Therapists in Spokane, WA

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Photo of Dr. LeKeshia Mathis, DSW, LSWAIC, Clinical Social Work/Therapist
Dr. LeKeshia Mathis
Clinical Social Work/Therapist, DSW, LSWAIC
Verified Verified
Spokane, WA 99201  (Online Only)
My professional background involves working with couples who have the desire to rebuild their relationships and adults with various struggles, such as substance abuse addictions and co-occurring disorders. Collaboration is a major foundation for my practice, being therapy is a collaborative work that considers life experiences, patterns, relationships, and beliefs that have created and still have an impact on individuals' way of being in the world. I'm committed to figuring out the issues that are bringing my clients to therapy right now and the innate abilities and assets that will enable them to make the desired adjustments.
My professional background involves working with couples who have the desire to rebuild their relationships and adults with various struggles, such as substance abuse addictions and co-occurring disorders. Collaboration is a major foundation for my practice, being therapy is a collaborative work that considers life experiences, patterns, relationships, and beliefs that have created and still have an impact on individuals' way of being in the world. I'm committed to figuring out the issues that are bringing my clients to therapy right now and the innate abilities and assets that will enable them to make the desired adjustments.
(509) 637-7520 View (509) 637-7520
Photo of Kelsey Ralph, LMFT, Marriage & Family Therapist
Kelsey Ralph
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Spokane, WA 99202
Not accepting new clients
I specialize in working with individuals who are experiencing relationship difficulties, low self-esteem, depression, anxiety, codependency and perfectionism. Problematic behaviors, thoughts and perceptions have their roots in past relationships or experiences that were emotionally or psychologically damaging. In our work together, I will help you to explore your family of origin, relationship history and current circumstances to overcome some of these emotional and psychological barriers.
I specialize in working with individuals who are experiencing relationship difficulties, low self-esteem, depression, anxiety, codependency and perfectionism. Problematic behaviors, thoughts and perceptions have their roots in past relationships or experiences that were emotionally or psychologically damaging. In our work together, I will help you to explore your family of origin, relationship history and current circumstances to overcome some of these emotional and psychological barriers.
(509) 563-7087 View (509) 563-7087
Photo of Melanie Elizabeth Morlan - Melanie Morlan @ Couples Therapy Spokane, LMFT, LMHC, NCC, Marriage & Family Therapist
Melanie Morlan @ Couples Therapy Spokane
Marriage & Family Therapist, LMFT, LMHC, NCC
Verified Verified
2 Endorsed
Spokane, WA 99203
it has taken me years of experience to gain the competency and passion I have today as a Couples Therapy Specialist and chances are, no matter what you are struggling with I can help. Emotionally Focused Therapy (EFT) is my life's work, and an effective, research-based protocol for helping couples recover from crisis, develop deeper connections, and learn a fail safe system for navigating relationships. I have committed my professional career to a high level of expertise and the ability to care deeply about my clients needs. I will give you exceptional care and support for your most important relationships.
it has taken me years of experience to gain the competency and passion I have today as a Couples Therapy Specialist and chances are, no matter what you are struggling with I can help. Emotionally Focused Therapy (EFT) is my life's work, and an effective, research-based protocol for helping couples recover from crisis, develop deeper connections, and learn a fail safe system for navigating relationships. I have committed my professional career to a high level of expertise and the ability to care deeply about my clients needs. I will give you exceptional care and support for your most important relationships.
(509) 309-0672 View (509) 309-0672
Photo of Gerry Presar, MS, LMFT, Marriage & Family Therapist
Gerry Presar
Marriage & Family Therapist, MS, LMFT
Verified Verified
Spokane, WA 99208
With so many choices, how do you choose the right therapist for you? You need someone with not only the professional skills to help you, but a style that fits who you are. I bring both my strengths as a therapist as well as a lifetime of personal and professional experience in different realms. I leverage my real-world background together with my marriage and family therapy expertise to help you understand and address your real-world issues in a practical way that focuses on results.
With so many choices, how do you choose the right therapist for you? You need someone with not only the professional skills to help you, but a style that fits who you are. I bring both my strengths as a therapist as well as a lifetime of personal and professional experience in different realms. I leverage my real-world background together with my marriage and family therapy expertise to help you understand and address your real-world issues in a practical way that focuses on results.
(425) 610-8887 View (425) 610-8887
Photo of Naivasha Williams Mangrum, MA, MEd, NCC, Pre-Licensed Professional
Naivasha Williams Mangrum
Pre-Licensed Professional, MA, MEd, NCC
Verified Verified
1 Endorsed
Spokane, WA 99201  (Online Only)
It's all about you! When it comes to therapy, I focus on your needs in that moment. Client centered AF! My practice emphasizes the whole person, considering the eight dimensions of wellness: emotional (how you feel), environmental (toxic friends), financial (can you afford that Starbucks daily), intellectual, occupational (why are you still in that job you hate), physical (are you eating right, get enough sleep lately), social (hybernate much), and spiritual (who or what you praise is your business). I specialize in supporting women through significant life changes such as breakups, career shift, or parenting. Together we elevate!
It's all about you! When it comes to therapy, I focus on your needs in that moment. Client centered AF! My practice emphasizes the whole person, considering the eight dimensions of wellness: emotional (how you feel), environmental (toxic friends), financial (can you afford that Starbucks daily), intellectual, occupational (why are you still in that job you hate), physical (are you eating right, get enough sleep lately), social (hybernate much), and spiritual (who or what you praise is your business). I specialize in supporting women through significant life changes such as breakups, career shift, or parenting. Together we elevate!
(509) 257-4397 View (509) 257-4397
Photo of Spencer Davidson-Badgley, LMFTA, Marriage & Family Therapist Associate
Spencer Davidson-Badgley
Marriage & Family Therapist Associate, LMFTA
Verified Verified
3 Endorsed
Spokane, WA 99201
Waitlist for new clients
Life is full of ups and downs. Thankfully, you don't have to go through it alone. When you are seeking support, it's important to know that you haven't failed and fallen short. There isn't anything to be ashamed of in having struggles. Humans are wired for support, relationships, and growth. Basically, we all need help sometimes. When you walk into my office, you can expect to be met with respect and compassion. We will work together to deepen your understanding of your struggles and strengths to empower you to live the life you want to live. I'll be with you in the downs and we will celebrate the ups.
Life is full of ups and downs. Thankfully, you don't have to go through it alone. When you are seeking support, it's important to know that you haven't failed and fallen short. There isn't anything to be ashamed of in having struggles. Humans are wired for support, relationships, and growth. Basically, we all need help sometimes. When you walk into my office, you can expect to be met with respect and compassion. We will work together to deepen your understanding of your struggles and strengths to empower you to live the life you want to live. I'll be with you in the downs and we will celebrate the ups.
(509) 236-8985 View (509) 236-8985
Photo of Shawn Christine Horn, PsyD, PS, Psychologist
Shawn Christine Horn
Psychologist, PsyD, PS
Verified Verified
Spokane, WA 99202
Waitlist for new clients
I believe change is possible and that every client comes with strengths to be built upon. My approach is warm, accepting, validating and supportively challenging. During our first session, I will gather information regarding your specific situation, and then together we will develop a treatment plan that will give us direction and focus for your specific goals. I will understand your need to be known and at the same time, your need for change. I utilize a unique variety and blend of clinical modalities and psycho-educational skills.
I believe change is possible and that every client comes with strengths to be built upon. My approach is warm, accepting, validating and supportively challenging. During our first session, I will gather information regarding your specific situation, and then together we will develop a treatment plan that will give us direction and focus for your specific goals. I will understand your need to be known and at the same time, your need for change. I utilize a unique variety and blend of clinical modalities and psycho-educational skills.
(509) 472-1977 View (509) 472-1977
Photo of Javen Taaffe, LMHC, Counselor
Javen Taaffe
Counselor, LMHC
Verified Verified
Spokane, WA 99201  (Online Only)
My ideal client would be a teen or adult who may be struggling in life and ready to make a change. Whether that be with substance abuse or other addictions, stress and trauma, divorce, or gaining the self-confidence it takes to finally tackle the obstacles in front of them. I am very passionate about serving those in the LGBTQ+ community, as well as those who are involved in systems (i.e. foster care, corrections, disability). As a Marine Corps veteran, I take pride in providing services to those who served our country in the military or other civil service jobs.
My ideal client would be a teen or adult who may be struggling in life and ready to make a change. Whether that be with substance abuse or other addictions, stress and trauma, divorce, or gaining the self-confidence it takes to finally tackle the obstacles in front of them. I am very passionate about serving those in the LGBTQ+ community, as well as those who are involved in systems (i.e. foster care, corrections, disability). As a Marine Corps veteran, I take pride in providing services to those who served our country in the military or other civil service jobs.
(253) 904-3790 View (253) 904-3790
Photo of Stephanie Tumba - RIM Holistic Health (Stephanie Tumba), MACP, LMHC, Counselor
RIM Holistic Health (Stephanie Tumba)
Counselor, MACP, LMHC
Verified Verified
Spokane, WA 99201  (Online Only)
My speciality is working with those who want to improve their overall wellbeing. Do you feel stuck in stress, sadness, trauma, numbness, or isolation? Perhaps you struggle to maintain relationships, or find yourself in a cycle of unhealthy boundaries. You may question your own worth and struggle to communicate your thoughts and feelings with those in your life. Whatever your struggles, you are most likely hoping for more peace of mind, connection, confidence, and compassion. Just like our bodies heal from scrapes and bruises, we are also built and meant to heal emotionally and mentally. Counseling is a great way to gain life skills.
My speciality is working with those who want to improve their overall wellbeing. Do you feel stuck in stress, sadness, trauma, numbness, or isolation? Perhaps you struggle to maintain relationships, or find yourself in a cycle of unhealthy boundaries. You may question your own worth and struggle to communicate your thoughts and feelings with those in your life. Whatever your struggles, you are most likely hoping for more peace of mind, connection, confidence, and compassion. Just like our bodies heal from scrapes and bruises, we are also built and meant to heal emotionally and mentally. Counseling is a great way to gain life skills.
(509) 408-0108 View (509) 408-0108
Photo of Dianna Gulick, MA, LMHC, CMHS, Counselor
Dianna Gulick
Counselor, MA, LMHC, CMHS
Verified Verified
4 Endorsed
Spokane, WA 99201
Are you having a difficult time managing emotions or thoughts that you once thought were manageable? Many people experience trauma or other adverse life events at some point in their lives. I believe each person has the potential to be free from the burden of symptoms that trauma, anxiety, and depression can create. People often come to counseling unsure of what they want to be different but knowing that they would like something to change. I enjoy working with people trying to identify goals and those who already have goals in mind.
Are you having a difficult time managing emotions or thoughts that you once thought were manageable? Many people experience trauma or other adverse life events at some point in their lives. I believe each person has the potential to be free from the burden of symptoms that trauma, anxiety, and depression can create. People often come to counseling unsure of what they want to be different but knowing that they would like something to change. I enjoy working with people trying to identify goals and those who already have goals in mind.
(509) 769-3510 View (509) 769-3510
Photo of Nicholas Lohstroh, LICSW, LCSW, Clinical Social Work/Therapist
Nicholas Lohstroh
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Spokane, WA 99201
I have experience working with diverse populations including individuals with Autism, Developmental Disabilities, substance use, mood disorders, psychotic disorders and personality disorders. I believe in using a strengths-based approach and specialized in both individual and group work. I enjoy working collaboratively with my clients to help them build a life worth living. Please give me a call email or schedule a consultation on my Alma profile if you would like to see if we could be a good fit in you healing journey.
I have experience working with diverse populations including individuals with Autism, Developmental Disabilities, substance use, mood disorders, psychotic disorders and personality disorders. I believe in using a strengths-based approach and specialized in both individual and group work. I enjoy working collaboratively with my clients to help them build a life worth living. Please give me a call email or schedule a consultation on my Alma profile if you would like to see if we could be a good fit in you healing journey.
(509) 210-0542 View (509) 210-0542
Photo of Ginger M Johnson - Relationship Advantage, MA
Relationship Advantage
MA
Verified Verified
Spokane, WA 99223
Are issues like communication around money, sex, or intimacy creating distance in your relationship? Do you feel like you are drifting apart? Has there been a violation of trust? These are the challenges many relationships face and Relationship Advantage provides opportunity to develop skills to not just cope but grow! Give us a call!
Are issues like communication around money, sex, or intimacy creating distance in your relationship? Do you feel like you are drifting apart? Has there been a violation of trust? These are the challenges many relationships face and Relationship Advantage provides opportunity to develop skills to not just cope but grow! Give us a call!
(509) 213-0821 View (509) 213-0821
Photo of Joeleen Wilkinson - Charmed Counseling, MSW, LICSW, Clinical Social Work/Therapist
Charmed Counseling
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
5 Endorsed
Spokane, WA 99204
Welcome to Charmed Counseling! We are a dynamic group of caring professionals who enjoy what we do and truly care about your mental health needs. We offer services in specialties such as trauma related disorders, anxiety, depression, behavioral concerns, OCD, life transitions, gender identity, sexuality, self-esteem, relationship stress, play therapy etc. We believe in a client-centered, strength-based approach and will encourage you to be an active participant in your treatment planning and therapy.
Welcome to Charmed Counseling! We are a dynamic group of caring professionals who enjoy what we do and truly care about your mental health needs. We offer services in specialties such as trauma related disorders, anxiety, depression, behavioral concerns, OCD, life transitions, gender identity, sexuality, self-esteem, relationship stress, play therapy etc. We believe in a client-centered, strength-based approach and will encourage you to be an active participant in your treatment planning and therapy.
(509) 774-3216 View (509) 774-3216
Photo of Janeen Steer, MA, Counselor
Janeen Steer
Counselor, MA
Verified Verified
Spokane, WA 99204
Humans are wired for relationships and desire to be seen, known and loved. I specialize in helping people to slow down and listen to their interior world and discover insights and strategies that will create growth , freedom and deeper connections.
Humans are wired for relationships and desire to be seen, known and loved. I specialize in helping people to slow down and listen to their interior world and discover insights and strategies that will create growth , freedom and deeper connections.
(509) 588-0566 View (509) 588-0566
Photo of Rochelle Cousineau Pope - Amplitude Therapy Services, MA, LMFT, EFTA, Marriage & Family Therapist
Rochelle Cousineau Pope - Amplitude Therapy Services
Marriage & Family Therapist, MA, LMFT, EFTA
Verified Verified
3 Endorsed
Spokane, WA 99218  (Online Only)
Greetings! I'm Rochelle Cousineau Pope, LMFT. Let's work together to live your best life! I enjoy working with individuals, couples/marriages/relationships and veterans/first responders and your families to reduce anxiety, increase confidence and seek new hope and opportunities. Together, we focus on repairing and strengthening relationships, improving intimacy, and learning new ways to cope and heal from trauma across the lifespan. Using an evidence-based, trauma-informed, integrative approach to therapy, together, we will work to find hope and healing and move towards thriving in your life, love, and relationships.
Greetings! I'm Rochelle Cousineau Pope, LMFT. Let's work together to live your best life! I enjoy working with individuals, couples/marriages/relationships and veterans/first responders and your families to reduce anxiety, increase confidence and seek new hope and opportunities. Together, we focus on repairing and strengthening relationships, improving intimacy, and learning new ways to cope and heal from trauma across the lifespan. Using an evidence-based, trauma-informed, integrative approach to therapy, together, we will work to find hope and healing and move towards thriving in your life, love, and relationships.
(509) 794-1549 View (509) 794-1549
Photo of Dr. Ivy Loney, DBH, LSWAIC, LMSW, Clinical Social Work/Therapist
Dr. Ivy Loney
Clinical Social Work/Therapist, DBH, LSWAIC, LMSW
Verified Verified
Spokane, WA 99201  (Online Only)
I'm a therapist who believes healing goes beyond just talking about your struggles. I offer a unique approach that integrates mind, body, and experience to help you move through life's transitions and create lasting change. I'm trained in Somatic Experiencing (SE), Eye Movement Desensitization and Reprocessing (EMDR), CBT, Mindfulness, Meditation, Hypnotherapy and Sound Therapy. These powerful tools help us access and release the physical sensations and emotions held within the body, making space for safety and nervous system regulation. Laughter is great medicine and I offer compassion and levity to work through dense challenges.
I'm a therapist who believes healing goes beyond just talking about your struggles. I offer a unique approach that integrates mind, body, and experience to help you move through life's transitions and create lasting change. I'm trained in Somatic Experiencing (SE), Eye Movement Desensitization and Reprocessing (EMDR), CBT, Mindfulness, Meditation, Hypnotherapy and Sound Therapy. These powerful tools help us access and release the physical sensations and emotions held within the body, making space for safety and nervous system regulation. Laughter is great medicine and I offer compassion and levity to work through dense challenges.
(425) 640-7009 x1 View (425) 640-7009 x1
Photo of Raelean Hendrickson, MSW , Clinical Social Work/Therapist
Raelean Hendrickson
Clinical Social Work/Therapist, MSW
Verified Verified
Spokane, WA 99223  (Online Only)
Welcome to Rooted Embrace! My intention for my practice is to provide a safe and welcoming space for all. I strongly believe every human is uniquely beautiful and sacred and deserves to celebrate their authenticity. This is your life, your story and I am here to walk alongside you supporting you in ways that honor and embrace who you are at your core. In my practice I work collaboratively with folks to identify their specific needs, goals, and strengths; working to unwind oppressive expectations, systems and internal patterns.
Welcome to Rooted Embrace! My intention for my practice is to provide a safe and welcoming space for all. I strongly believe every human is uniquely beautiful and sacred and deserves to celebrate their authenticity. This is your life, your story and I am here to walk alongside you supporting you in ways that honor and embrace who you are at your core. In my practice I work collaboratively with folks to identify their specific needs, goals, and strengths; working to unwind oppressive expectations, systems and internal patterns.
(509) 587-1676 View (509) 587-1676
Photo of Michael Chessar - Michael Chessar Counseling Service, MA, LMHC, LMFT, NCC, Counselor
Michael Chessar Counseling Service
Counselor, MA, LMHC, LMFT, NCC
Verified Verified
Spokane, WA 99205
You deserve to live a full enriching life. Here you have the opportunity to be heard in a safe confidential setting. Here you can gain confidence, effectiveness and self expression in relationships and area's of life important to you, Don't let anxiety, depression or the past stop you. I enjoy and appreciate working with Individuals, Couples and Families on their journey. I invite you to try a FREE TELEPHONE CONSULTATION.
You deserve to live a full enriching life. Here you have the opportunity to be heard in a safe confidential setting. Here you can gain confidence, effectiveness and self expression in relationships and area's of life important to you, Don't let anxiety, depression or the past stop you. I enjoy and appreciate working with Individuals, Couples and Families on their journey. I invite you to try a FREE TELEPHONE CONSULTATION.
(509) 774-3994 View (509) 774-3994
Photo of Mandy Freeman, MEd, LMHC, Counselor
Mandy Freeman
Counselor, MEd, LMHC
Verified Verified
Spokane, WA 99201
Ally to ALL. Sometimes people feel alone and life can present challenges that make it lonely and difficult to focus on what you really want and where to go next. I’d be honored to sit with you, hear your story and learn about what you want to accomplish in therapy.
Ally to ALL. Sometimes people feel alone and life can present challenges that make it lonely and difficult to focus on what you really want and where to go next. I’d be honored to sit with you, hear your story and learn about what you want to accomplish in therapy.
(509) 348-4771 View (509) 348-4771
Photo of Meghan Kilgore, LMHC, NBCC, Counselor
Meghan Kilgore
Counselor, LMHC, NBCC
Verified Verified
Spokane, WA 99208  (Online Only)
Welcome - I'm so glad you're here! I'm Meghan Kilgore, a Licensed Mental Health Therapist located in Spokane, WA. I work with children, adolescents, and families to help you see yourself in a new way and figure out what works for you. Life can feel overwhelming, hard, and messy at times. Processing through your feelings, hearing validation and empathy, and learning different ways to cope and manage can help you start to experience the world in a new way. Starting therapy can feel daunting - please reach out to schedule a phone consultation to see if my services could feel helpful for you.
Welcome - I'm so glad you're here! I'm Meghan Kilgore, a Licensed Mental Health Therapist located in Spokane, WA. I work with children, adolescents, and families to help you see yourself in a new way and figure out what works for you. Life can feel overwhelming, hard, and messy at times. Processing through your feelings, hearing validation and empathy, and learning different ways to cope and manage can help you start to experience the world in a new way. Starting therapy can feel daunting - please reach out to schedule a phone consultation to see if my services could feel helpful for you.
(509) 516-2149 View (509) 516-2149
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How does your Therapist compare?

Number of Therapists in Spokane, WA

1,000+

Average cost per session

$136

Therapists in Spokane, WA who prioritize treating:

92% Anxiety
86% Depression
75% Self Esteem
74% Trauma and PTSD
73% Relationship Issues
72% Stress
70% Coping Skills

Average years in practice

7 Years

Top 3 insurances accepted

75% Aetna
71% Premera Blue Cross
62% Regence

How Therapists in Spokane, WA see their clients

51% In Person and Online
49% Online Only

Gender breakdown

78% Female
20% 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.