Photo of Aj Hoeflinger, LMFT, Marriage & Family Therapist
Aj Hoeflinger
Marriage & Family Therapist, LMFT
Verified Verified
Portland, OR 97218  (Online Only)
Great to meet you! I am deeply passionate about mental health and dedicated to helping you overcome your challenges. With 15 years of experience, I provide a safe, non-judgmental space where you can explore your thoughts and feelings. I specialize in treating anxiety, relationship issues, and trauma, helping clients like you find peace and clarity.
Great to meet you! I am deeply passionate about mental health and dedicated to helping you overcome your challenges. With 15 years of experience, I provide a safe, non-judgmental space where you can explore your thoughts and feelings. I specialize in treating anxiety, relationship issues, and trauma, helping clients like you find peace and clarity.
(503) 997-5087 View (503) 997-5087
Photo of Monica Provence, MA, LMFT, Marriage & Family Therapist
Monica Provence
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Portland, OR 97218  (Online Only)
I am honored to build an affirmative practice that brings in-depth, contemporary, relational psychotherapy to my community. I hope to build therapeutic relationships that encourage my clients to process and fully experience emotions, move through depression and anxiety, and re-frame negative thoughts and patterns with a deeper understanding of their origins. Together, we engage bravely (and playfully) with unexamined thoughts, feelings and experiences!
I am honored to build an affirmative practice that brings in-depth, contemporary, relational psychotherapy to my community. I hope to build therapeutic relationships that encourage my clients to process and fully experience emotions, move through depression and anxiety, and re-frame negative thoughts and patterns with a deeper understanding of their origins. Together, we engage bravely (and playfully) with unexamined thoughts, feelings and experiences!
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Photo of Landon Berger, PsyD, Psychologist
Landon Berger
Psychologist, PsyD
Verified Verified
3 Endorsed
Portland, OR 97218  (Online Only)
Welcome. I believe that finding a safe space to share and reflect on our experiences is often the most important factor in healing. Given this space over time, we can make decisions that support our well-being on our own terms. I strive to create this calm and open-minded environment with a style that is curious, empathic, and honest. Using an integrative approach, we may use a variety of techniques and ideas to assist with your personal goals.
Welcome. I believe that finding a safe space to share and reflect on our experiences is often the most important factor in healing. Given this space over time, we can make decisions that support our well-being on our own terms. I strive to create this calm and open-minded environment with a style that is curious, empathic, and honest. Using an integrative approach, we may use a variety of techniques and ideas to assist with your personal goals.
(503) 213-6198 View (503) 213-6198
Photo of Katje Wagner, PhD, LPC, DiplPW, Licensed Professional Counselor
Katje Wagner
Licensed Professional Counselor, PhD, LPC, DiplPW
Verified Verified
Portland, OR 97218  (Online Only)
Welcome...I specialize in working with clients from a holistic health perspective. Together we will explore the struggles and desires surfacing in your life - whether emotional, relationships, health, career or the world at large. By approaching your experiences with respect and curiosity, we will discover what needs attention in your inner and outer realities in order to support healing, understanding, and fuel for your life direction. More at www.katjewagner.com
Welcome...I specialize in working with clients from a holistic health perspective. Together we will explore the struggles and desires surfacing in your life - whether emotional, relationships, health, career or the world at large. By approaching your experiences with respect and curiosity, we will discover what needs attention in your inner and outer realities in order to support healing, understanding, and fuel for your life direction. More at www.katjewagner.com
(503) 832-5791 View (503) 832-5791
Photo of Melissa Wijetunga, Licensed Professional Counselor
Melissa Wijetunga
Licensed Professional Counselor
Verified Verified
1 Endorsed
Portland, OR 97218  (Online Only)
Waitlist for new clients
Whether you are new to seeking therapy or are well-versed with the process, I am committed to creating a warm and respectful space to support your sense of self and potential for growth. I work with individuals including children, teens, and adults. Do you find it difficult to cope with the challenges of family, work, or school? Has a recent circumstance caused you to feel lost or uncertain? Have your past traumas distorted your self-view as someone who is broken or unworthy? You can heal and I’m here to help. Together, we’ll build upon the talents and skills you already have to reach your future goals.
Whether you are new to seeking therapy or are well-versed with the process, I am committed to creating a warm and respectful space to support your sense of self and potential for growth. I work with individuals including children, teens, and adults. Do you find it difficult to cope with the challenges of family, work, or school? Has a recent circumstance caused you to feel lost or uncertain? Have your past traumas distorted your self-view as someone who is broken or unworthy? You can heal and I’m here to help. Together, we’ll build upon the talents and skills you already have to reach your future goals.
(503) 563-8619 View (503) 563-8619
Photo of Colleen Quigley, LCSW, SIFI, Clinical Social Work/Therapist
Colleen Quigley
Clinical Social Work/Therapist, LCSW, SIFI
Verified Verified
1 Endorsed
Portland, OR 97218  (Online Only)
Are you experiencing difficulties in achieving sexual satisfaction or pleasure? Do you feel there's a gap between your sexual desires and how they align with your identity? Do you find it challenging to communicate openly about your sexual needs and preferences with your partner(s)? Are you exploring new facets of your sexuality and seeking guidance in doing so in a supportive, affirming environment? Has googling these questions left you more confused and frustrated? My mission as a sex therapist is to guide you through this journey of self-discovery and provide you with the sexual & relational skills that you are looking for.
Are you experiencing difficulties in achieving sexual satisfaction or pleasure? Do you feel there's a gap between your sexual desires and how they align with your identity? Do you find it challenging to communicate openly about your sexual needs and preferences with your partner(s)? Are you exploring new facets of your sexuality and seeking guidance in doing so in a supportive, affirming environment? Has googling these questions left you more confused and frustrated? My mission as a sex therapist is to guide you through this journey of self-discovery and provide you with the sexual & relational skills that you are looking for.
(347) 429-7998 View (347) 429-7998
Photo of Tirzah Jacob, LPC, Licensed Professional Counselor
Tirzah Jacob
Licensed Professional Counselor, LPC
Verified Verified
Portland, OR 97218  (Online Only)
We all have occasions throughout life that are particularly difficult or painful. During these times, additional emotional & social support are needed. Therapy is a helpful resource for navigating these inevitable challenges... it is a unique process, as it requires a willingness to look honestly within ourselves, assessing our strengths as well as our limitations. I enjoy working collaboratively with clients. Together we will explore the parts of life that you feel uneasy about, and then proactively develop strategies that can enable more peace of mind & a greater sense of well-being. Shifting from simply surviving... to thriving.
We all have occasions throughout life that are particularly difficult or painful. During these times, additional emotional & social support are needed. Therapy is a helpful resource for navigating these inevitable challenges... it is a unique process, as it requires a willingness to look honestly within ourselves, assessing our strengths as well as our limitations. I enjoy working collaboratively with clients. Together we will explore the parts of life that you feel uneasy about, and then proactively develop strategies that can enable more peace of mind & a greater sense of well-being. Shifting from simply surviving... to thriving.
(503) 342-7752 View (503) 342-7752
Photo of Carin Lee Cunningham, MA, LPC, Licensed Professional Counselor
Carin Lee Cunningham
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97218  (Online Only)
My goal is to meet the client where they are at and work together towards identifying what their struggles are, what gets in the way of addressing them and building skills to grow from there. Using mindfulness to increase awareness and understanding of the connection between mind and body we learn to recognize how emotions and other factors impact mood, attitude, attention and relationships. I view people through a trauma informed lens to ensure that all aspects of their past and present are considered possible influencers and may need to be better understood. I like to say my hope as your therapist is "helping you help yourself".
My goal is to meet the client where they are at and work together towards identifying what their struggles are, what gets in the way of addressing them and building skills to grow from there. Using mindfulness to increase awareness and understanding of the connection between mind and body we learn to recognize how emotions and other factors impact mood, attitude, attention and relationships. I view people through a trauma informed lens to ensure that all aspects of their past and present are considered possible influencers and may need to be better understood. I like to say my hope as your therapist is "helping you help yourself".
(503) 300-4019 View (503) 300-4019
Photo of Cara Haaga, MA, Pre-Licensed Professional
Cara Haaga
Pre-Licensed Professional, MA
Verified Verified
Portland, OR 97218
Not accepting new clients
Now offering walk and talk sessions! I am passionate about working with adult individuals who feel stuck or disconnected with life. I enjoy working with people to feel more balance, self-acceptance, and build agency in their own lives. My clients might have had traumatic experiences in their lives, be struggling with anxiety or depression, or live with bipolar disorder. My hope is to provide you an opportunity for growth through connecting with yourself and your emotions, building skills to identify and manage symptoms, learning how to strengthen your relationships, and to feel that you are living an authentic and intentional life.
Now offering walk and talk sessions! I am passionate about working with adult individuals who feel stuck or disconnected with life. I enjoy working with people to feel more balance, self-acceptance, and build agency in their own lives. My clients might have had traumatic experiences in their lives, be struggling with anxiety or depression, or live with bipolar disorder. My hope is to provide you an opportunity for growth through connecting with yourself and your emotions, building skills to identify and manage symptoms, learning how to strengthen your relationships, and to feel that you are living an authentic and intentional life.
(503) 783-8356 View (503) 783-8356
Photo of Michelle Sarchiapone, PCA, Pre-Licensed Professional
Michelle Sarchiapone
Pre-Licensed Professional, PCA
Verified Verified
3 Endorsed
Portland, OR 97218
I draw on over 25 years of experience with somatics, mindfulness/meditation, and the creative arts to bring a unique synergy of skills to my counseling approach. In our sessions, you can expect to go beyond conventional therapy, merging somatic practices with a deep exploration into your emotional world and, often, what lies beyond the self. In our time together, we will engage with your body's wisdom and reimagine personal narratives, turning these insights into practical actions for holistic healing and self-growth.
I draw on over 25 years of experience with somatics, mindfulness/meditation, and the creative arts to bring a unique synergy of skills to my counseling approach. In our sessions, you can expect to go beyond conventional therapy, merging somatic practices with a deep exploration into your emotional world and, often, what lies beyond the self. In our time together, we will engage with your body's wisdom and reimagine personal narratives, turning these insights into practical actions for holistic healing and self-growth.
(971) 278-9293 View (971) 278-9293
Photo of Ajna Rae, MA, LPC, Licensed Professional Counselor
Ajna Rae
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Portland, OR 97218  (Online Only)
Perhaps you are realizing that compassionate, supportive, non-judgmental support is what will brace you for the next steps in your personal journey. I am here. My collaborative therapeutic approach is rooted in mindful awareness and acceptance, informed by relational and attachment models, and guided by an appreciation of each person’s unique existential search for meaning. I aim to foster a space where you can engage in your present experience, show up as you are, and find awareness, choice, and support in the life that awaits you.
Perhaps you are realizing that compassionate, supportive, non-judgmental support is what will brace you for the next steps in your personal journey. I am here. My collaborative therapeutic approach is rooted in mindful awareness and acceptance, informed by relational and attachment models, and guided by an appreciation of each person’s unique existential search for meaning. I aim to foster a space where you can engage in your present experience, show up as you are, and find awareness, choice, and support in the life that awaits you.
(503) 461-0842 View (503) 461-0842
Photo of Emily Johnson, MS,  LPC,  LMFT, Licensed Professional Counselor
Emily Johnson
Licensed Professional Counselor, MS, LPC, LMFT
Verified Verified
Portland, OR 97218
Services Offered Emily has experience working with people of all ages. She enjoys working with individuals, couples, and families. Emily enjoys reading and listening to audiobooks. Hiking the Colombia River Gorge with her family and friends is one of her favorite things to do. She enjoys cooking and baking new recipes.
Services Offered Emily has experience working with people of all ages. She enjoys working with individuals, couples, and families. Emily enjoys reading and listening to audiobooks. Hiking the Colombia River Gorge with her family and friends is one of her favorite things to do. She enjoys cooking and baking new recipes.
(833) 996-1403 View (833) 996-1403
Photo of Emily Schomann, MA,  LPC, Licensed Professional Counselor
Emily Schomann
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97218
My philosophy of counseling is based on the belief that the client possesses the power to change, and that it is my role to help the client become aware of how to understand and utilize that power. I operate from a systemic approach in which I consider all the interactions a client is having with their family and community and suggest alternatives that might lead to the changes a client desires. I accept whatever goals and frameworks the client and/or family bring to sessions, and attempt to work within their framework to help folks achieve what they desire. I work in English and attempt to be culturally relevant in my suggestions.
My philosophy of counseling is based on the belief that the client possesses the power to change, and that it is my role to help the client become aware of how to understand and utilize that power. I operate from a systemic approach in which I consider all the interactions a client is having with their family and community and suggest alternatives that might lead to the changes a client desires. I accept whatever goals and frameworks the client and/or family bring to sessions, and attempt to work within their framework to help folks achieve what they desire. I work in English and attempt to be culturally relevant in my suggestions.
(833) 996-1403 View (833) 996-1403
Photo of Ariana Moran, PsyD, Psychologist
Ariana Moran
Psychologist, PsyD
Verified Verified
4 Endorsed
Portland, OR 97218  (Online Only)
I do NOT take insurance. Everyone has a story and I want to hear yours. I will help you to develop awareness and empowerment so that you can heal your relationship with yourself and be in charge of your own life. I work from a fundamentally nonjudgmental lens and I view clients holistically, taking in all of the parts and pieces that make you who you are. I will never see you as a diagnosis. Goodness of fit is critical and I will personalize therapy to meet your unique needs. You might come in with one concern in mind, only to find out it's all connected! I believe humor and unconventional thinking will take us far.
I do NOT take insurance. Everyone has a story and I want to hear yours. I will help you to develop awareness and empowerment so that you can heal your relationship with yourself and be in charge of your own life. I work from a fundamentally nonjudgmental lens and I view clients holistically, taking in all of the parts and pieces that make you who you are. I will never see you as a diagnosis. Goodness of fit is critical and I will personalize therapy to meet your unique needs. You might come in with one concern in mind, only to find out it's all connected! I believe humor and unconventional thinking will take us far.
(347) 983-6251 View (347) 983-6251
Photo of Lauren La Riva, MS,  LPC, Licensed Professional Counselor
Lauren La Riva
Licensed Professional Counselor, MS, LPC
Verified Verified
Portland, OR 97218
Lauren believes in Cognitive Behavioral Therapy and Solution-Focused Therapy: Changing thinking patterns can lead to improvements in mood and behavior. Setting measurable goals and problem-solving to figure out the best way to reach them can create positive changes in your life and give you tools to overcome obstacles. Her main areas of focus include depression, anxiety, ADHD, and trauma. In her spare time, Lauren enjoys drawing, painting, playing piano, and knitting. Services Offered: Individual Therapy
Lauren believes in Cognitive Behavioral Therapy and Solution-Focused Therapy: Changing thinking patterns can lead to improvements in mood and behavior. Setting measurable goals and problem-solving to figure out the best way to reach them can create positive changes in your life and give you tools to overcome obstacles. Her main areas of focus include depression, anxiety, ADHD, and trauma. In her spare time, Lauren enjoys drawing, painting, playing piano, and knitting. Services Offered: Individual Therapy
(833) 996-1403 View (833) 996-1403
Photo of Jennifer Cooper, MSW,  LPC, Licensed Professional Counselor
Jennifer Cooper
Licensed Professional Counselor, MSW, LPC
Verified Verified
Portland, OR 97218
Jennifer believes that the capacity and potential to change is within every person. She works in partnership with clients to develop a deeper understanding of individual strengths, personal challenges, and inner wisdom to facilitate moving through life authentically with a sense of meaning and intention. Her approach is integrative within existential, interpersonal, humanistic, and mindfulnessbased traditions, with an emphasis in developing insight, awareness and empathy for self, living in the present moment, and finding personal meaning.
Jennifer believes that the capacity and potential to change is within every person. She works in partnership with clients to develop a deeper understanding of individual strengths, personal challenges, and inner wisdom to facilitate moving through life authentically with a sense of meaning and intention. Her approach is integrative within existential, interpersonal, humanistic, and mindfulnessbased traditions, with an emphasis in developing insight, awareness and empathy for self, living in the present moment, and finding personal meaning.
(833) 996-1403 View (833) 996-1403
Photo of Blake Wallace, MSW,  CSWA
Blake Wallace
Clinical Social Work Associate, MSW, CSWA
Verified Verified
Portland, OR 97218
Blake Wallace is a QMHP in Oregon who has been practicing since 2024. He earned a Master of Social Work at Pacific University. Blake provides deeper therapy through a dynamic lens by exploring the intricate layers of the mind and the profound influence of early life experiences. By delving into the roots of emotional conflicts and unresolved issues, Blake helps his clients uncover hidden patterns and motivations that shape their current behavior and emotional state. This approach facilitates a deeper understanding of oneself, fostering insight and promoting lasting psychological growth.
Blake Wallace is a QMHP in Oregon who has been practicing since 2024. He earned a Master of Social Work at Pacific University. Blake provides deeper therapy through a dynamic lens by exploring the intricate layers of the mind and the profound influence of early life experiences. By delving into the roots of emotional conflicts and unresolved issues, Blake helps his clients uncover hidden patterns and motivations that shape their current behavior and emotional state. This approach facilitates a deeper understanding of oneself, fostering insight and promoting lasting psychological growth.
(833) 996-1403 View (833) 996-1403
Photo of Mary Chakhtoura, MSW,  QMHP
Mary Chakhtoura
Clinical Social Work Associate, MSW, QMHP
Verified Verified
Portland, OR 97218
Mary Chakhtoura, CSWA Mary Chakhtoura is a Certified Social Worker Associate in Oregon who has been practicing since 2021. She has a BA Humanities degree and a Master of Social Work degree. Mary helps clients by understanding that they are so much more than their problems and that none of us exist in a vacuum. Mary helps clients become their own therapists by learning about the relationships between thoughts, emotions, and behavior. Clients will learn to identify the cultural factors, core beliefs, assumptions, and dysfunctional automatic thoughts that are contributing to their problems.
Mary Chakhtoura, CSWA Mary Chakhtoura is a Certified Social Worker Associate in Oregon who has been practicing since 2021. She has a BA Humanities degree and a Master of Social Work degree. Mary helps clients by understanding that they are so much more than their problems and that none of us exist in a vacuum. Mary helps clients become their own therapists by learning about the relationships between thoughts, emotions, and behavior. Clients will learn to identify the cultural factors, core beliefs, assumptions, and dysfunctional automatic thoughts that are contributing to their problems.
(833) 996-1403 View (833) 996-1403
Photo of Alberta Torres, MSW,  LCSW, Clinical Social Work/Therapist
Alberta Torres
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Portland, OR 97218
Alberta's approach to therapy is holistic, taking into consideration the multiple and diverse factors that influence thoughts, emotions, and behaviors, including life stages, cultural diversity, and spirituality. She is committed to creating a safe space and compassionately working in partnership with her clients to build strong therapeutic relationships, and together explore new paths toward healing, growth, and positive change. Alberta provides therapy in English and Spanish and works with teens, adults and elders to address trauma, loss and working through difficult life transitions.
Alberta's approach to therapy is holistic, taking into consideration the multiple and diverse factors that influence thoughts, emotions, and behaviors, including life stages, cultural diversity, and spirituality. She is committed to creating a safe space and compassionately working in partnership with her clients to build strong therapeutic relationships, and together explore new paths toward healing, growth, and positive change. Alberta provides therapy in English and Spanish and works with teens, adults and elders to address trauma, loss and working through difficult life transitions.
(833) 996-1403 View (833) 996-1403
Photo of Riley Shaffer, CSWA
Riley Shaffer
Clinical Social Work Associate, CSWA
Verified Verified
Portland, OR 97218
Riley Shaffer is a Clinical Social Work Associate in Oregon who has been practicing since 2021. She has studied at Boston University School of Social Work and Boston University School of Public Health. Riley’s approach in therapy is authentic, adaptive, creative, and collaborative. She uses an empathicperson centered approach to think and works with each individual to find what part(s) of therapy may be best for them. Riley works to support clients in (re)finding and illuminating their internal and external strengths and resources.
Riley Shaffer is a Clinical Social Work Associate in Oregon who has been practicing since 2021. She has studied at Boston University School of Social Work and Boston University School of Public Health. Riley’s approach in therapy is authentic, adaptive, creative, and collaborative. She uses an empathicperson centered approach to think and works with each individual to find what part(s) of therapy may be best for them. Riley works to support clients in (re)finding and illuminating their internal and external strengths and resources.
(833) 996-1403 View (833) 996-1403
1

How does your Therapist compare?

Number of Therapists in 97218

30+

Average cost per session

$177

Therapists in 97218 who prioritize treating:

97% Anxiety
94% Depression
89% Trauma and PTSD
69% Grief
60% Life Transitions
54% Relationship Issues
49% Stress

Average years in practice

9 Years

Top 3 insurances accepted

66% Aetna
66% PacificSource
62% Other

How Therapists in 97218 see their clients

52% In Person and Online
48% Online Only

Gender breakdown

78% Female
17% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 97218?

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.