Therapists in Spokane, WA
![Photo of Jenny L Finley, MA, LMHC, SUDP, Counselor](https://photos.psychologytoday.com/5c932a2b-1a8c-4970-8e32-c2cb7b934d7c/1/320x400.jpeg)
I am a passionate mental health therapist and substance use disorder professional with strong expertise in co-occurring disorders, family conflict and recovery. I have extensive experience working with individuals struggling with substance use, eating disorders and other mental health problems as well as working with their loved ones. My approach is both direct and compassionate. I will help you identify your goals and work towards freedom from the issues keeping you stuck.
I am a passionate mental health therapist and substance use disorder professional with strong expertise in co-occurring disorders, family conflict and recovery. I have extensive experience working with individuals struggling with substance use, eating disorders and other mental health problems as well as working with their loved ones. My approach is both direct and compassionate. I will help you identify your goals and work towards freedom from the issues keeping you stuck.
![Photo of Stacy A DeMar, MSW, RCSWI](https://photos.psychologytoday.com/70fb9c50-ae5c-4a25-a07f-bd8a6aab44fa/2/320x400.jpeg)
Stacy A DeMar
Registered Clinical Social Worker Intern, MSW, RCSWI
Verified Verified
Spokane, WA 99201 (Online Only)
To learn more, visit TheBEYOUproject.net. I am a passionate and dedicated practitioner, committed to helping individuals embark on a journey of self-discovery, healing, and personal growth. With a profound belief in the interconnectedness of mind, body, and spirit, I offer a nurturing and empathetic space where clients can explore their innermost thoughts, emotions, and spiritual dimensions. I believe in the inherent wisdom of each person and work collaboratively with my clients to uncover their unique path. My approach is holistic and eclectic which allows me to tailor my methods to suit each client's specific needs and beliefs.
To learn more, visit TheBEYOUproject.net. I am a passionate and dedicated practitioner, committed to helping individuals embark on a journey of self-discovery, healing, and personal growth. With a profound belief in the interconnectedness of mind, body, and spirit, I offer a nurturing and empathetic space where clients can explore their innermost thoughts, emotions, and spiritual dimensions. I believe in the inherent wisdom of each person and work collaboratively with my clients to uncover their unique path. My approach is holistic and eclectic which allows me to tailor my methods to suit each client's specific needs and beliefs.
![Photo of Harland C. Wable - Straight To The Point Counseling Services, MS, SUDPC, Drug & Alcohol Counselor](https://photos.psychologytoday.com/1540bf4a-3b10-4769-ba07-b4fe33f9d73e/2/320x400.jpeg)
Straight To The Point Counseling Services
Drug & Alcohol Counselor, MS, SUDPC
Verified Verified
1 Endorsed
Spokane, WA 99205
Addiction, be it Alcohol or Drugs, It is my opinion that all addictions are treatable, and all Recovery goals can be achieved when working together. I do not have all the answers, but working together we can develop a plan that may help you succeed in your recovery program. One just has to have the desire to want to change their lives, to be honest with themselves, to make a commitment to themselves, and be willing to do the work. Afterall, it's an investment in yourself. I invest a lot of time and effort into what I do because I truly love what I do. Afterall, it's about the person sitting across from me.
Addiction, be it Alcohol or Drugs, It is my opinion that all addictions are treatable, and all Recovery goals can be achieved when working together. I do not have all the answers, but working together we can develop a plan that may help you succeed in your recovery program. One just has to have the desire to want to change their lives, to be honest with themselves, to make a commitment to themselves, and be willing to do the work. Afterall, it's an investment in yourself. I invest a lot of time and effort into what I do because I truly love what I do. Afterall, it's about the person sitting across from me.
![Photo of Tory S Daniewicz, MS, LMHC, Counselor](https://photos.psychologytoday.com/117cf57b-6dbb-4d16-a68c-3c0f0bc3d13d/1/320x400.jpeg)
If you are looking to make changes, or to improve certain areas of your life (relationships, self esteem, family), counseling is a great way to get started. I have worked with a variety of people with varying concerns, but feel that I am particularly experienced in working with those who are struggling with depression, anxiety, or trauma, are attempting to improve interpersonal relationships, or identify solutions. I enjoy working with teens, college students, women, and families. I highly value the counseling relationship and feel it is a place of respect, acceptance, and compassion.
If you are looking to make changes, or to improve certain areas of your life (relationships, self esteem, family), counseling is a great way to get started. I have worked with a variety of people with varying concerns, but feel that I am particularly experienced in working with those who are struggling with depression, anxiety, or trauma, are attempting to improve interpersonal relationships, or identify solutions. I enjoy working with teens, college students, women, and families. I highly value the counseling relationship and feel it is a place of respect, acceptance, and compassion.
![Photo of Julie A Kathrens, LMHC, MEd, Counselor](https://photos.psychologytoday.com/e31d5e2e-94f2-4492-ae39-f10550b65ef8/2/320x400.jpeg)
Welcome to Kathrens Counseling Services... I'm Julie! As a clinician I like to take a relaxed, person-centered approach. It is not my goal to rush clients into progress, but to help them find strategies to create lasting and positive change in their lives. I've found that psychoeducation is foundational to clients making progress in counseling because the more a person understands their own experiences, the better they can address their concerns. As we move forward, I will work with you to identify your strengths and values to create customized self-care and strategies so you can achieve your wellness goals! (Ages 13 and up.)
Welcome to Kathrens Counseling Services... I'm Julie! As a clinician I like to take a relaxed, person-centered approach. It is not my goal to rush clients into progress, but to help them find strategies to create lasting and positive change in their lives. I've found that psychoeducation is foundational to clients making progress in counseling because the more a person understands their own experiences, the better they can address their concerns. As we move forward, I will work with you to identify your strengths and values to create customized self-care and strategies so you can achieve your wellness goals! (Ages 13 and up.)
![Photo of Heather Freeman, PsyD, ERYT500, Psychologist](https://photos.psychologytoday.com/a1117264-aefb-45a5-88ad-af41386a1171/1/320x400.jpeg)
Heather Freeman
Psychologist, PsyD, ERYT500
Verified Verified
2 Endorsed
Spokane, WA 99201 (Online Only)
Are you feeling disconnected from yourself and others? Struggling to find joy and connection with things that you used to enjoy? Unsure about how to trust yourself to make wise decisions in terms of relationships, jobs, life decisions, etc.? Do you have a complicated relationship with your body, want to rebuild body trust, find joy in movement again, and heal your relationship with food/exercise? My name is Dr. Heather Freeman and I specialize in working with individuals who want to learn to be on their own team while recovering from disordered eating, learning to build/reclaim body trust, and finding meaningful relationships.
Are you feeling disconnected from yourself and others? Struggling to find joy and connection with things that you used to enjoy? Unsure about how to trust yourself to make wise decisions in terms of relationships, jobs, life decisions, etc.? Do you have a complicated relationship with your body, want to rebuild body trust, find joy in movement again, and heal your relationship with food/exercise? My name is Dr. Heather Freeman and I specialize in working with individuals who want to learn to be on their own team while recovering from disordered eating, learning to build/reclaim body trust, and finding meaningful relationships.
![Photo of Steve Baptiste Thompson - Sardonyx Counseling, Pllc, MEd, LMHC, MHP, Counselor](https://photos.psychologytoday.com/102fa80b-7766-4755-8641-e35bc8958ccb/2/320x400.jpeg)
People come to Sardonyx Counseling, Pllc because some are experiencing feeling anger, sad, or nervous; unexpected mood swings and a loss of control. Undergoing a big change; feeling isolated or alone; having distressing thoughts; strained relationships; restlessness, sleep problems and concerns about their own mental health. Some individuals want to increase their functioning within the community, home, family and peer relationships, occupation or school settings. We enjoy assisting individuals with their recovery process. Other individuals seek therapy due to being impacted by the legal system and wish to change their behaviors.
People come to Sardonyx Counseling, Pllc because some are experiencing feeling anger, sad, or nervous; unexpected mood swings and a loss of control. Undergoing a big change; feeling isolated or alone; having distressing thoughts; strained relationships; restlessness, sleep problems and concerns about their own mental health. Some individuals want to increase their functioning within the community, home, family and peer relationships, occupation or school settings. We enjoy assisting individuals with their recovery process. Other individuals seek therapy due to being impacted by the legal system and wish to change their behaviors.
![Photo of Maura Winter, MA, LMHC, Counselor](https://photos.psychologytoday.com/605f83a4-3ec9-460d-8cf4-6352f37d0e67/2/320x400.jpeg)
Are you feeling stuck or anxious? Struggling understanding your own boundaries or needs, or feeling down on yourself? Trying to make sense of where you come from and who you are? You're in the right place. I work well with individuals who are struggling with anxiety, life transitions, struggling with boundaries or interpersonal relationships. I also enjoy assessing and working with clients with Obsessive-Compulsive Disorder.
Are you feeling stuck or anxious? Struggling understanding your own boundaries or needs, or feeling down on yourself? Trying to make sense of where you come from and who you are? You're in the right place. I work well with individuals who are struggling with anxiety, life transitions, struggling with boundaries or interpersonal relationships. I also enjoy assessing and working with clients with Obsessive-Compulsive Disorder.
With 27 years of experience, I offer clients an integrative approach to psychotherapy that allows for in-depth work while at the same time being pragmatic and focused. You will have the opportunity to work on changes within yourself in an environment that is safe and attentive. Psychotherapy is a collaborative process of personal growth that can help you work through situational problems and change long-standing patterns.
With 27 years of experience, I offer clients an integrative approach to psychotherapy that allows for in-depth work while at the same time being pragmatic and focused. You will have the opportunity to work on changes within yourself in an environment that is safe and attentive. Psychotherapy is a collaborative process of personal growth that can help you work through situational problems and change long-standing patterns.
![Photo of Kirsten Skalstad, MS, LMHCA, SUDP, Counselor](https://photos.psychologytoday.com/79fad4b8-2e43-4b3b-be02-4c9c2fb56ab0/1/320x400.png)
Hi, I'm Kirsten! The world can seem very overwhelming in these challenging days we are living in. I believe we can all benefit from a connection with another person who can help us navigate these challenges. I would consider it an honor to walk alongside you as you process your grief, trauma, anxiety, depression, or addiction that has held you back or kept you from the life you are dreaming of.
Hi, I'm Kirsten! The world can seem very overwhelming in these challenging days we are living in. I believe we can all benefit from a connection with another person who can help us navigate these challenges. I would consider it an honor to walk alongside you as you process your grief, trauma, anxiety, depression, or addiction that has held you back or kept you from the life you are dreaming of.
![Photo of Frances J Archer, LMHC, MHP, CMHS, Counselor](https://photos.psychologytoday.com/79031c4f-dc7e-41ee-8a2d-7dbc6402e6c8/3/320x400.jpeg)
The decision to seek help is a personal one, often made after trying everything to remedy our circumstances. Childhood issues, symptoms of anxiety and depression, relational issues, and personal loss can take a toll. With over 20 years of counseling individuals and families with a wide swath of difficult circumstances, I have learned to provide a supportive, non-judgmental, truthful, and safe environment that promotes self confidence and hope in overcoming and breaking through the obstacles we all face from time to time
The decision to seek help is a personal one, often made after trying everything to remedy our circumstances. Childhood issues, symptoms of anxiety and depression, relational issues, and personal loss can take a toll. With over 20 years of counseling individuals and families with a wide swath of difficult circumstances, I have learned to provide a supportive, non-judgmental, truthful, and safe environment that promotes self confidence and hope in overcoming and breaking through the obstacles we all face from time to time
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![Photo of Mary Ann Baker, MA, LMHC, Counselor](https://photos.psychologytoday.com/42b15e3d-57b9-4171-89df-04be5258f5d6/1/320x400.jpeg)
Mary Ann Baker
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Spokane, WA 99223 (Online Only)
Not accepting new clients
Maybe a major event stoked your search for therapy. Maybe the build up of daily life stressors leaves you feeling stuck. Maybe you're experiencing changes in your support system. Regardless of where you’re at in your journey, you deserve the space to listen to that internal voice asking for your attention. I believe it's your internal wisdom bringing you to therapy.
Maybe a major event stoked your search for therapy. Maybe the build up of daily life stressors leaves you feeling stuck. Maybe you're experiencing changes in your support system. Regardless of where you’re at in your journey, you deserve the space to listen to that internal voice asking for your attention. I believe it's your internal wisdom bringing you to therapy.
![Photo of Cristina Hidalgo Holiday, LMSW, LSWAIC, Pre-Licensed Professional](https://photos.psychologytoday.com/cebf73ab-fd56-4c57-8463-d859eeadbb22/1/320x400.jpeg)
Cristina Hidalgo Holiday
Pre-Licensed Professional, LMSW, LSWAIC
Verified Verified
Spokane, WA 99201 (Online Only)
Life's journey is filled with twists and turns,and sometimes,the weight of mental health concerns can make the path feel overwhelming.Working with me,I understand the challenges you're facing,and am here to guide you towards a brighter, more emotionally balanced future.Navigating the complexities of overall mental health requires more than just words:it demands a deep understanding of your unique struggles.With 10 years of expertise, specializing in unraveling the intricacies of these emotions to help you find clarity and relief.My therapeutic approach is centered around compassion, providing a safe haven and a judgement free zone.
Life's journey is filled with twists and turns,and sometimes,the weight of mental health concerns can make the path feel overwhelming.Working with me,I understand the challenges you're facing,and am here to guide you towards a brighter, more emotionally balanced future.Navigating the complexities of overall mental health requires more than just words:it demands a deep understanding of your unique struggles.With 10 years of expertise, specializing in unraveling the intricacies of these emotions to help you find clarity and relief.My therapeutic approach is centered around compassion, providing a safe haven and a judgement free zone.
![Photo of Mandy Freeman, MEd, LMHC, Counselor](https://photos.psychologytoday.com/97d6ccd9-161c-4c94-af25-254d2dbbea3d/2/320x400.jpeg)
Ally to ALL. Sometimes people feel alone and life can present challenges that make it lonely and difficult to focus on what you really want and where to go next. I’d be honored to sit with you, hear your story and learn about what you want to accomplish in therapy.
Ally to ALL. Sometimes people feel alone and life can present challenges that make it lonely and difficult to focus on what you really want and where to go next. I’d be honored to sit with you, hear your story and learn about what you want to accomplish in therapy.
![Photo of Lenox Fontaine, LMSW, LSWAIC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/855d2c55-9f6d-433a-8ca2-293f544b46ec/1/320x400.jpeg)
Lenox Fontaine
Clinical Social Work/Therapist, LMSW, LSWAIC
Verified Verified
2 Endorsed
Spokane, WA 99201
At any age, we may face challenges of trauma, depression, anxiety, grief, and addiction. Though it can be challenging, I help people of all ages uncover their resiliencies and create a better future for themselves. The modalities I prefer are strength-based and solution-focused. I bring compassion, nonjudgmental support, and collaboration, to help clients facilitate positive changes in their lives.
At any age, we may face challenges of trauma, depression, anxiety, grief, and addiction. Though it can be challenging, I help people of all ages uncover their resiliencies and create a better future for themselves. The modalities I prefer are strength-based and solution-focused. I bring compassion, nonjudgmental support, and collaboration, to help clients facilitate positive changes in their lives.
![Photo of Jediah Main, MS, LMHC, SUDPT, Pre-Licensed Professional](https://photos.psychologytoday.com/dac5338e-b478-424e-bc7f-12e39b0824e4/2/320x400.jpeg)
Jediah Main
Pre-Licensed Professional, MS, LMHC, SUDPT
Verified Verified
1 Endorsed
Spokane, WA 99218
The majority of my experience is working with those suffering from addictions, trauma, depression, anxiety and the stresses of everyday life. I enjoy all types of people and love that I get to see a variety of different personalities and issues every day.
The majority of my experience is working with those suffering from addictions, trauma, depression, anxiety and the stresses of everyday life. I enjoy all types of people and love that I get to see a variety of different personalities and issues every day.
![Photo of Ryan Anthony Marler, LSWAIC, Counselor](https://photos.psychologytoday.com/e52a5662-3cb2-40e8-ad30-d901006f5b27/2/320x400.jpeg)
I have engaged with a variety of clients from many different backgrounds and presenting needs, but predominantly assist clients in recovery from trauma (ex. PTSD). My aim is to help them process through their trauma to the point where they are no longer reactionary to it and able to function without being triggered in their lives by it (rather than being negatively impacted by daily triggers and the corresponding emotions that arise from them).
I have engaged with a variety of clients from many different backgrounds and presenting needs, but predominantly assist clients in recovery from trauma (ex. PTSD). My aim is to help them process through their trauma to the point where they are no longer reactionary to it and able to function without being triggered in their lives by it (rather than being negatively impacted by daily triggers and the corresponding emotions that arise from them).
![Photo of Kaaren Goeller-Bloom, MA, LMHCA , NCC, Counselor](https://photos.psychologytoday.com/c20b72b0-f487-4436-8604-5aafff18957d/2/320x400.jpeg)
Greetings! I'm Kaaren ("car-in" the garage). I work with individuals, both adults and children aged 12 and under. I have a particular interest in supporting those in mid- to later stages of aging, including end-of-life. Namely, how to find meaningful ways to navigate changes in one's capabilities and social support systems. For children grappling with emotional, behavioral, and relational difficulties, I employ developmentally appropriate methods such as play therapy to understand their sense of self and others. I help parents decipher their child's needs and behaviors so they can respond more effectively.
Greetings! I'm Kaaren ("car-in" the garage). I work with individuals, both adults and children aged 12 and under. I have a particular interest in supporting those in mid- to later stages of aging, including end-of-life. Namely, how to find meaningful ways to navigate changes in one's capabilities and social support systems. For children grappling with emotional, behavioral, and relational difficulties, I employ developmentally appropriate methods such as play therapy to understand their sense of self and others. I help parents decipher their child's needs and behaviors so they can respond more effectively.
![Photo of Dr. Ami Owen, PhD, LMFT, CCTP, CCTS, Marriage & Family Therapist](https://photos.psychologytoday.com/e66b5c08-a720-4752-998a-3d71cd72c88a/1/320x400.jpeg)
Dr. Ami Owen received her undergraduate degree in Social Science and a minor in Psychology. She received her Master’s in General Family Therapy with an advanced emphasis on families and trauma. Dr. Owen also received a Doctorate in Counseling and is a Clinically Certified Trauma Professional. She is Licensed in TX, ID, WA, AZ, FL, CA, UT and a nationally approved supervisor through the American Association of Marriage and Family Therapists (AAMFT). She takes delight in mentoring therapists on the complexities of family systems and consults with providers across the country to improve systems approaches.
Dr. Ami Owen received her undergraduate degree in Social Science and a minor in Psychology. She received her Master’s in General Family Therapy with an advanced emphasis on families and trauma. Dr. Owen also received a Doctorate in Counseling and is a Clinically Certified Trauma Professional. She is Licensed in TX, ID, WA, AZ, FL, CA, UT and a nationally approved supervisor through the American Association of Marriage and Family Therapists (AAMFT). She takes delight in mentoring therapists on the complexities of family systems and consults with providers across the country to improve systems approaches.
![Photo of Ellen Ethington, PsyD, Psychologist](https://photos.psychologytoday.com/45db32c1-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Skilled therapy is a collaborative process between client and therapist in which we identify individual strengths and skills, as well as the challenges that bring the client to therapy. My approach is an integration of support, respect, and sometimes challenging feedback towards personal growth, balanced living, improved relationships, and emotional stability. Areas of focus in my practice for improving psychological well-being include self-esteem challenges, anxiety, depression, relationship difficulties, mid-life transitions, grief and loss, codependency, and stress management.
Skilled therapy is a collaborative process between client and therapist in which we identify individual strengths and skills, as well as the challenges that bring the client to therapy. My approach is an integration of support, respect, and sometimes challenging feedback towards personal growth, balanced living, improved relationships, and emotional stability. Areas of focus in my practice for improving psychological well-being include self-esteem challenges, anxiety, depression, relationship difficulties, mid-life transitions, grief and loss, codependency, and stress management.
See more therapy options for Spokane
How does your Therapist compare?
Number of Therapists in Spokane, WA
1,000+
Average cost per session
$138
Therapists in Spokane, WA who prioritize treating:
92% | Anxiety |
86% | Depression |
76% | Self Esteem |
74% | Relationship Issues |
74% | Trauma and PTSD |
72% | Stress |
70% | Coping Skills |
Average years in practice
7 Years
Top 3 insurances accepted
74% | Aetna |
72% | Premera |
61% | Regence |
How Therapists in Spokane, WA see their clients
52% | In Person and Online | |
48% | Online Only |
Gender breakdown
80% | Female | |
19% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Spokane?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
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.