Therapists in Tacoma, WA

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Photo of Diana Quinn, Counselor in Tacoma, WA
Diana Quinn
Counselor, MA, LMHC, CMHS
Verified Verified
1 Endorsed
Tacoma, WA 98409
You're probably wondering if therapy can help. You may be feeling unsure how to label what you are going through and don't know yet what you want to get out of therapy. Even if you are unsure about what your goals are, you do know that some of what is going on right now isn't working and you are thinking about getting help. Feel free to call or email to start a conversation to see if we might be a good fit for working together so that you can get closer to being yourself and feeling happier.
You're probably wondering if therapy can help. You may be feeling unsure how to label what you are going through and don't know yet what you want to get out of therapy. Even if you are unsure about what your goals are, you do know that some of what is going on right now isn't working and you are thinking about getting help. Feel free to call or email to start a conversation to see if we might be a good fit for working together so that you can get closer to being yourself and feeling happier.
(253) 242-6619 View (253) 242-6619
Photo of Tacoma Counseling Services, Marriage & Family Therapist Associate in Tacoma, WA
Tacoma Counseling Services
Marriage & Family Therapist Associate, MAT, MA, LMFTA
Verified Verified
9 Endorsed
Tacoma, WA 98405  (Online Only)
One of the things I’ve come to value the most in life is honest conversation. It’s freeing to share about things we’re struggling with, and to be truly heard without judgment. In every session, I aim to give this opportunity to my clients. I use a number of therapeutic approaches, all of which consider the whole person and recognize the impact of their closest relationships.
One of the things I’ve come to value the most in life is honest conversation. It’s freeing to share about things we’re struggling with, and to be truly heard without judgment. In every session, I aim to give this opportunity to my clients. I use a number of therapeutic approaches, all of which consider the whole person and recognize the impact of their closest relationships.
(253) 300-1258 View (253) 300-1258
Photo of Steven M Brown, Counselor in Tacoma, WA
Steven M Brown
Counselor, MA, LMHC, LPC, NCC
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
A responsible social practitioner, I provide psychological care, and services using American Sign Language (ASL). I work with individuals from diverse cultural backgrounds, including various populations that encompass sign language users. My interests center on developing tailored, specific psychotherapy applications that benefit the patients with hearing losses. Much of my work places an emphasis on the importance of "courageous will" to empower individuals to make choices that are useful and practical.
A responsible social practitioner, I provide psychological care, and services using American Sign Language (ASL). I work with individuals from diverse cultural backgrounds, including various populations that encompass sign language users. My interests center on developing tailored, specific psychotherapy applications that benefit the patients with hearing losses. Much of my work places an emphasis on the importance of "courageous will" to empower individuals to make choices that are useful and practical.
(253) 466-7490 View (253) 466-7490
Photo of Karen Campbell-Wood, Clinical Social Work/Therapist in Tacoma, WA
Karen Campbell-Wood
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Tacoma, WA 98405
Does it feel like no one understands what you’re going through right now? Maybe they seem to have “moved on” from a loss you both experienced, and now you’re left grappling with it on your own. Perhaps life has changed in another big way recently—retirement, divorce, or a job change—and no one really gets the sense of uncertainty, sadness, or stress you feel. You don’t see the meaning and purpose you used to in your life and you’re not sure if you can ever feel happy (or even just comfortable) again. You’ve realized you could use some support but aren’t even sure what that can look like.
Does it feel like no one understands what you’re going through right now? Maybe they seem to have “moved on” from a loss you both experienced, and now you’re left grappling with it on your own. Perhaps life has changed in another big way recently—retirement, divorce, or a job change—and no one really gets the sense of uncertainty, sadness, or stress you feel. You don’t see the meaning and purpose you used to in your life and you’re not sure if you can ever feel happy (or even just comfortable) again. You’ve realized you could use some support but aren’t even sure what that can look like.
(253) 993-1213 View (253) 993-1213
Photo of Rachel Soule, Clinical Social Work/Therapist in Tacoma, WA
Rachel Soule
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Tacoma, WA 98402  (Online Only)
Waitlist for new clients
My passion lies in empowering clients to reclaim control over their lives. We all encounter moments of feeling stuck, isolated, and overwhelmed, and I am here to provide the support needed to navigate through these challenges. In therapy, I start by attentively listening to my clients' reasons for seeking therapy, understanding their stressors, and identifying what does or doesn't serve them. I firmly believe in the transformative power of therapy, offering a pathway to shape the life we aspire to lead.
My passion lies in empowering clients to reclaim control over their lives. We all encounter moments of feeling stuck, isolated, and overwhelmed, and I am here to provide the support needed to navigate through these challenges. In therapy, I start by attentively listening to my clients' reasons for seeking therapy, understanding their stressors, and identifying what does or doesn't serve them. I firmly believe in the transformative power of therapy, offering a pathway to shape the life we aspire to lead.
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Photo of Elizabeth Klein, Clinical Social Work/Therapist in Tacoma, WA
Elizabeth Klein
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Tacoma, WA 98403
Not accepting new clients
I focus on trauma work by creating a safe space for healthy healing. As a holistic practitioner, I believe in treating the body, mind, and spirit as one unit. My approach to healing is compassionate and tailored to each individual's needs. I want to help you achieve optimal growth, health, and wellness in all areas of your life. That's why I offer a range of services that focus on healing the root causes of your health concerns.
I focus on trauma work by creating a safe space for healthy healing. As a holistic practitioner, I believe in treating the body, mind, and spirit as one unit. My approach to healing is compassionate and tailored to each individual's needs. I want to help you achieve optimal growth, health, and wellness in all areas of your life. That's why I offer a range of services that focus on healing the root causes of your health concerns.
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Photo of Sharmayne Arrington, Counselor in Tacoma, WA
Sharmayne Arrington
Counselor, LMHC, CMHS, EMMHS, MACP
Verified Verified
6 Endorsed
Tacoma, WA 98403
Women seeking healthier relationships are my specialty. Even now, if you are deciding to change how you exist in this world you are already in transformation. Transformation comes through making choices that are conscious, consistent & compassionate and through dis-internalizing systems that are set up to repress and minimize your preciousness. The more we do this, the more we can give & receive love, find our fellow travelers (because we aren't meant to do this alone!) and create safe spaces in otherwise stormy places. With hearts open, and wisdom engaged, change becomes beautifully inevitable.
Women seeking healthier relationships are my specialty. Even now, if you are deciding to change how you exist in this world you are already in transformation. Transformation comes through making choices that are conscious, consistent & compassionate and through dis-internalizing systems that are set up to repress and minimize your preciousness. The more we do this, the more we can give & receive love, find our fellow travelers (because we aren't meant to do this alone!) and create safe spaces in otherwise stormy places. With hearts open, and wisdom engaged, change becomes beautifully inevitable.
(253) 893-4810 View (253) 893-4810
Photo of Seolah Park, Counselor in Tacoma, WA
Seolah Park
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98402
As an immigrant, I understand that life is a journey and as part of that we encounter countless challenges. Going through difficult times and learning to cope with them are opportunities to become wiser and more mindful. However, life challenges can be daunting and hard to overcome. I believe that therapy can help you make sense of your circumstances and cultivate insights and awareness so that you can change and grow. I work with adults 18 and older with an emphasis on mindfulness, attachment-based and Cognitive Behavioral Therapy approaches.
As an immigrant, I understand that life is a journey and as part of that we encounter countless challenges. Going through difficult times and learning to cope with them are opportunities to become wiser and more mindful. However, life challenges can be daunting and hard to overcome. I believe that therapy can help you make sense of your circumstances and cultivate insights and awareness so that you can change and grow. I work with adults 18 and older with an emphasis on mindfulness, attachment-based and Cognitive Behavioral Therapy approaches.
(253) 252-1521 View (253) 252-1521
Photo of Ashaniece Anderson, Counselor in Tacoma, WA
Ashaniece Anderson
Counselor, AAC, CPC
Verified Verified
Tacoma, WA 98402
Let's face it, life is hard, and it doesn't seem to be getting any easier. I noticed that most people just live their lives on a day-by-day basis and struggle with finding true meaning in their lives. This may be due to the internal struggles that we all face such as anxiety, depression, grief, fear, anger, and so many other issues. We may try to deal with our issues on our own, and sometimes this works for many of us. Yet, there are some issues that may seem tougher than others, which can weigh on our moods and negatively impact our relationships with others and ourselves. Seeking help is easier said than done for most.
Let's face it, life is hard, and it doesn't seem to be getting any easier. I noticed that most people just live their lives on a day-by-day basis and struggle with finding true meaning in their lives. This may be due to the internal struggles that we all face such as anxiety, depression, grief, fear, anger, and so many other issues. We may try to deal with our issues on our own, and sometimes this works for many of us. Yet, there are some issues that may seem tougher than others, which can weigh on our moods and negatively impact our relationships with others and ourselves. Seeking help is easier said than done for most.
(253) 893-6805 x7707 View (253) 893-6805 x7707
Photo of Laurel Madson-Lawson Losninger Counseling, Counselor in Tacoma, WA
Laurel Madson-Lawson Losninger Counseling
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98406
I work as a Couples (Family) and Individual counselor, serving their needs to improve connections and communication; to regain trust, compassion, and empathy. I work with Eating Disorders as well, with training from Residential Treatment facilities and managing a milieu for Outpatient Recovery. I am an artist who incorporates art therapy into sessions, as well as, EMDR. I would love to help you, or you and your partner in your recovery journey!
I work as a Couples (Family) and Individual counselor, serving their needs to improve connections and communication; to regain trust, compassion, and empathy. I work with Eating Disorders as well, with training from Residential Treatment facilities and managing a milieu for Outpatient Recovery. I am an artist who incorporates art therapy into sessions, as well as, EMDR. I would love to help you, or you and your partner in your recovery journey!
(253) 650-0166 View (253) 650-0166
Photo of Celeste Cole, Clinical Social Work/Therapist in Tacoma, WA
Celeste Cole
Clinical Social Work/Therapist, LICSW, RYT
Verified Verified
1 Endorsed
Tacoma, WA 98402
Not accepting new clients
My approach is mindfulness based, strengths based and person centered. I believe in meeting people where they are at. I truly enjoy helping people grow and adjust to life changes, cope with and reduce stress and improve their overall well-being. I am passionate about working with adult clients navigating ADHD. My approach for helping clients to better manage ADHD includes focusing on self-compassion, acceptance, mindfulness, coaching and skill building. I also enjoy supporting clients experiencing depression, anxiety, life transitions and stress.
My approach is mindfulness based, strengths based and person centered. I believe in meeting people where they are at. I truly enjoy helping people grow and adjust to life changes, cope with and reduce stress and improve their overall well-being. I am passionate about working with adult clients navigating ADHD. My approach for helping clients to better manage ADHD includes focusing on self-compassion, acceptance, mindfulness, coaching and skill building. I also enjoy supporting clients experiencing depression, anxiety, life transitions and stress.
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Photo of Sydney Hudson, Counselor in Tacoma, WA
Sydney Hudson
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Tacoma, WA 98403
Not accepting new clients
Please note, I am NOT currently accepting new clients. - First, I would like to acknowledge what it has taken for you to come this far. Searching for a therapist can be challenging, and it often brings up feelings of uncertainty, fear, vulnerability, or anxiety. I hope that you will soon be able to experience some relief and comfort in finding a therapist that meets your needs.
Please note, I am NOT currently accepting new clients. - First, I would like to acknowledge what it has taken for you to come this far. Searching for a therapist can be challenging, and it often brings up feelings of uncertainty, fear, vulnerability, or anxiety. I hope that you will soon be able to experience some relief and comfort in finding a therapist that meets your needs.
(253) 303-5817 View (253) 303-5817
Photo of Winona Wallace, Counselor in Tacoma, WA
Winona Wallace
Counselor, LMHC
Verified Verified
Tacoma, WA 98405
Winona enjoys working with adolescents and adults of all ages. She works with clients dealing with mood disorders, personality disorders, anxiety, self-esteem issues, PTSD, grief and loss, and those facing other life challenges. In addition, she has worked with clients experiencing domestic violence. Her objective is to help individuals heal, and then find and build on their strengths in order to achieve their goals and become their very best selves. Winona enjoys working with clients and assisting them in developing coping skills that they can use for the rest of their lives.
Winona enjoys working with adolescents and adults of all ages. She works with clients dealing with mood disorders, personality disorders, anxiety, self-esteem issues, PTSD, grief and loss, and those facing other life challenges. In addition, she has worked with clients experiencing domestic violence. Her objective is to help individuals heal, and then find and build on their strengths in order to achieve their goals and become their very best selves. Winona enjoys working with clients and assisting them in developing coping skills that they can use for the rest of their lives.
(253) 523-2311 View (253) 523-2311
Photo of Grit City Perspective, PLLC, Clinical Social Work/Therapist in Tacoma, WA
Grit City Perspective, PLLC
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Tacoma, WA 98402  (Online Only)
Hi. I’m Kristy. I am a clinical social worker who provides individual therapy services for young and slightly more mature adults. This is my 20th year working in the social service and mental health field. My practice is 100% telehealth and has always been – even in “the before times.” I have worked in a variety of settings, including both long and short term inpatient psychiatric settings, community-based non-profits, community health outreach, overnight and teen shelters, state social services, primary care clinics, hospital management and of course, private practice.
Hi. I’m Kristy. I am a clinical social worker who provides individual therapy services for young and slightly more mature adults. This is my 20th year working in the social service and mental health field. My practice is 100% telehealth and has always been – even in “the before times.” I have worked in a variety of settings, including both long and short term inpatient psychiatric settings, community-based non-profits, community health outreach, overnight and teen shelters, state social services, primary care clinics, hospital management and of course, private practice.
(253) 262-0143 View (253) 262-0143
Photo of Kristina Rundell, Mental Health Counselor in Tacoma, WA
Kristina Rundell
Mental Health Counselor, LMHC, SUDP
Verified Verified
6 Endorsed
Tacoma, WA 98445  (Online Only)
Not accepting new clients
I am a personable person, compassionate, empathetic, and understanding. I am authentic and down to earth. I have experience working in community mental health, and private practice working with clients of all ages and demographics. I assist couples and individuals work through past, current, and future stressors. My goal is to help others find their way in life, as well as overcome obstacles which keep them stuck in a cycle that continues to hinder them from living their lives to the fullest.
I am a personable person, compassionate, empathetic, and understanding. I am authentic and down to earth. I have experience working in community mental health, and private practice working with clients of all ages and demographics. I assist couples and individuals work through past, current, and future stressors. My goal is to help others find their way in life, as well as overcome obstacles which keep them stuck in a cycle that continues to hinder them from living their lives to the fullest.
(253) 242-2467 View (253) 242-2467
Photo of Ashley A. Orr, Marriage & Family Therapist in Tacoma, WA
Ashley A. Orr
Marriage & Family Therapist, LMFT, MA, MHP, CMHS
Verified Verified
Tacoma, WA 98409  (Online Only)
Everyone deserves to feel supported in their mental health journey and not everyone experiences mental health issues the same way. I would love to support you in the awareness and understanding of your own mental health needs, unique triggers, natural supports, and coping mechanisms. Counseling should be a collaborative effort between the therapist and the client, working towards developing client autonomy and confidence to manage symptoms independently. Through avenues of psychoeducation, talk-therapy, skills development, and behavioral modifications, you can do this!
Everyone deserves to feel supported in their mental health journey and not everyone experiences mental health issues the same way. I would love to support you in the awareness and understanding of your own mental health needs, unique triggers, natural supports, and coping mechanisms. Counseling should be a collaborative effort between the therapist and the client, working towards developing client autonomy and confidence to manage symptoms independently. Through avenues of psychoeducation, talk-therapy, skills development, and behavioral modifications, you can do this!
(253) 400-3936 View (253) 400-3936
Photo of Sandra Killebrew, Marriage & Family Therapist in Tacoma, WA
Sandra Killebrew
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Tacoma, WA 98402
If you’re tired of recycling the same argument, walking on eggshells with each other or don’t know how to repair your relationship, I can help you get to the root of your disconnection. I help distressed, disconnected couples remember what it's like to be sexy best friends instead of roommates. Together, we will identify your entrenched ways of arguing so that both of you can break these patterns by learning how to clearly state how you’re feeling to your partner and in turn, listen deeply. I'll help you pay close attention to each other, so that you both feel a little more held each time we meet.
If you’re tired of recycling the same argument, walking on eggshells with each other or don’t know how to repair your relationship, I can help you get to the root of your disconnection. I help distressed, disconnected couples remember what it's like to be sexy best friends instead of roommates. Together, we will identify your entrenched ways of arguing so that both of you can break these patterns by learning how to clearly state how you’re feeling to your partner and in turn, listen deeply. I'll help you pay close attention to each other, so that you both feel a little more held each time we meet.
(253) 652-5842 View (253) 652-5842
Photo of Heather Meader, Clinical Social Work/Therapist in Tacoma, WA
Heather Meader
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
If you are getting through life, maybe even succeeding at many aspects of it, but just not feeling like you are truly thriving, I may be able to help. I enjoy supporting clients in finding new ways to increase their unique strengths and address challenges that hold them back from being present and engaged in creating a fulfilling life. My specialties include neurodivergence (ADHD, learning differences etc.), climate and social-political distress/anxiety or grief, those who work in the education field, mild/moderate anxiety and depression, stress, and those navigating new landscapes and transitions in life.
If you are getting through life, maybe even succeeding at many aspects of it, but just not feeling like you are truly thriving, I may be able to help. I enjoy supporting clients in finding new ways to increase their unique strengths and address challenges that hold them back from being present and engaged in creating a fulfilling life. My specialties include neurodivergence (ADHD, learning differences etc.), climate and social-political distress/anxiety or grief, those who work in the education field, mild/moderate anxiety and depression, stress, and those navigating new landscapes and transitions in life.
(253) 262-0587 View (253) 262-0587
Photo of Melina A. Forbes, Clinical Social Work/Therapist in Tacoma, WA
Melina A. Forbes
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Tacoma, WA 98446
I work well with individuals who are experiencing symptoms of ADHD, depression, anxiety, and loss of identity-particularly in response to major life transitions. I have special interest in the experiences of caregivers. My deepest desire is to support you as you explore your mind-body connection. Drawing on Internal Family Systems theory, I will orient you to your own unique somatic experience and compassionately guide you towards the agency that is your birthright.
I work well with individuals who are experiencing symptoms of ADHD, depression, anxiety, and loss of identity-particularly in response to major life transitions. I have special interest in the experiences of caregivers. My deepest desire is to support you as you explore your mind-body connection. Drawing on Internal Family Systems theory, I will orient you to your own unique somatic experience and compassionately guide you towards the agency that is your birthright.
(253) 364-1129 View (253) 364-1129
Photo of Hillary Flieder, Counselor in Tacoma, WA
Hillary Flieder
Counselor
Verified Verified
Tacoma, WA 98405
Hillary Flieder is a Licensed Mental Health Counselor Associate in Washington who has been practicing since 2023. She has a Master of Arts in Counseling. Hillary provides clients empathy while utilizing cognitive behavior therapy interventions, psychoeducation, grounding, and mindfulness skills. She works with individuals 18 and older. Many of her clients come in when they are struggling with self-esteem, depression, and anxiety. Hillary is particularly passionate about serving adults who struggle with PTSD and grief and loss.
Hillary Flieder is a Licensed Mental Health Counselor Associate in Washington who has been practicing since 2023. She has a Master of Arts in Counseling. Hillary provides clients empathy while utilizing cognitive behavior therapy interventions, psychoeducation, grounding, and mindfulness skills. She works with individuals 18 and older. Many of her clients come in when they are struggling with self-esteem, depression, and anxiety. Hillary is particularly passionate about serving adults who struggle with PTSD and grief and loss.
(253) 676-9334 View (253) 676-9334

How does your Therapist compare?

Number of Therapists in Tacoma, WA

1,000+

Average cost per session

$150

Therapists in Tacoma, WA who prioritize treating:

93% Anxiety
88% Depression
76% Trauma and PTSD
75% Relationship Issues
75% Self Esteem
70% Stress
67% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

78% Premera
66% Regence
61% Aetna

How Therapists in Tacoma, WA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

75% Female
21% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Tacoma?

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.