Therapists in Pioneer Square, Seattle, WA

Photo of Jennifer Goldsmith, LMFTA, MA, MEd, Marriage & Family Therapist Associate
Jennifer Goldsmith
Marriage & Family Therapist Associate, LMFTA, MA, MEd
Verified Verified
1 Endorsed
Pioneer Square, Seattle, WA 98104
My aim is to provide you with a warm and welcoming space for exploration, healing, and growth. I prioritize building a sound therapeutic relationship while supporting you in making the changes you want for your life including addressing depression and anxiety, overcoming shame, mending and building relationships, and helping you attune to your inherent wisdom and strengths. I provide individual (including teens), couple, and sex therapy. I incorporate Attachment Theory, Emotionally-Focused Therapy (EFT), and Gottman Couples Therapy, and Internal Family Systems (IFS).
My aim is to provide you with a warm and welcoming space for exploration, healing, and growth. I prioritize building a sound therapeutic relationship while supporting you in making the changes you want for your life including addressing depression and anxiety, overcoming shame, mending and building relationships, and helping you attune to your inherent wisdom and strengths. I provide individual (including teens), couple, and sex therapy. I incorporate Attachment Theory, Emotionally-Focused Therapy (EFT), and Gottman Couples Therapy, and Internal Family Systems (IFS).
(509) 316-2543 View (509) 316-2543
Photo of Jenna Elliott, MA, LMHCA, Counselor
Jenna Elliott
Counselor, MA, LMHCA
Verified Verified
2 Endorsed
Pioneer Square, Seattle, WA 98104  (Online Only)
Life is often difficult, and it can be lonely trying to understand what you have experienced, who you are, and who you are becoming. Perhaps you're feeling stuck in thought patterns, cycles, or in a life that feels so far from what you hoped for. You want to feel less afraid, more connected to yourself and the people in your life.
Life is often difficult, and it can be lonely trying to understand what you have experienced, who you are, and who you are becoming. Perhaps you're feeling stuck in thought patterns, cycles, or in a life that feels so far from what you hoped for. You want to feel less afraid, more connected to yourself and the people in your life.
(206) 590-5293 View (206) 590-5293
Photo of Benjamin Mason Judy - B. Mason Judy, MA, LMHC, Counselor
B. Mason Judy
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Pioneer Square, Seattle, WA 98104  (Online Only)
Not accepting new clients
Imagine you have a collection of letters. Communication gathered throughout your life, but try as you may, you can't read them on your own. Perhaps if you knew their contents circumstances in your life could be different. In psychotherapy, you can figure out what these letters mean in a trusted, confidential relationship. By following what comes up, all that's been written in your life, no matter how difficult it may be, we will create space for change. Put differently, therapy is a space to, "Be what you are becoming without clinging to what you might have been; what you might yet be" - Luce Irigaray.
Imagine you have a collection of letters. Communication gathered throughout your life, but try as you may, you can't read them on your own. Perhaps if you knew their contents circumstances in your life could be different. In psychotherapy, you can figure out what these letters mean in a trusted, confidential relationship. By following what comes up, all that's been written in your life, no matter how difficult it may be, we will create space for change. Put differently, therapy is a space to, "Be what you are becoming without clinging to what you might have been; what you might yet be" - Luce Irigaray.
(206) 203-4218 View (206) 203-4218
Photo of Zia Cloud, MA, LMFTA, Marriage & Family Therapist Associate
Zia Cloud
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Pioneer Square, Seattle, WA 98104
I specialize in working with adults, adolescents, couples, and families. I also am a sex therapist. With my clients, I utilize a client-centered approach, which highlights the client as the expert in their life. While creating a warm and compassionate therapeutic environment, I follow my client's lead in what they would like out of therapy. The most effective therapeutic spaces are also collaborative ones, those in which people are encouraged to cultivate a curiosity about their lives and investigate their place within it. If we work together, we will find the balance between comfort and a healthy amount of challenge.
I specialize in working with adults, adolescents, couples, and families. I also am a sex therapist. With my clients, I utilize a client-centered approach, which highlights the client as the expert in their life. While creating a warm and compassionate therapeutic environment, I follow my client's lead in what they would like out of therapy. The most effective therapeutic spaces are also collaborative ones, those in which people are encouraged to cultivate a curiosity about their lives and investigate their place within it. If we work together, we will find the balance between comfort and a healthy amount of challenge.
(206) 895-7174 View (206) 895-7174
Photo of Axel Stanovsky, LMHCA, Counselor
Axel Stanovsky
Counselor, LMHCA
Verified Verified
4 Endorsed
Pioneer Square, Seattle, WA 98104
I am a thoughtful and creative person who gravitated to counseling after a career designing safe structures to help meet our community’s need for housing. I wish health was as easy as building better structures, and I still do believe that is part of the way forward. In therapy for instance, there are structured exercises and treatments to draw from that really work in the right situation. Emotions focused, somatic and relational techniques can help provide some of that structure in my practice. There are also some more subtle dimensions of our existence and it is healthy to embrace those as well.
I am a thoughtful and creative person who gravitated to counseling after a career designing safe structures to help meet our community’s need for housing. I wish health was as easy as building better structures, and I still do believe that is part of the way forward. In therapy for instance, there are structured exercises and treatments to draw from that really work in the right situation. Emotions focused, somatic and relational techniques can help provide some of that structure in my practice. There are also some more subtle dimensions of our existence and it is healthy to embrace those as well.
(360) 300-8955 View (360) 300-8955
Photo of David Parks, LMHCA, Counselor
David Parks
Counselor, LMHCA
Verified Verified
2 Endorsed
Pioneer Square, Seattle, WA 98104
Many of us feel out of step with others around us. Difficulties with completing tasks and organization lead to struggles and frustration in relationships. Difficulty with social skills and anxiety make it hard to reach out to others for friendship or dating. Some of us feel shame and isolation from ADHD, autism, and other forms of neurodiversity. Our unique hobbies or interests keep us out of step. Shame keeps us from exploring who we are in friendships, dating, and sexually. People often do not see us. We feel alone. This manifests as depression, anxiety, and difficulty regulating our emotions.
Many of us feel out of step with others around us. Difficulties with completing tasks and organization lead to struggles and frustration in relationships. Difficulty with social skills and anxiety make it hard to reach out to others for friendship or dating. Some of us feel shame and isolation from ADHD, autism, and other forms of neurodiversity. Our unique hobbies or interests keep us out of step. Shame keeps us from exploring who we are in friendships, dating, and sexually. People often do not see us. We feel alone. This manifests as depression, anxiety, and difficulty regulating our emotions.
(509) 581-4308 View (509) 581-4308
Photo of Marie Biddle, MA , LMFTA, Marriage & Family Therapist Associate
Marie Biddle
Marriage & Family Therapist Associate, MA , LMFTA
Verified Verified
Pioneer Square, Seattle, WA 98104  (Online Only)
Hi! I use a very honest, warm and strength based approach with my clients. I invite my clients to build on both internal and external strengths. I also encourage open and honest conversations, to support my clients while tapping into those feelings both in the past and now. My approach is collaborative, and my goal is to play a part in helping you improve all aspects of your life whether in relationships or difficult circumstances.
Hi! I use a very honest, warm and strength based approach with my clients. I invite my clients to build on both internal and external strengths. I also encourage open and honest conversations, to support my clients while tapping into those feelings both in the past and now. My approach is collaborative, and my goal is to play a part in helping you improve all aspects of your life whether in relationships or difficult circumstances.
(206) 965-8044 View (206) 965-8044
Photo of Gina White, LMHC
Gina White
Licensed Mental Health Counselor, LMHC
Verified Verified
Pioneer Square, Seattle, WA 98104  (Online Only)
Ready for change? Need guidance in improving your lifestyle or overall quality of life? Hi, I'm Gina White, a mental health wellness professional with over 20 years of experience. I assist my clients with their unique goals, combining empowerment and evidence-based techniques. Regardless of gender, religious, or cultural background, we'll work collaboratively towards your desired changes. I take a tailored, "subtle coach" approach, blending education and humor as part of our journey together. My experience includes unique training with Buddhist monks in Thailand.
Ready for change? Need guidance in improving your lifestyle or overall quality of life? Hi, I'm Gina White, a mental health wellness professional with over 20 years of experience. I assist my clients with their unique goals, combining empowerment and evidence-based techniques. Regardless of gender, religious, or cultural background, we'll work collaboratively towards your desired changes. I take a tailored, "subtle coach" approach, blending education and humor as part of our journey together. My experience includes unique training with Buddhist monks in Thailand.
(253) 243-2587 View (253) 243-2587
Photo of Lashon D. Watson, MA, LMHC
Lashon D. Watson
Mental Health Counselor, MA, LMHC
Verified Verified
3 Endorsed
Pioneer Square, Seattle, WA 98104  (Online Only)
Lashon specializes in low-grade/mild; anxiety, depression, and adjustment disorders. Lashon believes that our family and social interactions have influence as we fall into unhealthy and sometimes very comfortable patterns. Exploring your communication style and how you create relationships, Lashon will help to identify the areas where you feel stuck to begin the change process for an improved quality of living. A client who understands and participates in their care, works in partnership to hopefully achieve their desired outcome(s).
Lashon specializes in low-grade/mild; anxiety, depression, and adjustment disorders. Lashon believes that our family and social interactions have influence as we fall into unhealthy and sometimes very comfortable patterns. Exploring your communication style and how you create relationships, Lashon will help to identify the areas where you feel stuck to begin the change process for an improved quality of living. A client who understands and participates in their care, works in partnership to hopefully achieve their desired outcome(s).
(425) 441-3492 View (425) 441-3492
Photo of Veronica Anderson - Golden West Counseling, PLLC, MA, LMHC, LMFT, Counselor
Golden West Counseling, PLLC
Counselor, MA, LMHC, LMFT
Verified Verified
Pioneer Square, Seattle, WA 98104
Your journey to lasting change starts here. At our counseling center, we offer more than just therapy—we provide a path to lasting transformation. If you’re feeling overwhelmed by anxiety, stuck in unfulfilling relationships, or trapped in negative cycles, we’re here to help you break free. With personalized support, we’ll guide you toward a life of purpose, joy, and genuine connection. If you’re ready for real, meaningful change, you’ve come to the right place. Take the first step with us today.
Your journey to lasting change starts here. At our counseling center, we offer more than just therapy—we provide a path to lasting transformation. If you’re feeling overwhelmed by anxiety, stuck in unfulfilling relationships, or trapped in negative cycles, we’re here to help you break free. With personalized support, we’ll guide you toward a life of purpose, joy, and genuine connection. If you’re ready for real, meaningful change, you’ve come to the right place. Take the first step with us today.
(206) 257-3810 View (206) 257-3810
Photo of Samantha Stone, LMHC, Counselor
Samantha Stone
Counselor, LMHC
Verified Verified
Pioneer Square, Seattle, WA 98104  (Online Only)
Hello, I'm Samantha. In my clinical practice - I work with clients to discover their strengths, hold space for hope, and build personal agency. I believe in talking about where you're at, where youʼve come from and where youʼre going - helping you heal and return to a sense of wholeness.
Hello, I'm Samantha. In my clinical practice - I work with clients to discover their strengths, hold space for hope, and build personal agency. I believe in talking about where you're at, where youʼve come from and where youʼre going - helping you heal and return to a sense of wholeness.
(206) 309-6068 View (206) 309-6068
Photo of H Neville, MSW, LSWAIC, Clinical Social Work/Therapist
H Neville
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
1 Endorsed
Pioneer Square, Seattle, WA 98104  (Online Only)
Hello there! I am so glad you are taking steps towards bettering your wellbeing. Are you doing identity work? Do you struggle to say no or set boundaries? Are you dealing with a life transition that has you feeling overwhelmed? Maybe unsure about your gender identity? These issues can be overwhelming, but I am here to help support and empower you on this journey. I am enthusiastic about working with adults who are LGBTQ2IA+. I help support those dealing with a variety of life stresses like relationship trouble, people-pleasing, depression, anxiety, or trauma.
Hello there! I am so glad you are taking steps towards bettering your wellbeing. Are you doing identity work? Do you struggle to say no or set boundaries? Are you dealing with a life transition that has you feeling overwhelmed? Maybe unsure about your gender identity? These issues can be overwhelming, but I am here to help support and empower you on this journey. I am enthusiastic about working with adults who are LGBTQ2IA+. I help support those dealing with a variety of life stresses like relationship trouble, people-pleasing, depression, anxiety, or trauma.
(425) 600-3084 View (425) 600-3084
Photo of Julie Hall, MA, LMHC, Counselor
Julie Hall
Counselor, MA, LMHC
Verified Verified
5 Endorsed
Pioneer Square, Seattle, WA 98134
I offer a warm, nonjudgmental environment, specializing in adult individual counseling. We all experience times where we get stuck, when we experience crisis, when we need help. I seek to collaborate with my clients in exploring what has happened in their life and how it affects what is currently happening; and together discover possible paths to greater self-awareness, and increased capacity to love, to work, and to live with wellness and fullness.
I offer a warm, nonjudgmental environment, specializing in adult individual counseling. We all experience times where we get stuck, when we experience crisis, when we need help. I seek to collaborate with my clients in exploring what has happened in their life and how it affects what is currently happening; and together discover possible paths to greater self-awareness, and increased capacity to love, to work, and to live with wellness and fullness.
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Photo of Sophia Bean - Sophia Bean, MA, LMHC, LPCC, MA, LMHC, LPCC, Counselor
Sophia Bean, MA, LMHC, LPCC
Counselor, MA, LMHC, LPCC
Verified Verified
Pioneer Square, Seattle, WA 98104
Not accepting new clients
I am a psychotherapist serving populations in Washington and California and I have over a decade of experience working in the non-profit sector with children and families. Walking alongside clients who are struggling is a new expression of what I have always been passionate about - relationships. I believe that, together, we help each other heal through connection, storytelling, and holding sacred space. In counseling and coaching, this relationship looks like curiosity, exploration of formative relationships, and empowering you to share your lived experience.
I am a psychotherapist serving populations in Washington and California and I have over a decade of experience working in the non-profit sector with children and families. Walking alongside clients who are struggling is a new expression of what I have always been passionate about - relationships. I believe that, together, we help each other heal through connection, storytelling, and holding sacred space. In counseling and coaching, this relationship looks like curiosity, exploration of formative relationships, and empowering you to share your lived experience.
(253) 465-2887 View (253) 465-2887
Photo of Leif Weigel, MT-BC, NMT
Leif Weigel
MT-BC, NMT
Verified Verified
Pioneer Square, Seattle, WA 98104  (Online Only)
No matter the challenge, learning can (and should) work in harmony with each learners needs. If you're exhausted from endless IEP meetings and looking for a learning environment rooted in therapeutic MUSIC, creativity & joy, I'd love to work with your child! Together we can amplify their potential academically, socially, developmentally, expressively, and for their holistic wellbeing. I implement effective, evidence-based treatment to help them succeed in multiple facets of their life. Fostering an inclusive therapeutic learning environment is the heart of my practice.
No matter the challenge, learning can (and should) work in harmony with each learners needs. If you're exhausted from endless IEP meetings and looking for a learning environment rooted in therapeutic MUSIC, creativity & joy, I'd love to work with your child! Together we can amplify their potential academically, socially, developmentally, expressively, and for their holistic wellbeing. I implement effective, evidence-based treatment to help them succeed in multiple facets of their life. Fostering an inclusive therapeutic learning environment is the heart of my practice.
(206) 537-0353 View (206) 537-0353
Photo of Seth Goodman, MA, LMHC, Counselor
Seth Goodman
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Pioneer Square, Seattle, WA 98104
I am a Licensed Mental Health Counselor, providing counseling and psychotherapy to individuals. My role as therapist is to utilize the therapeutic relationship to foster self-awareness, growth, and change. I approach my work from an Integrative Theoretical Perspective that is holistic, humanistic and client-centered in approach. Although I draw from a wide range of theoretical perspectives, I am most influenced by Mindfulness Based CBT and Stress Reduction, IFS (Internal Family Systems), Somatic Therapy and EMDR, examined through an anti-oppressive framework. I currently work with individuals only and am no longer seeing couples.
I am a Licensed Mental Health Counselor, providing counseling and psychotherapy to individuals. My role as therapist is to utilize the therapeutic relationship to foster self-awareness, growth, and change. I approach my work from an Integrative Theoretical Perspective that is holistic, humanistic and client-centered in approach. Although I draw from a wide range of theoretical perspectives, I am most influenced by Mindfulness Based CBT and Stress Reduction, IFS (Internal Family Systems), Somatic Therapy and EMDR, examined through an anti-oppressive framework. I currently work with individuals only and am no longer seeing couples.
(206) 488-0370 View (206) 488-0370
Photo of Dakotah Cole, MSW, LICSW, Clinical Social Work/Therapist
Dakotah Cole
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Pioneer Square, Seattle, WA 98104
I enjoy working with individuals, adolescents and families and have a theoretical orientation that is client-centered and systemic, meaning that client’s goals, beliefs, values are honored, and respected. My approach is integrative, holistic, and considers the whole person which includes mind, body, and spirit. I take an individualized approach with each and every client to ensure their goals, hopes, and dreams are realized.
I enjoy working with individuals, adolescents and families and have a theoretical orientation that is client-centered and systemic, meaning that client’s goals, beliefs, values are honored, and respected. My approach is integrative, holistic, and considers the whole person which includes mind, body, and spirit. I take an individualized approach with each and every client to ensure their goals, hopes, and dreams are realized.
(206) 222-7063 View (206) 222-7063
Photo of Jed Hill Jacobson, MA, LMHC, Counselor
Jed Hill Jacobson
Counselor, MA, LMHC
Verified Verified
Pioneer Square, Seattle, WA 98104  (Online Only)
I enjoy working with a broad range of humans with varying strengths and challenges. Areas of focus include trauma, depression, anxiety, relationship challenges, spiritual/identity exploration, and psychedelic integration. I particularly connect with open-minded humans with a creative, artistic, or athletic side, who are on a journey of self-discovery and growth. If you want to co-create a version of therapy that makes sense for you, I'm ready to go down that path together.
I enjoy working with a broad range of humans with varying strengths and challenges. Areas of focus include trauma, depression, anxiety, relationship challenges, spiritual/identity exploration, and psychedelic integration. I particularly connect with open-minded humans with a creative, artistic, or athletic side, who are on a journey of self-discovery and growth. If you want to co-create a version of therapy that makes sense for you, I'm ready to go down that path together.
(206) 237-4779 View (206) 237-4779
Photo of Anjali D'Souza, MA, LMHCA, MHP, Counselor
Anjali D'Souza
Counselor, MA, LMHCA, MHP
Verified Verified
Pioneer Square, Seattle, WA 98104  (Online Only)
My training emphasizes childhood trauma and while I specialize in trauma, I welcome all backgrounds. I have six years of experience with children conducting neuropsychological assessments. I also currently work as a therapist at Dawson Place’s Child Advocacy Program. I have availability for afternoon and evening sessions. Please email me to schedule today!
My training emphasizes childhood trauma and while I specialize in trauma, I welcome all backgrounds. I have six years of experience with children conducting neuropsychological assessments. I also currently work as a therapist at Dawson Place’s Child Advocacy Program. I have availability for afternoon and evening sessions. Please email me to schedule today!
(206) 737-1448 View (206) 737-1448
Photo of Carol Pinkerton, LMFT, Marriage & Family Therapist
Carol Pinkerton
Marriage & Family Therapist, LMFT
Verified Verified
Pioneer Square, Seattle, WA 98104  (Online Only)
If you would like to start focusing on yourself instead of others and set healthy boundaries. Trying to find ways to let go of whatever is weighing you down. If you want to understand how your past may influence your present and focus on your future. Ready to break negative family cycles and start building stronger bonds. If anxiety and depression is stealing your joy and you want it back. Began challenging negative social messages and negative patterns of thinking. If you are missing a loved one and need to heal their loss one day at a time. I am here and ready to support you in reaching your goals.
If you would like to start focusing on yourself instead of others and set healthy boundaries. Trying to find ways to let go of whatever is weighing you down. If you want to understand how your past may influence your present and focus on your future. Ready to break negative family cycles and start building stronger bonds. If anxiety and depression is stealing your joy and you want it back. Began challenging negative social messages and negative patterns of thinking. If you are missing a loved one and need to heal their loss one day at a time. I am here and ready to support you in reaching your goals.
(206) 984-7696 View (206) 984-7696
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See more therapy options for Pioneer Square, Seattle

How does your Therapist compare?

Number of Therapists in Pioneer Square, Seattle, WA

100+

Average cost per session

$150

Therapists in Pioneer Square, Seattle, WA who prioritize treating:

95% Anxiety
86% Depression
79% Trauma and PTSD
78% Relationship Issues
73% Self Esteem
70% Stress
68% Life Transitions

Average years in practice

6 Years

Top 3 insurances accepted

80% Premera Blue Cross
56% LifeWise
44% Aetna

How Therapists in Pioneer Square, Seattle, WA see their clients

64% Online Only
36% In Person and Online

Gender breakdown

68% Female
27% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Pioneer Square, Seattle?

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.