Therapists in West End, Tacoma, WA

Photo of Irene Farsje, MA, LMHC, Counselor
Irene Farsje
Counselor, MA, LMHC
Verified Verified
West End, Tacoma, WA 98407
Not accepting new clients
Life circumstances can become overwhelming at times and create feelings of high stress, anxiety, depression and difficulties in relationships. Have you experienced a trauma or are you concerned about relationship issues? I have over 15 years of experience and will support you in tapping into your natural strengths and abilities to solve problems and find happiness, peace and contentment.
Life circumstances can become overwhelming at times and create feelings of high stress, anxiety, depression and difficulties in relationships. Have you experienced a trauma or are you concerned about relationship issues? I have over 15 years of experience and will support you in tapping into your natural strengths and abilities to solve problems and find happiness, peace and contentment.
(253) 271-4333 View (253) 271-4333
Photo of Jessica Aarsvold, MA, LMHCA, Counselor
Jessica Aarsvold
Counselor, MA, LMHCA
Verified Verified
West End, Tacoma, WA 98406  (Online Only)
Not accepting new clients
Do you find yourself feeling stuck in the same cycles and patterns? Are you wishing for movement in your life but find yourself unable to let go of old stories, feelings, and thoughts? Maybe you are unsure of where to start but know that the way things are, is not how you want them to be. Often times our lives can become dictated by past wounds and, coping with the feelings that arise from these moments, can be difficult. Healing from the past and staying present in the now is possible, and you do not have to do it alone.
Do you find yourself feeling stuck in the same cycles and patterns? Are you wishing for movement in your life but find yourself unable to let go of old stories, feelings, and thoughts? Maybe you are unsure of where to start but know that the way things are, is not how you want them to be. Often times our lives can become dictated by past wounds and, coping with the feelings that arise from these moments, can be difficult. Healing from the past and staying present in the now is possible, and you do not have to do it alone.
(253) 215-8565 View (253) 215-8565
Photo of Kawika Huston, MEd, LMHC, Counselor
Kawika Huston
Counselor, MEd, LMHC
Verified Verified
1 Endorsed
West End, Tacoma, WA 98407  (Online Only)
My practice's goal is to improve lives in the LGBTQIA+ community, their families and friends, and those of us doing our best to thrive in a hectic and messy world by offering online counseling that is accessible, affirming, & compassionate. While I specialize in treating the queer community, I enthusiastically welcome people from all communities and walks of life. Common issues include managing ongoing anxiety, depression, trauma work, coping with life transitions like grief and divorce, exploring gender identity and/or sexuality, and navigating coming out.
My practice's goal is to improve lives in the LGBTQIA+ community, their families and friends, and those of us doing our best to thrive in a hectic and messy world by offering online counseling that is accessible, affirming, & compassionate. While I specialize in treating the queer community, I enthusiastically welcome people from all communities and walks of life. Common issues include managing ongoing anxiety, depression, trauma work, coping with life transitions like grief and divorce, exploring gender identity and/or sexuality, and navigating coming out.
(253) 201-4783 View (253) 201-4783
Photo of Rebekah McNulty, LICSW, Clinical Social Work/Therapist
Rebekah McNulty
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
West End, Tacoma, WA 98465  (Online Only)
Is your life in turmoil? Difficult relationships? Feeling depressed, anxious or overwhelmed? Allow me to walk beside you through your current struggles or past difficulties and provide you with tools and insight that can challenge areas blocking you from feeling satisfied with some or all areas of your life. Therapy is a relationship where you can express how you feel openly and honestly without fear. I want to hear your story so I can have a better understanding of your world through your eyes.
Is your life in turmoil? Difficult relationships? Feeling depressed, anxious or overwhelmed? Allow me to walk beside you through your current struggles or past difficulties and provide you with tools and insight that can challenge areas blocking you from feeling satisfied with some or all areas of your life. Therapy is a relationship where you can express how you feel openly and honestly without fear. I want to hear your story so I can have a better understanding of your world through your eyes.
(253) 201-4544 View (253) 201-4544
Photo of Lauren Pallay, MS, LMFT, Marriage & Family Therapist
Lauren Pallay
Marriage & Family Therapist, MS, LMFT
Verified Verified
3 Endorsed
West End, Tacoma, WA 98408  (Online Only)
Not accepting new clients
Do you feel a persistent sense of unease? Exhausted from the pressures of life? Frustrated with how your past is impacting you? Overwhelmed by the thought of starting therapy? Often our struggles alone feel unbearable, and the idea of addressing them only adds more stress. But you can get to where you'd like to be. It just takes learning to endure the discomfort of the growth and healing process. I am dedicated to helping you walk through the discomfort —to gain self insight, to make changes in your life, to feel more at ease, and attain your goals.
Do you feel a persistent sense of unease? Exhausted from the pressures of life? Frustrated with how your past is impacting you? Overwhelmed by the thought of starting therapy? Often our struggles alone feel unbearable, and the idea of addressing them only adds more stress. But you can get to where you'd like to be. It just takes learning to endure the discomfort of the growth and healing process. I am dedicated to helping you walk through the discomfort —to gain self insight, to make changes in your life, to feel more at ease, and attain your goals.
(253) 400-1619 View (253) 400-1619
Photo of John J Smith - John J. Smith, LMHCA, MFT, Counselor
John J. Smith
Counselor, LMHCA, MFT
Verified Verified
West End, Tacoma, WA 98406  (Online Only)
I believe that everyone comes to a place in their life and experiences the feeling of being”stuck” and not knowing what to do next. Anger, anxiety and depression can leave a person feeling overwhelmed and unsure. While people often have a strong desire for change find it difficult to reach out for help. As a licensed mental health counselor have helped many singles couples and families heal and grow, and I can do the same for you.If you are ready to take that first step then please call me. I look forward to meeting you. Sincerely, John J. Smith LMHCA
I believe that everyone comes to a place in their life and experiences the feeling of being”stuck” and not knowing what to do next. Anger, anxiety and depression can leave a person feeling overwhelmed and unsure. While people often have a strong desire for change find it difficult to reach out for help. As a licensed mental health counselor have helped many singles couples and families heal and grow, and I can do the same for you.If you are ready to take that first step then please call me. I look forward to meeting you. Sincerely, John J. Smith LMHCA
(253) 252-5027 View (253) 252-5027
Photo of Ashley Peoples, MS, LMFTA, Marriage & Family Therapist Associate
Ashley Peoples
Marriage & Family Therapist Associate, MS, LMFTA
Verified Verified
3 Endorsed
West End, Tacoma, WA 98407  (Online Only)
Welcome! I'm Ashley, a licensed therapist dedicated to helping individuals and couples navigate life’s challenges and build stronger connections. I specialize in Emotion-Focused Therapy (EFT) and integrate my knowledge of Attachment Theory and trauma-informed practices to support clients in their healing journey. Whether you're dealing with anxiety, relationship struggles, or life transitions, I offer a compassionate, collaborative approach to help you explore and process your experiences.
Welcome! I'm Ashley, a licensed therapist dedicated to helping individuals and couples navigate life’s challenges and build stronger connections. I specialize in Emotion-Focused Therapy (EFT) and integrate my knowledge of Attachment Theory and trauma-informed practices to support clients in their healing journey. Whether you're dealing with anxiety, relationship struggles, or life transitions, I offer a compassionate, collaborative approach to help you explore and process your experiences.
(253) 465-4853 View (253) 465-4853
Photo of Valaree A Schelhammer, MSW, LICSW, Clinical Social Work/Therapist
Valaree A Schelhammer
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
West End, Tacoma, WA 98407
I work with individuals with anxiety, depression, and anyone navigating life transitions. I am motivated to work with people of color. I enjoy working with children, teens, and adults. I have expertise in working with individuals who are experiencing chronic illness and or grief/loss.
I work with individuals with anxiety, depression, and anyone navigating life transitions. I am motivated to work with people of color. I enjoy working with children, teens, and adults. I have expertise in working with individuals who are experiencing chronic illness and or grief/loss.
(253) 338-8526 View (253) 338-8526
Photo of Patricia Albuquerque, LMHCA, Counselor
Patricia Albuquerque
Counselor, LMHCA
Verified Verified
3 Endorsed
West End, Tacoma, WA 98406  (Online Only)
Life can feel overwhelming at times, but hey, you are not alone! As a queer Latina immigrant, I've navigated many transitions and challenges myself. I’m here to embrace your dark and quirky humor as we explore how your environment influences you and identify the changes you can make. My work focuses on body and sex positivity, overcoming systemic and cultural barriers, addressing toxic masculinity, and healing generational trauma.
Life can feel overwhelming at times, but hey, you are not alone! As a queer Latina immigrant, I've navigated many transitions and challenges myself. I’m here to embrace your dark and quirky humor as we explore how your environment influences you and identify the changes you can make. My work focuses on body and sex positivity, overcoming systemic and cultural barriers, addressing toxic masculinity, and healing generational trauma.
(253) 364-5772 View (253) 364-5772
Photo of Christy Little, MS, LMFT, Marriage & Family Therapist
Christy Little
Marriage & Family Therapist, MS, LMFT
Verified Verified
West End, Tacoma, WA 98406  (Online Only)
Divorce doesn't feel like the right option, and yet, something needs to change. You and your spouse are missing that connection that used to come so easily. You find yourself fighting over all the little things. Or, maybe there's so little connection between you that you feel more like roommates and are missing that spark... Or, maybe you recently learned the devastating news about your partner’s affair. Let me help you find the light at the end of the tunnel.
Divorce doesn't feel like the right option, and yet, something needs to change. You and your spouse are missing that connection that used to come so easily. You find yourself fighting over all the little things. Or, maybe there's so little connection between you that you feel more like roommates and are missing that spark... Or, maybe you recently learned the devastating news about your partner’s affair. Let me help you find the light at the end of the tunnel.
(253) 367-3569 View (253) 367-3569
Photo of Elizabeth Marshall Therapy For Teens Adults And Families - Elizabeth Marshall, BSW, MFT, LMHC, EMDR, Counselor
Elizabeth Marshall
Counselor, BSW, MFT, LMHC, EMDR
Verified Verified
West End, Tacoma, WA 98407  (Online Only)
Welcome! You've taken the first step. Are you struggling with anxiety, depression, loneliness, cPTSD, or trauma. Are you feeling frozen or stuck? My approach is person centered and tailored to your unique needs and goals. Together, we will work collaboratively to identify root causes and extinguish pain. I'll teach you skills to decrease and overcome the triggers. I'm skilled in EMDR, Flash, Brainspotting, DBT, CBT, Inner child work. We will increase your emotional regulation and feelings of safety. I also work with parents, kids, and teens. Online Only. I've been trained in EMDR for Long-Haulers also. You Deserve To Heal!
Welcome! You've taken the first step. Are you struggling with anxiety, depression, loneliness, cPTSD, or trauma. Are you feeling frozen or stuck? My approach is person centered and tailored to your unique needs and goals. Together, we will work collaboratively to identify root causes and extinguish pain. I'll teach you skills to decrease and overcome the triggers. I'm skilled in EMDR, Flash, Brainspotting, DBT, CBT, Inner child work. We will increase your emotional regulation and feelings of safety. I also work with parents, kids, and teens. Online Only. I've been trained in EMDR for Long-Haulers also. You Deserve To Heal!
(253) 262-0294 View (253) 262-0294
Photo of Bonnie Frick, MEd, ESA, LMHC, Counselor
Bonnie Frick
Counselor, MEd, ESA, LMHC
Verified Verified
3 Endorsed
West End, Tacoma, WA 98407
Not accepting new clients
**My caseload is full and I am not taking new clients at this time.** Are you missing your joy? Has your “little light” stopped shining? Does life seem harder than it used to? For 18 years, I have helped children and families cope with loss, trauma, and stressful life transitions including illness, family changes, and problems with schooling. My office is a safe space where you can share your story, explore problems, and discover solutions. When we get distracted and disconnected by stress, self-doubt, or traumatic events, we can wind up feeling confused, overwhelmed, frustrated, fearful, and alone. You are not alone.
**My caseload is full and I am not taking new clients at this time.** Are you missing your joy? Has your “little light” stopped shining? Does life seem harder than it used to? For 18 years, I have helped children and families cope with loss, trauma, and stressful life transitions including illness, family changes, and problems with schooling. My office is a safe space where you can share your story, explore problems, and discover solutions. When we get distracted and disconnected by stress, self-doubt, or traumatic events, we can wind up feeling confused, overwhelmed, frustrated, fearful, and alone. You are not alone.
(253) 650-0179 View (253) 650-0179
Photo of Ereke Bruce, MSW, LICSW, Clinical Social Work/Therapist
Ereke Bruce
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
West End, Tacoma, WA 98402  (Online Only)
Waitlist for new clients
From military leaders, to executives, to athletes, and everyone in between...I work with high performing people who can also get stuck in the hard places of life. Are revolving cycles of misunderstanding and conflict leaving you feeling stuck in your relationship? Does a painful past steal your joy in the present or hope for the future? Is stress or burnout preventing you from being your best at work or at home? Are you moving through life at breakneck speed, but lacking a clear sense of direction? Disruptions like these disconnect us from what matters most and negatively impact how we think, feel, and move in the world.
From military leaders, to executives, to athletes, and everyone in between...I work with high performing people who can also get stuck in the hard places of life. Are revolving cycles of misunderstanding and conflict leaving you feeling stuck in your relationship? Does a painful past steal your joy in the present or hope for the future? Is stress or burnout preventing you from being your best at work or at home? Are you moving through life at breakneck speed, but lacking a clear sense of direction? Disruptions like these disconnect us from what matters most and negatively impact how we think, feel, and move in the world.
(509) 410-4634 View (509) 410-4634
Photo of Dr. Daniel Pratt, PsyD, Psychologist
Dr. Daniel Pratt
Psychologist, PsyD
Verified Verified
2 Endorsed
West End, Tacoma, WA 98407  (Online Only)
Do you need compassionate care you can trust? If you do, my clinical training, experience, and personality may be just right for you. My ideal client is a person that is ready to open up to 1) what they are experiencing, and 2) how to change. I don't just want to help you manage your symptoms, though I definitely want that for you. I also want to help you grow and change in ways that the symptoms don't return!
Do you need compassionate care you can trust? If you do, my clinical training, experience, and personality may be just right for you. My ideal client is a person that is ready to open up to 1) what they are experiencing, and 2) how to change. I don't just want to help you manage your symptoms, though I definitely want that for you. I also want to help you grow and change in ways that the symptoms don't return!
(253) 893-6998 View (253) 893-6998
Photo of Lauryn Bryant, LCSW-A, Clinical Social Work/Therapist
Lauryn Bryant
Clinical Social Work/Therapist, LCSW-A
Verified Verified
1 Endorsed
West End, Tacoma, WA 98407
In today’s world, people feel lonelier than ever before. With so much time spent behind screens, it’s no wonder we struggle to connect with ourselves and others. I help young adults rediscover that connection and build meaningful relationships. Life in 2024 brings unique challenges: we feel stressed yet drained, have social media followers but lack deep friendships, and work hard without feeling it’s enough. Despite this, I believe anyone can unlock their potential through deeper self-understanding. Together, we can navigate these struggles and move forward.
In today’s world, people feel lonelier than ever before. With so much time spent behind screens, it’s no wonder we struggle to connect with ourselves and others. I help young adults rediscover that connection and build meaningful relationships. Life in 2024 brings unique challenges: we feel stressed yet drained, have social media followers but lack deep friendships, and work hard without feeling it’s enough. Despite this, I believe anyone can unlock their potential through deeper self-understanding. Together, we can navigate these struggles and move forward.
(253) 246-1257 View (253) 246-1257
Photo of Tolani Ogunyoku, LMHC, SUDP, Counselor
Tolani Ogunyoku
Counselor, LMHC, SUDP
Verified Verified
West End, Tacoma, WA 98465  (Online Only)
Not accepting new clients
I applaud your willingness in taking this first step to engage in therapy. The first step is often the most difficult one and it shows notable courage that you’ve made that decision. If you’ve made your way here, chances are that you may be struggling in some aspect in your life. It may be life stressors, issues in a romantic relationship, depression, anxiety, grief, trauma or maybe you need to be able to speak with someone who will listen and empathize with you. Whatever the case may be, I want you to know that you’re not alone and that you can receive the support, care and guidance you’re looking for.
I applaud your willingness in taking this first step to engage in therapy. The first step is often the most difficult one and it shows notable courage that you’ve made that decision. If you’ve made your way here, chances are that you may be struggling in some aspect in your life. It may be life stressors, issues in a romantic relationship, depression, anxiety, grief, trauma or maybe you need to be able to speak with someone who will listen and empathize with you. Whatever the case may be, I want you to know that you’re not alone and that you can receive the support, care and guidance you’re looking for.
(252) 302-4995 View (252) 302-4995
Photo of Tara Hollander - Tara Hollander, MSW, ACSW, LICSW, Clinical Social Work/Therapist
Tara Hollander
Clinical Social Work/Therapist, MSW, ACSW, LICSW
Verified Verified
2 Endorsed
West End, Tacoma, WA 98407
I am a LICSW with a focus on psychotherapy with adults, children and families. I have been a practitioner for 48 years, in private practice for 12 1/2 years and had been a psychotherapist for 26 years in the Behavioral Health Department at Group Health. While there, in addition to a general caseload that included Medicare patients, I ran a Children's Therapy Group, served on a county-wide child abuse oversight committee, co-chaired an inter-disciplinary case consultation team, and managed an intern program.
I am a LICSW with a focus on psychotherapy with adults, children and families. I have been a practitioner for 48 years, in private practice for 12 1/2 years and had been a psychotherapist for 26 years in the Behavioral Health Department at Group Health. While there, in addition to a general caseload that included Medicare patients, I ran a Children's Therapy Group, served on a county-wide child abuse oversight committee, co-chaired an inter-disciplinary case consultation team, and managed an intern program.
(253) 336-8720 View (253) 336-8720
Photo of Toni Hughes, LICSW, Clinical Social Work/Therapist
Toni Hughes
Clinical Social Work/Therapist, LICSW
Verified Verified
West End, Tacoma, WA 98465  (Online Only)
I believe that therapy is a way to gain a deeper understanding into the thoughts, feelings, and experiences behind the narratives that inform how we show up for ourselves and our relationships with others. Sometimes these narratives keep us stuck in patterns that no longer serve us and create distress in our lives, that’s where my job as your therapist begins.
I believe that therapy is a way to gain a deeper understanding into the thoughts, feelings, and experiences behind the narratives that inform how we show up for ourselves and our relationships with others. Sometimes these narratives keep us stuck in patterns that no longer serve us and create distress in our lives, that’s where my job as your therapist begins.
(253) 785-9561 View (253) 785-9561
Photo of Jennae Phillippe, MSSW, LCSW, Clinical Social Work/Therapist
Jennae Phillippe
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
2 Endorsed
West End, Tacoma, WA 98465  (Online Only)
Working through grief may be the hardest and most courageous thing any of us can do. Too many people feel alone, lost in their grief, unsure how to process such changes, or unable to let the loss go. Grief can show up in many different types of loss, and I am committed to helping people navigate complex feelings connected to the loss of relationships, jobs, identity, or loss of religion or spirituality. As a grief-focused therapist, my goal is to help clients understand and work through grief while honoring the past and remembering what or who has been lost. Don’t feel like you must take this journey alone.
Working through grief may be the hardest and most courageous thing any of us can do. Too many people feel alone, lost in their grief, unsure how to process such changes, or unable to let the loss go. Grief can show up in many different types of loss, and I am committed to helping people navigate complex feelings connected to the loss of relationships, jobs, identity, or loss of religion or spirituality. As a grief-focused therapist, my goal is to help clients understand and work through grief while honoring the past and remembering what or who has been lost. Don’t feel like you must take this journey alone.
(253) 364-1109 View (253) 364-1109
Photo of Alyshia Collins, LMHCA, MEd, Counselor
Alyshia Collins
Counselor, LMHCA, MEd
Verified Verified
West End, Tacoma, WA 98407  (Online Only)
I offer a personalized, collaborative, and integrative approach to therapy tailored to the unique needs of each individual. My therapeutic philosophy is rooted in compassion and a person-centered approach, which forms the cornerstone of my practice. I meet clients where they are in their journey, fostering a safe and supportive space for exploration and growth.
I offer a personalized, collaborative, and integrative approach to therapy tailored to the unique needs of each individual. My therapeutic philosophy is rooted in compassion and a person-centered approach, which forms the cornerstone of my practice. I meet clients where they are in their journey, fostering a safe and supportive space for exploration and growth.
(253) 367-4739 View (253) 367-4739
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How does your Therapist compare?

Number of Therapists in West End, Tacoma, WA

30+

Average cost per session

$150

Therapists in West End, Tacoma, WA who prioritize treating:

100% Anxiety
92% Depression
86% Self Esteem
81% Relationship Issues
81% Trauma and PTSD
78% Grief
70% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

79% Premera Blue Cross
58% Regence
47% First Choice Health | FCH

How Therapists in West End, Tacoma, WA see their clients

59% Online Only
41% In Person and Online

Gender breakdown

76% Female
24% Male
FAQs - About Therapy and Counseling

How can I find a therapist in West End, Tacoma?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.