Therapists in Issaquah, WA

Photo of Brittany Willey, Psychologist in Issaquah, WA
Brittany Willey
Psychologist, PhD
Verified Verified
1 Endorsed
Issaquah, WA 98027
Waitlist for new clients
Not currently accepting new clients - new inquiries may be placed on a waitlist. After a traumatic experience, it can feel like your life is in ashes. Sleep may be elusive. Your emotions may feel raw, or maybe your world feels gray and numb. You are trying to make sense of everything that has happened. Your body and mind might feel foreign. In the aftermath of traumatic experiences, either immediately or months or years afterwards, life might feel like a bit of a dumpster fire.
Not currently accepting new clients - new inquiries may be placed on a waitlist. After a traumatic experience, it can feel like your life is in ashes. Sleep may be elusive. Your emotions may feel raw, or maybe your world feels gray and numb. You are trying to make sense of everything that has happened. Your body and mind might feel foreign. In the aftermath of traumatic experiences, either immediately or months or years afterwards, life might feel like a bit of a dumpster fire.
(206) 548-4651 View (206) 548-4651
Photo of Karyn Ellis, Counselor in Issaquah, WA
Karyn Ellis
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Issaquah, WA 98027  (Online Only)
Not accepting new clients
I am honored by the therapeutic process and love partnering and collaborating with individuals in their healing journey. It would be my privilege to meet with you and learn your story. I work with individuals of all ages who have experienced trauma that has impacted daily living and has brought pain as well as decreased joy. I see individuals who are processing their adoption as well as those who are suffering from depression, anxiety or eating disorders. I also hold that we are living in a challenging time and as humans we hurt and need extra support. I am here for you.
I am honored by the therapeutic process and love partnering and collaborating with individuals in their healing journey. It would be my privilege to meet with you and learn your story. I work with individuals of all ages who have experienced trauma that has impacted daily living and has brought pain as well as decreased joy. I see individuals who are processing their adoption as well as those who are suffering from depression, anxiety or eating disorders. I also hold that we are living in a challenging time and as humans we hurt and need extra support. I am here for you.
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Photo of Allison M McGee, Counselor in Issaquah, WA
Allison M McGee
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Issaquah, WA 98027
I primarily utilizes cognitive behavioral therapy (CBT) where the focus is goal oriented and takes a hands on practical approach to problem solving. I also incorporate experiential and movement therapies whenever possible, helping children and adults learn about themselves and their capabilities through physical movement and fun activities in nature. My goal is to guide and support clients as they navigate through this journey of self-exploration and empower children and families with tools to succeed in meeting their identified goals.
I primarily utilizes cognitive behavioral therapy (CBT) where the focus is goal oriented and takes a hands on practical approach to problem solving. I also incorporate experiential and movement therapies whenever possible, helping children and adults learn about themselves and their capabilities through physical movement and fun activities in nature. My goal is to guide and support clients as they navigate through this journey of self-exploration and empower children and families with tools to succeed in meeting their identified goals.
(425) 657-3719 View (425) 657-3719
Photo of Lacey C Wisniewska, Counselor in Issaquah, WA
Lacey C Wisniewska
Counselor, MA, LMHCA
Verified Verified
Issaquah, WA 98027  (Online Only)
Not accepting new clients
Hello, I’m Lacey, a mental health counselor at Dayspring Behavioral Health. I have recovered from severe OCD and am now an advocate and specialist for those who suffer from the disorder. While I have experience working with folks up to age 60, I am particularly passionate about helping kids and teens face their fears, better regulate their emotions, and enjoy rich, fulfilling lives. You will find me to be compassionate, outgoing, and encouraging of anyone who is struggling, and I enjoy working with a variety of issues, including ADHD, OCD and OCD-spectrum disorders, anxiety and depression, and LGBTQ+ issues.
Hello, I’m Lacey, a mental health counselor at Dayspring Behavioral Health. I have recovered from severe OCD and am now an advocate and specialist for those who suffer from the disorder. While I have experience working with folks up to age 60, I am particularly passionate about helping kids and teens face their fears, better regulate their emotions, and enjoy rich, fulfilling lives. You will find me to be compassionate, outgoing, and encouraging of anyone who is struggling, and I enjoy working with a variety of issues, including ADHD, OCD and OCD-spectrum disorders, anxiety and depression, and LGBTQ+ issues.
(425) 414-7949 View (425) 414-7949
Photo of Rick Monce, Marriage & Family Therapist in Issaquah, WA
Rick Monce
Marriage & Family Therapist, MA, LMFT
Verified Verified
Issaquah, WA 98027  (Online Only)
For the last 14 years I've been working with individuals, couples, and families to help them address the most important issues in their lives. I enjoy helping clients empower themselves by expanding emotional flexibility, building positive communication patterns, and contradicting negative self-concepts and feelings of isolation.
For the last 14 years I've been working with individuals, couples, and families to help them address the most important issues in their lives. I enjoy helping clients empower themselves by expanding emotional flexibility, building positive communication patterns, and contradicting negative self-concepts and feelings of isolation.
(206) 538-2946 View (206) 538-2946
Photo of Frank Michael Bruno, Marriage & Family Therapist in Issaquah, WA
Frank Michael Bruno
Marriage & Family Therapist, LMFT
Verified Verified
Issaquah, WA 98027
Understanding our emotions is a skill we all must learn to prevent relationship conflict and to promote inner peace. There are reasons we have the deep feelings we experience. We just need to understand why we have our feelings and what causes us to suffer so much from them. We suffer from our emotions because something else is going on inside of us that we may not understand. It does not need to be this way. You can learn to know yourself better, sooth your emotions and improve your relationships with partners, kids, co-workers and friends.
Understanding our emotions is a skill we all must learn to prevent relationship conflict and to promote inner peace. There are reasons we have the deep feelings we experience. We just need to understand why we have our feelings and what causes us to suffer so much from them. We suffer from our emotions because something else is going on inside of us that we may not understand. It does not need to be this way. You can learn to know yourself better, sooth your emotions and improve your relationships with partners, kids, co-workers and friends.
(425) 329-3519 View (425) 329-3519
Photo of Summer Feaster, Clinical Social Work/Therapist in Issaquah, WA
Summer Feaster
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
7 Endorsed
Issaquah, WA 98027
Waitlist for new clients
My goal is to assist my clients with healing from old wounds, coping skills, adjusting to life transitions, goal setting, self-esteem, depression, anxiety, and provide encouragement and compassion along the way. My passion is listening to others, offering support and empowering you to reach your goals whatever they may be.  I have an extensive background working with all ages but my focus is working with women and men between ages 18-55 yrs of age. I genuinely enjoy working with clients to help find hope, peace and acceptance of themselves and difficult situations.
My goal is to assist my clients with healing from old wounds, coping skills, adjusting to life transitions, goal setting, self-esteem, depression, anxiety, and provide encouragement and compassion along the way. My passion is listening to others, offering support and empowering you to reach your goals whatever they may be.  I have an extensive background working with all ages but my focus is working with women and men between ages 18-55 yrs of age. I genuinely enjoy working with clients to help find hope, peace and acceptance of themselves and difficult situations.
(425) 961-9097 View (425) 961-9097
Photo of Dr. Jennifer S. Cataldi, Psychologist in Issaquah, WA
Dr. Jennifer S. Cataldi
Psychologist, PhD
Verified Verified
Issaquah, WA 98027
Jennifer Cataldi, Ph.D., is a clinical psychologist who specializes in the assessment and treatment of children, adolescents, and their families. She has over 10 years of experience working with youth presenting with severe emotional and behavioral disorders in both outpatient and inpatient settings, including schools, children’s hospitals, primary care, and university centers.
Jennifer Cataldi, Ph.D., is a clinical psychologist who specializes in the assessment and treatment of children, adolescents, and their families. She has over 10 years of experience working with youth presenting with severe emotional and behavioral disorders in both outpatient and inpatient settings, including schools, children’s hospitals, primary care, and university centers.
(425) 541-1140 View (425) 541-1140
Photo of Rita Simeone, Clinical Social Work/Therapist in Issaquah, WA
Rita Simeone
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Issaquah, WA 98029
It is uncommon for people to willingly seek therapy. Misinformation, fear of stigma, prejudices abound. How unfortunate! By the time someone reaches out it is often because they are at a point of desperation; this is when the work begins. My philosophy & approach have been formed through many years of working as a clinical social worker. Though trained in the psychodynamic approach, I am eclectic in my approach & attuned to client needs. There is a saying that “only the brave go to therapy.” In reaching out to begin the therapy process, one is choosing to become conscious, to face what is not working in one’s life, & to change.
It is uncommon for people to willingly seek therapy. Misinformation, fear of stigma, prejudices abound. How unfortunate! By the time someone reaches out it is often because they are at a point of desperation; this is when the work begins. My philosophy & approach have been formed through many years of working as a clinical social worker. Though trained in the psychodynamic approach, I am eclectic in my approach & attuned to client needs. There is a saying that “only the brave go to therapy.” In reaching out to begin the therapy process, one is choosing to become conscious, to face what is not working in one’s life, & to change.
(425) 606-2896 x1 View (425) 606-2896 x1
Photo of Bonnie Young, Marriage & Family Therapist in Issaquah, WA
Bonnie Young
Marriage & Family Therapist, LMFT
Verified Verified
Issaquah, WA 98027
Are you feeling stuck in your relationship? Do you feel paralyzed by anxiety and worry? Have you tried to fix things yourself and feel frustrated with the results? I am dedicated to helping clients who are seeking more connection in their marriage and who want to make life more manageable. My typical clients are those who struggle with anxiety, obsessive-compulsive disorder (OCD) and/or sexual dysfunction. This includes issues of sexual desire, arousal, orgasm, or out-of-control sexual behavior/addiction.
Are you feeling stuck in your relationship? Do you feel paralyzed by anxiety and worry? Have you tried to fix things yourself and feel frustrated with the results? I am dedicated to helping clients who are seeking more connection in their marriage and who want to make life more manageable. My typical clients are those who struggle with anxiety, obsessive-compulsive disorder (OCD) and/or sexual dysfunction. This includes issues of sexual desire, arousal, orgasm, or out-of-control sexual behavior/addiction.
(425) 243-1832 View (425) 243-1832
Photo of Brittany Donahue, Clinical Social Work/Therapist in Issaquah, WA
Brittany Donahue
Clinical Social Work/Therapist, LICSW, MHP
Verified Verified
4 Endorsed
Issaquah, WA 98027
With a specialization in sex therapy, couples, and eating disorders. I'm dedicated to providing a safe, non-judgmental, and confidential space where my clients can openly discuss their concerns related to sexual health, intimacy, and relationship dynamics. With a deep understanding of the complexities of human sexuality and relationships, I strive to help my clients navigate through their challenges and towards a healthier, more fulfilling life. Whether you’re dealing with sexual dysfunction, desire discrepancy, communication issues, or relationship conflicts, I am here to provide guidance, support, and effective strategies.
With a specialization in sex therapy, couples, and eating disorders. I'm dedicated to providing a safe, non-judgmental, and confidential space where my clients can openly discuss their concerns related to sexual health, intimacy, and relationship dynamics. With a deep understanding of the complexities of human sexuality and relationships, I strive to help my clients navigate through their challenges and towards a healthier, more fulfilling life. Whether you’re dealing with sexual dysfunction, desire discrepancy, communication issues, or relationship conflicts, I am here to provide guidance, support, and effective strategies.
(206) 451-2607 View (206) 451-2607
Photo of Monica Lynne, Marriage & Family Therapist Associate in Issaquah, WA
Monica Lynne
Marriage & Family Therapist Associate, MA, LMHCA
Verified Verified
1 Endorsed
Issaquah, WA 98027
Waitlist for new clients
I am continually seeking to grow as a therapist and expand in my knowledge and capacity to care for the diverse clients I serve. I approach my work with clients as a scaffolding experience of combining our knowledge, lived experiences and ability to navigate collaboratively with compassion, non-judgement, cultural awareness and empowerment. I work best with individuals and couples who lead with openness, curiosity and a true desire for personal growth. I feel most effective at working with those who have experienced infidelity/relationship ruptures, sexual assault/trauma, emotional stuck points related to sexuality and relationship.
I am continually seeking to grow as a therapist and expand in my knowledge and capacity to care for the diverse clients I serve. I approach my work with clients as a scaffolding experience of combining our knowledge, lived experiences and ability to navigate collaboratively with compassion, non-judgement, cultural awareness and empowerment. I work best with individuals and couples who lead with openness, curiosity and a true desire for personal growth. I feel most effective at working with those who have experienced infidelity/relationship ruptures, sexual assault/trauma, emotional stuck points related to sexuality and relationship.
(425) 386-5067 View (425) 386-5067
Photo of Alexus Marx, Counselor in Issaquah, WA
Alexus Marx
Counselor, LMHCA
Verified Verified
Issaquah, WA 98027
Immediate openings available! I specialize in perinatal mental health, but enjoy supporting parents all along the spectrum of their journey to growing a family. I have specialized training and experience working with people that are facing the challenges of trying to conceive, pregnancy/postpartum, unexpected birth experiences, parenting small children, and loss. In addition to this speciality, I have focused my work in supporting children and adults around themes of trauma, attachment challenges, mood issues (depression/anxiety), identity exploration, self-esteem, relationships, body image, parenting, spirituality, and grief/loss.
Immediate openings available! I specialize in perinatal mental health, but enjoy supporting parents all along the spectrum of their journey to growing a family. I have specialized training and experience working with people that are facing the challenges of trying to conceive, pregnancy/postpartum, unexpected birth experiences, parenting small children, and loss. In addition to this speciality, I have focused my work in supporting children and adults around themes of trauma, attachment challenges, mood issues (depression/anxiety), identity exploration, self-esteem, relationships, body image, parenting, spirituality, and grief/loss.
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Photo of Letitia Johnson, Clinical Social Work/Therapist in Issaquah, WA
Letitia Johnson
Clinical Social Work/Therapist, MSW, LICSW, CHT, BC-TMH
Verified Verified
Issaquah, WA 98027
Do you feel that a better version of you is waiting to emerge? I believe there is. Do you want to be happier? Have a better relationship? More fulfilling career? I believe you can have all those things. I also believe the seeds of change are within each of us. Whether changes are subtle or more global, I can help. My job, as your therapist and coach, is to help find the pathways within you to move toward change. I believe we have the answers within to the dilemmas we face, although we may need guidance to find those answers.
Do you feel that a better version of you is waiting to emerge? I believe there is. Do you want to be happier? Have a better relationship? More fulfilling career? I believe you can have all those things. I also believe the seeds of change are within each of us. Whether changes are subtle or more global, I can help. My job, as your therapist and coach, is to help find the pathways within you to move toward change. I believe we have the answers within to the dilemmas we face, although we may need guidance to find those answers.
(425) 470-6053 View (425) 470-6053
Photo of Neupathway (Louis Poeltl), Counselor in Issaquah, WA
Neupathway (Louis Poeltl)
Counselor, LPC, LMHC, SUDP
Verified Verified
Issaquah, WA 98027
Accepting New Patients, same week availability................................... Louis Poeltl Ed.S, NCC, C-DBT, LMHC, LPC is a clinical mental health counselor with over 15 years of experience providing therapeutic services to diverse populations, including children, adolescents, adults, couples and families. With a Master’s Degree in Mental Health Counseling and an Education Specialist Degree in Family Counseling, Louis is especially suited to incorporate clients’ familial and cultural backgrounds to uncover negative internalized beliefs that are holding back clients from living their best lives now.
Accepting New Patients, same week availability................................... Louis Poeltl Ed.S, NCC, C-DBT, LMHC, LPC is a clinical mental health counselor with over 15 years of experience providing therapeutic services to diverse populations, including children, adolescents, adults, couples and families. With a Master’s Degree in Mental Health Counseling and an Education Specialist Degree in Family Counseling, Louis is especially suited to incorporate clients’ familial and cultural backgrounds to uncover negative internalized beliefs that are holding back clients from living their best lives now.
(425) 403-2664 View (425) 403-2664
Photo of Dayspring Behavioral Health - Counseling Team, Counselor in Issaquah, WA
Dayspring Behavioral Health - Counseling Team
Counselor, LMHC
Verified Verified
Issaquah, WA 98027
Dr. Amy Ford started Dayspring Behavioral Health in 2012. Dayspring’s values and mission statement are to improve the lives of our community by uncovering strengths, building momentum to overcome life’s challenges. We care deeply about families in our area and are here to help through our counseling services.
Dr. Amy Ford started Dayspring Behavioral Health in 2012. Dayspring’s values and mission statement are to improve the lives of our community by uncovering strengths, building momentum to overcome life’s challenges. We care deeply about families in our area and are here to help through our counseling services.
(425) 272-6617 View (425) 272-6617
Photo of Rebecca Pearce -Centered Mind Counseling, Counselor in Issaquah, WA
Rebecca Pearce -Centered Mind Counseling
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Issaquah, WA 98027  (Online Only)
I have dedicated my career to helping individual adults, families, children and teens to better manage through anxiety, depression and life difficulties. I am dedicated and committed to working effectively and efficiently with you or your child to create the long-lasting changes you desire. I am Eye Movement Desensitization and Reprocessing (EMDR) Certified and incorporate this into my practice, as I have seen tremendous results for people struggling with life trauma, single incident trauma, and even more general anxieties.
I have dedicated my career to helping individual adults, families, children and teens to better manage through anxiety, depression and life difficulties. I am dedicated and committed to working effectively and efficiently with you or your child to create the long-lasting changes you desire. I am Eye Movement Desensitization and Reprocessing (EMDR) Certified and incorporate this into my practice, as I have seen tremendous results for people struggling with life trauma, single incident trauma, and even more general anxieties.
(425) 269-3277 View (425) 269-3277
Photo of Stephanie J Eldringhoff, Marriage & Family Therapist in Issaquah, WA
Stephanie J Eldringhoff
Marriage & Family Therapist, MA, LMFT, DCEP, TFTdx
Verified Verified
Issaquah, WA 98027
I became a therapist so that I could support people in making life changes to find more satisfaction in their lives, whether that area was relationships to self and others; work; spiritual pursuits; or their areas of creativity and play. That means that I often work with individuals and couples to resolve anxiety, despair and blocks to new actions. Finding the right therapist is an important quest and I encourage you to call me to see if we would be a good fit.
I became a therapist so that I could support people in making life changes to find more satisfaction in their lives, whether that area was relationships to self and others; work; spiritual pursuits; or their areas of creativity and play. That means that I often work with individuals and couples to resolve anxiety, despair and blocks to new actions. Finding the right therapist is an important quest and I encourage you to call me to see if we would be a good fit.
(425) 312-6346 View (425) 312-6346
Photo of Rebekah Cline, Psychologist in Issaquah, WA
Rebekah Cline
Psychologist, PsyD
Verified Verified
Issaquah, WA 98027
Rebekah is a licensed clinical psychologist who has been practicing since 2010. She graduated from George Fox University graduate school of clinical psychology in 2008 with a doctorate in clinical psychology. Rebekah enjoys working with children, adolescents and younger adults with a variety of concerns including anxiety and depression. She believes that therapy is a uniquely individual process and adapts her approach to each individual's needs. In addition to those modalities noted below she also provides play therapy.
Rebekah is a licensed clinical psychologist who has been practicing since 2010. She graduated from George Fox University graduate school of clinical psychology in 2008 with a doctorate in clinical psychology. Rebekah enjoys working with children, adolescents and younger adults with a variety of concerns including anxiety and depression. She believes that therapy is a uniquely individual process and adapts her approach to each individual's needs. In addition to those modalities noted below she also provides play therapy.
(425) 395-8529 View (425) 395-8529
Photo of Kelsey Valach, Counselor in Issaquah, WA
Kelsey Valach
Counselor, MA, LMHC
Verified Verified
Issaquah, WA 98027
I am passionate about helping children and families navigate challenges related to trauma, anxiety, life-changes, depression, ADHD, Autism, and emotion regulation. I also enjoy providing parenting support for a variety of behavioral/emotional challenges with children of all ages. I work from a trauma-informed, strengths-based approach to help children and families build healthy relationships and develop the tools they need for success.
I am passionate about helping children and families navigate challenges related to trauma, anxiety, life-changes, depression, ADHD, Autism, and emotion regulation. I also enjoy providing parenting support for a variety of behavioral/emotional challenges with children of all ages. I work from a trauma-informed, strengths-based approach to help children and families build healthy relationships and develop the tools they need for success.
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How does your Therapist compare?

Number of Therapists in Issaquah, WA

200+

Average cost per session

$150

Therapists in Issaquah, WA who prioritize treating:

93% Anxiety
89% Depression
80% Relationship Issues
72% Self Esteem
70% Stress
68% Life Transitions
67% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

89% Premera
69% Regence
61% Aetna

How Therapists in Issaquah, WA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Issaquah?

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.