serving us. We are amazingly intelligent, creative, resilient, and adaptive beings! What story(ies) do you want to rewrite, or let go of, that are no longer helpful?
(253) 364-1713 View (253) 364-1713
Photo of Mark Briggs, Counselor, RAAC
Mark Briggs
Counselor, RAAC
1 Endorsed
Gig Harbor, WA 98335
I provide a culturally sensitive, trauma informed, LGBTQIA+ friendly approach, to ensure you feel truly heard and understood, regardless of identity. I strive to build a therapeutic relationship that is productive, genuine and welcoming.
I provide a culturally sensitive, trauma informed, LGBTQIA+ friendly approach, to ensure you feel truly heard and understood, regardless of identity. I strive to build a therapeutic relationship that is productive, genuine and welcoming.
(253) 338-5896 View (253) 338-5896
Photo of Megan Scott, Clinical Social Work/Therapist, LICSWA
Megan Scott
Clinical Social Work/Therapist, LICSWA
Online Only
Not accepting new clients
In my life, I have had many experiences that guided me to the world of social work, such as becoming a teen mom and experiencing the loss of people very close to me. These experiences led me to want to provide support to people in the midst of their own challenges. Maybe you have similar experiences or other mental health challenges, that may include anxiety and depression. You may feel that you have nowhere to turn or unvalidated in your own experiences. I am here to help, in our work together we can find the best ways to meet your individual needs.
In my life, I have had many experiences that guided me to the world of social work, such as becoming a teen mom and experiencing the loss of people very close to me. These experiences led me to want to provide support to people in the midst of their own challenges. Maybe you have similar experiences or other mental health challenges, that may include anxiety and depression. You may feel that you have nowhere to turn or unvalidated in your own experiences. I am here to help, in our work together we can find the best ways to meet your individual needs.
(253) 447-5385 View (253) 447-5385
Photo of Melanie Winskill, Counselor, MA, LMHC
Melanie Winskill
Counselor, MA, LMHC
Tacoma, WA 98407
I treat adults (18+) that need support, guidance and insight into their mental health challenges while actively engaging in the work. I work collaboratively with my clients and take a person-centered approach as I believe the therapeutic relationship is a critical component to success in the therapeutic work. Dual engagement in the the therapeutic process leads to clients learning to apply techniques independently and better manage mental health symptoms.
I treat adults (18+) that need support, guidance and insight into their mental health challenges while actively engaging in the work. I work collaboratively with my clients and take a person-centered approach as I believe the therapeutic relationship is a critical component to success in the therapeutic work. Dual engagement in the the therapeutic process leads to clients learning to apply techniques independently and better manage mental health symptoms.
(253) 364-1542 View (253) 364-1542
Photo of Tabitha Kuria - Live Life Healed, PLLC - Tabitha Kuria, Counselor, EdS, CMHS, LMHC, NCC
Live Life Healed, PLLC - Tabitha Kuria
Counselor, EdS, CMHS, LMHC, NCC
4 Endorsed
Online Only
To say that life is hard is an understatement; what a time to be alive and to be human! Life has an interesting way of "just" happening when we least expect it. Everyone has a story or a burden to bear, some heavier than others. Regardless, seeking a therapist midst those things can add another layer of hardness or stress. My goal as your therapist is to help you find healing. Whether I am the right fit or not, you will leave our consultation one or two ways; ready to dive in together and do the work or help with finding the right therapist.
To say that life is hard is an understatement; what a time to be alive and to be human! Life has an interesting way of "just" happening when we least expect it. Everyone has a story or a burden to bear, some heavier than others. Regardless, seeking a therapist midst those things can add another layer of hardness or stress. My goal as your therapist is to help you find healing. Whether I am the right fit or not, you will leave our consultation one or two ways; ready to dive in together and do the work or help with finding the right therapist.
(253) 867-8475 View (253) 867-8475
Photo of Amy M Plumb, Counselor, MA, LMHC, SUDP, CPC, CWP
Amy M Plumb
Counselor, MA, LMHC, SUDP, CPC, CWP
1 Endorsed
Online Only
Talk therapy is great, but what many of the people I work with have missed in past therapy experiences is how to implement what they have learned about themselves into their real life. Self-regulation is key and after establishing a solid foundation using skills training for increasing distress tolerance and emotion regulation, I work with people to get at the root of the problems they are experiencing by using EMDR therapy and other interventions that address the core stuff, which is often the stuff that has kept us stuck in patterns that hurt. From there, we can work on improving your relationships and personal development.
Talk therapy is great, but what many of the people I work with have missed in past therapy experiences is how to implement what they have learned about themselves into their real life. Self-regulation is key and after establishing a solid foundation using skills training for increasing distress tolerance and emotion regulation, I work with people to get at the root of the problems they are experiencing by using EMDR therapy and other interventions that address the core stuff, which is often the stuff that has kept us stuck in patterns that hurt. From there, we can work on improving your relationships and personal development.
(206) 734-3718 View (206) 734-3718
Photo of Dr. Colleen Rustad, Psychologist, PhD, LCP
Dr. Colleen Rustad
Psychologist, PhD, LCP
3 Endorsed
Gig Harbor, WA 98335
Waitlist for new clients
I will work collaboratively with you in therapy so you can work through any challenges you may be facing and achieve your goals. Whether you are experiencing a new problem, or have been struggling with something for a while, together we will work to find your inner strengths, overcome past or present challenges, and improve the quality of your life. I am a warm and compassionate therapist who provides a safe, caring, and non-judgmental environment. My goal is for you to feel more hopeful and confident, and to live the life you desire.
I will work collaboratively with you in therapy so you can work through any challenges you may be facing and achieve your goals. Whether you are experiencing a new problem, or have been struggling with something for a while, together we will work to find your inner strengths, overcome past or present challenges, and improve the quality of your life. I am a warm and compassionate therapist who provides a safe, caring, and non-judgmental environment. My goal is for you to feel more hopeful and confident, and to live the life you desire.
(253) 201-2154 View (253) 201-2154
Photo of Patricia Albuquerque, Counselor, MEd, LMHCA
Patricia Albuquerque
Counselor, MEd, LMHCA
3 Endorsed
Online Only
If you feel overwhelmed by what this country is going through, I'm here for you. As a queer Latina immigrant and a mother, I've navigated many challenges myself. I believe we are constantly being affected by what happened to us and by the people around us: our friends, partners, family, politicians, coworkers or even strangers on the street. So when life feels heavy, it's time to explore how our story and our environment are impacting us and identify the changes we can make. My work focuses on body and sex positivity, overcoming systemic and cultural barriers, addressing toxic masculinity, and healing generational trauma.
If you feel overwhelmed by what this country is going through, I'm here for you. As a queer Latina immigrant and a mother, I've navigated many challenges myself. I believe we are constantly being affected by what happened to us and by the people around us: our friends, partners, family, politicians, coworkers or even strangers on the street. So when life feels heavy, it's time to explore how our story and our environment are impacting us and identify the changes we can make. My work focuses on body and sex positivity, overcoming systemic and cultural barriers, addressing toxic masculinity, and healing generational trauma.
(253) 364-5772 View (253) 364-5772
Photo of Courtney Putnam, Counselor, MA, MFA, LMHCA, LMT, RM
Courtney Putnam
Counselor, MA, MFA, LMHCA, LMT, RM
4 Endorsed
Tacoma, WA 98406
6/20/25. Accepting NEW clients! Life can feel especially hard during times of transition, loss, or when old patterns no longer serve us. Anxiety lives not just in the mind, but in the body—and it can show up as tension, restlessness, exhaustion, or feeling stuck. I help adults (18+) cope with stress, anxiety, chronic pain/illness, depression, and trauma by using body-based practices and expressive arts to calm the nervous system, reconnect with inner wisdom, and build resilience. Together, we create space for your body to breathe, your story to be seen and honored, and your creativity to guide the way forward.
6/20/25. Accepting NEW clients! Life can feel especially hard during times of transition, loss, or when old patterns no longer serve us. Anxiety lives not just in the mind, but in the body—and it can show up as tension, restlessness, exhaustion, or feeling stuck. I help adults (18+) cope with stress, anxiety, chronic pain/illness, depression, and trauma by using body-based practices and expressive arts to calm the nervous system, reconnect with inner wisdom, and build resilience. Together, we create space for your body to breathe, your story to be seen and honored, and your creativity to guide the way forward.
(253) 243-8345 View (253) 243-8345
Photo of Derrick D'Abreau, Clinical Social Work/Therapist, LICSW
Derrick D'Abreau
Clinical Social Work/Therapist, LICSW
Online Only
With 8 years of experience and a Washington state license, I specialize in supporting service members, veterans, and military families through the challenges of addiction and grief. Military life can bring immense stress, sacrifice, and loss—and asking for help isn't always easy. But you don’t have to carry the weight alone. I provide a safe, judgment-free space where you can talk openly and begin the process of healing. Whether you're navigating the impact of deployment, transition to civilian life, addiction, or the loss of a fellow service member or loved one, I’m here to walk beside you with understanding, guidance, and respect.
With 8 years of experience and a Washington state license, I specialize in supporting service members, veterans, and military families through the challenges of addiction and grief. Military life can bring immense stress, sacrifice, and loss—and asking for help isn't always easy. But you don’t have to carry the weight alone. I provide a safe, judgment-free space where you can talk openly and begin the process of healing. Whether you're navigating the impact of deployment, transition to civilian life, addiction, or the loss of a fellow service member or loved one, I’m here to walk beside you with understanding, guidance, and respect.
(253) 523-2710 View (253) 523-2710
Photo of Stacie McLean - Stacie McLean, LMHC, PLLC, Counselor, MA, LMHC
Stacie McLean, LMHC, PLLC
Counselor, MA, LMHC
1 Endorsed
Online Only
Are you stressed and having difficulty getting along with your family or spouse? Can't get your partner into counseling but you need relationship help? Do you suspect you might have a mood disorder like bipolar? Are you haunted by trauma you can't shake? Are you struggling with abandonment fears and even self-inflicted violence? Are you living with adult autism or ADHD or other neurodivergence, or trying to manage a neurodiverse relationship? To get started, I offer free 15-minute consultations by phone or video. Email for consults or visit my website to schedule!
Are you stressed and having difficulty getting along with your family or spouse? Can't get your partner into counseling but you need relationship help? Do you suspect you might have a mood disorder like bipolar? Are you haunted by trauma you can't shake? Are you struggling with abandonment fears and even self-inflicted violence? Are you living with adult autism or ADHD or other neurodivergence, or trying to manage a neurodiverse relationship? To get started, I offer free 15-minute consultations by phone or video. Email for consults or visit my website to schedule!
(253) 527-6860 View (253) 527-6860
Photo of Karen Beth Acheson, Psychologist, PhD
Karen Beth Acheson
Psychologist, PhD
Online Only
Waitlist for new clients
Greetings and welcome. I'm Dr. Karen Beth Acheson, Ph.D., and I have over 20 years of experience bringing warmth, compassion, and a sense of humor to help empower people to make healthy changes in their lives. My primary focus is adult psychotherapy. My style is down-to-earth; I draw from humanistic, psychodynamic, cognitive-behavioral & mindfulness-based therapies. My specialty areas include: Depression; Bipolar (manic) Depression; Anxiety; Trauma (including Post-Traumatic Stress Disorder); and Emotional/Sexual/physical Abuse. Also, I am now blending my lifelong passion for animals, including a B.S. in Animal Science, with
Greetings and welcome. I'm Dr. Karen Beth Acheson, Ph.D., and I have over 20 years of experience bringing warmth, compassion, and a sense of humor to help empower people to make healthy changes in their lives. My primary focus is adult psychotherapy. My style is down-to-earth; I draw from humanistic, psychodynamic, cognitive-behavioral & mindfulness-based therapies. My specialty areas include: Depression; Bipolar (manic) Depression; Anxiety; Trauma (including Post-Traumatic Stress Disorder); and Emotional/Sexual/physical Abuse. Also, I am now blending my lifelong passion for animals, including a B.S. in Animal Science, with
(253) 215-6726 View (253) 215-6726
Photo of Vicki Johnson, Counselor, MS, NCC, LMHC
Vicki Johnson
Counselor, MS, NCC, LMHC
Bonney Lake, WA 98391
I was an elementary teacher for 7 years before getting my master's degree in marriage and family counseling. I've been in private practice for 14 years as well as being a school counselor. In addition, I've taught Love and Logic parenting classes for the last 13 years. I work with individuals, couples or families and work well with children, too.
I was an elementary teacher for 7 years before getting my master's degree in marriage and family counseling. I've been in private practice for 14 years as well as being a school counselor. In addition, I've taught Love and Logic parenting classes for the last 13 years. I work with individuals, couples or families and work well with children, too.
(360) 200-7046 View (360) 200-7046
Photo of Lou Bradford, Clinical Social Work/Therapist, LICSW
Lou Bradford
Clinical Social Work/Therapist, LICSW
2 Endorsed
Tacoma, WA 98402
Hi! I'm Lou. I work with queer and trans young adults. Therapy can be challenging, but it can also be beautiful and healing. It is my goal to meet you with compassion, support, and a safe space to help you through whatever difficulties or pain you may be experiencing. As a part of the Queer and trans community, I understand how important representation and connection is. Of course, we all have our own unique stories. Your story is not my story, and my story is not yours. However, I find that it is incredibly helpful (and dare I say, healing even) to have that common understanding and shared experience with my clients.
Hi! I'm Lou. I work with queer and trans young adults. Therapy can be challenging, but it can also be beautiful and healing. It is my goal to meet you with compassion, support, and a safe space to help you through whatever difficulties or pain you may be experiencing. As a part of the Queer and trans community, I understand how important representation and connection is. Of course, we all have our own unique stories. Your story is not my story, and my story is not yours. However, I find that it is incredibly helpful (and dare I say, healing even) to have that common understanding and shared experience with my clients.
(253) 650-0417 View (253) 650-0417
Photo of Cierra Gloeckner - Healing Glo Counseling, LLC - Cierra Gloeckner, Licensed Mental Health Counselor, Cierra Gloeckner, MA, LMHC
Healing Glo Counseling, LLC - Cierra Gloeckner
Licensed Mental Health Counselor, Cierra Gloeckner, MA, LMHC
2 Endorsed
Online Only
Are you grappling with intrusive thoughts—ones so unsettling that sharing them feels daunting? Whether it's you or your child who's struggling, my practice offers a welcoming space. Life's transitions, including new parenthood, can heighten feelings of isolation, but you don't have to navigate these challenges alone. I'm here to support and guide you. Clients who choose to work with me develop effective strategies to accept and manage the uncertainties of life.
Are you grappling with intrusive thoughts—ones so unsettling that sharing them feels daunting? Whether it's you or your child who's struggling, my practice offers a welcoming space. Life's transitions, including new parenthood, can heighten feelings of isolation, but you don't have to navigate these challenges alone. I'm here to support and guide you. Clients who choose to work with me develop effective strategies to accept and manage the uncertainties of life.
(253) 921-2960 View (253) 921-2960

See more therapy options for Pierce County

How does your Therapist compare?

Number of Therapists in Pierce County, WA

1,000+

Average cost per session

$150

Therapists in Pierce County, WA who prioritize treating:

92% Anxiety
87% Depression
75% Trauma and PTSD
74% Self Esteem
72% Relationship Issues
70% Stress
66% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

76% Premera Blue Cross
71% Regence
69% Aetna

How Therapists in Pierce County, WA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

76% Female
20% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Pierce County?

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.