Therapists in Seattle, WA

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Photo of Brandon Zahl, Counselor, LMHC
Brandon Zahl
Counselor, LMHC
Verified Verified
2 Endorsed
Online Only
Your trauma deserves expert care. I combine EMDR and somatic therapy in unique ways to help you heal quickly and fully. My approach uses the innate abilities of the mind plus the body to build coping skills and to heal deep, hidden trauma. Right now, is feeling good about yourself and about your relationships a struggle? Are you spending most days being driven by fear or heavy with despair even though you try to stay positive? Maybe you're trapped in patterns you’re trying to break but they always seem to win. Its probably feeling like an exhausting battle with yourself and you don’t know if things will ever really get better.
Your trauma deserves expert care. I combine EMDR and somatic therapy in unique ways to help you heal quickly and fully. My approach uses the innate abilities of the mind plus the body to build coping skills and to heal deep, hidden trauma. Right now, is feeling good about yourself and about your relationships a struggle? Are you spending most days being driven by fear or heavy with despair even though you try to stay positive? Maybe you're trapped in patterns you’re trying to break but they always seem to win. Its probably feeling like an exhausting battle with yourself and you don’t know if things will ever really get better.
(425) 307-4501 View (425) 307-4501
Photo of Karen E. Clark, Psychologist, PhD
Karen E. Clark
Psychologist, PhD
Verified Verified
Seattle, WA 98115
Welcome. In my practice I see individual adults as well as children and families. The essential elements of therapy are compassion and deep understanding. As your therapist, my intention is to meet you where you are and go with you on your journey. My hope is that you will feel safe to express all of what you're feeling, that we can explore these feelings with compassion, and discover what can be understood. I will use my knowledge, training, and all that I've learned from my patients to help you negotiate the crossroads and crisis points in your life.
Welcome. In my practice I see individual adults as well as children and families. The essential elements of therapy are compassion and deep understanding. As your therapist, my intention is to meet you where you are and go with you on your journey. My hope is that you will feel safe to express all of what you're feeling, that we can explore these feelings with compassion, and discover what can be understood. I will use my knowledge, training, and all that I've learned from my patients to help you negotiate the crossroads and crisis points in your life.
(206) 673-2197 View (206) 673-2197
Photo of Grant Thornley, Marriage & Family Therapist, MA, LMFT
Grant Thornley
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
Online Only
I work with adults seeking positive change who are willing to do introspective and behavioral work to get there. Clinical work includes depression, anxiety, trauma, & bipolar. I also help clients with communications, relationship, and boundary issues. My "niches" include: young adults experiencing difficulty launching: LGBTQIA+ folks (I ID as a gay cis male) ; trans clients before, during, and after transition; creatives like authors songwriters; corporate workers (esp high tech, I’m a former Microsoftie). I am kink- and polyamory-affirming and work with couples and polycules. I have many nerd clients (I'm a nerd myself.)
I work with adults seeking positive change who are willing to do introspective and behavioral work to get there. Clinical work includes depression, anxiety, trauma, & bipolar. I also help clients with communications, relationship, and boundary issues. My "niches" include: young adults experiencing difficulty launching: LGBTQIA+ folks (I ID as a gay cis male) ; trans clients before, during, and after transition; creatives like authors songwriters; corporate workers (esp high tech, I’m a former Microsoftie). I am kink- and polyamory-affirming and work with couples and polycules. I have many nerd clients (I'm a nerd myself.)
(855) 842-0126 View (855) 842-0126
Photo of Jeanne Kimble, Counselor, MA, LMHC
Jeanne Kimble
Counselor, MA, LMHC
Verified Verified
Online Only
I work with adults who experienced verbal or emotional abuse and neglect in childhood. While still high functioning, my clients are often struggling with issues like hypervigilence, overthinking, doubt, forms of perfectionism, people pleasing, "control issues", avoidance or health issues related to stress . Most come with concerns about the impact their issues are having on their relationships. My clients want to do more than just manage their symptoms of anxiety and depression forever. They're ready to get to the root source of their difficulties and do the work that provides them the opportunity to live life whole and free.
I work with adults who experienced verbal or emotional abuse and neglect in childhood. While still high functioning, my clients are often struggling with issues like hypervigilence, overthinking, doubt, forms of perfectionism, people pleasing, "control issues", avoidance or health issues related to stress . Most come with concerns about the impact their issues are having on their relationships. My clients want to do more than just manage their symptoms of anxiety and depression forever. They're ready to get to the root source of their difficulties and do the work that provides them the opportunity to live life whole and free.
(206) 589-8503 View (206) 589-8503
Photo of Michele M Pomarico, Clinical Social Work/Therapist, MSW, LICSW
Michele M Pomarico
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Online Only
I am an experienced therapist with a specialty in women's health and reproductive issues, including infertility, unanticipated pregnancy outcomes, pregnancy loss, and post partum depression and anxiety. I have helped individuals and families through major life transitions, difficult losses, family building decisions, and struggles with anxiety and depression. My goal is to partner with clients to assess their needs and develop a plan to meet their goals. I use a number of therapeutic modalities, tailoring interventions to each unique individual. My style is interactive, genuine, respectful, direct and non-judgmental.
I am an experienced therapist with a specialty in women's health and reproductive issues, including infertility, unanticipated pregnancy outcomes, pregnancy loss, and post partum depression and anxiety. I have helped individuals and families through major life transitions, difficult losses, family building decisions, and struggles with anxiety and depression. My goal is to partner with clients to assess their needs and develop a plan to meet their goals. I use a number of therapeutic modalities, tailoring interventions to each unique individual. My style is interactive, genuine, respectful, direct and non-judgmental.
(206) 489-3783 View (206) 489-3783
Photo of Alison Draisin, Counselor, PsyD, LMHC
Alison Draisin
Counselor, PsyD, LMHC
Verified Verified
2 Endorsed
Online Only
My practice is focused on patients seeking cannabis or psychedelic psychotherapy. Many of my clients are providers seeking therapy or supervision. I work with clients of all ages who are open minded and looking to explore alternative modalities of treatment for depression, anxiety, or trauma. I work in an integrative medical clinic where there is collaboration with medical (palliative care) doctors, naturopathic doctors, and psychiatric nurse practitioners. Our clinic offers advanced cutting edge integrative medical care.
My practice is focused on patients seeking cannabis or psychedelic psychotherapy. Many of my clients are providers seeking therapy or supervision. I work with clients of all ages who are open minded and looking to explore alternative modalities of treatment for depression, anxiety, or trauma. I work in an integrative medical clinic where there is collaboration with medical (palliative care) doctors, naturopathic doctors, and psychiatric nurse practitioners. Our clinic offers advanced cutting edge integrative medical care.
(206) 420-1321 View (206) 420-1321
Photo of Kenneth K. Marshall, Clinical Social Work/Therapist, MSW, LICSW, MHP
Kenneth K. Marshall
Clinical Social Work/Therapist, MSW, LICSW, MHP
Verified Verified
1 Endorsed
Online Only
My approach to working with clients is based on building upon strengths, to generate solutions that empower the individual. I support my clients using various therapeutic modalities as they fortify their connection to themselves and others. Being multi-racial, gay, and having been raised in a bicultural household, I have learned that there are many ways to make meaning of the life that you were born into, while informing the life you create for yourself.
My approach to working with clients is based on building upon strengths, to generate solutions that empower the individual. I support my clients using various therapeutic modalities as they fortify their connection to themselves and others. Being multi-racial, gay, and having been raised in a bicultural household, I have learned that there are many ways to make meaning of the life that you were born into, while informing the life you create for yourself.
(206) 504-2608 View (206) 504-2608
Photo of Dumbe Emmanuel Elessa - Amazing Grace Counseling and Counsultation LLC, Clinical Social Work/Therapist, LICSW
Amazing Grace Counseling and Counsultation LLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98188
Personal and Professional Profile My name is Dumbe Emmanuel Elessa. I am a Licensed Independent Clinical Social Worker in the State of Washington. I have more than three decades of clinical and leadership work experience in Community Behavioral Health. I also have extensive clinical and supervisory experience in Adult and Geriatric Mental Health as well as in Ethnic Minority issues. I was born in tropical Cameroon. I obtained the Master of Social Work Degree from the University of Washington Graduate School of Social Work in June, 1986.
Personal and Professional Profile My name is Dumbe Emmanuel Elessa. I am a Licensed Independent Clinical Social Worker in the State of Washington. I have more than three decades of clinical and leadership work experience in Community Behavioral Health. I also have extensive clinical and supervisory experience in Adult and Geriatric Mental Health as well as in Ethnic Minority issues. I was born in tropical Cameroon. I obtained the Master of Social Work Degree from the University of Washington Graduate School of Social Work in June, 1986.
(425) 390-8372 View (425) 390-8372
Photo of Ken Safley - Trauma And Anxiety Therapist, Counselor, LMHCA
Ken Safley - Trauma And Anxiety Therapist
Counselor, LMHCA
Verified Verified
Seattle, WA 98105
Not accepting new clients
Everyone experiences difficulty and pain, and for many of us, these stressors also prevent us from leading our most fulfilling lives. Oftentimes we may not even know why we feel or act a certain way, only that there must be a better option. I work with those 18+ who are trying to overcome these challenges to live effective and fulfilled lives, whatever their circumstance. I use a Humanistic approach in therapy, focusing on understanding your perspective to collaboratively achieve your goals.
Everyone experiences difficulty and pain, and for many of us, these stressors also prevent us from leading our most fulfilling lives. Oftentimes we may not even know why we feel or act a certain way, only that there must be a better option. I work with those 18+ who are trying to overcome these challenges to live effective and fulfilled lives, whatever their circumstance. I use a Humanistic approach in therapy, focusing on understanding your perspective to collaboratively achieve your goals.
(206) 785-1953 View (206) 785-1953
Photo of Wayne E Carr, Limited Licensed Psychologist, PhD
Wayne E Carr
Limited Licensed Psychologist, PhD
Verified Verified
Online Only
Dr. Carr's Coaching uses a unique blend of Cognitive-Behavioral, Gestalt, Integral, Primal, Transpersonal, & Family coaching techniques to focus on natural growth & healing, thus expanding the common central emphasis on disorders & symptom reduction. Clients change as they heal their pain, get emotionally nourished, recognize what is toxic, and become authentically themselves. Because I now live in Germany, I have to practice as a Coach and not as a Psychologist.
Dr. Carr's Coaching uses a unique blend of Cognitive-Behavioral, Gestalt, Integral, Primal, Transpersonal, & Family coaching techniques to focus on natural growth & healing, thus expanding the common central emphasis on disorders & symptom reduction. Clients change as they heal their pain, get emotionally nourished, recognize what is toxic, and become authentically themselves. Because I now live in Germany, I have to practice as a Coach and not as a Psychologist.
(425) 414-7997 View (425) 414-7997
Photo of Jonathan Gjerset, Counselor, MA, LMHC
Jonathan Gjerset
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98102
I offer therapy for adults and have professional experience with a variety of populations. I bring my heart to our sessions and you can expect an approach that demonstrates dignity, compassion, and genuine care. I approach therapy with respect for the unique experiences of each person. My intention is to help create awareness of yourself and your capabilities, allowing for greater personal freedom. While I rely heavily on training and professional experience, I also believe that each person is the greatest expert about themselves.
I offer therapy for adults and have professional experience with a variety of populations. I bring my heart to our sessions and you can expect an approach that demonstrates dignity, compassion, and genuine care. I approach therapy with respect for the unique experiences of each person. My intention is to help create awareness of yourself and your capabilities, allowing for greater personal freedom. While I rely heavily on training and professional experience, I also believe that each person is the greatest expert about themselves.
(206) 210-3384 View (206) 210-3384
Photo of Rosamond Smith, Psychologist, LP
Rosamond Smith
Psychologist, LP
Verified Verified
Online Only
My name is Dr. Rosamond Smith, and I am a Licensed Psychologist based in Tacoma, Washington, working across the state via telehealth with adults of all ages. I specialize in working with trauma, grief, insomnia, and people feeling "stuck" in general. I use Evidence-Based Practice to integrate the best available research with my clinical expertise in the context of my clients' characteristics, culture, and preferences.
My name is Dr. Rosamond Smith, and I am a Licensed Psychologist based in Tacoma, Washington, working across the state via telehealth with adults of all ages. I specialize in working with trauma, grief, insomnia, and people feeling "stuck" in general. I use Evidence-Based Practice to integrate the best available research with my clinical expertise in the context of my clients' characteristics, culture, and preferences.
(509) 561-1427 View (509) 561-1427
Photo of Alison Montez, Clinical Social Work/Therapist, LICSW
Alison Montez
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Online Only
Seeking therapy for the first time, or just with a new therapist, can be overwhelming. I am here to offer you a safe space to talk about life's challenges and to help support you as you navigate them. I provide therapy to support individuals experiencing challenges around depression, anxiety, trauma, chronic health issues, neurodivergence, LGBTQ+ identity, education/work, relationships, grief and loss, and adjustment to life transitions. I also offer professional consultation and supervision towards licensure.
Seeking therapy for the first time, or just with a new therapist, can be overwhelming. I am here to offer you a safe space to talk about life's challenges and to help support you as you navigate them. I provide therapy to support individuals experiencing challenges around depression, anxiety, trauma, chronic health issues, neurodivergence, LGBTQ+ identity, education/work, relationships, grief and loss, and adjustment to life transitions. I also offer professional consultation and supervision towards licensure.
(425) 448-5003 View (425) 448-5003
Photo of Lindsay McCue, Marriage & Family Therapist Associate, MS, LMFTA
Lindsay McCue
Marriage & Family Therapist Associate, MS, LMFTA
Verified Verified
16 Endorsed
Online Only
January 2025: Immediate availability Monday and Tuesday before 1:00 pm. I believe the most successful outcomes require a good fit between the client and the therapist, and I strive to work collaboratively with clients to help them live a more satisfying and fulfilling life. I understand that every problem is unique, and I enjoy working with complex feelings and situations, making sense of them, and working through them alongside my clients. I approach my work using a client-centered, strengths-based model, and make it a point to check in regarding the progress of treatment.
January 2025: Immediate availability Monday and Tuesday before 1:00 pm. I believe the most successful outcomes require a good fit between the client and the therapist, and I strive to work collaboratively with clients to help them live a more satisfying and fulfilling life. I understand that every problem is unique, and I enjoy working with complex feelings and situations, making sense of them, and working through them alongside my clients. I approach my work using a client-centered, strengths-based model, and make it a point to check in regarding the progress of treatment.
(425) 217-1680 View (425) 217-1680
Photo of Mariette Guidry - Mariette Guidry Therapy: Now Accepting New Clients, Marriage & Family Therapist, MS, LMFT
Mariette Guidry Therapy: Now Accepting New Clients
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98121
My personal journey into the world of therapy began as a child. I vividly remember feeling heard and validated in a safe space, which sparked a sense of hope and possibility within me. This early exposure instilled in me a desire to give back and provide that same support to others. I realized that I wanted to become a therapist to help individuals, especially children and teens, discover their strengths and navigate their own journeys toward healing and growth.
My personal journey into the world of therapy began as a child. I vividly remember feeling heard and validated in a safe space, which sparked a sense of hope and possibility within me. This early exposure instilled in me a desire to give back and provide that same support to others. I realized that I wanted to become a therapist to help individuals, especially children and teens, discover their strengths and navigate their own journeys toward healing and growth.
(206) 759-2439 View (206) 759-2439
Photo of Samantha Stone, Counselor, LMHC
Samantha Stone
Counselor, LMHC
Verified Verified
Online Only
Hello, I'm Samantha. In my clinical practice - I work with clients to discover their strengths, hold space for hope, and build personal agency. I believe in talking about where you're at, where youʼve come from and where youʼre going - helping you heal and return to a sense of wholeness.
Hello, I'm Samantha. In my clinical practice - I work with clients to discover their strengths, hold space for hope, and build personal agency. I believe in talking about where you're at, where youʼve come from and where youʼre going - helping you heal and return to a sense of wholeness.
(206) 309-6068 View (206) 309-6068
Photo of Carolyn McCandlish, Clinical Social Work/Therapist, LCSW, LICSW
Carolyn McCandlish
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
3 Endorsed
Online Only
My primary goal as a therapist is to create a safe, nonjudgmental space to help you process challenges and harness your strengths. With this foundation, I layer in creative, experiential strategies that access the root of current and historical obstacles. As a clinical social worker, I have focused my training on relationship dynamics (particularly within couples and families) and creative arts therapies. My multifaceted professional background as an actor, teacher, and entrepreneur has uniquely honed my understanding of complex human emotion, interpersonal relationships, and the role of the body in storing our personal histories.
My primary goal as a therapist is to create a safe, nonjudgmental space to help you process challenges and harness your strengths. With this foundation, I layer in creative, experiential strategies that access the root of current and historical obstacles. As a clinical social worker, I have focused my training on relationship dynamics (particularly within couples and families) and creative arts therapies. My multifaceted professional background as an actor, teacher, and entrepreneur has uniquely honed my understanding of complex human emotion, interpersonal relationships, and the role of the body in storing our personal histories.
(929) 334-3638 View (929) 334-3638
Photo of Michele Scoleri, Counselor, MA, LMHC
Michele Scoleri
Counselor, MA, LMHC
Verified Verified
7 Endorsed
Seattle, WA 98102
Making the decision to seek therapy is a powerful moment in your life, and finding the right therapist is the next step on that path. I see my role as a partner and witness in your exploration of what being a whole person means to you. Anxiety, life transitions, relationship issues or a general feeling of being "stuck" are just some of the possible issues that might bring you to therapy. Regardless of the reason you may choose to work with me, you can expect to find a place of acceptance in which to share your authentic self.
Making the decision to seek therapy is a powerful moment in your life, and finding the right therapist is the next step on that path. I see my role as a partner and witness in your exploration of what being a whole person means to you. Anxiety, life transitions, relationship issues or a general feeling of being "stuck" are just some of the possible issues that might bring you to therapy. Regardless of the reason you may choose to work with me, you can expect to find a place of acceptance in which to share your authentic self.
(206) 489-2875 View (206) 489-2875
Photo of Andrew Zarate, Clinical Social Work/Therapist, MSW, RDN, LICSW, LCSW
Andrew Zarate
Clinical Social Work/Therapist, MSW, RDN, LICSW, LCSW
Verified Verified
4 Endorsed
Online Only
Hi, I'm Andrew. I work with adults on a variety of issues, including but not limited to general life stressors, interpersonal and relational issues, shame, multicultural issues, LGBTQ+ issues, navigating life transitions, and trauma (such as assault, medical trauma, and complex or chronic trauma). I also have experience in treating chronic mental health conditions like anxiety and depression. I utilize insight-oriented talk therapy and EMDR Therapy (Eye Movement Desensitization and Reprocessing).
Hi, I'm Andrew. I work with adults on a variety of issues, including but not limited to general life stressors, interpersonal and relational issues, shame, multicultural issues, LGBTQ+ issues, navigating life transitions, and trauma (such as assault, medical trauma, and complex or chronic trauma). I also have experience in treating chronic mental health conditions like anxiety and depression. I utilize insight-oriented talk therapy and EMDR Therapy (Eye Movement Desensitization and Reprocessing).
(206) 737-0650 View (206) 737-0650
Photo of Esther Lobato, Counselor, LICSW
Esther Lobato
Counselor, LICSW
Verified Verified
Online Only
The work I do is rooted in my belief that every identity has value and that our identities shape our lives, how we experience the world, and the stories we tell ourselves. I want to collaborate with you in the retelling of your personal story in a way that is more empowering. I want to acknowledge the discrimination you may have faced and honor the strength you have gained through your experiences. It is important to me that you be the guiding voice in your therapeutic journey. You are the expert in your own life, so I will follow your lead and provide the support and guidance you need to do the difficult work.
The work I do is rooted in my belief that every identity has value and that our identities shape our lives, how we experience the world, and the stories we tell ourselves. I want to collaborate with you in the retelling of your personal story in a way that is more empowering. I want to acknowledge the discrimination you may have faced and honor the strength you have gained through your experiences. It is important to me that you be the guiding voice in your therapeutic journey. You are the expert in your own life, so I will follow your lead and provide the support and guidance you need to do the difficult work.
(206) 231-5101 View (206) 231-5101
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How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$158

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
76% Relationship Issues
75% Self Esteem
71% Trauma and PTSD
71% Stress
69% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

70% Premera Blue Cross
66% Aetna
59% Regence

How Therapists in Seattle, WA see their clients

55% Online Only
45% In Person and Online

Gender breakdown

76% Female
20% 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.