Therapists in Lincoln Heights, Spokane, WA

Photo of Mary Ann Baker, MA, LMHC, Counselor
Mary Ann Baker
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Lincoln Heights, Spokane, WA 99223  (Online Only)
Not accepting new clients
Maybe a major event stoked your search for therapy. Maybe the build up of daily life stressors leaves you feeling stuck. Maybe you're experiencing changes in your support system. Regardless of where you’re at in your journey, you deserve the space to listen to that internal voice asking for your attention. I believe it's your internal wisdom bringing you to therapy.
Maybe a major event stoked your search for therapy. Maybe the build up of daily life stressors leaves you feeling stuck. Maybe you're experiencing changes in your support system. Regardless of where you’re at in your journey, you deserve the space to listen to that internal voice asking for your attention. I believe it's your internal wisdom bringing you to therapy.
(509) 260-2094 View (509) 260-2094
Photo of James Anacker, MA, NCC, LMHC, Counselor
James Anacker
Counselor, MA, NCC, LMHC
Verified Verified
Lincoln Heights, Spokane, WA 99223
Are you feeling burnt-out by large amounts of BS in the world? My goal in therapy is to keep it real. I do this by doing my best to get to know you and the individual factors impacting your mental health or your relationship with loved ones. It is not easy. It takes time and commitment on your behalf. But if you work with me, then it is going to get better. If things are not improving, then I will help you find a different therapist. I will focus on your strengths, and we can get creative in finding solutions for you. You will live better and feel better.
Are you feeling burnt-out by large amounts of BS in the world? My goal in therapy is to keep it real. I do this by doing my best to get to know you and the individual factors impacting your mental health or your relationship with loved ones. It is not easy. It takes time and commitment on your behalf. But if you work with me, then it is going to get better. If things are not improving, then I will help you find a different therapist. I will focus on your strengths, and we can get creative in finding solutions for you. You will live better and feel better.
(509) 233-4974 View (509) 233-4974
Photo of Danielle Allen, LMHC, LMFT, CMHS, Marriage & Family Therapist
Danielle Allen
Marriage & Family Therapist, LMHC, LMFT, CMHS
Verified Verified
Lincoln Heights, Spokane, WA 99223
Parenting is hard. Like, really REALLY hard. I know we've all been there....feeling isolated, alone, and like we are failing ourselves and our children. But if you are here now, reading this, you are actively looking for new ways to parent and interact with your children. And that's huge! We know through decades of research that caregiver/parent self-reflection is the single greatest catalyst for positive change, in addition to feeling connected to and supported by others. That is where Circle of Security Parenting comes in! Learning how to identify and meet the emotional needs of our children, while staying balanced ourselves.
Parenting is hard. Like, really REALLY hard. I know we've all been there....feeling isolated, alone, and like we are failing ourselves and our children. But if you are here now, reading this, you are actively looking for new ways to parent and interact with your children. And that's huge! We know through decades of research that caregiver/parent self-reflection is the single greatest catalyst for positive change, in addition to feeling connected to and supported by others. That is where Circle of Security Parenting comes in! Learning how to identify and meet the emotional needs of our children, while staying balanced ourselves.
(509) 637-7235 View (509) 637-7235
Photo of Cheri Colean - EMDR at Inner Light Counseling, MSW, LICSW, Clinical Social Work/Therapist
EMDR at Inner Light Counseling
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
3 Endorsed
Lincoln Heights, Spokane, WA 99203
Not accepting new clients
If you, a loved one or child is feeling lonely, isolated, sad, depressed, worried, fearful or have trouble getting back into the groove of life after a change or trauma, EMDR therapy can help. Therapy is a joint process, where you are in the driver’s seat. My role as your therapist is to encourage, support and empower you to navigate life in a way that leaves you feeling more successful. I have experience in helping to overcome trauma related disorders, family stress, anxiety, depression, and ADHD. I specialize in working with adult women and children (9-17).
If you, a loved one or child is feeling lonely, isolated, sad, depressed, worried, fearful or have trouble getting back into the groove of life after a change or trauma, EMDR therapy can help. Therapy is a joint process, where you are in the driver’s seat. My role as your therapist is to encourage, support and empower you to navigate life in a way that leaves you feeling more successful. I have experience in helping to overcome trauma related disorders, family stress, anxiety, depression, and ADHD. I specialize in working with adult women and children (9-17).
(509) 257-8324 View (509) 257-8324
Photo of Lauren McBride, MA, LMFTA, Marriage & Family Therapist Associate
Lauren McBride
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Lincoln Heights, Spokane, WA 99202
I am a licensed Marriage and Family Therapist Associate. My experience enables me to offer effective outpatient, individualized, psychological care, online and in person. I treat a number of mental health disorders, and provide a neutral ground to individuals, families, and couples. I specialize in areas including: depression, anxiety, self-esteem, life transitions, ADHD, infertility, miscarriage and grief.
I am a licensed Marriage and Family Therapist Associate. My experience enables me to offer effective outpatient, individualized, psychological care, online and in person. I treat a number of mental health disorders, and provide a neutral ground to individuals, families, and couples. I specialize in areas including: depression, anxiety, self-esteem, life transitions, ADHD, infertility, miscarriage and grief.
(509) 584-4966 View (509) 584-4966
Photo of Nicole Preiss, PsyD, Psychologist
Nicole Preiss
Psychologist, PsyD
Verified Verified
1 Endorsed
Lincoln Heights, Spokane, WA 99223  (Online Only)
Not accepting new clients
I am so glad you are here! If you are reading this, you are likely struggling with something in your life that won’t go away on its own. You may find yourself worried to reach out, or feel like you should be able to deal with everything on your own. By seeking support for yourself you may feel uncomfortable, but you are allowing your vulnerability to be your strength. You are making a choice to focus on yourself, your life and your goals in an effort to make meaningful change. Therapy is a space where we can explore, grow, and connect in ways we did not know possible. Take your first step and let’s connect!
I am so glad you are here! If you are reading this, you are likely struggling with something in your life that won’t go away on its own. You may find yourself worried to reach out, or feel like you should be able to deal with everything on your own. By seeking support for yourself you may feel uncomfortable, but you are allowing your vulnerability to be your strength. You are making a choice to focus on yourself, your life and your goals in an effort to make meaningful change. Therapy is a space where we can explore, grow, and connect in ways we did not know possible. Take your first step and let’s connect!
(916) 269-1292 View (916) 269-1292
Photo of Meredith Thompson, MSW, LICSW, Clinical Social Work/Therapist
Meredith Thompson
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Lincoln Heights, Spokane, WA 99223
Sometimes reaching out for help is the bravest thing that you can do. Life never quite goes the way we plan, and so much is outside of our control. Needing help doesn’t mean you are broken, it means you care enough to do the difficult work to make your life and the lives of those around you better. You do not need to suffer alone or figure it out yourself; we all need a safe place where we are supported in order to heal. I respect your experience, and welcome those of all gender, sexual, and romantic identities. I will focus your interests and values in combination with evidence-based therapies to achieve lasting change
Sometimes reaching out for help is the bravest thing that you can do. Life never quite goes the way we plan, and so much is outside of our control. Needing help doesn’t mean you are broken, it means you care enough to do the difficult work to make your life and the lives of those around you better. You do not need to suffer alone or figure it out yourself; we all need a safe place where we are supported in order to heal. I respect your experience, and welcome those of all gender, sexual, and romantic identities. I will focus your interests and values in combination with evidence-based therapies to achieve lasting change
(509) 260-2707 View (509) 260-2707
Photo of Tommy Flick, MA, LMFT, Marriage & Family Therapist
Tommy Flick
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Lincoln Heights, 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 Zane W DeWitz, MSW, LICSW, SUDP, Clinical Social Work/Therapist
Zane W DeWitz
Clinical Social Work/Therapist, MSW, LICSW, SUDP
Verified Verified
Lincoln Heights, Spokane, WA 99223  (Online Only)
Waitlist for new clients
Through his private practice at Niche Therapy, Zane offers three life change services: Mental Health Therapy, Mental Wellness / Life Coaching, and Niche Courses. Please visit his website via the link under his profile picture to learn about services, helping philosophy, and prices. Life change takes time, but it is doable with patience, practice, commitment, and support. Whether you want to move from “rock bottom” to your typical baseline, or from your basic to best, life change is possible.
Through his private practice at Niche Therapy, Zane offers three life change services: Mental Health Therapy, Mental Wellness / Life Coaching, and Niche Courses. Please visit his website via the link under his profile picture to learn about services, helping philosophy, and prices. Life change takes time, but it is doable with patience, practice, commitment, and support. Whether you want to move from “rock bottom” to your typical baseline, or from your basic to best, life change is possible.
(509) 581-1732 View (509) 581-1732
Photo of Sarah Grandinetti, BSW, MS, LMHCA, Counselor
Sarah Grandinetti
Counselor, BSW, MS, LMHCA
Verified Verified
Lincoln Heights, Spokane, WA 99203  (Online Only)
I would be honored to create space for you as we find a way to recovery and healing. I love to work with each unique human that sits in front of me, no matter where you come from or where you want to go. I am particularly passionate about working with LGBTQIA+, neurodivergent individuals, and religious trauma survivors.
I would be honored to create space for you as we find a way to recovery and healing. I love to work with each unique human that sits in front of me, no matter where you come from or where you want to go. I am particularly passionate about working with LGBTQIA+, neurodivergent individuals, and religious trauma survivors.
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Photo of McKenna Janae Dean-Davis, MSW, LICSW, Clinical Social Work/Therapist
McKenna Janae Dean-Davis
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Lincoln Heights, Spokane, WA 99223
Since I was young mental health was always a topic in my home, so becoming a 3rd generation therapist was not surprising to those around me. When I realized prioritizing self-care, setting boundaries, & naming feelings were not normal dinner table topics, I wanted to change that. I am passionate about destigmatizing mental health and making tools more accessible. My goal is to empower my clients to use their innate gifts and strengths to conquer anything that comes their way. Taking the first step is brave, but continuing to show up and work towards your goals is courageous.
Since I was young mental health was always a topic in my home, so becoming a 3rd generation therapist was not surprising to those around me. When I realized prioritizing self-care, setting boundaries, & naming feelings were not normal dinner table topics, I wanted to change that. I am passionate about destigmatizing mental health and making tools more accessible. My goal is to empower my clients to use their innate gifts and strengths to conquer anything that comes their way. Taking the first step is brave, but continuing to show up and work towards your goals is courageous.
(509) 571-2548 View (509) 571-2548
Photo of Walter Nandi Jahava, MSW, LSWAIC, Clinical Social Work/Therapist
Walter Nandi Jahava
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Lincoln Heights, Spokane, WA 99208
I specialize in supporting individuals with a spectrum of mental health concerns, including depression, anxiety, schizophrenia, and bipolar disorder. With a client-centered approach, I prioritize your needs and provide a safe environment to navigate challenges. I utilize personalized therapies like cognitive behavioral therapy and mindfulness, offering virtual examples to aid understanding. Seeking help demonstrates courage and resilience in overcoming life's obstacles.
I specialize in supporting individuals with a spectrum of mental health concerns, including depression, anxiety, schizophrenia, and bipolar disorder. With a client-centered approach, I prioritize your needs and provide a safe environment to navigate challenges. I utilize personalized therapies like cognitive behavioral therapy and mindfulness, offering virtual examples to aid understanding. Seeking help demonstrates courage and resilience in overcoming life's obstacles.
(206) 761-0336 View (206) 761-0336

Online Therapists

Photo of Jeanette Silva, LMHC, Counselor
Jeanette Silva
Counselor, LMHC
Verified Verified
Spokane, WA 99202  (Online Only)
Hi! My name is Jeanette Silva and I am a Licensed Mental Health Counselor. I believe that to have a successful counseling experience it is critical that you feel fully listened to and understood. I use careful listening and reflecting to join with you to address what is most important to you. As you progress, I help you gain insight into your situation, allow you to vent about your troubles, and develop better ways of coping.
Hi! My name is Jeanette Silva and I am a Licensed Mental Health Counselor. I believe that to have a successful counseling experience it is critical that you feel fully listened to and understood. I use careful listening and reflecting to join with you to address what is most important to you. As you progress, I help you gain insight into your situation, allow you to vent about your troubles, and develop better ways of coping.
(509) 479-9817 View (509) 479-9817
Photo of Lisa D Olson, MS, LMHC, Counselor
Lisa D Olson
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Spokane, WA 99202
Accepting new clients summer and fall 2024! As a seasoned therapist and owner of Compassionate Care Counseling, PLLC, I am deeply committed to providing each and every client with a specialized experience that honors their whole person. This includes their lived experiences, the intertwined systems which impact their lives, their core values, their belief systems and their intersecting identities.
Accepting new clients summer and fall 2024! As a seasoned therapist and owner of Compassionate Care Counseling, PLLC, I am deeply committed to providing each and every client with a specialized experience that honors their whole person. This includes their lived experiences, the intertwined systems which impact their lives, their core values, their belief systems and their intersecting identities.
(509) 517-6797 View (509) 517-6797
Photo of John Lakvold - John Lakvold Counseling, MA, LMHC, LCPC, Counselor
John Lakvold Counseling
Counselor, MA, LMHC, LCPC
Verified Verified
Spokane, WA 99204
I have worked with a variety of clients over the years. I started with troubled and troubling teenagers for 13 years here in Washington state and in West Virginia. I became to work with adults with persistent chronic mental illness for over 8 years. I worked with military family members and their families for nearly 4 years. I often work with individuals with substance use, pornography, and marital issues in my current practice. In my current practice, I reflect values that universal to secular and Christian communities. My goal, as a clinician, I try to instill hope in individuals who get stuck in ruts of life.
I have worked with a variety of clients over the years. I started with troubled and troubling teenagers for 13 years here in Washington state and in West Virginia. I became to work with adults with persistent chronic mental illness for over 8 years. I worked with military family members and their families for nearly 4 years. I often work with individuals with substance use, pornography, and marital issues in my current practice. In my current practice, I reflect values that universal to secular and Christian communities. My goal, as a clinician, I try to instill hope in individuals who get stuck in ruts of life.
(509) 281-5914 View (509) 281-5914
Photo of Hansena DiNoia, LMHCA, Counselor
Hansena DiNoia
Counselor, LMHCA
Verified Verified
Spokane, WA 99202
I believe that the power of a therapeutic relationship can be a catalyst for change. In our sessions, you can expect a collaborative, supportive, and nonjudgmental environment where you can freely explore your thoughts and emotions. You are the expert of your life experiences, and counseling can act as a resource towards achieving your individualized goals.
I believe that the power of a therapeutic relationship can be a catalyst for change. In our sessions, you can expect a collaborative, supportive, and nonjudgmental environment where you can freely explore your thoughts and emotions. You are the expert of your life experiences, and counseling can act as a resource towards achieving your individualized goals.
(509) 236-8819 View (509) 236-8819
Photo of Esther Steen, MA, LMFT, IMFT, Marriage & Family Therapist
Esther Steen
Marriage & Family Therapist, MA, LMFT, IMFT
Verified Verified
Spokane, WA 99201  (Online Only)
Book with me now by clicking on my website. I am a fully Licensed Marriage and Family Therapist in Washington State, and Independently Licensed Marriage and Family Therapist in Ohio. I received my Master of Arts in Psychology, Child, Couple, and Family Therapy at Antioch University in 2015. I have been providing individual and family therapy since 2013. I work with individuals who seek to repair relationships, heal from low self-esteem, improve communication skills, recover from burnout and compassion fatigue, career stress, life transitions, depression, anxiety, bipolar disorder, autism spectrum, ADHD, and traumatic stress.
Book with me now by clicking on my website. I am a fully Licensed Marriage and Family Therapist in Washington State, and Independently Licensed Marriage and Family Therapist in Ohio. I received my Master of Arts in Psychology, Child, Couple, and Family Therapy at Antioch University in 2015. I have been providing individual and family therapy since 2013. I work with individuals who seek to repair relationships, heal from low self-esteem, improve communication skills, recover from burnout and compassion fatigue, career stress, life transitions, depression, anxiety, bipolar disorder, autism spectrum, ADHD, and traumatic stress.
(360) 997-5045 View (360) 997-5045
Photo of Andrew M Gaines, PhD, LCAT, RDT-BCT, Art Therapist
Andrew M Gaines
Art Therapist, PhD, LCAT, RDT-BCT
Verified Verified
1 Endorsed
Spokane, WA 99201  (Online Only)
Integrated Compass was founded by Dr. Andrew Gaines and Dr. David Govaker. Andrew is a Registered and Board Certified Trainer of drama therapists, theatre and communications professor at Grays Harbor College, and accomplished theatre director/designer. His 15 years of experience facilitating men’s work across the United States demonstrates his passion for creative transformation for individuals and communities.
Integrated Compass was founded by Dr. Andrew Gaines and Dr. David Govaker. Andrew is a Registered and Board Certified Trainer of drama therapists, theatre and communications professor at Grays Harbor College, and accomplished theatre director/designer. His 15 years of experience facilitating men’s work across the United States demonstrates his passion for creative transformation for individuals and communities.
(509) 778-6348 View (509) 778-6348
Photo of Hayley Miller, MA, ACC, Pre-Licensed Professional
Hayley Miller
Pre-Licensed Professional, MA, ACC
Verified Verified
1 Endorsed
Spokane, WA 99202
With over a decade of experience in psychology and mental health, I'm driven by a genuine passion for helping my clients cultivate lives brimming with purpose and fulfillment, regardless of the hand they've been dealt. I believe that our deepest wounds can also become our most profound gifts & opportunities. My therapeutic style is deeply holistic, focusing on nurturing the mind, body, and spirit. I believe that every facet of the Self is interconnected and that true healing comes from within. As your therapist, I'm here to create a sanctuary of safety, support, and trust, empowering you to reclaim your life and your sense of self.
With over a decade of experience in psychology and mental health, I'm driven by a genuine passion for helping my clients cultivate lives brimming with purpose and fulfillment, regardless of the hand they've been dealt. I believe that our deepest wounds can also become our most profound gifts & opportunities. My therapeutic style is deeply holistic, focusing on nurturing the mind, body, and spirit. I believe that every facet of the Self is interconnected and that true healing comes from within. As your therapist, I'm here to create a sanctuary of safety, support, and trust, empowering you to reclaim your life and your sense of self.
(509) 463-8015 View (509) 463-8015
Photo of Katie Payne, Counselor
Katie Payne
Counselor
Verified Verified
1 Endorsed
Spokane, WA 99218
I have experience primarily with teens and adults. In sessions, I am able to utilize a variety of techniques depending on your needs. This can range from evidence based techniques, such as CBT and DBT, all the way to using art to access our subconscious. My passion is working with those who struggle with depression and anxiety. I am an associate counselor, which means I am under close supervision as I earn the hours needed to practice independently. I work for a practice that believes strongly in a natural, holistic approach. We will not push medication.
I have experience primarily with teens and adults. In sessions, I am able to utilize a variety of techniques depending on your needs. This can range from evidence based techniques, such as CBT and DBT, all the way to using art to access our subconscious. My passion is working with those who struggle with depression and anxiety. I am an associate counselor, which means I am under close supervision as I earn the hours needed to practice independently. I work for a practice that believes strongly in a natural, holistic approach. We will not push medication.
(509) 740-3960 View (509) 740-3960

How does your Therapist compare?

Number of Therapists in Lincoln Heights, Spokane, WA

10+

Average cost per session

$150

Therapists in Lincoln Heights, Spokane, WA who prioritize treating:

92% Depression
92% Anxiety
92% Self Esteem
83% Trauma and PTSD
75% Relationship Issues
75% Stress
67% Family Conflict

Average years in practice

11 Years

Top 3 insurances accepted

90% Premera Blue Cross
60% Aetna
60% BlueCross and BlueShield

How Therapists in Lincoln Heights, Spokane, WA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

73% Female
27% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Lincoln Heights, 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.