Therapists in University Place, WA

Photo of Haley Duffrin, Marriage & Family Therapist
Haley Duffrin
Marriage & Family Therapist
2 Endorsed
University Place, WA 98466
My ideal client is looking for support in navigating challenges with relationships and meeting their goals. This may be showing up as anxiety, depression, unmanageable stress or anger. They are looking for someone who can help them work through the chain of events that has led them to where they are, and better understand what parts of that they want to bring forward into their future and what they would rather leave behind.
My ideal client is looking for support in navigating challenges with relationships and meeting their goals. This may be showing up as anxiety, depression, unmanageable stress or anger. They are looking for someone who can help them work through the chain of events that has led them to where they are, and better understand what parts of that they want to bring forward into their future and what they would rather leave behind.
(253) 893-8099 View (253) 893-8099
Photo of Hayley Farkas, Marriage & Family Therapist, MA, LMFT
Hayley Farkas
Marriage & Family Therapist, MA, LMFT
2 Endorsed
University Place, WA 98466
I am a dedicated therapist specializing in emotionally focused therapy and solution-focused therapy, passionate about helping individuals, couples, and families build stronger connections and achieve meaningful change. With EFT, I create a safe, empathetic space to explore emotions, heal relational wounds, and foster secure bonds. By integrating SFT, I empower clients to identify strengths, set clear goals, and discover practical solutions to move forward with confidence.
I am a dedicated therapist specializing in emotionally focused therapy and solution-focused therapy, passionate about helping individuals, couples, and families build stronger connections and achieve meaningful change. With EFT, I create a safe, empathetic space to explore emotions, heal relational wounds, and foster secure bonds. By integrating SFT, I empower clients to identify strengths, set clear goals, and discover practical solutions to move forward with confidence.
(253) 600-4420 View (253) 600-4420
Photo of Dawn Breikss, Counselor, PhD, LMHC, NCC
Dawn Breikss
Counselor, PhD, LMHC, NCC
6 Endorsed
University Place, WA 98466
I am committed to helping individuals reach whatever goals they have coming into therapy. I believe in working with my client to develop a plan for reaching these goals. I look forward to having a collaborative relationship with my clients and helping them on their journey through counseling. I have experience working with youth, particularly those who have been through severe sexual and physical abuse, and also those living in foster care. I also have worked with individual adults and couples. I enjoy working with a range of individuals and helping everyone to reach whatever goals they may have.
I am committed to helping individuals reach whatever goals they have coming into therapy. I believe in working with my client to develop a plan for reaching these goals. I look forward to having a collaborative relationship with my clients and helping them on their journey through counseling. I have experience working with youth, particularly those who have been through severe sexual and physical abuse, and also those living in foster care. I also have worked with individual adults and couples. I enjoy working with a range of individuals and helping everyone to reach whatever goals they may have.
(253) 843-6676 View (253) 843-6676
Photo of Erin Dwyer, Marriage & Family Therapist, MA, LMFT
Erin Dwyer
Marriage & Family Therapist, MA, LMFT
5 Endorsed
Online Only
Waitlist for new clients
This being human thing is tricky, isn’t it? At times we all feel a bit lost and alone, overwhelmed, regretful of the past, or fearful of the future. Perhaps you see yourself trying to do everything “right” in order to get to where you want to be or think you’re supposed to be, only to find yourself not making much progress or getting stuck in the same place? Or maybe at this point you’re not even sure anymore what the “right” thing is or where to go from here? I too have experienced this place of frustration. Change is possible and can bring more clarity, connection, joy, and peace!
This being human thing is tricky, isn’t it? At times we all feel a bit lost and alone, overwhelmed, regretful of the past, or fearful of the future. Perhaps you see yourself trying to do everything “right” in order to get to where you want to be or think you’re supposed to be, only to find yourself not making much progress or getting stuck in the same place? Or maybe at this point you’re not even sure anymore what the “right” thing is or where to go from here? I too have experienced this place of frustration. Change is possible and can bring more clarity, connection, joy, and peace!
(253) 262-0212 View (253) 262-0212
Photo of Adam David Kaufman, Counselor, MSEd, LMHCA
Adam David Kaufman
Counselor, MSEd, LMHCA
2 Endorsed
University Place, WA 98466
Currently accepting new clients. Adam Kaufman is a Licensed Mental Health Counselor Associate with a Master of Science in Education (MSEd) in Mental Health Counseling from CUNY Hunter College. His therapeutic approach blends depth-oriented psychodynamic principles with the structured, skills-based methods of CBT, allowing him to flexibly adapt to each client’s unique needs. With experience in addressing a variety of mental health challenges—such as depression, anxiety, stress, trauma, and relationship issues—Adam provides a safe and supportive environment for meaningful exploration and growth.
Currently accepting new clients. Adam Kaufman is a Licensed Mental Health Counselor Associate with a Master of Science in Education (MSEd) in Mental Health Counseling from CUNY Hunter College. His therapeutic approach blends depth-oriented psychodynamic principles with the structured, skills-based methods of CBT, allowing him to flexibly adapt to each client’s unique needs. With experience in addressing a variety of mental health challenges—such as depression, anxiety, stress, trauma, and relationship issues—Adam provides a safe and supportive environment for meaningful exploration and growth.
(253) 400-2184 View (253) 400-2184
Photo of Crystal Sosa, Marriage & Family Therapist Associate, LMFTA
Crystal Sosa
Marriage & Family Therapist Associate, LMFTA
4 Endorsed
University Place, WA 98466
Are you struggling internally or having difficulty navigating life? Do you need someone to talk to or need some gentle guidance getting back to your center? Maybe these are issues you have been dealing with your whole life, maybe they are new. Whatever you are going through, I am here to help. Whatever your goals may be, defined or undefined, I will walk alongside you as you heal, grow, re-define yourself, or sort through whatever it is that is getting in the way of you achieving your goals. I see individuals, couples, and families of all ages and from all walks of life.
Are you struggling internally or having difficulty navigating life? Do you need someone to talk to or need some gentle guidance getting back to your center? Maybe these are issues you have been dealing with your whole life, maybe they are new. Whatever you are going through, I am here to help. Whatever your goals may be, defined or undefined, I will walk alongside you as you heal, grow, re-define yourself, or sort through whatever it is that is getting in the way of you achieving your goals. I see individuals, couples, and families of all ages and from all walks of life.
(253) 785-2070 View (253) 785-2070
Photo of Dr. Paschal Ukwu, Counselor, PhD, MA, MPhil, LMHCA
Dr. Paschal Ukwu
Counselor, PhD, MA, MPhil, LMHCA
University Place, WA 98466
“The greatest discovery of my generation is that a human being can alter his life by altering his attitudes of mind.” — William James Your mind is powerful, yet when struggling with addiction, trauma, OCD, ADHD, or major life transitions, it can feel like it’s working against you. You may be facing self-doubt, uncertainty, or shame—wondering if true healing is even possible. Whether you’re in recovery, rebuilding after a setback, managing high-functioning anxiety, or seeking a psychological evaluation to return to work, I provide a structured, judgment-free space where you can regain control of your life.
“The greatest discovery of my generation is that a human being can alter his life by altering his attitudes of mind.” — William James Your mind is powerful, yet when struggling with addiction, trauma, OCD, ADHD, or major life transitions, it can feel like it’s working against you. You may be facing self-doubt, uncertainty, or shame—wondering if true healing is even possible. Whether you’re in recovery, rebuilding after a setback, managing high-functioning anxiety, or seeking a psychological evaluation to return to work, I provide a structured, judgment-free space where you can regain control of your life.
(253) 338-5493 View (253) 338-5493
Photo of Jazmin Mercado Evans, Counselor, MA, LMHC, MHP, CMHS
Jazmin Mercado Evans
Counselor, MA, LMHC, MHP, CMHS
1 Endorsed
University Place, WA 98466
I have been in the mental health field since 2014 and have worked with various ages and demographics. With a background that includes being a military child, collegiate athlete, and now a parent myself, I have found that I enjoy working with people who are finding themselves in a time of change. At this time, I am seeing clients 14 and older who need extra support in finding coping skills, navigating symptoms of depression or anxiety, communication skills, relationship challenges, and boundary work among other goals. At this time, I will also be taking a break from couples therapy and will update once accepting new clients.
I have been in the mental health field since 2014 and have worked with various ages and demographics. With a background that includes being a military child, collegiate athlete, and now a parent myself, I have found that I enjoy working with people who are finding themselves in a time of change. At this time, I am seeing clients 14 and older who need extra support in finding coping skills, navigating symptoms of depression or anxiety, communication skills, relationship challenges, and boundary work among other goals. At this time, I will also be taking a break from couples therapy and will update once accepting new clients.
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Photo of Yolanda Villegas, Counselor, MA, LMHC
Yolanda Villegas
Counselor, MA, LMHC
University Place, WA 98466
My desire is to help you resolve issues that are having a negative effect on your life. These can be issues related to relationships, family, work, anxiety, depression, PTSD, and parenting. As a Latina, I am aware of cultural barriers, and I would like to help you overcome those barriers.
My desire is to help you resolve issues that are having a negative effect on your life. These can be issues related to relationships, family, work, anxiety, depression, PTSD, and parenting. As a Latina, I am aware of cultural barriers, and I would like to help you overcome those barriers.
(253) 617-7759 View (253) 617-7759
Photo of Alyssa Bicheray, Counselor, MA, LMHC, CMHS
Alyssa Bicheray
Counselor, MA, LMHC, CMHS
2 Endorsed
University Place, WA 98466
I am a licensed therapist practicing in Pierce County since 2013. I have a Bachelor of Arts in Psychology from the University of Washington as well as a minor in Criminal Justice. I went on to get my Master of Arts in Counseling Psychology from Saint Martin’s University. I work with clients from teen years into middle adulthood. My areas of expertise are managing depression and anxiety, trauma, eating disorders, self-esteem, relationships, sexuality/LGBTQA, life changes, communication, personal exploration. I have completed additional education on body inclusiveness, shame and resilience, complex trauma, and eating disorders.
I am a licensed therapist practicing in Pierce County since 2013. I have a Bachelor of Arts in Psychology from the University of Washington as well as a minor in Criminal Justice. I went on to get my Master of Arts in Counseling Psychology from Saint Martin’s University. I work with clients from teen years into middle adulthood. My areas of expertise are managing depression and anxiety, trauma, eating disorders, self-esteem, relationships, sexuality/LGBTQA, life changes, communication, personal exploration. I have completed additional education on body inclusiveness, shame and resilience, complex trauma, and eating disorders.
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Photo of Annie Scanlon Sawyer, Counselor, LMHC, CMHS
Annie Scanlon Sawyer
Counselor, LMHC, CMHS
University Place, WA 98466
Now accepting new clients as of February 2025 I have been working in the mental health field for over a decade and treat a wide variety of presenting concerns. If you are struggling with anxiety, depression, panic attacks, phobias, or ADHD, send me a message and let's see if we would be a good fit to work together. I work with children and adolescents and their parents; young adults; and adult women, addressing some of the unique concerns that these populations face. I have extensive experience working with neurodiverse populations and aim to provide an affirming therapy experience for all clients.
Now accepting new clients as of February 2025 I have been working in the mental health field for over a decade and treat a wide variety of presenting concerns. If you are struggling with anxiety, depression, panic attacks, phobias, or ADHD, send me a message and let's see if we would be a good fit to work together. I work with children and adolescents and their parents; young adults; and adult women, addressing some of the unique concerns that these populations face. I have extensive experience working with neurodiverse populations and aim to provide an affirming therapy experience for all clients.
(253) 453-4986 View (253) 453-4986
Photo of Grace Cannon, Marriage & Family Therapist Associate, LMFTA
Grace Cannon
Marriage & Family Therapist Associate, LMFTA
4 Endorsed
University Place, WA 98466
Are you ready to look beyond old stories that no longer reflect who you are or how you want to live? Are you navigating anxiety, depression, relationship challenges, life transitions, self-esteem, self-identity, or the weight of past experiences? Together, we will explore how these beliefs and experiences took shape and what they’ve cost you emotionally, or how they've protected old patterns. Through curiosity and collaboration, I will help you reconnect with your values, strengths, and hopes. I will collaborate with you on crafting new narratives that invite growth, authenticity, self-compassion, and a renewed sense of possibility.
Are you ready to look beyond old stories that no longer reflect who you are or how you want to live? Are you navigating anxiety, depression, relationship challenges, life transitions, self-esteem, self-identity, or the weight of past experiences? Together, we will explore how these beliefs and experiences took shape and what they’ve cost you emotionally, or how they've protected old patterns. Through curiosity and collaboration, I will help you reconnect with your values, strengths, and hopes. I will collaborate with you on crafting new narratives that invite growth, authenticity, self-compassion, and a renewed sense of possibility.
(253) 201-2824 View (253) 201-2824
Photo of Carly J Knapp - Carly J. Knapp, Ph.D., Psychologist, PhD
Carly J. Knapp, Ph.D.
Psychologist, PhD
Online Only
Not accepting new clients
My preferred method of practice and my professional strengths involve a combination of our work together, identification and change of negative thougt patterns, and an exploration of sensations and moods that are assoicated with these thoughts. From this and from the experience of understanding and connection, new and healthy patterns of relating to yourself and others in your life can begin to be established and can continue to grow. You can begin to feel a sense of well-being, meaning, and purpose in your personal and professional life.
My preferred method of practice and my professional strengths involve a combination of our work together, identification and change of negative thougt patterns, and an exploration of sensations and moods that are assoicated with these thoughts. From this and from the experience of understanding and connection, new and healthy patterns of relating to yourself and others in your life can begin to be established and can continue to grow. You can begin to feel a sense of well-being, meaning, and purpose in your personal and professional life.
(253) 237-4987 View (253) 237-4987
Photo of Lynn Phillips, Marriage & Family Therapist, LMFT
Lynn Phillips
Marriage & Family Therapist, LMFT
1 Endorsed
Online Only
Welcome, I am Lynn Phillips and I have 35+years as a Licensed Marriage and Family Therapist. I am an empathetic listener and collaborative counselor. I have worked in a variety of setting; military bases, schools, private practice, hospitals, early childhood education and homes. I use an eclectic approached with clients to determine the best modality to support meeting their goals. I am upfront, honest and straight forward, but also like to laugh with my clients.
Welcome, I am Lynn Phillips and I have 35+years as a Licensed Marriage and Family Therapist. I am an empathetic listener and collaborative counselor. I have worked in a variety of setting; military bases, schools, private practice, hospitals, early childhood education and homes. I use an eclectic approached with clients to determine the best modality to support meeting their goals. I am upfront, honest and straight forward, but also like to laugh with my clients.
(509) 519-2300 View (509) 519-2300
Photo of Edward L Coyle, Psychologist, PhD
Edward L Coyle
Psychologist, PhD
University Place, WA 98466
Currently accepting new patients, Saturday and evening appointments available. My practice focuses on working with individuals who are processing significant transitions within their lives, particularly those related to developmental processes such as career change, retirement and family care-giving challenges. With an emphasis on creating meaning and exploring new potentials, our work together will help you act intentionally rather than reacting in response to old patterns that may no longer fit the person you are becoming.
Currently accepting new patients, Saturday and evening appointments available. My practice focuses on working with individuals who are processing significant transitions within their lives, particularly those related to developmental processes such as career change, retirement and family care-giving challenges. With an emphasis on creating meaning and exploring new potentials, our work together will help you act intentionally rather than reacting in response to old patterns that may no longer fit the person you are becoming.
(253) 201-3215 View (253) 201-3215
Photo of Jenelle Larson, Marriage & Family Therapist, MA, LMFT
Jenelle Larson
Marriage & Family Therapist, MA, LMFT
5 Endorsed
University Place, WA 98466
Waitlist for new clients
I have had the privilege of working within the Marriage and Family Therapy field for the past 19 years. I primarily work with couples and adults, but have extensive background in working children, teens, and families. I have experience in helping families and individuals with a variety of concerns, including relationship difficulties, depression, anxiety, ADHD, parenting skills, discipline techniques, attachment, school-related concerns, anger management and other disruptive behavioral issues.
I have had the privilege of working within the Marriage and Family Therapy field for the past 19 years. I primarily work with couples and adults, but have extensive background in working children, teens, and families. I have experience in helping families and individuals with a variety of concerns, including relationship difficulties, depression, anxiety, ADHD, parenting skills, discipline techniques, attachment, school-related concerns, anger management and other disruptive behavioral issues.
(253) 523-2566 View (253) 523-2566
Photo of Jeanne Purdum - Integrated Therapy Services NW, PLLC, Marriage & Family Therapist, MS, LMFT
Integrated Therapy Services NW, PLLC
Marriage & Family Therapist, MS, LMFT
University Place, WA 98466
Now Accepting Molina and Coordinated Care Clients! Integrated Therapy Services (ITS) is dedicated to serving our community by supporting individuals, couples, and families through their lifelong journey of emotional growth and personal development. Our providers come together from the fields of Marriage and Family Therapy, Social Work, and Mental Health Counseling to provide the highest quality mental health services based in the most advanced research in a warm and inviting environment. We deliver innovative and personalized treatment with compassion and care. Telehealth or in-person appointments are available.
Now Accepting Molina and Coordinated Care Clients! Integrated Therapy Services (ITS) is dedicated to serving our community by supporting individuals, couples, and families through their lifelong journey of emotional growth and personal development. Our providers come together from the fields of Marriage and Family Therapy, Social Work, and Mental Health Counseling to provide the highest quality mental health services based in the most advanced research in a warm and inviting environment. We deliver innovative and personalized treatment with compassion and care. Telehealth or in-person appointments are available.
(253) 214-9742 View (253) 214-9742
Photo of Jenny Grace Shaw, Counselor, LMHC
Jenny Grace Shaw
Counselor, LMHC
Online Only
We all experience speed bumps during our life journey. Though it may seem we are "lost, "unsure of, I believe the powers we are looking for are inside YOU! One simply needs to be validated and to strengthen the emotional "muscles" that have grown weak-just as we exercise our bodies and our minds, we must exercise our emotional muscles. I genuinely believe we can not experience long-term health unless we pay close attention to our Mind, Body, and spirit a whole, our humanness. In many instances, it is our voice that is silenced, whether directly or indirectly.
We all experience speed bumps during our life journey. Though it may seem we are "lost, "unsure of, I believe the powers we are looking for are inside YOU! One simply needs to be validated and to strengthen the emotional "muscles" that have grown weak-just as we exercise our bodies and our minds, we must exercise our emotional muscles. I genuinely believe we can not experience long-term health unless we pay close attention to our Mind, Body, and spirit a whole, our humanness. In many instances, it is our voice that is silenced, whether directly or indirectly.
(808) 666-9659 View (808) 666-9659
Photo of Pedro Ruiz, Licensed Mental Health Counselor , MS
Pedro Ruiz
Licensed Mental Health Counselor , MS
Online Only
As a therapist, I strive to make you feel welcomed, I treat all of my clients as if they were my own friends, I don't like walls that separate us in the therapeutic process, and in my dedication to help, and in providing you with an atmosphere where you can express yourself, open up and speak without fear of judgement or criticism. I enjoy making my clients think in ways they haven't before and consider things they have never considered about themselves before. This is where the healing and relief occurs. I enjoy seeing the relieved faces of clients that have found answers and help then need and desire.
As a therapist, I strive to make you feel welcomed, I treat all of my clients as if they were my own friends, I don't like walls that separate us in the therapeutic process, and in my dedication to help, and in providing you with an atmosphere where you can express yourself, open up and speak without fear of judgement or criticism. I enjoy making my clients think in ways they haven't before and consider things they have never considered about themselves before. This is where the healing and relief occurs. I enjoy seeing the relieved faces of clients that have found answers and help then need and desire.
(253) 265-9713 View (253) 265-9713
Photo of Charmaine McCladdie - Circle in a Square Counseling, Licensed Mental Health Counselor Associate , LMHCA
Circle in a Square Counseling
Licensed Mental Health Counselor Associate , LMHCA
1 Endorsed
Online Only
I am dedicated to supporting underrepresented and marginalized communities through a holistic approach to healing and wellness. My personal experiences have deepened my commitment to walking alongside others on their journeys toward greater well-being. With experience across various mental health settings, I have supported individuals from many walks of life in navigating challenges, building resilience, and fostering positive change through compassionate, personalized care. My goal is to create a safe and affirming space where clients are able to explore themselves, develop effective coping skills, and make meaningful change.
I am dedicated to supporting underrepresented and marginalized communities through a holistic approach to healing and wellness. My personal experiences have deepened my commitment to walking alongside others on their journeys toward greater well-being. With experience across various mental health settings, I have supported individuals from many walks of life in navigating challenges, building resilience, and fostering positive change through compassionate, personalized care. My goal is to create a safe and affirming space where clients are able to explore themselves, develop effective coping skills, and make meaningful change.
(253) 400-3358 View (253) 400-3358

See more therapy options for University Place

How does your Therapist compare?

Number of Therapists in University Place, WA

100+

Average cost per session

$150

Therapists in University Place, WA who prioritize treating:

91% Anxiety
88% Depression
82% Trauma and PTSD
77% Relationship Issues
76% Self Esteem
72% Stress
64% Grief

Average years in practice

8 Years

Top 3 insurances accepted

91% Premera Blue Cross
82% Regence
69% Aetna

How Therapists in University Place, WA see their clients

77% In Person and Online
23% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in University Place?

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.