Therapists in Spokane, WA

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Photo of Erica Ambis, Clinical Social Work/Therapist in Spokane, WA
Erica Ambis
Clinical Social Work/Therapist, MA, LICSW
Verified Verified
Spokane, WA 99201  (Online Only)
Not accepting new clients
Hello weary traveler! Are you feeling like you cannot trust your inner compass? Is life slowly chipping away at your armor? Are you still struggling with battling your inner demons and dragons? Your feelings are valid, and I will provide you with a space where you can talk openly about what is bothering you, free from judgment. I am here to walk alongside you, and I will be here to provide you with new knowledge, guidance, and perspective. I have over 10 years' worth of social work experience working with individuals from different backgrounds, ages, and cultures. My approach to therapy is kind, curious, honest, and fun.
Hello weary traveler! Are you feeling like you cannot trust your inner compass? Is life slowly chipping away at your armor? Are you still struggling with battling your inner demons and dragons? Your feelings are valid, and I will provide you with a space where you can talk openly about what is bothering you, free from judgment. I am here to walk alongside you, and I will be here to provide you with new knowledge, guidance, and perspective. I have over 10 years' worth of social work experience working with individuals from different backgrounds, ages, and cultures. My approach to therapy is kind, curious, honest, and fun.
(253) 398-8774 View (253) 398-8774
Photo of Tommy Flick, Marriage & Family Therapist in Spokane, WA
Tommy Flick
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Spokane, WA 99203
I have over ten years of experience working with teens and adults under 50. Most of my clients, both male and female, are in some form of transition in their lives. These transitions present themselves as maturation struggles, changing relationships, questioning perspectives, contemplating choices, and finding difficulty with what currently faces them in their lives. These are the times when a trusted assistant is helpful. My clients need to know that they have a safe place, without judgement, to work through their struggles. I provide trust, support, education, and new skills training with each client.
I have over ten years of experience working with teens and adults under 50. Most of my clients, both male and female, are in some form of transition in their lives. These transitions present themselves as maturation struggles, changing relationships, questioning perspectives, contemplating choices, and finding difficulty with what currently faces them in their lives. These are the times when a trusted assistant is helpful. My clients need to know that they have a safe place, without judgement, to work through their struggles. I provide trust, support, education, and new skills training with each client.
(415) 484-4517 View (415) 484-4517
Photo of Jeffrey Johnson, Marriage & Family Therapist in Spokane, WA
Jeffrey Johnson
Marriage & Family Therapist, MS, LMFT
Verified Verified
Spokane, WA 99201
I work on helping everyone find their unique path towards success and growth. In this work I have learned that there is no "one right way" to do things and everyone has a unique and personal journey towards finding the peace, success and growth they want in themselves, their lives and relationships. My goal is to help everyone I work with find this path and walk with them as they journey through the many challenges of their lives.
I work on helping everyone find their unique path towards success and growth. In this work I have learned that there is no "one right way" to do things and everyone has a unique and personal journey towards finding the peace, success and growth they want in themselves, their lives and relationships. My goal is to help everyone I work with find this path and walk with them as they journey through the many challenges of their lives.
(509) 431-6309 View (509) 431-6309
Photo of Kiah Siegel, Counselor in Spokane, WA
Kiah Siegel
Counselor, MS, LMHC, LCPC
Verified Verified
Spokane, WA 99218
Not accepting new clients
I believe that long-term positive change comes from within you. I am passionate about affirming the experiences of the LGBTQIA+ community, and I'm dedicated to fostering healing, growth, and self-compassion in the work we do together. I strive to provide a safe and inclusive space where your unique culture, identity, and worldview are considered and validated. My goal is to empower my clients to navigate life's complexities and build the skills needed to live healthier, happier lives.
I believe that long-term positive change comes from within you. I am passionate about affirming the experiences of the LGBTQIA+ community, and I'm dedicated to fostering healing, growth, and self-compassion in the work we do together. I strive to provide a safe and inclusive space where your unique culture, identity, and worldview are considered and validated. My goal is to empower my clients to navigate life's complexities and build the skills needed to live healthier, happier lives.
(509) 640-3485 View (509) 640-3485
Photo of Tamara Minchow, Clinical Social Work/Therapist in Spokane, WA
Tamara Minchow
Clinical Social Work/Therapist, MSW, LICSWA
Verified Verified
1 Endorsed
Spokane, WA 99207
Healing looks different for everyone. I believe that you are the expert of your own experiences and I would be honored to walk alongside you on your journey. I have worked with individuals experiencing symptoms of substance abuse, adjustment disorder, codependency, trauma, depression, anxiety, suicidal ideation, as well as other mental health illnesses.
Healing looks different for everyone. I believe that you are the expert of your own experiences and I would be honored to walk alongside you on your journey. I have worked with individuals experiencing symptoms of substance abuse, adjustment disorder, codependency, trauma, depression, anxiety, suicidal ideation, as well as other mental health illnesses.
(509) 417-0592 View (509) 417-0592
Photo of Allison Morgan. Text (509) 593-0502 to schedule, Marriage & Family Therapist in Spokane, WA
Allison Morgan. Text (509) 593-0502 to schedule
Marriage & Family Therapist, MA, LMFT, LMHC
Verified Verified
4 Endorsed
Spokane, WA 99205
TO SCHEDULE AN APPOINTMENT, PLEASE TEXT (509) 593-0502 I love working with couples, families, and adult and teen individuals. I am knowledgeable about, and warmly accepting of LGBT clients and polyamorous/alternative relationship clients. During our first meeting together, we'll identify your counseling needs and goals. Counseling is a very personal process and I am honored to be trusted by my clients. My office is welcoming and comfortable. My office is located on the same level as my free parking and offers a step-free entrance.
TO SCHEDULE AN APPOINTMENT, PLEASE TEXT (509) 593-0502 I love working with couples, families, and adult and teen individuals. I am knowledgeable about, and warmly accepting of LGBT clients and polyamorous/alternative relationship clients. During our first meeting together, we'll identify your counseling needs and goals. Counseling is a very personal process and I am honored to be trusted by my clients. My office is welcoming and comfortable. My office is located on the same level as my free parking and offers a step-free entrance.
(509) 774-2838 View (509) 774-2838
Photo of Katharyn (Kate) Engers, Marriage & Family Therapist in Spokane, WA
Katharyn (Kate) Engers
Marriage & Family Therapist, MA, LMFT
Verified Verified
Spokane, WA 99206  (Online Only)
Do you find that there are unhelpful patterns in your life that you keep repeating? Maybe it's multiple unhealthy relationships, or self-sabotaging behaviors. Do you struggle with an unrelenting inner critic that makes every perceived failure feel catastrophic? Perhaps you're in the midst of a big change or transition in your life and you're struggling to adjust. You're most likely looking for a therapist who is warm and compassionate, who understands your specific struggle, and is able to help you make sense of the swarm of thoughts circling in your head.
Do you find that there are unhelpful patterns in your life that you keep repeating? Maybe it's multiple unhealthy relationships, or self-sabotaging behaviors. Do you struggle with an unrelenting inner critic that makes every perceived failure feel catastrophic? Perhaps you're in the midst of a big change or transition in your life and you're struggling to adjust. You're most likely looking for a therapist who is warm and compassionate, who understands your specific struggle, and is able to help you make sense of the swarm of thoughts circling in your head.
(509) 204-4103 View (509) 204-4103
Photo of Billie Tyler, Marriage & Family Therapist in Spokane, WA
Billie Tyler
Marriage & Family Therapist, PhD, LMFT
Verified Verified
4 Endorsed
Spokane, WA 99204
We are all involved in relationships, with others and ourselves. These relationships evolve and change over time. At times, we can feel frustrated, unappreciated, misunderstood, or just on different pages. I offer an open, warm, and engaging environment. Through a process of thoughtful discovery we will focus on strengths and build from there. Often, we already have what we need to find satisfying and fulfilling bonds. For couples this may be seeking more intimacy, for families we may work on communication, for parents of younger children we may work on growing parenting skills and increasing positive behavior from children. The possibilities are endless.
We are all involved in relationships, with others and ourselves. These relationships evolve and change over time. At times, we can feel frustrated, unappreciated, misunderstood, or just on different pages. I offer an open, warm, and engaging environment. Through a process of thoughtful discovery we will focus on strengths and build from there. Often, we already have what we need to find satisfying and fulfilling bonds. For couples this may be seeking more intimacy, for families we may work on communication, for parents of younger children we may work on growing parenting skills and increasing positive behavior from children. The possibilities are endless.
(509) 792-3487 View (509) 792-3487
Photo of James Anacker, Counselor in Spokane, WA
James Anacker
Counselor, MA, NCC, LMHC
Verified Verified
Spokane, WA 99223
I counsel my clients to overcome relationship challenges, depressions, anxieties, and to cure their own struggles with an unhelpful past. I implement evidence based practices such as EMDR and CBT to help clients to have happier lives, transform their work and personal situations, and reach goals that may have once only been a dream. My mission is basically to help people find a way out, get to a better place, and stay there. I am highly trained for working with both couples and individuals. Understanding your goals and helping you get there are my specialities. All this can be accomplished through you actively working with me.
I counsel my clients to overcome relationship challenges, depressions, anxieties, and to cure their own struggles with an unhelpful past. I implement evidence based practices such as EMDR and CBT to help clients to have happier lives, transform their work and personal situations, and reach goals that may have once only been a dream. My mission is basically to help people find a way out, get to a better place, and stay there. I am highly trained for working with both couples and individuals. Understanding your goals and helping you get there are my specialities. All this can be accomplished through you actively working with me.
(509) 233-4974 View (509) 233-4974
Photo of Jacob McEwen, Marriage & Family Therapist Associate in Spokane, WA
Jacob McEwen
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
1 Endorsed
Spokane, WA 99203
Ready to rediscover yourself and access the wisdom within you? Come experience a holistic, client-led approach to therapy that focuses on healing mind, body and spirit. Together, we will examine patterns in your life that leave you feeling stuck, and explore the root causes of distressing cycles. Our sessions will often integrate mindfulness practices and somatic techniques to help us remain grounded in the present as we explore the past and navigate change. With a renewed sense of meaning and purpose, it is possible to heal old wounds and become your most authentic self.
Ready to rediscover yourself and access the wisdom within you? Come experience a holistic, client-led approach to therapy that focuses on healing mind, body and spirit. Together, we will examine patterns in your life that leave you feeling stuck, and explore the root causes of distressing cycles. Our sessions will often integrate mindfulness practices and somatic techniques to help us remain grounded in the present as we explore the past and navigate change. With a renewed sense of meaning and purpose, it is possible to heal old wounds and become your most authentic self.
(509) 400-5191 View (509) 400-5191
Photo of Better Self, PLLC, Counselor in Spokane, WA
Better Self, PLLC
Counselor, MA, LMHCA, NCC
Verified Verified
Spokane, WA 99204
Congratulations in taking the first step in finding a therapist. It is not an easy task and it takes a lot of vulnerability to ask for help. I am here to help, to listen and to guide you in the direction that you want your life to go (it's ok if you still don't know the direction). That's what I am here for. Let's work together! I have worked with many modalities and populations. I have experience in ABA, CBT, and DBT as well as experience in coordination of care. I have worked with patients struggling with mild to more severe symptoms and challenges. I can offer a collection of techniques and modalities that best serve you.
Congratulations in taking the first step in finding a therapist. It is not an easy task and it takes a lot of vulnerability to ask for help. I am here to help, to listen and to guide you in the direction that you want your life to go (it's ok if you still don't know the direction). That's what I am here for. Let's work together! I have worked with many modalities and populations. I have experience in ABA, CBT, and DBT as well as experience in coordination of care. I have worked with patients struggling with mild to more severe symptoms and challenges. I can offer a collection of techniques and modalities that best serve you.
(509) 636-8404 View (509) 636-8404
Photo of Jacque Berkeihiser, Counselor in Spokane, WA
Jacque Berkeihiser
Counselor, LMHC
Verified Verified
Spokane, WA 99202  (Online Only)
When first beginning treatment, I focus on building trust and relationship. It is important to me that you feel comfortable and we will move at your pace. I am relaxed in my practice and my aim is for this to be a time that is helpful for you. I incorporate many different treatment modalities depending on the individual need of the client. I specialize in treatment of anxiety disorders, including Obsessive Compulsive Disorder; behavior disorders, depression, and ADHD.
When first beginning treatment, I focus on building trust and relationship. It is important to me that you feel comfortable and we will move at your pace. I am relaxed in my practice and my aim is for this to be a time that is helpful for you. I incorporate many different treatment modalities depending on the individual need of the client. I specialize in treatment of anxiety disorders, including Obsessive Compulsive Disorder; behavior disorders, depression, and ADHD.
(509) 631-8051 View (509) 631-8051
Photo of Trinity Truth Counseling, PLLC, Counselor in Spokane, WA
Trinity Truth Counseling, PLLC
Counselor, LSWAIC, MSW, SUDP
Verified Verified
Spokane, WA 99201  (Online Only)
Trinity Truth Counseling exists as a service to help you become a better you. It strives to bring collaboration between therapist and client as a meaningful way to actively listen and learn how to better manage skills and various issues. In knowing what has occurred in the past and communicating present problems, there is an opportunity to change one's future. I like to counsel all ages and get different perspectives in working with each unique person. I have empathy for my clients and make an effort to find purpose and meaning with the individual's help. I want my clients to find their passion and have a better quality of life.
Trinity Truth Counseling exists as a service to help you become a better you. It strives to bring collaboration between therapist and client as a meaningful way to actively listen and learn how to better manage skills and various issues. In knowing what has occurred in the past and communicating present problems, there is an opportunity to change one's future. I like to counsel all ages and get different perspectives in working with each unique person. I have empathy for my clients and make an effort to find purpose and meaning with the individual's help. I want my clients to find their passion and have a better quality of life.
(509) 584-5670 View (509) 584-5670
Photo of Marvin Deubel, Counselor in Spokane, WA
Marvin Deubel
Counselor, MS, LMHC, CMHS
Verified Verified
3 Endorsed
Spokane, WA 99201
Not accepting new clients
I have spent a majority of my career working with children and adolescents, I also see adults that are having difficulty managing symptoms of anxiety and depression as well as relational issues. When working with children/adolescents, I place great emphasis on the relationship and communication in order to reduce behavioral symptoms.
I have spent a majority of my career working with children and adolescents, I also see adults that are having difficulty managing symptoms of anxiety and depression as well as relational issues. When working with children/adolescents, I place great emphasis on the relationship and communication in order to reduce behavioral symptoms.
(509) 295-8539 View (509) 295-8539
Photo of Trauma Informed Therapies, Clinical Social Work/Therapist in Spokane, WA
Trauma Informed Therapies
Clinical Social Work/Therapist
Verified Verified
2 Endorsed
Spokane, WA 99201
Our team of Mental Health Counselors, Marriage Family Therapists and Clinical Social Workers offer a sincere welcome. We know it takes courage to step out of our comfort zones and embrace change. It is our desire to help those who are struggling to find the kind of life they long for. While trauma may not be something you are seeking direct services for, you can have the peace of knowing that all our staff are skilled in addressing trauma should it be or become a factor in treatment. Whether you are battling stress, anxiety, depression, or trying to find calm in the aftermath of trauma; we believe that peace and joy are possible.
Our team of Mental Health Counselors, Marriage Family Therapists and Clinical Social Workers offer a sincere welcome. We know it takes courage to step out of our comfort zones and embrace change. It is our desire to help those who are struggling to find the kind of life they long for. While trauma may not be something you are seeking direct services for, you can have the peace of knowing that all our staff are skilled in addressing trauma should it be or become a factor in treatment. Whether you are battling stress, anxiety, depression, or trying to find calm in the aftermath of trauma; we believe that peace and joy are possible.
(509) 855-4439 View (509) 855-4439
Photo of Dustin L Price, Counselor in Spokane, WA
Dustin L Price
Counselor, LMHA, MA, MBA
Verified Verified
Spokane, WA 99201
Ready to identify your next destination? Let's journey together, embracing change and growth. Reach out today for a transformative future. As a seasoned professional with diverse experiences, I understand the complexities of balancing personal and professional demands. My core passion is helping you achieve goals and facilitate healing. True wealth is about finding peace and fulfillment.
Ready to identify your next destination? Let's journey together, embracing change and growth. Reach out today for a transformative future. As a seasoned professional with diverse experiences, I understand the complexities of balancing personal and professional demands. My core passion is helping you achieve goals and facilitate healing. True wealth is about finding peace and fulfillment.
(509) 517-7241 View (509) 517-7241
Photo of Anna Pearson, Counselor in Spokane, WA
Anna Pearson
Counselor, MS, LMHCA
Verified Verified
1 Endorsed
Spokane, WA 99218  (Online Only)
Welcome! I’m glad you’re here. It can be challenging to find the right therapist, and I look forward to seeing if we might be a good fit! I believe strongly in the inherent worth of people and viewing the human condition from a place that is non-pathological and intrinsically person-centered. Fundamentally, I seek to help people uncover the force that is within them all along- through cultivating a deeper understanding of their individual needs, values, and goals. I believe in the profound power of working to eliminate shame and normalizing neurodiversity and the neurodiverse experience.
Welcome! I’m glad you’re here. It can be challenging to find the right therapist, and I look forward to seeing if we might be a good fit! I believe strongly in the inherent worth of people and viewing the human condition from a place that is non-pathological and intrinsically person-centered. Fundamentally, I seek to help people uncover the force that is within them all along- through cultivating a deeper understanding of their individual needs, values, and goals. I believe in the profound power of working to eliminate shame and normalizing neurodiversity and the neurodiverse experience.
(509) 588-0734 View (509) 588-0734
Photo of Emily Fisher, Marriage & Family Therapist Associate in Spokane, WA
Emily Fisher
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
2 Endorsed
Spokane, WA 99218
Having struggles within your relationship? Experiencing personal or relational injuries that feel impossible to move on from? Feeling anxious or stuck in your current stage in life? I work with individuals and couples looking for a place to grow individually or to connect more in their relationships. I help my clients identify negative patterns, aiming to foster a relationship to help them feel less alone, lost, or frustrated with their current issues. I work from an attachment-based lens and look at the importance of one's emotional experience, which can include diving into past relationships or experiences.
Having struggles within your relationship? Experiencing personal or relational injuries that feel impossible to move on from? Feeling anxious or stuck in your current stage in life? I work with individuals and couples looking for a place to grow individually or to connect more in their relationships. I help my clients identify negative patterns, aiming to foster a relationship to help them feel less alone, lost, or frustrated with their current issues. I work from an attachment-based lens and look at the importance of one's emotional experience, which can include diving into past relationships or experiences.
(509) 408-3374 View (509) 408-3374
Photo of Kalyn Dahl, Clinical Social Work/Therapist in Spokane, WA
Kalyn Dahl
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Spokane, WA 99201
Waitlist for new clients
If you are hoping to heal from unresolved traumatic experiences, anxiety and depression symptoms, my goal as your therapist is to create a safe space for you to engage in your healing process. My approach is trauma informed, collaborative and client centered. My areas of expertise and interest include treatment of PTSD, anxiety, and depression symptoms, suicide risk assessment, crisis intervention and coping with grief and loss. I most enjoy working with teens and young adults.
If you are hoping to heal from unresolved traumatic experiences, anxiety and depression symptoms, my goal as your therapist is to create a safe space for you to engage in your healing process. My approach is trauma informed, collaborative and client centered. My areas of expertise and interest include treatment of PTSD, anxiety, and depression symptoms, suicide risk assessment, crisis intervention and coping with grief and loss. I most enjoy working with teens and young adults.
(509) 567-3768 View (509) 567-3768
Photo of Aileen Hetrick, Clinical Social Work/Therapist in Spokane, WA
Aileen Hetrick
Clinical Social Work/Therapist, LICSW
Verified Verified
Spokane, WA 99201  (Online Only)
Currently, I am offering Cognitive Behavioral Therapy and support for insomnia via TeleHealth only. Change is rarely easy. We live in a complex, dynamic, and ever-changing world, the stress of which affects each of us differently. Dealing with difficulty sleeping, and insomnia can have notable impacts on our relationships and activities, no one has to go it alone to find a path towards healthier and happier.
Currently, I am offering Cognitive Behavioral Therapy and support for insomnia via TeleHealth only. Change is rarely easy. We live in a complex, dynamic, and ever-changing world, the stress of which affects each of us differently. Dealing with difficulty sleeping, and insomnia can have notable impacts on our relationships and activities, no one has to go it alone to find a path towards healthier and happier.
(509) 822-3717 View (509) 822-3717

How does your Therapist compare?

Number of Therapists in Spokane, WA

1,000+

Average cost per session

$135

Therapists in Spokane, WA who prioritize treating:

92% Anxiety
87% Depression
76% Self Esteem
74% Trauma and PTSD
73% Relationship Issues
73% Stress
71% Coping Skills

Average years in practice

8 Years

Top 3 insurances accepted

74% Premera
72% Aetna
57% UnitedHealthcare UHC | UBH

How Therapists in Spokane, WA see their clients

52% In Person and Online
48% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Spokane?

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.