Therapists in Fremont, Seattle, WA

Photo of Dr. Sandra Seaman, Licensed Professional Counselor, LMHC
Dr. Sandra Seaman
Licensed Professional Counselor, LMHC
Verified Verified
Online Only
I am a Queer, Disabled, Geeky Weirdo. I provide non-judgmental care for Sexual and Gender Outsiders. I work with the LGBTQ/Non-binary/kinky/polyamorous communities. I help people to feel safe in their bodies, including the chronically ill, gender dysphoric, and traumatized. I work well with bright, focused, more cognitive individuals, offering support for high achievers who struggle with impostor syndrome and perfectionism. Feelings Suck and we can learn how to tolerate them together. Please note - I do NOT return phone calls without a voicemail letting me know it's safe to return the call and leave a message.
I am a Queer, Disabled, Geeky Weirdo. I provide non-judgmental care for Sexual and Gender Outsiders. I work with the LGBTQ/Non-binary/kinky/polyamorous communities. I help people to feel safe in their bodies, including the chronically ill, gender dysphoric, and traumatized. I work well with bright, focused, more cognitive individuals, offering support for high achievers who struggle with impostor syndrome and perfectionism. Feelings Suck and we can learn how to tolerate them together. Please note - I do NOT return phone calls without a voicemail letting me know it's safe to return the call and leave a message.
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Photo of Julie Chinnock - The Ketamine Clinic of Seattle, CRNA, ARNP, ND, MPH
The Ketamine Clinic of Seattle
CRNA, ARNP, ND, MPH
Verified Verified
Fremont, Seattle, WA 98103
We provide a patient-centered integrative alternative treatment option for people who have been suffering from long-term depression and are not seeing results from traditional treatments (such as antidepressants or ECT). Ketamine therapy can provide rapid results (from hours to days), without the negative side effects often experienced with antidepressant medication. We are committed to acquainting people with this new and unique option for treatment. Ketamine Infusions are also used effectively for anxiety, PTSD, OCD, BPD, and other mood disorders.
We provide a patient-centered integrative alternative treatment option for people who have been suffering from long-term depression and are not seeing results from traditional treatments (such as antidepressants or ECT). Ketamine therapy can provide rapid results (from hours to days), without the negative side effects often experienced with antidepressant medication. We are committed to acquainting people with this new and unique option for treatment. Ketamine Infusions are also used effectively for anxiety, PTSD, OCD, BPD, and other mood disorders.
(206) 312-3276 View (206) 312-3276
Photo of Elizabeth Lara Aguilar - New Perceptions Counseling,PLLC,Elizabeth Aguilar, Pre-Licensed Professional
New Perceptions Counseling,PLLC,Elizabeth Aguilar
Pre-Licensed Professional
Verified Verified
1 Endorsed
Online Only
This is a safe space for anyone feeling disconnected, navigating identity, or facing life changes who is seeking to be seen and heard. A relational focus guides my therapeutic lens, recognizing the interconnectedness of our well-being with relationships, systems, and identities. My own experiences as a first-generation Mexican-American woman with a later-in-life ADHD diagnosis as well as my work within healthcare, social care, and first responder systems have profoundly influenced my approach. I believe that therapy should be a collaborative process—and one focused on your values and potential, providing space to explore challenges.
This is a safe space for anyone feeling disconnected, navigating identity, or facing life changes who is seeking to be seen and heard. A relational focus guides my therapeutic lens, recognizing the interconnectedness of our well-being with relationships, systems, and identities. My own experiences as a first-generation Mexican-American woman with a later-in-life ADHD diagnosis as well as my work within healthcare, social care, and first responder systems have profoundly influenced my approach. I believe that therapy should be a collaborative process—and one focused on your values and potential, providing space to explore challenges.
(425) 728-5817 View (425) 728-5817
Photo of Alex Rabern, Marriage & Family Therapist, LMFT
Alex Rabern
Marriage & Family Therapist, LMFT
Verified Verified
Fremont, Seattle, WA 98107
Do you feel down and unable to ask those you are close to for help? Are you out of energy for the important parts of your life? Do new stresses pop up quicker than you seem to adjust to old ones? Do you feel unheard in your relationships? You may be looking for a new path forward, even while you appreciate for all the ways you have helped yourself and been helped by others along the way. Similarly, you may also be looking for help for your child or teen who is struggling in some of these ways.
Do you feel down and unable to ask those you are close to for help? Are you out of energy for the important parts of your life? Do new stresses pop up quicker than you seem to adjust to old ones? Do you feel unheard in your relationships? You may be looking for a new path forward, even while you appreciate for all the ways you have helped yourself and been helped by others along the way. Similarly, you may also be looking for help for your child or teen who is struggling in some of these ways.
(833) 554-0438 View (833) 554-0438
Photo of Drea Gramps, Counselor, MA, LMHCA
Drea Gramps
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Fremont, Seattle, WA 98107
Currently accepting new clients for Tuesdays, Wednesdays, and Thursdays only, evenings available as well! Just doing virtual for now, with hopes to move into in-person in the near future. Also offering "walk and talk" phone call sessions :) My approach to therapy is rooted in person-centered and humanistic principles. This means that I believe in your inherent ability to heal and grow, and that my role is to create a safe, supportive space where you feel truly seen and heard. I bring a warm, non-judgmental presence to our work together, and I aim to walk alongside you with curiosity and warmth as you explore your inner world.
Currently accepting new clients for Tuesdays, Wednesdays, and Thursdays only, evenings available as well! Just doing virtual for now, with hopes to move into in-person in the near future. Also offering "walk and talk" phone call sessions :) My approach to therapy is rooted in person-centered and humanistic principles. This means that I believe in your inherent ability to heal and grow, and that my role is to create a safe, supportive space where you feel truly seen and heard. I bring a warm, non-judgmental presence to our work together, and I aim to walk alongside you with curiosity and warmth as you explore your inner world.
(206) 385-5892 View (206) 385-5892
Photo of Casey Cairo, Pre-Licensed Professional, Intern
Casey Cairo
Pre-Licensed Professional, Intern
Verified Verified
1 Endorsed
Fremont, Seattle, WA 98103
My therapeutic style is warm, curious, collaborative, and interactive. I take a strengths-based, holistic approach to therapy, understanding that no one exists in a vacuum. I will work with you to understand how all the systems (family, work, & societal) you interact with throughout life impact you. There is no one size fits all approach in therapy, with every person bringing their own authenticity and individualized life contexts, thus I tailor therapy to meet you where you are. As I walk alongside you on your growth and healing journey, I will also look for little ways to find laughter and joy amongst any pain and truth.
My therapeutic style is warm, curious, collaborative, and interactive. I take a strengths-based, holistic approach to therapy, understanding that no one exists in a vacuum. I will work with you to understand how all the systems (family, work, & societal) you interact with throughout life impact you. There is no one size fits all approach in therapy, with every person bringing their own authenticity and individualized life contexts, thus I tailor therapy to meet you where you are. As I walk alongside you on your growth and healing journey, I will also look for little ways to find laughter and joy amongst any pain and truth.
(253) 785-4948 View (253) 785-4948
Photo of Tracy G Bell, Counselor, MA, LMHC
Tracy G Bell
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Fremont, Seattle, WA 98103
I work with young, midlife, and elderly adults in all phases of life transition, whose lives have brought them to a place where they want support to work through difficult, stuck, or critical times. What often appears problematic is evidence of a solution trying to happen. I see this as an organic process which can come with disturbance, frustration, over-stimulation and/or depression. What you sometimes can't see by yourself, you can see, navigate, and resolve with the help of another. My approach is to join my clients in their quest for resolution, meaning, and happiness.
I work with young, midlife, and elderly adults in all phases of life transition, whose lives have brought them to a place where they want support to work through difficult, stuck, or critical times. What often appears problematic is evidence of a solution trying to happen. I see this as an organic process which can come with disturbance, frustration, over-stimulation and/or depression. What you sometimes can't see by yourself, you can see, navigate, and resolve with the help of another. My approach is to join my clients in their quest for resolution, meaning, and happiness.
(206) 316-8792 View (206) 316-8792
Photo of Alex Credgington, Marriage & Family Therapist, MA, LMFT
Alex Credgington
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Fremont, Seattle, WA 98103
I work with Seattle's busy professionals and families to provide therapy that targets stress, anxiety, depression, relationship challenges, parenting challenges, child behavioral issues, and more. I work from a systemic perspective to understand the many roles you play in your life, as well as the influences of the past. My goal is to help you understand the root of your challenges, strengthen your mindset, improve your resolve, and help you feel healthier and happier. Let's talk.
I work with Seattle's busy professionals and families to provide therapy that targets stress, anxiety, depression, relationship challenges, parenting challenges, child behavioral issues, and more. I work from a systemic perspective to understand the many roles you play in your life, as well as the influences of the past. My goal is to help you understand the root of your challenges, strengthen your mindset, improve your resolve, and help you feel healthier and happier. Let's talk.
(206) 333-7277 View (206) 333-7277
Photo of Jillian Furey, Clinical Social Work/Therapist, LSW
Jillian Furey
Clinical Social Work/Therapist, LSW
Verified Verified
Online Only
I specialize in addressing psycho-social barriers to health and wellness. Emphasizing on the dynamics of power, resistance, and joy to bring a transformative approach to therapy. Understanding the intricate interplay of these elements, guides individuals towards overcoming challenges, fostering resilience, and unlocking the potential for sustained well-being.
I specialize in addressing psycho-social barriers to health and wellness. Emphasizing on the dynamics of power, resistance, and joy to bring a transformative approach to therapy. Understanding the intricate interplay of these elements, guides individuals towards overcoming challenges, fostering resilience, and unlocking the potential for sustained well-being.
(509) 302-2383 x1 View (509) 302-2383 x1
Photo of Dr. Diana Bastien, Psychologist, PsyD, ABPP
Dr. Diana Bastien
Psychologist, PsyD, ABPP
Verified Verified
Online Only
I’m a psychologist specializing in the treatment of OCD, PANS/PANDAS, anxiety, hoarding, panic attacks, and school avoidance. I work with children, teens, and adults, offering personalized, supportive care to help each person feel more in control and confident in managing their challenges.
I’m a psychologist specializing in the treatment of OCD, PANS/PANDAS, anxiety, hoarding, panic attacks, and school avoidance. I work with children, teens, and adults, offering personalized, supportive care to help each person feel more in control and confident in managing their challenges.
(206) 495-6804 View (206) 495-6804
Photo of Brittany Garcia, Counselor, LMHCA, LPC-A
Brittany Garcia
Counselor, LMHCA, LPC-A
Verified Verified
3 Endorsed
Online Only
Waitlist for new clients
Having experienced the frustration of not finding the right fit in therapy, I am committed to creating a space where clients feel heard, understood, and supported on their unique journeys and exploration of themselves. I am passionate about empowering my clients to embrace themselves for who they are, build confidence, and live authentically. My sessions are rooted in a humorous, non-judgmental, and collaborative approach. I prefer to work together in a supportive environment.
Having experienced the frustration of not finding the right fit in therapy, I am committed to creating a space where clients feel heard, understood, and supported on their unique journeys and exploration of themselves. I am passionate about empowering my clients to embrace themselves for who they are, build confidence, and live authentically. My sessions are rooted in a humorous, non-judgmental, and collaborative approach. I prefer to work together in a supportive environment.
(206) 408-6395 View (206) 408-6395
Photo of Laura Rose Durkin, Marriage & Family Therapist, MA, LMFT
Laura Rose Durkin
Marriage & Family Therapist, MA, LMFT
Verified Verified
Fremont, Seattle, WA 98107
Have you reached a stuck point in traditional talk therapy? Are you ready to explore the interconnection of mental and physical well being? Clients often come to me with an inner knowing that simply building awareness or talking through their problems can only go so far. They are ready to feel into change and understand themselves on a deeper level. They want support to move through or digest past experiences that intrude the present moment, interfering with joy and connection.
Have you reached a stuck point in traditional talk therapy? Are you ready to explore the interconnection of mental and physical well being? Clients often come to me with an inner knowing that simply building awareness or talking through their problems can only go so far. They are ready to feel into change and understand themselves on a deeper level. They want support to move through or digest past experiences that intrude the present moment, interfering with joy and connection.
(425) 448-5438 View (425) 448-5438
Photo of Allison Sturges, Marriage & Family Therapist, MS, LMFT
Allison Sturges
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Online Only
I work with adult individuals, teens and couples who are seeking positive change in their lives. I offer a relaxed atmosphere in therapy where humor and lightheartedness can be incorporated into our professional relationship, when appropriate. If you are in need of support, struggling with work or interpersonal relationships, or learning to set boundaries with yourself or others, I am here to help. Ultimately, you will get the best idea of what a therapist is like by meeting them, so I encourage you to reach out to set up a free 15 minute consultation so that we might meet and see if we are a good fit.
I work with adult individuals, teens and couples who are seeking positive change in their lives. I offer a relaxed atmosphere in therapy where humor and lightheartedness can be incorporated into our professional relationship, when appropriate. If you are in need of support, struggling with work or interpersonal relationships, or learning to set boundaries with yourself or others, I am here to help. Ultimately, you will get the best idea of what a therapist is like by meeting them, so I encourage you to reach out to set up a free 15 minute consultation so that we might meet and see if we are a good fit.
(425) 510-5386 View (425) 510-5386
Photo of Tracy Jordan Adams, Counselor, MA, LMHC, NCC
Tracy Jordan Adams
Counselor, MA, LMHC, NCC
Verified Verified
1 Endorsed
Fremont, Seattle, WA 98103
Waitlist for new clients
It takes courage to ask for help. Life seems to throw us one challenge after another and we can feel weighed down by the stress of daily living. Sometimes we can lose sight of what makes us feel special and valued. I am here to work with your individual needs. Feelings of anxiety, depression, anger, and loneliness can leave us feeling disconnected from others. If we do not take the time to understand where these feelings stem from and how they affect us, we cannot begin to heal and feel whole again. I value you as an individual and want to understand your unique experiences. I want to help you to feel safe and accepted at all times.
It takes courage to ask for help. Life seems to throw us one challenge after another and we can feel weighed down by the stress of daily living. Sometimes we can lose sight of what makes us feel special and valued. I am here to work with your individual needs. Feelings of anxiety, depression, anger, and loneliness can leave us feeling disconnected from others. If we do not take the time to understand where these feelings stem from and how they affect us, we cannot begin to heal and feel whole again. I value you as an individual and want to understand your unique experiences. I want to help you to feel safe and accepted at all times.
(206) 823-0816 View (206) 823-0816
Photo of Joseph David Williams, Social Worker Associate, LSWAIC
Joseph David Williams
Social Worker Associate, LSWAIC
Verified Verified
Online Only
I work with individuals aged 13 to 65 who are struggling with anxiety, depression, psychosis, personality disorders, chronic health conditions, grief and loss, and suicidality. I seek to help people who are dealing with these issues create a place of peace and safety within themselves so that they might learn to love life and endure loss.
I work with individuals aged 13 to 65 who are struggling with anxiety, depression, psychosis, personality disorders, chronic health conditions, grief and loss, and suicidality. I seek to help people who are dealing with these issues create a place of peace and safety within themselves so that they might learn to love life and endure loss.
(206) 496-0687 View (206) 496-0687
Photo of Jess G. Mason - Touchstone Counseling Alliance, PLLC, Counselor, LMHC, CHPN, EOLD, CCTP-II, CAGCS
Touchstone Counseling Alliance, PLLC
Counselor, LMHC, CHPN, EOLD, CCTP-II, CAGCS
Verified Verified
Fremont, Seattle, WA 98103
I bring compassion, devotion, curiosity, and humor, to my counseling practice. I adore people and love cultivating therapeutic relationships that foster growth and change. I come to the work with an extensive background in complex trauma, grief, and end of life transitions. As a therapist, I work to create a gentle and dynamic environment that with love, effort, and time, will mend and build.
I bring compassion, devotion, curiosity, and humor, to my counseling practice. I adore people and love cultivating therapeutic relationships that foster growth and change. I come to the work with an extensive background in complex trauma, grief, and end of life transitions. As a therapist, I work to create a gentle and dynamic environment that with love, effort, and time, will mend and build.
(206) 594-3669 View (206) 594-3669
Photo of Julia Clare Larsen, Counselor, MA, LMHCA
Julia Clare Larsen
Counselor, MA, LMHCA
Verified Verified
Fremont, Seattle, WA 98103
Grappling with anxiety, depression, grief or a significant life transition can feel all consuming. Even if you have good support in your life, these experiences can exhaust your energies and feel isolating. It may be hard to see beyond a current painful time, or imagine things can feel different. In our therapy relationship, I will hold these challenges with care, and try to help you grow, find deeper meaning, peace, clarity, and ultimately more of yourself. It’s my belief that the therapy relationship invites more creative and authentic capacities to navigating life's inevitable changes and challenges.
Grappling with anxiety, depression, grief or a significant life transition can feel all consuming. Even if you have good support in your life, these experiences can exhaust your energies and feel isolating. It may be hard to see beyond a current painful time, or imagine things can feel different. In our therapy relationship, I will hold these challenges with care, and try to help you grow, find deeper meaning, peace, clarity, and ultimately more of yourself. It’s my belief that the therapy relationship invites more creative and authentic capacities to navigating life's inevitable changes and challenges.
(206) 800-8692 View (206) 800-8692
Photo of Elizabeth Hough, Counselor, LMHC, R-DMT
Elizabeth Hough
Counselor, LMHC, R-DMT
Verified Verified
2 Endorsed
Fremont, Seattle, WA 98103
Waitlist for new clients
The world is real rough sometimes isn't it? Let's find a gentle place for you to land. You might find your heart racing thinking about a stressful conversation or notice that you struggle to breathe after being reminded of a trauma from the past. You’ve been living with this for a while and thought it would just ease with time, but it feels like something in your nervous system is just mis-wired. Through body-based, creative, and relational work we can create a space that allows your body to soften and settle, to find a little more peace.
The world is real rough sometimes isn't it? Let's find a gentle place for you to land. You might find your heart racing thinking about a stressful conversation or notice that you struggle to breathe after being reminded of a trauma from the past. You’ve been living with this for a while and thought it would just ease with time, but it feels like something in your nervous system is just mis-wired. Through body-based, creative, and relational work we can create a space that allows your body to soften and settle, to find a little more peace.
(206) 565-0189 View (206) 565-0189
Photo of Belinda L Biedermann, Counselor, MDiv, LMHCA
Belinda L Biedermann
Counselor, MDiv, LMHCA
Verified Verified
Fremont, Seattle, WA 98103
Being open to understanding more about yourself takes courage. You may envision something new, but you don’t know how to get there. There may be an inner struggle of whether you are worthy or deserve to be happy. In counseling you get to be seen and heard for all that you are. With curiosity and warmth, I will listen and support you in identifying what you'd like to shift in your life to bring a sense relief and ease while more closely meeting your needs and living in balance with your values.
Being open to understanding more about yourself takes courage. You may envision something new, but you don’t know how to get there. There may be an inner struggle of whether you are worthy or deserve to be happy. In counseling you get to be seen and heard for all that you are. With curiosity and warmth, I will listen and support you in identifying what you'd like to shift in your life to bring a sense relief and ease while more closely meeting your needs and living in balance with your values.
(206) 639-2592 View (206) 639-2592
Photo of Abbygail Parker I Larch, Marriage & Family Therapist, LMFT
Abbygail Parker I Larch
Marriage & Family Therapist, LMFT
Verified Verified
13 Endorsed
Online Only
I want you to feel heard and safe. Some things that make us human are our complex, safety-focused, and connection-centered, brains. Regardless of our similarities, we all still navigate challenges uniquely. How we approach our stories impacts how we see ourselves and the world around us. Challenges in this world are certain; this may leave us feeling scared, overwhelmed, or depressed. These difficult experiences can lead to isolation, stuckness, panic, and other uncomfortable feelings. Rather than battle it out in your relationships, or on your own, I work from a headspace of inspiring hope and seeking peace within.
I want you to feel heard and safe. Some things that make us human are our complex, safety-focused, and connection-centered, brains. Regardless of our similarities, we all still navigate challenges uniquely. How we approach our stories impacts how we see ourselves and the world around us. Challenges in this world are certain; this may leave us feeling scared, overwhelmed, or depressed. These difficult experiences can lead to isolation, stuckness, panic, and other uncomfortable feelings. Rather than battle it out in your relationships, or on your own, I work from a headspace of inspiring hope and seeking peace within.
(425) 243-8951 View (425) 243-8951
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How does your Therapist compare?

Number of Therapists in Fremont, Seattle, WA

300+

Average cost per session

$150

Therapists in Fremont, Seattle, WA who prioritize treating:

91% Anxiety
85% Depression
79% Relationship Issues
75% Self Esteem
74% Trauma and PTSD
73% Life Transitions
70% Stress

Average years in practice

8 Years

Top 3 insurances accepted

73% Premera Blue Cross
60% Aetna
50% Regence

How Therapists in Fremont, Seattle, WA see their clients

65% In Person and Online
35% Online Only

Gender breakdown

71% Female
26% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Fremont, 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.