Photo of Adrienne Wiens, LMFT, Marriage & Family Therapist
Adrienne Wiens
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Salem, OR 97303  (Online Only)
Not accepting new clients
Welcome, I'm glad you've stopped by. Please note I do not offer couples therapy, only individual therapy for adults. If you've been struggling lately to feel good about yourself, your relationships, manage your mood, or you've noticed past trauma is sneaking its way into your current life, things can quickly become overwhelming. It can make it hard to get through the day-to-day grind, and that can leave anyone feeling unfulfilled and even hopeless.
Welcome, I'm glad you've stopped by. Please note I do not offer couples therapy, only individual therapy for adults. If you've been struggling lately to feel good about yourself, your relationships, manage your mood, or you've noticed past trauma is sneaking its way into your current life, things can quickly become overwhelming. It can make it hard to get through the day-to-day grind, and that can leave anyone feeling unfulfilled and even hopeless.
(503) 306-0804 View (503) 306-0804
Photo of Ashley S DeLaRosa, MS, LPC, Licensed Professional Counselor
Ashley S DeLaRosa
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Keizer, OR 97303  (Online Only)
Wonderful to meet you! My name is Ashley DeLaRosa and I am a Licensed Professional Counselor in the state of Oregon. I have over twenty years of experience working with a wide range of diverse populations including people with anxiety, depression, trauma, grief and loss as well as relationship challenges and major life changes. I’m a strong believer in creating a positive, affirming therapeutic environment where you can feel at ease to share what is really concerning you and what challenges you are currently facing. Together we will work on an action plan to help you reach your goals in an efficient and supportive way.
Wonderful to meet you! My name is Ashley DeLaRosa and I am a Licensed Professional Counselor in the state of Oregon. I have over twenty years of experience working with a wide range of diverse populations including people with anxiety, depression, trauma, grief and loss as well as relationship challenges and major life changes. I’m a strong believer in creating a positive, affirming therapeutic environment where you can feel at ease to share what is really concerning you and what challenges you are currently facing. Together we will work on an action plan to help you reach your goals in an efficient and supportive way.
(971) 431-8551 View (971) 431-8551
Photo of Brianne DeYoung, MA, LPC, Licensed Professional Counselor
Brianne DeYoung
Licensed Professional Counselor, MA, LPC
Verified Verified
Salem, OR 97303
Life is a continual marathon, growth is an ongoing process, success is not defined by a tangible finish line and we as humans can do hard things; however, sometimes seeking therapy helps us get through hard things with the help and guidance of another person. At times, we are able to manage and navigate our struggles and other times our struggles are overwhelmingly difficult. If you feel that you have reached a point where would like assistance improving mental or emotional distress, then you have come to the right place! Email me or visit www.arisecounselingservice.com today!
Life is a continual marathon, growth is an ongoing process, success is not defined by a tangible finish line and we as humans can do hard things; however, sometimes seeking therapy helps us get through hard things with the help and guidance of another person. At times, we are able to manage and navigate our struggles and other times our struggles are overwhelmingly difficult. If you feel that you have reached a point where would like assistance improving mental or emotional distress, then you have come to the right place! Email me or visit www.arisecounselingservice.com today!
(503) 386-0335 View (503) 386-0335
Photo of Nayely Millan, MA
Nayely Millan
Professional Counselor Associate, MA
Verified Verified
1 Endorsed
Keizer, OR 97303  (Online Only)
Yo ofrezco terapia bilingüe y podemos comunicarnos en español, inglés o ambos, según su preferencia. I have lived in the West Coast my entire life. I am a mom, a wife, and the oldest daughter of Mexican immigrants. I understand firsthand the pressures that come from living up to the expectations of fulfilling the mythical "American Dream." I firmly believe in rehabilitation; to me, this means a person is not their past actions, and every person has the capacity for positive change. Allow me to provide you with a judgment-free space to discuss specific issues, explore existential questions, and/or enhance your overall well-being.
Yo ofrezco terapia bilingüe y podemos comunicarnos en español, inglés o ambos, según su preferencia. I have lived in the West Coast my entire life. I am a mom, a wife, and the oldest daughter of Mexican immigrants. I understand firsthand the pressures that come from living up to the expectations of fulfilling the mythical "American Dream." I firmly believe in rehabilitation; to me, this means a person is not their past actions, and every person has the capacity for positive change. Allow me to provide you with a judgment-free space to discuss specific issues, explore existential questions, and/or enhance your overall well-being.
(971) 290-2689 View (971) 290-2689
Photo of Joel Cox, LCSW, Clinical Social Work/Therapist
Joel Cox
Clinical Social Work/Therapist, LCSW
Verified Verified
Keizer, OR 97303
I am a licensed clinical social worker in Oregon. I work with individuals, couples and teens experiencing emotional, physical and social challenges. I enjoy the process of helping people find the strength and resources to better navigate life’s obstacles.
I am a licensed clinical social worker in Oregon. I work with individuals, couples and teens experiencing emotional, physical and social challenges. I enjoy the process of helping people find the strength and resources to better navigate life’s obstacles.
(971) 232-4222 View (971) 232-4222
Photo of Dolores Saenz Davila Individualized Care, MSSW, LCSW S, Clinical Social Work/Therapist
Dolores Saenz Davila Individualized Care
Clinical Social Work/Therapist, MSSW, LCSW S
Verified Verified
1 Endorsed
Keizer, OR 97303  (Online Only)
Hello I am bilingual in Spanish and culturally sensitive. Seeking assistance during difficult times is no easy task and acknowledging that we need help is the most difficult first step. Life is not always easy. I find working with parents, children and adolescents, and working professionals to be very rewarding as we work together during your process of change. It brings me such gratitude to be a part of your healing process as we work on life transitions, trauma, LGBTQIA+ concerns, stress, anxiety, or depression. Please don't hesitate to email.
Hello I am bilingual in Spanish and culturally sensitive. Seeking assistance during difficult times is no easy task and acknowledging that we need help is the most difficult first step. Life is not always easy. I find working with parents, children and adolescents, and working professionals to be very rewarding as we work together during your process of change. It brings me such gratitude to be a part of your healing process as we work on life transitions, trauma, LGBTQIA+ concerns, stress, anxiety, or depression. Please don't hesitate to email.
(458) 214-2735 View (458) 214-2735
Photo of Cassandra Aglietti - Evergreen Therapy & Trauma Services, LCSW, Clinical Social Work/Therapist
Evergreen Therapy & Trauma Services
Clinical Social Work/Therapist, LCSW
Verified Verified
Keizer, OR 97303
Cassandra Aglietti, LCSW. I am a licensed clinical social work therapist (LCSW). I have been dedicated to working with children and families since 2013. Navigating the complexities of depression, anxiety, and trauma can be a challenging journey, and I'm here to offer support tailored to your unique needs in my practice. I work with couples, and individuals over the age of twelve. With experience working with individuals and veterans impacted by traumatic events, I have a trauma-focused approach to healing from unresolved trauma and grief, and I tailor my approach to individuals, couples, and families based on their desired goals.
Cassandra Aglietti, LCSW. I am a licensed clinical social work therapist (LCSW). I have been dedicated to working with children and families since 2013. Navigating the complexities of depression, anxiety, and trauma can be a challenging journey, and I'm here to offer support tailored to your unique needs in my practice. I work with couples, and individuals over the age of twelve. With experience working with individuals and veterans impacted by traumatic events, I have a trauma-focused approach to healing from unresolved trauma and grief, and I tailor my approach to individuals, couples, and families based on their desired goals.
(971) 385-4944 View (971) 385-4944
Photo of Martha Witt - Witt Health & Wellness, LLC, MS, LPC, Licensed Professional Counselor
Witt Health & Wellness, LLC
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Keizer, OR 97303  (Online Only)
With over a decade of experience in the mental health field, my experience is well rounded. My opportunities have allowed me the privilege to help persons of all backgrounds, ages, races and cultures. I believe with adequate support & resources all persons have the power, within them, to make changes needed for life satisfaction. Originally from Mexico I know all to well how life can present barriers. I believe, my experiences as an immigrant, a victim of trauma, a single parent and divorcee are at the root of my skills as a helper.
With over a decade of experience in the mental health field, my experience is well rounded. My opportunities have allowed me the privilege to help persons of all backgrounds, ages, races and cultures. I believe with adequate support & resources all persons have the power, within them, to make changes needed for life satisfaction. Originally from Mexico I know all to well how life can present barriers. I believe, my experiences as an immigrant, a victim of trauma, a single parent and divorcee are at the root of my skills as a helper.
(971) 298-8154 View (971) 298-8154
Photo of Stephanie Lynn Vieu, MS, LPC, CADC, II, Licensed Professional Counselor
Stephanie Lynn Vieu
Licensed Professional Counselor, MS, LPC, CADC, II
Verified Verified
Salem, OR 97303
I am a mental health therapist who specializes in trauma and addiction issues. I also often work from a family systems theory basis. I have combined experience as a counselor, educator and social worker for over 22 years. My therapeutic philosophy and approach is to offer empathy and compassion working to understand the whole person perspective and I am a strong advocate to help my clients empower themselves. I offer energy healing work and other alternative therapies as part of my practice such as Hypnosis to include traditional methods of therapeutic intervention.
I am a mental health therapist who specializes in trauma and addiction issues. I also often work from a family systems theory basis. I have combined experience as a counselor, educator and social worker for over 22 years. My therapeutic philosophy and approach is to offer empathy and compassion working to understand the whole person perspective and I am a strong advocate to help my clients empower themselves. I offer energy healing work and other alternative therapies as part of my practice such as Hypnosis to include traditional methods of therapeutic intervention.
(503) 445-3094 View (503) 445-3094
Photo of Jonathan West-Gray, MS, LPC, Licensed Professional Counselor
Jonathan West-Gray
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Salem, OR 97303  (Online Only)
Sometimes life can present us with enormous challenges. Other times it might be life’s cumulative little difficulties that slowly weigh us down over time. Perhaps you have been experiencing sadness or anxiety and are unsure of how to address such discomfort. Maybe you believe that you could benefit from embracing a new perspective. In therapy we can work on issues of depression, anxiety, grief, minority stress, and identity issues. I also specialize in religious abuse/trauma in gender and sexual minority populations, and am passionate about helping clients heal from their pasts and learn to live lives consistent with their values.
Sometimes life can present us with enormous challenges. Other times it might be life’s cumulative little difficulties that slowly weigh us down over time. Perhaps you have been experiencing sadness or anxiety and are unsure of how to address such discomfort. Maybe you believe that you could benefit from embracing a new perspective. In therapy we can work on issues of depression, anxiety, grief, minority stress, and identity issues. I also specialize in religious abuse/trauma in gender and sexual minority populations, and am passionate about helping clients heal from their pasts and learn to live lives consistent with their values.
(971) 255-5439 View (971) 255-5439
Photo of Holly Zell - Garnet Counseling, MA, NCC, Licensed Professional Counselor
Garnet Counseling
Licensed Professional Counselor, MA, NCC
Verified Verified
Salem, OR 97303  (Online Only)
Schedule a free initial consult online via my website! Holly Zell, LPC - online counseling for clients across the state of Oregon. I believe the people who end up seeking my services live life outside of the boxes that were handed to them. Sometimes that can be a really tough path! It can also be incredibly rewarding to truly discover and learn to love your authentic self. You are good enough just the way you are!
Schedule a free initial consult online via my website! Holly Zell, LPC - online counseling for clients across the state of Oregon. I believe the people who end up seeking my services live life outside of the boxes that were handed to them. Sometimes that can be a really tough path! It can also be incredibly rewarding to truly discover and learn to love your authentic self. You are good enough just the way you are!
(503) 447-4763 View (503) 447-4763
Photo of Julie N Ford, MSW, LCSW, CCTP, Clinical Social Work/Therapist
Julie N Ford
Clinical Social Work/Therapist, MSW, LCSW, CCTP
Verified Verified
Salem, OR 97303
From personal experience, I know how hard navigating the ups and downs of modern life can be. Debilitating thoughts like, “I’m not enough,” become barriers to progression. This brand of negative self-talk often leaves one feeling stuck and using whatever means necessary to alleviate the pain. I work from a philosophy that all emotions are “good” emotions. Like positive emotions, hard emotions give you insight into who you are and what's important to you. I believe the answers to creating a life worth living reside inside each one of us. My job is to help you uncover your unique ability to manage the challenges life throws your way.
From personal experience, I know how hard navigating the ups and downs of modern life can be. Debilitating thoughts like, “I’m not enough,” become barriers to progression. This brand of negative self-talk often leaves one feeling stuck and using whatever means necessary to alleviate the pain. I work from a philosophy that all emotions are “good” emotions. Like positive emotions, hard emotions give you insight into who you are and what's important to you. I believe the answers to creating a life worth living reside inside each one of us. My job is to help you uncover your unique ability to manage the challenges life throws your way.
(541) 229-4153 View (541) 229-4153
Photo of Frankie Lemmons - Frankie Lemmons Counseling, MA, LMHC, MFT-A, Marriage & Family Therapist Intern
Frankie Lemmons Counseling
Marriage & Family Therapist Intern, MA, LMHC, MFT-A
Verified Verified
2 Endorsed
Keizer, OR 97303  (Online Only)
I currently have openings for new clients—individuals, couples, and families—in Oregon and Washington State. If you feel stuck, I am here to walk alongside you, gain a deeper understanding of who you are and what you’ve experienced, and collaborate on a plan and pace for change that best serves you.
I currently have openings for new clients—individuals, couples, and families—in Oregon and Washington State. If you feel stuck, I am here to walk alongside you, gain a deeper understanding of who you are and what you’ve experienced, and collaborate on a plan and pace for change that best serves you.
(971) 224-7892 View (971) 224-7892
Photo of Jennifer Moore, MA, LPC, LMHC, Licensed Professional Counselor
Jennifer Moore
Licensed Professional Counselor, MA, LPC, LMHC
Verified Verified
2 Endorsed
Keizer, OR 97303  (Online Only)
Depressed? Stuck? Anxious? The decision to enter into therapy is a courageous one. If you are considering taking this step, chances are you have tried many avenues already and are feeling hopeless things could change or be any better. I have a special interest in helping adults build competence and confidence in navigating their unique life circumstances more effectively and adaptively. I can help you identify and live the life that is most meaningful to you.
Depressed? Stuck? Anxious? The decision to enter into therapy is a courageous one. If you are considering taking this step, chances are you have tried many avenues already and are feeling hopeless things could change or be any better. I have a special interest in helping adults build competence and confidence in navigating their unique life circumstances more effectively and adaptively. I can help you identify and live the life that is most meaningful to you.
(503) 917-3332 View (503) 917-3332
Photo of Sara DeVaney, LCSW, MAC, CADC l, Clinical Social Work/Therapist
Sara DeVaney
Clinical Social Work/Therapist, LCSW, MAC, CADC l
Verified Verified
1 Endorsed
Salem, OR 97303  (Online Only)
Are you going through a transition? Have kids left the house? Want a career change? Recent loss or separation? Feeling lost, confused, depressed, anxious, stressed? Can you imagine how spectacular it would be to have a step by step plan for your future? How incredible it would feel to know how to relieve stress, anxiety, and depression? To feel excitement for your future versus despair. Everyone has a story, that should be heard, I aid to create a safe, non-judgmental space for healing to begin. Or... are you seeking LCSW licensure in the state of Oregon, I am available to provide clinical supervision.
Are you going through a transition? Have kids left the house? Want a career change? Recent loss or separation? Feeling lost, confused, depressed, anxious, stressed? Can you imagine how spectacular it would be to have a step by step plan for your future? How incredible it would feel to know how to relieve stress, anxiety, and depression? To feel excitement for your future versus despair. Everyone has a story, that should be heard, I aid to create a safe, non-judgmental space for healing to begin. Or... are you seeking LCSW licensure in the state of Oregon, I am available to provide clinical supervision.
(503) 744-7091 View (503) 744-7091
Photo of Stacie Savelich, MA, Pre-Licensed Professional
Stacie Savelich
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Keizer, OR 97303
My passion is to create a space that will honor the uniquely created person you are. By incorporating the physical, spiritual, and mental aspects of who you are, optimal health and growth can be achieved.
My passion is to create a space that will honor the uniquely created person you are. By incorporating the physical, spiritual, and mental aspects of who you are, optimal health and growth can be achieved.
(971) 318-2672 View (971) 318-2672
Photo of Kevin R Reilly, MA, LPC, NCC, Licensed Professional Counselor
Kevin R Reilly
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Keizer, OR 97303
I specialize in working with adults and children with intellectual and developmental disabilities and their families as they pursue lifelong goals. I count it a privilege to assist people as they seek to grow towards their best quality of life. I provide a value-based approach to decision making and behavioral interventions while assisting people to experience positive change through the therapy process. I work with them to help recognize and develop a growth mindset focused on personal strengths. I acknowledge the need for human dignity and promote mental, emotional and spiritual well being.
I specialize in working with adults and children with intellectual and developmental disabilities and their families as they pursue lifelong goals. I count it a privilege to assist people as they seek to grow towards their best quality of life. I provide a value-based approach to decision making and behavioral interventions while assisting people to experience positive change through the therapy process. I work with them to help recognize and develop a growth mindset focused on personal strengths. I acknowledge the need for human dignity and promote mental, emotional and spiritual well being.
(971) 297-3642 View (971) 297-3642
Be Still and Grow Counseling
Clinical Social Work/Therapist, PhD, LMFT, LPCA
Verified Verified
Keizer, OR 97303
Welcome! We know that choosing a counselor is an important decision. Be Still and Grow Counseling, a new clinic in Salem/Keizer, provides a safe place for individuals, couples and teens, seeking to heal and grow. Each of our master’s level professional counselors has been trained in various modalities to be able to offer skillful, caring therapy for people struggling with emotional, relational and mental health issues including anxiety, depression, stress, trauma, relationship issues, grief as well as performance issues (sports etc).
Welcome! We know that choosing a counselor is an important decision. Be Still and Grow Counseling, a new clinic in Salem/Keizer, provides a safe place for individuals, couples and teens, seeking to heal and grow. Each of our master’s level professional counselors has been trained in various modalities to be able to offer skillful, caring therapy for people struggling with emotional, relational and mental health issues including anxiety, depression, stress, trauma, relationship issues, grief as well as performance issues (sports etc).
(971) 447-0908 View (971) 447-0908
Photo of Robert Gitelson, LCSW, Clinical Social Work/Therapist
Robert Gitelson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Keizer, OR 97303
Not accepting new clients
Over the past 34 years, I have had the amazing opportunity to collaboratively work with clients, being supportive and providing gentle guidance as they learned to identify, clarify, and develop effective coping skills to manage and resolve the stress in their lives. Whether you are experiencing depression, anxiety, trying to cope with parenting concerns, Adult Attention Deficit Hyperactivity Disorder, marital stress/conflict, self-esteem challenges, or a variety of life struggles; I believe that my client-centered therapeutic approach will assist you in gaining greater self-awareness and emotional growth.
Over the past 34 years, I have had the amazing opportunity to collaboratively work with clients, being supportive and providing gentle guidance as they learned to identify, clarify, and develop effective coping skills to manage and resolve the stress in their lives. Whether you are experiencing depression, anxiety, trying to cope with parenting concerns, Adult Attention Deficit Hyperactivity Disorder, marital stress/conflict, self-esteem challenges, or a variety of life struggles; I believe that my client-centered therapeutic approach will assist you in gaining greater self-awareness and emotional growth.
(503) 374-1488 View (503) 374-1488
Photo of Angie Terhorst, LMFT, Marriage & Family Therapist
Angie Terhorst
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Keizer, OR 97303  (Online Only)
One of my greatest rewards as a therapist is helping clients explore ways to make changes in their lives that will allow them to look forward to the future with hope and live fully in the present. I believe we all need someone to talk with, who will really listen and accept us as we are, without judgement. I provide clients with a warm, non-judgmental environment; a safe place to explore the issues that may be preventing them from living the life they want. I have a heart for helping others find deeper meaning and a sense of purpose.
One of my greatest rewards as a therapist is helping clients explore ways to make changes in their lives that will allow them to look forward to the future with hope and live fully in the present. I believe we all need someone to talk with, who will really listen and accept us as we are, without judgement. I provide clients with a warm, non-judgmental environment; a safe place to explore the issues that may be preventing them from living the life they want. I have a heart for helping others find deeper meaning and a sense of purpose.
(541) 234-8348 View (541) 234-8348
1

How does your Therapist compare?

Number of Therapists in 97303

100+

Average cost per session

$170

Therapists in 97303 who prioritize treating:

90% Anxiety
89% Depression
77% Trauma and PTSD
73% Stress
72% Coping Skills
70% Self Esteem
66% Relationship Issues

Average years in practice

10 Years

Top 3 insurances accepted

76% PacificSource
53% Providence
50% Oregon Health Plan (OHP)

How Therapists in 97303 see their clients

72% In Person and Online
28% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 97303?

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.