Therapists in 99218
![Photo of Laurie Higgins, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3dd93873-7bf8-404c-8bb0-af393749b5aa/1/320x400.jpeg)
Laurie Higgins
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Spokane, WA 99218 (Online Only)
I currently work with individuals ages 7 and up and treat a variety of diagnoses. My primary approach is cognitive behavioral therapy, which has been shown to be one of the most effective therapies for addressing symptoms of many major mental health diagnoses. I am also trained in, and utilize tools from, other modalities including dialectical behavioral therapy (DBT), polyvagal therapy, exposure and response prevention, attachment therapy and parent child interactive therapy. In addition to my social work background, I am also a Registered Nurse and truly believe in a holistic mind/body approach to wellness.
I currently work with individuals ages 7 and up and treat a variety of diagnoses. My primary approach is cognitive behavioral therapy, which has been shown to be one of the most effective therapies for addressing symptoms of many major mental health diagnoses. I am also trained in, and utilize tools from, other modalities including dialectical behavioral therapy (DBT), polyvagal therapy, exposure and response prevention, attachment therapy and parent child interactive therapy. In addition to my social work background, I am also a Registered Nurse and truly believe in a holistic mind/body approach to wellness.
![Photo of Cody Andres, MS, NCC, LMHC, Counselor](https://photos.psychologytoday.com/b79cb0a6-38d8-4329-bdda-4a4ab0b6cb82/1/320x400.jpeg)
I work with clients of all ages and stages. I am specialized in working with children as young as 5 through adulthood. I also have a lot of experience and training in working with trauma and PTSD. I believe every person is capable of change and love being part of clients' journey to being happier and healthier.
I work with clients of all ages and stages. I am specialized in working with children as young as 5 through adulthood. I also have a lot of experience and training in working with trauma and PTSD. I believe every person is capable of change and love being part of clients' journey to being happier and healthier.
![Photo of Linda Shook, MA, LMHC, Counselor](https://photos.psychologytoday.com/4c766764-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Are you feeling depressed and wondering if you will ever feel joy again? Are you struggling with a huge change in your life and the turmoil that brings? Are you struggling with conflict in a relationship? As human beings, we all of go through difficult times and we can’t make it through these alone. I seek to provide a safe place for people to work through their current difficulties and pain from the past. I want each client to feel cared for, listened to, and challenged to move forward in new ways.
Are you feeling depressed and wondering if you will ever feel joy again? Are you struggling with a huge change in your life and the turmoil that brings? Are you struggling with conflict in a relationship? As human beings, we all of go through difficult times and we can’t make it through these alone. I seek to provide a safe place for people to work through their current difficulties and pain from the past. I want each client to feel cared for, listened to, and challenged to move forward in new ways.
![Photo of Sara Robinson, LMHCA, Pre-Licensed Professional](https://photos.psychologytoday.com/3755dde2-b90b-4ab1-b193-290a1acf6de8/2/320x400.png)
I am a licensed Mental Health Counselor Associate and a Substance Use Disorder Professional in Washington. With extensive experience in providing counseling to adults, adolescents, and couples, I'm dedicated to fostering a supportive and transformative therapeutic environment. My therapeutic approach integrates Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization & Reprocessing (EMDR), and Person-Centered Therapy. This blend allows me to tailor my methods to the unique needs of each client, empowering them to develop the skills and tools necessary for success at every stage of life.
I am a licensed Mental Health Counselor Associate and a Substance Use Disorder Professional in Washington. With extensive experience in providing counseling to adults, adolescents, and couples, I'm dedicated to fostering a supportive and transformative therapeutic environment. My therapeutic approach integrates Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization & Reprocessing (EMDR), and Person-Centered Therapy. This blend allows me to tailor my methods to the unique needs of each client, empowering them to develop the skills and tools necessary for success at every stage of life.
![Photo of Sherry Murray, MA, LMHC, Counselor](https://photos.psychologytoday.com/b94a0910-1e44-43fa-a2db-e5ad5f1d12d4/2/320x400.jpeg)
Are you feeling anxious, depressed, lonely, sad, overwhelmed or confused? Feeling like you have lost yourself, or perhaps never knew who you were to begin with? My role is to fully understand who you are and where you are at in life, and use my 25 years of counseling experience to work with you and that knowledge to get you back to enjoying your life.
Are you feeling anxious, depressed, lonely, sad, overwhelmed or confused? Feeling like you have lost yourself, or perhaps never knew who you were to begin with? My role is to fully understand who you are and where you are at in life, and use my 25 years of counseling experience to work with you and that knowledge to get you back to enjoying your life.
![Photo of Jasmine Jordan, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/35d0cbbd-c6ca-46b9-b736-ce64b2cbe47e/2/320x400.jpeg)
Living well does not mean the absence of problems, illness, and pain. Hardships are unavoidable. Learning how to view problems as opportunities for personal growth, and finding wellness in the midst of it all, is the cornerstone of my practice. My goal is to help adults develop insight into the underlying beliefs, emotions, and behaviors that create barriers to well-being.
Living well does not mean the absence of problems, illness, and pain. Hardships are unavoidable. Learning how to view problems as opportunities for personal growth, and finding wellness in the midst of it all, is the cornerstone of my practice. My goal is to help adults develop insight into the underlying beliefs, emotions, and behaviors that create barriers to well-being.
![Photo of Ashley Vieira, LMHC, MHP, CMHS, Counselor](https://photos.psychologytoday.com/d8649a9b-b76b-42e4-83b4-a0aca62b4c7e/2/320x400.jpeg)
Ashley Vieira
Counselor, LMHC, MHP, CMHS
Verified Verified
Spokane, WA 99218
Waitlist for new clients
Are you feeling inadequate or perhaps suffering from feeling overwhelmed and overburdened? This is the time to take charge of your life and work towards being the best version of yourself. You owe it to yourself to live your best life without monumental sacrifices by utilizing the skills that you already possess to enhance your well-being as well as explore other potential strengths to propel you towards your goals. Treatment plans are not a one size fit all but are formulated in a collaborative manner, your input matters. If you have any questions, please email or call.
Are you feeling inadequate or perhaps suffering from feeling overwhelmed and overburdened? This is the time to take charge of your life and work towards being the best version of yourself. You owe it to yourself to live your best life without monumental sacrifices by utilizing the skills that you already possess to enhance your well-being as well as explore other potential strengths to propel you towards your goals. Treatment plans are not a one size fit all but are formulated in a collaborative manner, your input matters. If you have any questions, please email or call.
![Photo of Katie Payne, Counselor](https://photos.psychologytoday.com/abb239be-b486-43d0-a20f-1da1c2b94a31/1/320x400.jpeg)
I have experience primarily with teens and adults. In sessions, I am able to utilize a variety of techniques depending on your needs. This can range from evidence based techniques, such as CBT and DBT, all the way to using art to access our subconscious. My passion is working with those who struggle with depression and anxiety. I am an associate counselor, which means I am under close supervision as I earn the hours needed to practice independently. I work for a practice that believes strongly in a natural, holistic approach. We will not push medication.
I have experience primarily with teens and adults. In sessions, I am able to utilize a variety of techniques depending on your needs. This can range from evidence based techniques, such as CBT and DBT, all the way to using art to access our subconscious. My passion is working with those who struggle with depression and anxiety. I am an associate counselor, which means I am under close supervision as I earn the hours needed to practice independently. I work for a practice that believes strongly in a natural, holistic approach. We will not push medication.
![Photo of Joselynn Duranona, LMHC, Counselor](https://photos.psychologytoday.com/66a89cc6-473b-4d5b-8918-809e523d33b0/2/320x400.jpeg)
Some days everything can feel out of control, you may look calm & seem to have all the answers on the outside but inside you feel like a hot mess. This is where therapy can help. You have the answers you just need the right questions asked in the right environment. Maybe you need someone to push you & challenge you to do the hard work you know you can do. Counseling is not about telling you what is right but helping & guiding you to find the right path for yourself. Its about allowing you to feel & experience your thoughts & emotions so you can use that knowledge to move forward & become the person you are supposed to be.
Some days everything can feel out of control, you may look calm & seem to have all the answers on the outside but inside you feel like a hot mess. This is where therapy can help. You have the answers you just need the right questions asked in the right environment. Maybe you need someone to push you & challenge you to do the hard work you know you can do. Counseling is not about telling you what is right but helping & guiding you to find the right path for yourself. Its about allowing you to feel & experience your thoughts & emotions so you can use that knowledge to move forward & become the person you are supposed to be.
![Photo of Anna Sandell, MA, LMFTA, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/a2b3bbbb-a8f2-48a7-a48f-59e92f72c65f/1/320x400.jpeg)
Anna Sandell
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
1 Endorsed
Spokane, WA 99218
Waitlist for new clients
My heart is for those struggling in their relationships. At our core, we as humans are built with a craving for connection. However, just because the need is innate doesn't mean it is easy - in fact experiencing relationships that heal and last can be the exact opposite. You may be in a season where your relationships feel stuck, hopeless, hurtful, and frustrating. The way towards peace and revitalization can seem distant if not impossible. I see you and want to join you in your journey towards meaningful and authentic connection. Whichever relationship it may be, with the self, your family, or a partner, it is time for restoration.
My heart is for those struggling in their relationships. At our core, we as humans are built with a craving for connection. However, just because the need is innate doesn't mean it is easy - in fact experiencing relationships that heal and last can be the exact opposite. You may be in a season where your relationships feel stuck, hopeless, hurtful, and frustrating. The way towards peace and revitalization can seem distant if not impossible. I see you and want to join you in your journey towards meaningful and authentic connection. Whichever relationship it may be, with the self, your family, or a partner, it is time for restoration.
![Photo of Cathlene Dunlap, MS, LMHC, MHP, Counselor](https://photos.psychologytoday.com/50e6bb1d-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Cathlene Dunlap
Counselor, MS, LMHC, MHP
Verified Verified
1 Endorsed
Spokane, WA 99218 (Online Only)
I deeply enjoy being a therapist and working with all types of people. Relationship issues and eating disorders are a couple of areas that I specialize. I have an attachment focused approach that integrates several interventions such as ACT, DBT and mindfulness.
I deeply enjoy being a therapist and working with all types of people. Relationship issues and eating disorders are a couple of areas that I specialize. I have an attachment focused approach that integrates several interventions such as ACT, DBT and mindfulness.
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![Photo of Candace Smart - Smart Therapy, MS, NCC, LMHC, CNC, Counselor](https://photos.psychologytoday.com/80200282-af75-43d9-a100-ce683ab63ed7/1/320x400.jpeg)
Smart Therapy specializes in using natural, holistic treatment options to treat mental health issues. We will NOT send you straight back to your doctor to get medication. We use a combination of diet, lifestyle, nutritional supplements, skill building and more for a treatment approach that is much more effective and longer lasting.
Smart Therapy specializes in using natural, holistic treatment options to treat mental health issues. We will NOT send you straight back to your doctor to get medication. We use a combination of diet, lifestyle, nutritional supplements, skill building and more for a treatment approach that is much more effective and longer lasting.
![Photo of Christie Champoux, MSW, LICSW, CMHS, CCATP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/748849de-6f0a-4a1e-9d42-c4c0143f9d23/1/320x400.jpeg)
Christie Champoux
Clinical Social Work/Therapist, MSW, LICSW, CMHS, CCATP
Verified Verified
1 Endorsed
Spokane, WA 99218
At times the challenges life puts before us can become overwhelming. I believe that by working together we can overcome these challenges. I have had over 25 years experience working with children, adolescents, young adults and families. I have focused on depression, anxiety, grief/loss, obsessive compulsive disorders, stress management, PTSD and a variety of other behavioral and emotional issues. In my practice I utilize a variety of modalities including Cognitive Behavioral Therapy, Mindfulness Based Cognitive Behavioral Therapy and Trauma Focused Cognitive Behavioral Therapy. In addition I am a Certified Anxiety Specialist.
At times the challenges life puts before us can become overwhelming. I believe that by working together we can overcome these challenges. I have had over 25 years experience working with children, adolescents, young adults and families. I have focused on depression, anxiety, grief/loss, obsessive compulsive disorders, stress management, PTSD and a variety of other behavioral and emotional issues. In my practice I utilize a variety of modalities including Cognitive Behavioral Therapy, Mindfulness Based Cognitive Behavioral Therapy and Trauma Focused Cognitive Behavioral Therapy. In addition I am a Certified Anxiety Specialist.
![Photo of Rikki Gruen - Restoring Hope Counseling, MA, LMHC, NCC, CCTP, Counselor](https://photos.psychologytoday.com/54846de8-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I have been practicing for over 25 years. I have had the privilege to positively treat patients in a variety of settings including churches, hospitals, schools, and agencies. I am trained in EMDR therapy to help reduce the effects of trauma. My experience is varied across age spans as well in diverse populations both culturally and economically. My heart is to serve clients who are looking for holistic healing and are longing for breakthrough in their lives. My gift is to come alongside people in a compassionate and motivating way to give tools for them to find healing and wholeness so that freedom is a reality for each person.
I have been practicing for over 25 years. I have had the privilege to positively treat patients in a variety of settings including churches, hospitals, schools, and agencies. I am trained in EMDR therapy to help reduce the effects of trauma. My experience is varied across age spans as well in diverse populations both culturally and economically. My heart is to serve clients who are looking for holistic healing and are longing for breakthrough in their lives. My gift is to come alongside people in a compassionate and motivating way to give tools for them to find healing and wholeness so that freedom is a reality for each person.
Are you concerned with a personal issue, overwhelmed by stress or worries, burdened by depression or anxiety? Are you trying to deal with a traumatic event in your life, past sexual abuse or emotional abuse? Are you struggling with family or relationship conflicts? Everyone encounters situations when one feels lost, unable to cope, or needs support and guidance. If you're looking for relief from pain; compassionate, nonjudgmental support and guidance; hope for improvement; and lasting change, counseling can help! Research shows that therapy can lead to increased happiness, productive coping mechanisms, fulfilling relationships and improved physical health.
Are you concerned with a personal issue, overwhelmed by stress or worries, burdened by depression or anxiety? Are you trying to deal with a traumatic event in your life, past sexual abuse or emotional abuse? Are you struggling with family or relationship conflicts? Everyone encounters situations when one feels lost, unable to cope, or needs support and guidance. If you're looking for relief from pain; compassionate, nonjudgmental support and guidance; hope for improvement; and lasting change, counseling can help! Research shows that therapy can lead to increased happiness, productive coping mechanisms, fulfilling relationships and improved physical health.
![Photo of Ray William Smith, EdD, DMin, Counselor](https://photos.psychologytoday.com/4eb01ebe-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Do You Want the Pain to Stop? From time to time, life gives us difficult issues. Having someone who will listen, and who has the ability to offer useful guidance, can be helpful. We work together to end your turmoil and pain in as brief amount of time as possible. Gaining new insights and skills can help resolve tough issues, even long-standing ones.
- Please Share Your Story With Me -
The issues in our lives that cause us emotional pain or that we struggle with fall into some general categories.
Do You Want the Pain to Stop? From time to time, life gives us difficult issues. Having someone who will listen, and who has the ability to offer useful guidance, can be helpful. We work together to end your turmoil and pain in as brief amount of time as possible. Gaining new insights and skills can help resolve tough issues, even long-standing ones.
- Please Share Your Story With Me -
The issues in our lives that cause us emotional pain or that we struggle with fall into some general categories.
![Photo of Jordan McCann, LMHC, Counselor](https://photos.psychologytoday.com/51e55fd3-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
My experience is primarily with children, young adults and couples. I also work with depression, anxiety and traumatic experiences. I am trained in Cognitive Behavioral Therapy and Dialectical Behavior Therapy and have extensive training in couples counseling techniques. I enjoy humor and like to use it in therapy when appropriate.
My experience is primarily with children, young adults and couples. I also work with depression, anxiety and traumatic experiences. I am trained in Cognitive Behavioral Therapy and Dialectical Behavior Therapy and have extensive training in couples counseling techniques. I enjoy humor and like to use it in therapy when appropriate.
![Photo of Angie Startin, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/b538b730-08b2-42df-8afc-8dc4a815f3ad/4/320x400.jpeg)
Thank you for considering me to be the person who will walk alongside you in your journey toward mental and emotional health. You have found yourself on my page because you need help. Life is not easy, and can be particularly cruel to many. From the moment we begin our lives we start to build a toolbox full of tools to help us cope and move through our experiences and relationships. Sometimes the tools that we have may no longer be serving us and may actually be hurting us. It can be so difficult to see which tools may be keeping us from the life we want without the help of an unbiased and non-judgmental outside perspective.
Thank you for considering me to be the person who will walk alongside you in your journey toward mental and emotional health. You have found yourself on my page because you need help. Life is not easy, and can be particularly cruel to many. From the moment we begin our lives we start to build a toolbox full of tools to help us cope and move through our experiences and relationships. Sometimes the tools that we have may no longer be serving us and may actually be hurting us. It can be so difficult to see which tools may be keeping us from the life we want without the help of an unbiased and non-judgmental outside perspective.
![Photo of Emma Schilling, MA, LMFTA, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/b6179fae-bc20-4ca5-ac34-72b5989d8ce4/2/320x400.png)
Emma Schilling
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
7 Endorsed
Spokane, WA 99218
Hi! I’m Emma. I'm so glad you’re here. I am deeply passionate about people and their stories. Sometimes we crave a safe space where we can share our hardship, pain, joy, change, and challenge. I love getting to provide that for people. I believe in welcoming my clients with compassion, affirmation, no judgment, and no criticism. As a therapist I am warm, encouraging, and curious. It's my job and hope to get to know you, and your story. For our entire time together I work alongside you with your best interests in mind. I want to help you build lifestyles, relationships, and goals that feel achievable and authentic.
Hi! I’m Emma. I'm so glad you’re here. I am deeply passionate about people and their stories. Sometimes we crave a safe space where we can share our hardship, pain, joy, change, and challenge. I love getting to provide that for people. I believe in welcoming my clients with compassion, affirmation, no judgment, and no criticism. As a therapist I am warm, encouraging, and curious. It's my job and hope to get to know you, and your story. For our entire time together I work alongside you with your best interests in mind. I want to help you build lifestyles, relationships, and goals that feel achievable and authentic.
![Photo of Martina Coordes, LMHC, MEd, Counselor](https://photos.psychologytoday.com/a119eef8-fd75-4a6c-acdf-289d37ea2fe3/4/320x400.jpeg)
Openings in September - Are you or a family member struggling with depression, anxiety or adjusting to a life change? Recognizing that you or someone in your family might need counseling can lead to feelings of overwhelm, confusion, shame, guilt, and fear. As a client-centered therapist, I provide a supportive and non-judgmental approach in which you can feel safe to begin the healing journey.
Openings in September - Are you or a family member struggling with depression, anxiety or adjusting to a life change? Recognizing that you or someone in your family might need counseling can lead to feelings of overwhelm, confusion, shame, guilt, and fear. As a client-centered therapist, I provide a supportive and non-judgmental approach in which you can feel safe to begin the healing journey.
See more therapy options for 99218
How does your Therapist compare?
Number of Therapists in 99218
70+
Average cost per session
$130
Therapists in 99218 who prioritize treating:
95% | Anxiety |
88% | Depression |
85% | Self Esteem |
84% | Coping Skills |
81% | Trauma and PTSD |
75% | Stress |
71% | Relationship Issues |
Average years in practice
9 Years
Top 3 insurances accepted
90% | Premera Blue Cross |
78% | BlueCross and BlueShield |
73% | First Choice Health | FCH |
How Therapists in 99218 see their clients
77% | In Person and Online | |
23% | Online Only |
Gender breakdown
83% | Female | |
17% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in 99218?
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
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.
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.
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.