Therapists in Seattle, WA

View neighborhoods in Seattle
Photo of Ann De Lancey, PhD, Psychologist
Ann De Lancey
Psychologist, PhD
Verified Verified
1 Endorsed
Seattle, WA 98117
Not accepting new clients
Working together we can help you with what gets you into trouble, being stuck, a loss, difficulties in a relationship, and achieving your goals. If you are a parent, we will work together to reestablish optimal development and family functioning. Therapy works in many ways. It helps us surrender unhelpful ways of protecting ourselves, learn how to be increasingly self-reflective, develop greater capacities to repair ourselves and our relationships, and augment resilience and happiness. I believe that the deepest understanding and change comes from knowing oneself better, becoming increasingly self-reflective, and experiencing oneself differently in the context of a relationship.
Working together we can help you with what gets you into trouble, being stuck, a loss, difficulties in a relationship, and achieving your goals. If you are a parent, we will work together to reestablish optimal development and family functioning. Therapy works in many ways. It helps us surrender unhelpful ways of protecting ourselves, learn how to be increasingly self-reflective, develop greater capacities to repair ourselves and our relationships, and augment resilience and happiness. I believe that the deepest understanding and change comes from knowing oneself better, becoming increasingly self-reflective, and experiencing oneself differently in the context of a relationship.
(206) 981-5298 View (206) 981-5298
Photo of Gretchen W. Savage, MA, LMHC, Counselor
Gretchen W. Savage
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98115  (Online Only)
I work with individuals who are noticing a change in themselves through life transition, relationship loss, grief symptoms, feeling sadness 'when everything seems fine.' I work with clients who are experiencing long established triggers and grief symptoms through gentleness, safety, and respect for defenses. I have faith in the natural tendency of humans to grow toward healing and integration of mind, body, and spirit.
I work with individuals who are noticing a change in themselves through life transition, relationship loss, grief symptoms, feeling sadness 'when everything seems fine.' I work with clients who are experiencing long established triggers and grief symptoms through gentleness, safety, and respect for defenses. I have faith in the natural tendency of humans to grow toward healing and integration of mind, body, and spirit.
(206) 429-4610 View (206) 429-4610
Photo of Ashley McAllister, MSW, LSWAIC, Clinical Social Work/Therapist
Ashley McAllister
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
2 Endorsed
Seattle, WA 98107  (Online Only)
Not accepting new clients
I would love to support you in reconnecting with yourself, your relationships, and the things that light you up. My specialty areas include complex trauma recovery, family of origin issues, people pleasing, chronic illness, diabetes, and unlearning diet culture. My approach is centered within an anti-oppressive, anti-racist, and liberatory perspective. I am neurodivergent and LGBTQIA+ affirming.
I would love to support you in reconnecting with yourself, your relationships, and the things that light you up. My specialty areas include complex trauma recovery, family of origin issues, people pleasing, chronic illness, diabetes, and unlearning diet culture. My approach is centered within an anti-oppressive, anti-racist, and liberatory perspective. I am neurodivergent and LGBTQIA+ affirming.
(206) 350-3867 View (206) 350-3867
Photo of Heather Diaz, LMHCA, MA, Counselor
Heather Diaz
Counselor, LMHCA, MA
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
I view therapy as an opportunity to recognize the strengths of each person, the uniqueness of each story, and to find ways to use those strengths to create change and growth. I enjoy having the chance to walk alongside people through all types of challenges and triumphs as a willing listener who can provide empathy, a non-judgmental view on current and past experiences, and support to work towards meeting goals.
I view therapy as an opportunity to recognize the strengths of each person, the uniqueness of each story, and to find ways to use those strengths to create change and growth. I enjoy having the chance to walk alongside people through all types of challenges and triumphs as a willing listener who can provide empathy, a non-judgmental view on current and past experiences, and support to work towards meeting goals.
(425) 584-5179 View (425) 584-5179
Photo of Yaoying Q Aichele, LCPC, LMHC, Counselor
Yaoying Q Aichele
Counselor, LCPC, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98117  (Online Only)
Bilingual in English & Mandarin. Sometimes we feel completely stuck, trapped in a dilemma or our emotional cells, imprisoned by our own thoughts, behaviors, fears...But there is a way out as long as you are willing to see it. I enjoy working with individuals and couples on a variety of issues including depression, anxiety, trauma, life transitions, relationship issues, parenting, self-esteem, emptiness...I have worked with clients from diverse populations, licensed in Maryland and Washington States, and am an EFT trained therapist for couples and an EMDR trained therapist
Bilingual in English & Mandarin. Sometimes we feel completely stuck, trapped in a dilemma or our emotional cells, imprisoned by our own thoughts, behaviors, fears...But there is a way out as long as you are willing to see it. I enjoy working with individuals and couples on a variety of issues including depression, anxiety, trauma, life transitions, relationship issues, parenting, self-esteem, emptiness...I have worked with clients from diverse populations, licensed in Maryland and Washington States, and am an EFT trained therapist for couples and an EMDR trained therapist
(571) 295-5039 View (571) 295-5039
Photo of Christie L Messina, MA, LMHC, Counselor
Christie L Messina
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98103
Waitlist for new clients
I see the therapeutic process as a collaborative one. My approach is to provide a safe, warm and respectful space for my clients to navigate through any challenges they are experiencing, or areas they would like to improve upon in their own personal journey. Many times these obstacles may hinder an individual from moving forward. My role is to assist them in this process to move towards living a more fulfilling and whole life.
I see the therapeutic process as a collaborative one. My approach is to provide a safe, warm and respectful space for my clients to navigate through any challenges they are experiencing, or areas they would like to improve upon in their own personal journey. Many times these obstacles may hinder an individual from moving forward. My role is to assist them in this process to move towards living a more fulfilling and whole life.
(206) 855-6288 View (206) 855-6288
Photo of Alisa Niehuser, PsyD, Psychologist
Alisa Niehuser
Psychologist, PsyD
Verified Verified
1 Endorsed
Seattle, WA 98107  (Online Only)
Stressed, tired, burnt out? Looking for coping skills? Thinking about change? Wanting more insight?
Stressed, tired, burnt out? Looking for coping skills? Thinking about change? Wanting more insight?
(206) 565-1623 View (206) 565-1623
Photo of August Tritt, Pre-Licensed Professional
August Tritt
Pre-Licensed Professional
Verified Verified
3 Endorsed
Seattle, WA 98121
I believe that you already contain a deep power for healing inside. Together with kindness and curiosity, we will create a safe and accepting space where all aspects of you are welcome. Our journey will be one of shared exploration and discovery. I am here to guide and support you along the way. Our work will originate in the here and now—what is present in your life currently, learning to meet what shows up with care and compassion. I love counseling those in transition— be that career, gender, or otherwise and draw from feminist, existential, Buddhist, and somatic frameworks and work from a trauma-informed lens.
I believe that you already contain a deep power for healing inside. Together with kindness and curiosity, we will create a safe and accepting space where all aspects of you are welcome. Our journey will be one of shared exploration and discovery. I am here to guide and support you along the way. Our work will originate in the here and now—what is present in your life currently, learning to meet what shows up with care and compassion. I love counseling those in transition— be that career, gender, or otherwise and draw from feminist, existential, Buddhist, and somatic frameworks and work from a trauma-informed lens.
(206) 649-2708 View (206) 649-2708
Photo of Mindy Mcgovern, MA, LMFT, CST, Marriage & Family Therapist
Mindy Mcgovern
Marriage & Family Therapist, MA, LMFT, CST
Verified Verified
Seattle, WA 98115  (Online Only)
My specialties are premarital and couple counseling, issues around sexuality for men and women, and counseling individuals with anxiety, depression and life changes. Couples and individuals who find me helpful often find that they feel stuck and unhappy. They have been unable to reason themselves out of their difficulties yet desperately want to change. They need help figuring out what is going on beneath the surface and how to use this newfound knowledge to heal. People who work with me want someone who is collaborative and nonjudgmental.
My specialties are premarital and couple counseling, issues around sexuality for men and women, and counseling individuals with anxiety, depression and life changes. Couples and individuals who find me helpful often find that they feel stuck and unhappy. They have been unable to reason themselves out of their difficulties yet desperately want to change. They need help figuring out what is going on beneath the surface and how to use this newfound knowledge to heal. People who work with me want someone who is collaborative and nonjudgmental.
(206) 208-0216 View (206) 208-0216
Photo of Camille Seyler, LMHCA, Counselor
Camille Seyler
Counselor, LMHCA
Verified Verified
Seattle, WA 98109
Beginning therapy can be a challenging step, and my aim is to establish an authentic and empowering therapeutic relationship. Together we will work to create a safe and nurturing space where you can explore your goals for therapy at your own pace. I am here to provide support, guidance, and a safe space for self-discovery and growth. Therapy is a dynamic process, and can include learning coping strategies for managing anxiety or depression, navigating complex family or friend relationships, and processing traumatic experiences. My commitment is to empower you to live a healthier, more fulfilling life.
Beginning therapy can be a challenging step, and my aim is to establish an authentic and empowering therapeutic relationship. Together we will work to create a safe and nurturing space where you can explore your goals for therapy at your own pace. I am here to provide support, guidance, and a safe space for self-discovery and growth. Therapy is a dynamic process, and can include learning coping strategies for managing anxiety or depression, navigating complex family or friend relationships, and processing traumatic experiences. My commitment is to empower you to live a healthier, more fulfilling life.
(206) 717-8752 View (206) 717-8752
Photo of Jennifer McCormick - Jennifer McCormick - NOCD, LCSW, Clinical Social Work/Therapist
Jennifer McCormick - NOCD
Clinical Social Work/Therapist, LCSW
Verified Verified
Seattle, WA 98121  (Online Only)
As a therapist, I adapt my approach to fit our treatment goals—sometimes gentle, sometimes more direct. At NOCD, my team and I specialize in providing evidence-based treatment for OCD. Our deep understanding of its nuances enables us to properly diagnose and treat it. We have received intensive training in Exposure Response and Prevention Therapy (ERP)—the gold standard treatment for OCD. When you start with NOCD Therapy, you’ll either work with me or be paired with one of my colleagues, based on your preferences and availability. We’ll create a personalized treatment plan to help you achieve your goals.
As a therapist, I adapt my approach to fit our treatment goals—sometimes gentle, sometimes more direct. At NOCD, my team and I specialize in providing evidence-based treatment for OCD. Our deep understanding of its nuances enables us to properly diagnose and treat it. We have received intensive training in Exposure Response and Prevention Therapy (ERP)—the gold standard treatment for OCD. When you start with NOCD Therapy, you’ll either work with me or be paired with one of my colleagues, based on your preferences and availability. We’ll create a personalized treatment plan to help you achieve your goals.
(425) 584-6166 View (425) 584-6166
Photo of Dr. Blake Harding, Counselor
Dr. Blake Harding
Counselor
Verified Verified
Seattle, WA 98122
Seeking treatment is a huge step. You are a strong and capable person for doing so. Whether you need extra support, affirming space or have a problem to solve, I am here to help. Psychotherapy provides safe space to reevaluate priorities, slow down and find ease. I approach therapy with humor, warmness and analogy in helping clients see different perspectives. My approach is solution oriented while being eclectic, exploratory and expansive. Therapy is focused on establishing a full picture of client history, relationships and current levels of functioning. Then collaboratively a treatment plan is established to meet client goals.
Seeking treatment is a huge step. You are a strong and capable person for doing so. Whether you need extra support, affirming space or have a problem to solve, I am here to help. Psychotherapy provides safe space to reevaluate priorities, slow down and find ease. I approach therapy with humor, warmness and analogy in helping clients see different perspectives. My approach is solution oriented while being eclectic, exploratory and expansive. Therapy is focused on establishing a full picture of client history, relationships and current levels of functioning. Then collaboratively a treatment plan is established to meet client goals.
(206) 823-1674 View (206) 823-1674
Photo of Lexi Nudelman, LICSW, Clinical Social Work/Therapist
Lexi Nudelman
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Seattle, WA 98119
Waitlist for new clients
I specialize in working with shame, self-criticism, people-pleasing, & perfectionism behaviors. I also specialize in grief/bereavement, trauma recovery and anxiety management. I also offer relationship therapy (family and/or romantic). I am certified in EMDR (Eye Movement Desensitization & Reprocessing) therapy and have training in DBT (Dialectical Behavioral Therapy) and Gottman Method. I have completed Gottman Level 3 Practicum Training & accepting new couples!
I specialize in working with shame, self-criticism, people-pleasing, & perfectionism behaviors. I also specialize in grief/bereavement, trauma recovery and anxiety management. I also offer relationship therapy (family and/or romantic). I am certified in EMDR (Eye Movement Desensitization & Reprocessing) therapy and have training in DBT (Dialectical Behavioral Therapy) and Gottman Method. I have completed Gottman Level 3 Practicum Training & accepting new couples!
(253) 352-3832 View (253) 352-3832
Photo of James Rose - James Rose Hypnotherapy & Executive Coaching, MS, MBPsS, MNCH, FHEQ
James Rose Hypnotherapy & Executive Coaching
MS, MBPsS, MNCH, FHEQ
Verified Verified
2 Endorsed
Seattle, WA 98104
I'm an award winning licensed therapist, cognitive hypnotherapist, & executive coach from the UK, now bringing my expertise to the USA. With a Master of Science in Psychology from University of London and membership in the British Psychological Society, my training is further enhanced by Cognitive Hypnotherapy from the renowned Quest Institute at Regents College London. Over 15 years, I've helped clients manage stress & anxiety, recover from addiction, overcome sleep disorders, and navigate burnout, relationship issues, and phobias. Awarded 'Corporate Therapy Specialist of the Year' by UK Healthcare & Pharmaceutical Awards in 2021.
I'm an award winning licensed therapist, cognitive hypnotherapist, & executive coach from the UK, now bringing my expertise to the USA. With a Master of Science in Psychology from University of London and membership in the British Psychological Society, my training is further enhanced by Cognitive Hypnotherapy from the renowned Quest Institute at Regents College London. Over 15 years, I've helped clients manage stress & anxiety, recover from addiction, overcome sleep disorders, and navigate burnout, relationship issues, and phobias. Awarded 'Corporate Therapy Specialist of the Year' by UK Healthcare & Pharmaceutical Awards in 2021.
(253) 331-2365 View (253) 331-2365
Photo of Quiana S Roberts, LMHC, NCC, MHP, Counselor
Quiana S Roberts
Counselor, LMHC, NCC, MHP
Verified Verified
1 Endorsed
Seattle, WA 98101  (Online Only)
Waitlist for new clients
Do you strive to be the best, the best partner, the best parent, the best friend, the best at work, but you always feel like you fall short. Will life always be like this? Chaotic. Exhausting. Endless to-do lists. Despite your best efforts, there never seems to be enough time in the day. After caring for so many others in your life, you struggle to care for yourself. You're constantly running on empty. In the past, you've tried to make changes on your own, but nothing seems to work. You're stuck and not sure what to do next. You do not have to do this alone. I would love to help you on your journey to a healthier you!
Do you strive to be the best, the best partner, the best parent, the best friend, the best at work, but you always feel like you fall short. Will life always be like this? Chaotic. Exhausting. Endless to-do lists. Despite your best efforts, there never seems to be enough time in the day. After caring for so many others in your life, you struggle to care for yourself. You're constantly running on empty. In the past, you've tried to make changes on your own, but nothing seems to work. You're stuck and not sure what to do next. You do not have to do this alone. I would love to help you on your journey to a healthier you!
(206) 537-0093 View (206) 537-0093
Photo of John A Lembo, MA, LMHC, Counselor
John A Lembo
Counselor, MA, LMHC
Verified Verified
6 Endorsed
Seattle, WA 98107
I seek to create a warm, down-to-earth, and accepting experience for you to explore the hard-ass things in life. Many of us, myself included, were rarely taught how to connect with and understand our emotions, and so when we experience difficult feelings like sadness, disappointment, shame, fear, grief, and pain, we don’t know how to engage them in a helpful way. But that can change. We will work together to promote positive change and restore direction, meaning, and resilience during these difficult times. We will be teammates in our work together.
I seek to create a warm, down-to-earth, and accepting experience for you to explore the hard-ass things in life. Many of us, myself included, were rarely taught how to connect with and understand our emotions, and so when we experience difficult feelings like sadness, disappointment, shame, fear, grief, and pain, we don’t know how to engage them in a helpful way. But that can change. We will work together to promote positive change and restore direction, meaning, and resilience during these difficult times. We will be teammates in our work together.
(206) 312-2675 View (206) 312-2675
Photo of Karin Yahr, LMHC, LPC, LCPC, Counselor
Karin Yahr
Counselor, LMHC, LPC, LCPC
Verified Verified
Seattle, WA 98104  (Online Only)
Sometimes life situations or past experiences create self-doubt, personal insecurities of “not being good enough,” and may even have negatively influenced how you manage life stress, relationships, and even become a barrier to achieving personal or professional goals. I want to work with you to uncover these barriers and rebuild a stronger sense of wellbeing and enhance motivation. Through the integration of Mindfulness concepts and tools from Cognitive Behavioral Therapy, we will investigate thought patterns, challenge negative patterns, remove negative judgment, and build a stronger sense of self, self-worth.
Sometimes life situations or past experiences create self-doubt, personal insecurities of “not being good enough,” and may even have negatively influenced how you manage life stress, relationships, and even become a barrier to achieving personal or professional goals. I want to work with you to uncover these barriers and rebuild a stronger sense of wellbeing and enhance motivation. Through the integration of Mindfulness concepts and tools from Cognitive Behavioral Therapy, we will investigate thought patterns, challenge negative patterns, remove negative judgment, and build a stronger sense of self, self-worth.
(206) 895-3075 View (206) 895-3075
Photo of Amanda Feaver - Amanda Feaver, MA, LPC, Licensed Professional Counselor
Amanda Feaver
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Seattle, WA 98109
Being present with ourselves and our lives is the most potent force for change. I am a climate-aware therapist working with individuals, couples, and families experiencing loss, grief, confusion, and conflict. My work focuses on grief, death & dying, trauma integration, and climate distress. Increasing our capacity to tolerate our pain and listen to what we really need dramatically increases our well-being. What would it be like to be more present in your life? Our work together can help you move towards a more fulfilling experience of life, even when loss and grief are present.
Being present with ourselves and our lives is the most potent force for change. I am a climate-aware therapist working with individuals, couples, and families experiencing loss, grief, confusion, and conflict. My work focuses on grief, death & dying, trauma integration, and climate distress. Increasing our capacity to tolerate our pain and listen to what we really need dramatically increases our well-being. What would it be like to be more present in your life? Our work together can help you move towards a more fulfilling experience of life, even when loss and grief are present.
(206) 899-0964 View (206) 899-0964
Photo of Jenny Dire, MA, LMHC, Counselor
Jenny Dire
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98112
I believe that most people come to therapy seeking to change the quality of their lives. Some people would like short-term help with a specific issue. Others have less articulated goals and are looking for a deeper relationship that will help effect change over a longer period of time. My role is to provide an open, supportive space for you to explore what kind of change you are looking for in your life as well as to help you realize that change through careful attention, reflection and empathic listening.
I believe that most people come to therapy seeking to change the quality of their lives. Some people would like short-term help with a specific issue. Others have less articulated goals and are looking for a deeper relationship that will help effect change over a longer period of time. My role is to provide an open, supportive space for you to explore what kind of change you are looking for in your life as well as to help you realize that change through careful attention, reflection and empathic listening.
(206) 759-7422 View (206) 759-7422
Photo of Alisa Burpee, PhD, Psychologist
Alisa Burpee
Psychologist, PhD
Verified Verified
1 Endorsed
Seattle, WA 98101  (Online Only)
“The good life is a process, not a state of being. It is a direction not a destination" (Carl Rogers). I’m here to help you ignite progress on your next step towards wholeness. Whether you are looking for a new direction in life or are experiencing stress, perfectionism, anxiety, grief and loss, trauma, adjustment to life events, or motivated to find sobriety, I may be able to help you rediscover yourself and find peace. Therapy with me is dynamic and active but also individually paced.
“The good life is a process, not a state of being. It is a direction not a destination" (Carl Rogers). I’m here to help you ignite progress on your next step towards wholeness. Whether you are looking for a new direction in life or are experiencing stress, perfectionism, anxiety, grief and loss, trauma, adjustment to life events, or motivated to find sobriety, I may be able to help you rediscover yourself and find peace. Therapy with me is dynamic and active but also individually paced.
(206) 887-9063 View (206) 887-9063
1
...

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
71% Trauma and PTSD
70% Stress
68% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

69% Premera
56% Aetna
49% 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.