Therapists in Royal City, WA

Photo of Carly Allred, Marriage & Family Therapist Associate, MS, LMFTA
Carly Allred
Marriage & Family Therapist Associate, MS, LMFTA
Online Only
Are you and your partner stuck in the same arguments, feeling more like roommates than partners, or wondering if things can actually get better? You're not alone — and it's not too late. I'm Carly Allred, a Licensed Marriage and Family Therapy Associate based in Royal City, WA. I work primarily with couples who are struggling to connect, communicate, or find their way back to each other. Whether you're navigating ongoing conflict, emotional distance, or that quiet feeling that something just isn't working — I'm here to help. My approach is grounded in Relational Life Therapy (RLT), developed by Terry Real. That means our work toge
Are you and your partner stuck in the same arguments, feeling more like roommates than partners, or wondering if things can actually get better? You're not alone — and it's not too late. I'm Carly Allred, a Licensed Marriage and Family Therapy Associate based in Royal City, WA. I work primarily with couples who are struggling to connect, communicate, or find their way back to each other. Whether you're navigating ongoing conflict, emotional distance, or that quiet feeling that something just isn't working — I'm here to help. My approach is grounded in Relational Life Therapy (RLT), developed by Terry Real. That means our work toge
(509) 761-9433 View (509) 761-9433
Photo of Marilee Davis, Marriage & Family Therapist, LMFT
Marilee Davis
Marriage & Family Therapist, LMFT
1 Endorsed
Online Only
I specialize in couples therapy. I have extensive, specialized training helping couples communicate with honesty, respect and vulnerability. I can help you and your partner move towards physical and emotional intimacy that currently feels out of reach. Investing in your relationship is a gift to yourself and your children. If you're ready for real, lasting change and feel discouraged about how to go about it, I can help. As a wife for over 20 years and mother of five children, I bring clinical and life experience to my work. Trust me-I can relate to the ups and downs of relationships and family life!
I specialize in couples therapy. I have extensive, specialized training helping couples communicate with honesty, respect and vulnerability. I can help you and your partner move towards physical and emotional intimacy that currently feels out of reach. Investing in your relationship is a gift to yourself and your children. If you're ready for real, lasting change and feel discouraged about how to go about it, I can help. As a wife for over 20 years and mother of five children, I bring clinical and life experience to my work. Trust me-I can relate to the ups and downs of relationships and family life!
(858) 365-8639 View (858) 365-8639

More Therapists Nearby

Photo of Latrelle Huff, Clinical Social Work/Therapist, MSW, LSWAIC
Latrelle Huff
Clinical Social Work/Therapist, MSW, LSWAIC
1 Endorsed
Online Only
Seeking Therapy is a courageous act of self-love; however, it can feel scary at first, but I want you to know that you made the right decision. A safe therapeutic environment would promote growth, healing, and stability. Therapy provides a haven for you to discuss things that you are currently struggling with or have experienced in the past and have not been able to heal from the situation completely. I have experience assisting individuals and couples in finding effective coping strategies to help manage life and relationship challenges.
Seeking Therapy is a courageous act of self-love; however, it can feel scary at first, but I want you to know that you made the right decision. A safe therapeutic environment would promote growth, healing, and stability. Therapy provides a haven for you to discuss things that you are currently struggling with or have experienced in the past and have not been able to heal from the situation completely. I have experience assisting individuals and couples in finding effective coping strategies to help manage life and relationship challenges.
(425) 842-1733 View (425) 842-1733
Photo of Madison Ramirez, Mental Health Counselor, MSW, LMHC
Madison Ramirez
Mental Health Counselor, MSW, LMHC
Online Only
Not accepting new clients
You may be feeling overwhelmed, unheard, stuck in time, or unsure how to move forward—these big emotions may feel like too much to manage on your own. I work well with individuals who are navigating life’s challenges, and I strive to provide you with a supportive, nonjudgemental space where you feel heard, understood, and respected. Together, we will work to help you gain clarity around your thoughts and feelings, understand patterns that may be keeping you stuck, and develop practical tools to better manage stress, anxiety, depression, or overwhelming life transitions.
You may be feeling overwhelmed, unheard, stuck in time, or unsure how to move forward—these big emotions may feel like too much to manage on your own. I work well with individuals who are navigating life’s challenges, and I strive to provide you with a supportive, nonjudgemental space where you feel heard, understood, and respected. Together, we will work to help you gain clarity around your thoughts and feelings, understand patterns that may be keeping you stuck, and develop practical tools to better manage stress, anxiety, depression, or overwhelming life transitions.
(509) 517-7678 View (509) 517-7678
Photo of Janet B. Davis, Clinical Social Work/Therapist, LICSW
Janet B. Davis
Clinical Social Work/Therapist, LICSW
1 Endorsed
Online Only
Have you been stuck with unresolved hurt, depression, anxiety, or relationships struggles? I will create a safe environment & meet you right where you are. I can help you find hope and healing with warm empathetic listening & evidence-based therapy for your mind & body. I offer somatic therapies which can release stress stored in your body, helping to regulate & soothe your nervous system. Together, we can create a healing path for you.
Have you been stuck with unresolved hurt, depression, anxiety, or relationships struggles? I will create a safe environment & meet you right where you are. I can help you find hope and healing with warm empathetic listening & evidence-based therapy for your mind & body. I offer somatic therapies which can release stress stored in your body, helping to regulate & soothe your nervous system. Together, we can create a healing path for you.
(509) 796-0723 View (509) 796-0723
Photo of Symphony Johnson, Clinical Social Work/Therapist, MSW, LICSWA
Symphony Johnson
Clinical Social Work/Therapist, MSW, LICSWA
1 Endorsed
Online Only
Waitlist for new clients
My ideal client is someone ready to explore ways to create positive change. This includes individuals navigating anxiety, depression, or life transitions; those healing from trauma; families working through challenges; and youth building coping skills. They’re looking for a safe space to process emotions, build resilience, and develop healthy relationships. They’re open to evidence-based approaches like CBT, DBT, ACT, and solution-focused therapy, and curious about their own strengths as they move toward their goals.
My ideal client is someone ready to explore ways to create positive change. This includes individuals navigating anxiety, depression, or life transitions; those healing from trauma; families working through challenges; and youth building coping skills. They’re looking for a safe space to process emotions, build resilience, and develop healthy relationships. They’re open to evidence-based approaches like CBT, DBT, ACT, and solution-focused therapy, and curious about their own strengths as they move toward their goals.
(509) 722-2446 View (509) 722-2446
Photo of Lacey Crittendon, Licensed Mental Health Counselor, LMHC
Lacey Crittendon
Licensed Mental Health Counselor, LMHC
Online Only
If you are a future client of mine, I want to say welcome, and I am so glad you are here! I have been practicing as a therapist for the past 5 years, utilizing a range of evidence-based modalities used to help assist a client on their journey to healing. My approach as a therapist is client centered, because this is your care, so your needs and voice deserves to be heard and be a focal point for treatment. As a mental health therapist, I’m committed to creating a safe, supportive space, working alongside you offering compassion, guidance and practical tools to help you navigate life's challenges.
If you are a future client of mine, I want to say welcome, and I am so glad you are here! I have been practicing as a therapist for the past 5 years, utilizing a range of evidence-based modalities used to help assist a client on their journey to healing. My approach as a therapist is client centered, because this is your care, so your needs and voice deserves to be heard and be a focal point for treatment. As a mental health therapist, I’m committed to creating a safe, supportive space, working alongside you offering compassion, guidance and practical tools to help you navigate life's challenges.
(509) 210-8260 View (509) 210-8260
Photo of Erika Cp Ritchie, Clinical Social Work/Therapist, LCSW-A
Erika Cp Ritchie
Clinical Social Work/Therapist, LCSW-A
Moses Lake, WA 98837
Welcome to the path of healing and growth. I am here to accompany you on your journey towards greater mental well-being. As a dedicated mental health therapist, my purpose is to provide a safe and compassionate space where you can explore your thoughts, feelings, and experiences without judgment. Together, we will work collaboratively to navigate the challenges you face, uncover your strengths, and cultivate a healthier, more fulfilling life. My approach is rooted in empathy, respect, and evidence-based practices, tailored to meet your unique needs. Let us embark on this transformative process together, one step at a time.
Welcome to the path of healing and growth. I am here to accompany you on your journey towards greater mental well-being. As a dedicated mental health therapist, my purpose is to provide a safe and compassionate space where you can explore your thoughts, feelings, and experiences without judgment. Together, we will work collaboratively to navigate the challenges you face, uncover your strengths, and cultivate a healthier, more fulfilling life. My approach is rooted in empathy, respect, and evidence-based practices, tailored to meet your unique needs. Let us embark on this transformative process together, one step at a time.
(509) 348-4819 x9325 View (509) 348-4819 x9325
Photo of Karen Hernandez, Clinical Social Work/Therapist, LMCHA, LICSWA
Karen Hernandez
Clinical Social Work/Therapist, LMCHA, LICSWA
Online Only
You are the Isabela’s and Louisa’s of your family. You are constantly helping people and dealing with difficult burdens and expectations. You are unsure how to build a sustainable you that can keep helping people without you feeling exhausted every time.
You are the Isabela’s and Louisa’s of your family. You are constantly helping people and dealing with difficult burdens and expectations. You are unsure how to build a sustainable you that can keep helping people without you feeling exhausted every time.
View
Photo of Kristin Harper, Counselor, LMHC
Kristin Harper
Counselor, LMHC
Online Only
I provide trauma-informed, client-centered counseling with an emphasis on somatic awareness and nervous system regulation. Clients often seek therapy when they feel overwhelmed, disconnected, or constrained by patterns that developed in response to past experiences. My role is to support you in building safety, increasing emotional and physiological regulation, and developing the capacity for meaningful and sustainable change. My approach is integrative and outcome-focused, combining relational therapy with solution-focused and body-based interventions.
I provide trauma-informed, client-centered counseling with an emphasis on somatic awareness and nervous system regulation. Clients often seek therapy when they feel overwhelmed, disconnected, or constrained by patterns that developed in response to past experiences. My role is to support you in building safety, increasing emotional and physiological regulation, and developing the capacity for meaningful and sustainable change. My approach is integrative and outcome-focused, combining relational therapy with solution-focused and body-based interventions.
(509) 267-3954 View (509) 267-3954
Photo of McKenzie Nicole Hartley, Clinical Social Work/Therapist, MSW, SWAICL
McKenzie Nicole Hartley
Clinical Social Work/Therapist, MSW, SWAICL
Online Only
I am so glad you are here. Taking the first step is always the hardest part. Are you feeling overwhelmed, stuck, or unsure how to move forward? You're not alone—and you don't have to navigate it all on your own. I help individuals work through anxiety, depression, relationship issues, life transitions, and self-esteem challenges with compassion and clarity. My approach is collaborative, grounded in evidence-based practices, and tailored to your unique goals. In therapy, I aim to create a space that is warm, non-judgmental, and supportive.
I am so glad you are here. Taking the first step is always the hardest part. Are you feeling overwhelmed, stuck, or unsure how to move forward? You're not alone—and you don't have to navigate it all on your own. I help individuals work through anxiety, depression, relationship issues, life transitions, and self-esteem challenges with compassion and clarity. My approach is collaborative, grounded in evidence-based practices, and tailored to your unique goals. In therapy, I aim to create a space that is warm, non-judgmental, and supportive.
(509) 219-9053 View (509) 219-9053
Photo of Anastasia Pyz, Licensed Mental Health Counselor Associate , MS, LMHCA
Anastasia Pyz
Licensed Mental Health Counselor Associate , MS, LMHCA
5 Endorsed
Online Only
Immediate openings for new clients! Do you feel overwhelmed by the state of the world? Maybe you're feeling lost, or tired of repeating painful relationship mistakes? Let’s be real: life can be brutal sometimes, and therapy shouldn’t make it harder. If you're tired of feeling misunderstood, unsupported, or burnt out, I'm here to help ease that burden. Together, we'll find new and healthier ways to relate to yourself and others, and equip you with coping strategies to help you get through this wild ride we call life. Life is hard enough - you don’t have to figure it out alone. Please reach out - you deserve to live your best life!
Immediate openings for new clients! Do you feel overwhelmed by the state of the world? Maybe you're feeling lost, or tired of repeating painful relationship mistakes? Let’s be real: life can be brutal sometimes, and therapy shouldn’t make it harder. If you're tired of feeling misunderstood, unsupported, or burnt out, I'm here to help ease that burden. Together, we'll find new and healthier ways to relate to yourself and others, and equip you with coping strategies to help you get through this wild ride we call life. Life is hard enough - you don’t have to figure it out alone. Please reach out - you deserve to live your best life!
(360) 800-1119 View (360) 800-1119
Photo of Michelle Kusterman, Counselor
Michelle Kusterman
Counselor
1 Endorsed
Online Only
I believe in the importance of celebrating diversity and empowering individuals through a personalized therapeutic process. Having commitment and compassion at the forefront of services, to achieve best results and outcomes. I have provided services in the mental health field for eight years, serving children, adults, and families through individual, family, and group counseling settings. I am dedicated to helping identify the strengths and unique gifts of every individual, to help you reach your personal goals in therapy and beyond.
I believe in the importance of celebrating diversity and empowering individuals through a personalized therapeutic process. Having commitment and compassion at the forefront of services, to achieve best results and outcomes. I have provided services in the mental health field for eight years, serving children, adults, and families through individual, family, and group counseling settings. I am dedicated to helping identify the strengths and unique gifts of every individual, to help you reach your personal goals in therapy and beyond.
(360) 964-3498 View (360) 964-3498
Photo of Holly Sossi, Clinical Social Work/Therapist, MSW, LICSW
Holly Sossi
Clinical Social Work/Therapist, MSW, LICSW
1 Endorsed
Online Only
My passion for helping my clients involves providing the space to feel heard, validated, and empowered to commit to positive behavioral health changes for themselves, interpersonally and with the world around them. My theoretical lens is grounded through my studies and practice in humanistic theory, attachment-based theory, child development, and family systems theory. I strive to help individuals and when working with families to develop healthier communication, interpersonal, behavioral, relational and coping skills to strengthen both their interpersonal relationships and positive behaviors, for overall mental well-being.
My passion for helping my clients involves providing the space to feel heard, validated, and empowered to commit to positive behavioral health changes for themselves, interpersonally and with the world around them. My theoretical lens is grounded through my studies and practice in humanistic theory, attachment-based theory, child development, and family systems theory. I strive to help individuals and when working with families to develop healthier communication, interpersonal, behavioral, relational and coping skills to strengthen both their interpersonal relationships and positive behaviors, for overall mental well-being.
(425) 584-5712 View (425) 584-5712
Photo of Mariah Taylor, Clinical Social Work/Therapist, LICSW
Mariah Taylor
Clinical Social Work/Therapist, LICSW
Online Only
Are you struggling with grief, stress, anxiety, depression, life transitions, or various LGBTQ+ struggles? Are you wanting to work on growth, learn coping skills, and empower yourself? Do you have goals that you want to achieve but something is holding you back? I have worked with people from all walks of life from youth to those on hospice preparing for the end of their lives. I have worked with people on self-esteem, coping skills, depression management, anxiety coping skills, grief and loss, chronic conditions, and those struggling with their sexual/gender identity.
Are you struggling with grief, stress, anxiety, depression, life transitions, or various LGBTQ+ struggles? Are you wanting to work on growth, learn coping skills, and empower yourself? Do you have goals that you want to achieve but something is holding you back? I have worked with people from all walks of life from youth to those on hospice preparing for the end of their lives. I have worked with people on self-esteem, coping skills, depression management, anxiety coping skills, grief and loss, chronic conditions, and those struggling with their sexual/gender identity.
(509) 394-4914 View (509) 394-4914
Photo of Deanna Waters, Mental Health Counselor, MA, LMHC, TTS
Deanna Waters
Mental Health Counselor, MA, LMHC, TTS
Online Only
Waitlist for new clients
Come as you are. Let’s begin there. Maybe life feels too loud. Maybe something shifted - slowly or suddenly - and now nothing seems to fit quite right. Or maybe you’ve been stuck in a loop for so long that even hope feels out of reach. Here, we slow things down. Together, we make room for the truth of what hurts and the quiet pull of what matters. We’ll pay close attention to the story that brought you here - past, present, and everything in between - including how your relationships, patterns, and context shape what you carry. This work isn’t about rushing to fix you. It’s about returning to yourself, with care.
Come as you are. Let’s begin there. Maybe life feels too loud. Maybe something shifted - slowly or suddenly - and now nothing seems to fit quite right. Or maybe you’ve been stuck in a loop for so long that even hope feels out of reach. Here, we slow things down. Together, we make room for the truth of what hurts and the quiet pull of what matters. We’ll pay close attention to the story that brought you here - past, present, and everything in between - including how your relationships, patterns, and context shape what you carry. This work isn’t about rushing to fix you. It’s about returning to yourself, with care.
(425) 671-0489 View (425) 671-0489
Photo of Maria Williams, Licensed Mental Health Counselor, PhD, LMHC, SUDP
Maria Williams
Licensed Mental Health Counselor, PhD, LMHC, SUDP
1 Endorsed
Online Only
Life can feel overwhelming when you're carrying the weight of anxiety, trauma, or the pressure to "have it all together." If you are struggling to find your footing or feeling disconnected from yourself, please know that you don't have to navigate this alone. I provide a safe, non-judgmental space where we can explore your challenges and identify the strengths you already possess. Together, we will work to quiet the noise of stress and build a foundation of resilience and self-compassion that allows you to move forward with clarity and peace.
Life can feel overwhelming when you're carrying the weight of anxiety, trauma, or the pressure to "have it all together." If you are struggling to find your footing or feeling disconnected from yourself, please know that you don't have to navigate this alone. I provide a safe, non-judgmental space where we can explore your challenges and identify the strengths you already possess. Together, we will work to quiet the noise of stress and build a foundation of resilience and self-compassion that allows you to move forward with clarity and peace.
(360) 284-2640 View (360) 284-2640
Photo of Claudia Cortes, Clinical Social Work/Therapist, LICSW
Claudia Cortes
Clinical Social Work/Therapist, LICSW
Online Only
Not accepting new clients
Are you struggling with the weight of past trauma, anxiety, depression, or poor stress management? Starting therapy can feel scary, but you don't have to face it alone. I believe you are the expert in your own life and only need some direction and assistance in self-awareness and skill building. My role is to work alongside you as a partner in your healing. I provide a relaxed, professional environment that fosters a strong relationship where you feel safe and comfortable. I honor diversity in all individuals and families. I invite you to play an integral role in your own healing process. We are a team!
Are you struggling with the weight of past trauma, anxiety, depression, or poor stress management? Starting therapy can feel scary, but you don't have to face it alone. I believe you are the expert in your own life and only need some direction and assistance in self-awareness and skill building. My role is to work alongside you as a partner in your healing. I provide a relaxed, professional environment that fosters a strong relationship where you feel safe and comfortable. I honor diversity in all individuals and families. I invite you to play an integral role in your own healing process. We are a team!
(509) 476-8341 View (509) 476-8341
Photo of Rebekah J King, Pre-Licensed Professional, MA, LMHCA
Rebekah J King
Pre-Licensed Professional, MA, LMHCA
10 Endorsed
Online Only
I will be honored to be your partner and guide on your journey to discovering the warrior already within you. I graduated from Saybrook University in 2022 with a Master of Arts (MA) in Clinical Counseling and specialized in LGBTQIA+ issues (kink friendly), neurodivergent care, relationships, and domestic violence. I prefer to work with youth and adults using trauma-informed care including Cognitive Behavior Therapy (CBT), Acceptance Commitment Therapy (ACT), narrative therapy, and Internal Family Systems (IFS).
I will be honored to be your partner and guide on your journey to discovering the warrior already within you. I graduated from Saybrook University in 2022 with a Master of Arts (MA) in Clinical Counseling and specialized in LGBTQIA+ issues (kink friendly), neurodivergent care, relationships, and domestic violence. I prefer to work with youth and adults using trauma-informed care including Cognitive Behavior Therapy (CBT), Acceptance Commitment Therapy (ACT), narrative therapy, and Internal Family Systems (IFS).
(425) 217-8885 View (425) 217-8885
Photo of Irasema Campbell, Counselor, MA, LMHC, NCC
Irasema Campbell
Counselor, MA, LMHC, NCC
Serves Area
Feeling stuck, overwhelmed, or unsure of what to do next, for yourself, your child, or your relationships? You’re not alone. Life can be challenging, and sometimes it’s hard to see a clear path forward. Whether you're navigating anxiety, trauma, relationship struggles, or parenting concerns, I'm here to help you move from surviving to thriving. My approach is grounded in a strengths-focused, client-led framework so that therapy feels collaborative, supportive, and tailored to your unique needs.
Feeling stuck, overwhelmed, or unsure of what to do next, for yourself, your child, or your relationships? You’re not alone. Life can be challenging, and sometimes it’s hard to see a clear path forward. Whether you're navigating anxiety, trauma, relationship struggles, or parenting concerns, I'm here to help you move from surviving to thriving. My approach is grounded in a strengths-focused, client-led framework so that therapy feels collaborative, supportive, and tailored to your unique needs.
(509) 509-2940 View (509) 509-2940

How does your Therapist compare?

Number of Therapists in Royal City, WA

< 10

Therapists in Royal City, WA who prioritize treating:

100% Relationship Issues
100% Parenting
100% Family Conflict
50% Depression
50% Anxiety
50% Grief
50% Spirituality

Average years in practice

21 Years

Gender breakdown

100% Female

How Therapists in Royal City, WA see their clients

100% Online Only
FAQs - About Therapy and Counseling

How can I find a therapist in Royal City?

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.