Therapists in Seattle, WA

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Photo of Grief Anxiety And Childhood Trauma Therapist Virg Augoustatos, MA, LMHCA, P-RDT, RYT, Counselor
Grief Anxiety And Childhood Trauma Therapist Virg Augoustatos
Counselor, MA, LMHCA, P-RDT, RYT
Verified Verified
5 Endorsed
Seattle, WA 98104
If you are feeling lost, lonely, or disconnected from the world around you and are having difficultly finding the way forward, I am here to help. You may be desiring more confidence, ease, and connection in yourself and with others. Perhaps you seek more awareness of your patterns, needs, and desires in order to feel empowered to take action toward a life filled with purpose and meaning. I aim to help you develop harmony with your emotional self, build meaningful relationships, and find more freedom and fullness in life. I specialize in issues related to grief and loss, life transitions, gender, anxiety, and trauma.
If you are feeling lost, lonely, or disconnected from the world around you and are having difficultly finding the way forward, I am here to help. You may be desiring more confidence, ease, and connection in yourself and with others. Perhaps you seek more awareness of your patterns, needs, and desires in order to feel empowered to take action toward a life filled with purpose and meaning. I aim to help you develop harmony with your emotional self, build meaningful relationships, and find more freedom and fullness in life. I specialize in issues related to grief and loss, life transitions, gender, anxiety, and trauma.
(206) 495-0305 View (206) 495-0305
Photo of Kaitlyn Sheridan, MA, LMHC, MHP, Counselor
Kaitlyn Sheridan
Counselor, MA, LMHC, MHP
Verified Verified
2 Endorsed
Seattle, WA 98112
We live in an absurd world, running into expected narratives about how life should be and how we should feel and think. These experiences can lead to suffering: overwhelm, feelings of isolation, meaninglessness, and permanence, leaving us feeling broken. We cannot change our experiences, but we can change our relationship with those experiences, what they mean, and how we approach them. I have extensive experience working with emotional laborers, adolescents, women, LGBT+ challenges, body and sex/kink positive, identity difficulties, and attachment wounds.
We live in an absurd world, running into expected narratives about how life should be and how we should feel and think. These experiences can lead to suffering: overwhelm, feelings of isolation, meaninglessness, and permanence, leaving us feeling broken. We cannot change our experiences, but we can change our relationship with those experiences, what they mean, and how we approach them. I have extensive experience working with emotional laborers, adolescents, women, LGBT+ challenges, body and sex/kink positive, identity difficulties, and attachment wounds.
(206) 208-2314 View (206) 208-2314
Photo of Kelsey Kennedy, PsyD, Psychologist
Kelsey Kennedy
Psychologist, PsyD
Verified Verified
3 Endorsed
Seattle, WA 98103
I specialize in working with individuals who are experiencing distressing reactions following traumatic events like dissociation, anxiety and depression. These experiences can lead to painful thoughts like you are unsafe or worthlessness and lead to feelings of emptiness and withdrawal. This frame of mind may be getting get in the way of the relationships you want with your friends, kids, or partner. My goal is to help you grow and change to live your life more fully. I believe in increasing our inherent strengths, as well as teaching new skills and techniques to be more effective.
I specialize in working with individuals who are experiencing distressing reactions following traumatic events like dissociation, anxiety and depression. These experiences can lead to painful thoughts like you are unsafe or worthlessness and lead to feelings of emptiness and withdrawal. This frame of mind may be getting get in the way of the relationships you want with your friends, kids, or partner. My goal is to help you grow and change to live your life more fully. I believe in increasing our inherent strengths, as well as teaching new skills and techniques to be more effective.
(425) 214-4876 View (425) 214-4876
Photo of Wesley Maynard, MBA, LMSW, LICSWA, Clinical Social Work/Therapist
Wesley Maynard
Clinical Social Work/Therapist, MBA, LMSW, LICSWA
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
Maybe you're tired of suffering from being bossed around by OCD or anxiety. Perhaps you’re in a painful life transition and feeling uncertain, afraid, or lost. I’m glad you’re here. If you feel hopeless, I believe things can get much better, one step at a time. Although it sure can feel this way, rather than viewing OCD or anxiety as a monster trying to torture us, I see it as a hypervigilant alert system whose aim is to keep us safe at all costs. Retraining that alert system can help us get unstuck, heal, and thrive. I never claim to have the answers for anyone’s life, but I love helping people find answers within themselves.
Maybe you're tired of suffering from being bossed around by OCD or anxiety. Perhaps you’re in a painful life transition and feeling uncertain, afraid, or lost. I’m glad you’re here. If you feel hopeless, I believe things can get much better, one step at a time. Although it sure can feel this way, rather than viewing OCD or anxiety as a monster trying to torture us, I see it as a hypervigilant alert system whose aim is to keep us safe at all costs. Retraining that alert system can help us get unstuck, heal, and thrive. I never claim to have the answers for anyone’s life, but I love helping people find answers within themselves.
(425) 587-8275 View (425) 587-8275
Photo of Dannia Velazco, LCSWA, Clinical Social Work/Therapist
Dannia Velazco
Clinical Social Work/Therapist, LCSWA
Verified Verified
1 Endorsed
Seattle, WA 98125
I believe that having a safe professional relationship is an essential part of the therapeutic process. I also believe that healing is non-linear, that we can become our best ally, learn to extend compassion to ourselves, as well as unlearn and relearn new ways of being.
I believe that having a safe professional relationship is an essential part of the therapeutic process. I also believe that healing is non-linear, that we can become our best ally, learn to extend compassion to ourselves, as well as unlearn and relearn new ways of being.
(206) 339-4211 View (206) 339-4211
Photo of Stevie Ekkelkamp, LMHC, MA, MABS, Counselor
Stevie Ekkelkamp
Counselor, LMHC, MA, MABS
Verified Verified
2 Endorsed
Seattle, WA 98104  (Online Only)
You're struggling with past traumas. Maybe you don't even realize that a lot of your frustration, anxiety and depression and current struggles are linked to past traumas. It can be overwhelming dealing with intense emotions and identify the why behind it to change your life. I would love to work with you and address some of the emotions and struggles that you have been dealing with. Have there been some past events in your life that have fundamentally changed you as a person?
You're struggling with past traumas. Maybe you don't even realize that a lot of your frustration, anxiety and depression and current struggles are linked to past traumas. It can be overwhelming dealing with intense emotions and identify the why behind it to change your life. I would love to work with you and address some of the emotions and struggles that you have been dealing with. Have there been some past events in your life that have fundamentally changed you as a person?
(425) 428-4342 View (425) 428-4342
Photo of Jennifer Brower, MSW, LSWAIC, Clinical Social Work/Therapist
Jennifer Brower
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
1 Endorsed
Seattle, WA 98115  (Online Only)
Jennifer (she/her) is a Licensed Social Work Associate Independent Clinical (LSWAIC) in private practice. Jennifer has been a social worker for 22 years. She likes to work with clients who are ages 21-80.
Jennifer (she/her) is a Licensed Social Work Associate Independent Clinical (LSWAIC) in private practice. Jennifer has been a social worker for 22 years. She likes to work with clients who are ages 21-80.
(206) 752-5701 View (206) 752-5701
Photo of Grace K. Lautman, MS, CN, LMHC, Counselor
Grace K. Lautman
Counselor, MS, CN, LMHC
Verified Verified
3 Endorsed
Seattle, WA 98107
My professional life is influenced by my own understanding of what it’s like to seek help and to navigate through painful experiences. I have been described as warm, collaborative, and empathetic, and my priority is creating a space where my clients can truly be themselves. While I have experience supporting many different mental health concerns, I have expertise in eating disorders/disordered eating, trauma/PTSD, as well as anxiety/depression. Myself and the clinicians at my practice work with all identities and backgrounds and hold a value for social justice/anti-oppressive work.
My professional life is influenced by my own understanding of what it’s like to seek help and to navigate through painful experiences. I have been described as warm, collaborative, and empathetic, and my priority is creating a space where my clients can truly be themselves. While I have experience supporting many different mental health concerns, I have expertise in eating disorders/disordered eating, trauma/PTSD, as well as anxiety/depression. Myself and the clinicians at my practice work with all identities and backgrounds and hold a value for social justice/anti-oppressive work.
(206) 488-1696 View (206) 488-1696
Photo of Christina Cantwell, MA, LMHC, Counselor
Christina Cantwell
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98112  (Online Only)
I work with individuals who are feeling stuck or going through transition in their lives. I believe that people are doing the best they can, but habitual ways of relating to ourselves and others can hold us back from having the life and relationships we want. Some of my specialties include working with anxiety, depression, trauma, LGBTQIA2+ folks, BIPOC folks, and those in polyamorous or nonmonogamous relationships.
I work with individuals who are feeling stuck or going through transition in their lives. I believe that people are doing the best they can, but habitual ways of relating to ourselves and others can hold us back from having the life and relationships we want. Some of my specialties include working with anxiety, depression, trauma, LGBTQIA2+ folks, BIPOC folks, and those in polyamorous or nonmonogamous relationships.
(425) 212-1367 View (425) 212-1367
Photo of Ash Anthony, MA, LMFT, Marriage & Family Therapist
Ash Anthony
Marriage & Family Therapist, MA, LMFT
Verified Verified
8 Endorsed
Seattle, WA 98134
Welcome fellow human! It takes courage and self-compassion to seek support. Even if you struggle with not feeling good enough or accepting parts of yourself, you care enough about YOU to ask for help navigating your present circumstances. Life can be hard! We are constantly challenged every day to show up in the midst of great difficulty. Perhaps you are experiencing relationship issues, struggling with addiction, loneliness, emotional challenges, life transitions, old wounds, seeking personal growth, or experiencing struggles in your family. I am here to walk alongside you as you shift into new ways of being with your truth.
Welcome fellow human! It takes courage and self-compassion to seek support. Even if you struggle with not feeling good enough or accepting parts of yourself, you care enough about YOU to ask for help navigating your present circumstances. Life can be hard! We are constantly challenged every day to show up in the midst of great difficulty. Perhaps you are experiencing relationship issues, struggling with addiction, loneliness, emotional challenges, life transitions, old wounds, seeking personal growth, or experiencing struggles in your family. I am here to walk alongside you as you shift into new ways of being with your truth.
(206) 472-1461 View (206) 472-1461
Photo of Meghan Smith, MA, LMHC, E-RYT
Meghan Smith
Mental Health Counselor, MA, LMHC, E-RYT
Verified Verified
4 Endorsed
Seattle, WA 98112  (Online Only)
Are you a woman who feels overwhelmed, panicky or anxious?. Maybe you found this page because you are looking for answers and companionship on your journey with and through anxiety. I know, I’ve been there too. Anxiety can rob us of feeling safe, of our joy and connection, our vitality, and of our sense of well-being. It can leave us feeling exhausted and burnt out, unable to relax, sleep, eat well, and trust that everything is going to be okay. And as women, so much is asked of us from a culture that does little to support us, leaving us with no time to slow down, rest and care for ourselves.
Are you a woman who feels overwhelmed, panicky or anxious?. Maybe you found this page because you are looking for answers and companionship on your journey with and through anxiety. I know, I’ve been there too. Anxiety can rob us of feeling safe, of our joy and connection, our vitality, and of our sense of well-being. It can leave us feeling exhausted and burnt out, unable to relax, sleep, eat well, and trust that everything is going to be okay. And as women, so much is asked of us from a culture that does little to support us, leaving us with no time to slow down, rest and care for ourselves.
(206) 385-3846 View (206) 385-3846
Photo of Nicole Ruston - Ruston Therapy Group PLLC, MS, LMHC, LMFT, LMFTA, EdD, Counselor
Ruston Therapy Group PLLC
Counselor, MS, LMHC, LMFT, LMFTA, EdD
Verified Verified
Seattle, WA 98108
Ruston Therapy Group is devoted to helping individuals rediscover their true purpose through transformative approaches. We offer unwavering support and guidance as clients tap into their innate strengths and wisdom. Our emphasis is on enhancing emotional well-being and overall wellness, empowering individuals to take charge of their healing journey. We advocate for radical self-acceptance and self-care, fostering deep connections with humanity and the world. Whatever has led you to seek help now, choosing your path with the support of our therapists, makes the journey of self discovery much more clear and fulfilling.
Ruston Therapy Group is devoted to helping individuals rediscover their true purpose through transformative approaches. We offer unwavering support and guidance as clients tap into their innate strengths and wisdom. Our emphasis is on enhancing emotional well-being and overall wellness, empowering individuals to take charge of their healing journey. We advocate for radical self-acceptance and self-care, fostering deep connections with humanity and the world. Whatever has led you to seek help now, choosing your path with the support of our therapists, makes the journey of self discovery much more clear and fulfilling.
(206) 944-6885 View (206) 944-6885
Photo of Dr. Ezra Mf Goetzen, PsyD, Counselor
Dr. Ezra Mf Goetzen
Counselor, PsyD
Verified Verified
Seattle, WA 98122  (Online Only)
I have current openings ———Navigating our current world is no easy task, especially if you are queer, trans, non-binary, or practice non traditional relationship structures. Many of us experience depression, anxiety, intense self doubt, or even self hatred. I will offer you a safe yet engaging space where we can challenge and heal the blocks that get in your way.
I have current openings ———Navigating our current world is no easy task, especially if you are queer, trans, non-binary, or practice non traditional relationship structures. Many of us experience depression, anxiety, intense self doubt, or even self hatred. I will offer you a safe yet engaging space where we can challenge and heal the blocks that get in your way.
(646) 588-1596 View (646) 588-1596
Photo of Mary Yoest, LMHC, Counselor
Mary Yoest
Counselor, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98112
Do you ever feel a wall between yourself and the world? Do you long to feel connected to yourself and others? What we feel and/or have lived through can disconnect us from each other and the world around us. I offer a trauma-informed, creative, and personalized approach to work with you as you explore how to reconnect to your innate ability to thrive. We can find a sense of ease through creative exploration into how the body and mind carry our past experiences, values, and internalized narratives. I work best with older teens and adults, existentialists, artists, and bookworms.
Do you ever feel a wall between yourself and the world? Do you long to feel connected to yourself and others? What we feel and/or have lived through can disconnect us from each other and the world around us. I offer a trauma-informed, creative, and personalized approach to work with you as you explore how to reconnect to your innate ability to thrive. We can find a sense of ease through creative exploration into how the body and mind carry our past experiences, values, and internalized narratives. I work best with older teens and adults, existentialists, artists, and bookworms.
View
Photo of Shanon Cox, LMHC, Counselor
Shanon Cox
Counselor, LMHC
Verified Verified
Seattle, WA 98103  (Online Only)
I work primarily with pre-teens, teens, and adults on issues such as anxiety, depression, life transitions, or other specific needs. I see my clients as the expert in their own life and endeavor to support you in living the life you want. I create a partnership and put a high priority on developing a strong therapy relationship with each of my clients.
I work primarily with pre-teens, teens, and adults on issues such as anxiety, depression, life transitions, or other specific needs. I see my clients as the expert in their own life and endeavor to support you in living the life you want. I create a partnership and put a high priority on developing a strong therapy relationship with each of my clients.
(206) 681-1696 View (206) 681-1696
Photo of Michael Kaufman, LICSW, MSW, MHP, Clinical Social Work/Therapist
Michael Kaufman
Clinical Social Work/Therapist, LICSW, MSW, MHP
Verified Verified
5 Endorsed
Seattle, WA 98103
I have been a child and family therapist since 2009, and volunteered in the field of grief and loss for 14 years, working with grieving children (ages 3 to 18) who lost a loved one. I'm client-centered and strengths-based, and believe my job is to try to understand how my client's brain works, to best assist each individual understand her/ himself. I have learned from the last 9 years working with a wide variety of amazing individuals that I must be very creative and flexible. I'm grateful for how much I have and continue to learn from my clients.
I have been a child and family therapist since 2009, and volunteered in the field of grief and loss for 14 years, working with grieving children (ages 3 to 18) who lost a loved one. I'm client-centered and strengths-based, and believe my job is to try to understand how my client's brain works, to best assist each individual understand her/ himself. I have learned from the last 9 years working with a wide variety of amazing individuals that I must be very creative and flexible. I'm grateful for how much I have and continue to learn from my clients.
(253) 201-4196 View (253) 201-4196
Photo of Rosalind (Roz) Ando, MA, LMHC, Counselor
Rosalind (Roz) Ando
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98103  (Online Only)
Are you unable to shake anxious or depressed feelings? Are your personal relationships less than ideal? Would you like to be happier? Sometimes it's difficult for us to see the patterns that keep us stuck. I will listen with compassion and acceptance, and together we will unravel your experiences and make sense of your story. Using talk therapy and newer, innovative therapies it is possible to let go of thinking and behavior patterns that keep you from feeling joy. It's time to start enjoying your life.
Are you unable to shake anxious or depressed feelings? Are your personal relationships less than ideal? Would you like to be happier? Sometimes it's difficult for us to see the patterns that keep us stuck. I will listen with compassion and acceptance, and together we will unravel your experiences and make sense of your story. Using talk therapy and newer, innovative therapies it is possible to let go of thinking and behavior patterns that keep you from feeling joy. It's time to start enjoying your life.
(206) 388-4589 View (206) 388-4589
Photo of Michelle Jones, MA, LMHC, Counselor
Michelle Jones
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98104  (Online Only)
Waitlist for new clients
Are you a new mother who is juggling life with young kids? Are just now coming up for air after the complex newborn months? Are you yearning to get reoriented? The fact that you’re here highlights that you are both suffering deeply and deeply resourceful. I believe you are wiser than you know, and I trust that with some support, you can reconnect to your deep knowing. I would be honored to partner with you in discovering what is no longer serving you and exploring subtle shifts in how you want to relate to yourself and others. Even though your outside world may not change, your experience can be different. You can flourish.
Are you a new mother who is juggling life with young kids? Are just now coming up for air after the complex newborn months? Are you yearning to get reoriented? The fact that you’re here highlights that you are both suffering deeply and deeply resourceful. I believe you are wiser than you know, and I trust that with some support, you can reconnect to your deep knowing. I would be honored to partner with you in discovering what is no longer serving you and exploring subtle shifts in how you want to relate to yourself and others. Even though your outside world may not change, your experience can be different. You can flourish.
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Photo of Cynthia Huynh-Wu, MA, LMHC, Counselor
Cynthia Huynh-Wu
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98103
Therapy provides a space to process and reclaim experiences, thoughts, and emotions that may have felt stuck or weighed down by the pressures of our surroundings, cultural practices, and deep-seated personal beliefs. These barriers may be reflected in your family relationships, experiences of trauma and loss, and interactions with institutional forces. As a narrative-centered therapist, I will provide a supportive environment for you to deepen your understanding of yourself, challenge these barriers, and reframe your story in order to make empowered choices that align with your values and goals.
Therapy provides a space to process and reclaim experiences, thoughts, and emotions that may have felt stuck or weighed down by the pressures of our surroundings, cultural practices, and deep-seated personal beliefs. These barriers may be reflected in your family relationships, experiences of trauma and loss, and interactions with institutional forces. As a narrative-centered therapist, I will provide a supportive environment for you to deepen your understanding of yourself, challenge these barriers, and reframe your story in order to make empowered choices that align with your values and goals.
(206) 202-7754 View (206) 202-7754
Photo of Angel Li, MA, LMHCA, Counselor
Angel Li
Counselor, MA, LMHCA
Verified Verified
4 Endorsed
Seattle, WA 98107
You are trying so hard but it never seem good enough; You are exhausted but can’t seem to rest; You’ve tried to find peace but you can’t seem to quiet your mind; You feel like you are always letting someone down; You catch yourself asking “what is the point”. You want to feel at ease with yourself; You want to feel enough without having to be perfect; You want to feel connected with your loved ones; You want to feel in control of your life; You want to feel present in important moments; You want to find joy and passion once again.
You are trying so hard but it never seem good enough; You are exhausted but can’t seem to rest; You’ve tried to find peace but you can’t seem to quiet your mind; You feel like you are always letting someone down; You catch yourself asking “what is the point”. You want to feel at ease with yourself; You want to feel enough without having to be perfect; You want to feel connected with your loved ones; You want to feel in control of your life; You want to feel present in important moments; You want to find joy and passion once again.
(425) 587-8773 View (425) 587-8773
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How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
78% Relationship Issues
75% Self Esteem
72% Trauma and PTSD
71% Stress
68% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

68% Premera Blue Cross
58% Aetna
50% Regence

How Therapists in Seattle, WA see their clients

52% Online Only
48% In Person and Online

Gender breakdown

75% Female
21% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Seattle?

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.