Therapists in Vancouver, WA

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Photo of Allison Chambers-Dixon, Psychologist in Vancouver, WA
Allison Chambers-Dixon
Psychologist, PsyD
Verified Verified
Vancouver, WA 98662
Allison is a licensed psychologist in Oregon and Washington. She has worked in private practice and university counseling settings and has extensive experience assisting adults with trauma reconciliation, disability and chronic illness, grief and loss, multicultural counseling, anxiety, depression, identity exploration, and building healthy and satisfying relationships. In addition, she has experience conducting psychological assessment.
Allison is a licensed psychologist in Oregon and Washington. She has worked in private practice and university counseling settings and has extensive experience assisting adults with trauma reconciliation, disability and chronic illness, grief and loss, multicultural counseling, anxiety, depression, identity exploration, and building healthy and satisfying relationships. In addition, she has experience conducting psychological assessment.
(360) 361-8410 View (360) 361-8410
Photo of Matthew Beeble, MA, LMHC , Counselor in Vancouver, WA
Matthew Beeble, MA, LMHC
Counselor, MA, LMHC, LPC
Verified Verified
5 Endorsed
Vancouver, WA 98660  (Online Only)
You already have what you need within yourself to experience fulfillment in your life. Unfortunately, there are many internal and external influences that can prevent this resulting in a feeling of falling short of who you should be. This can lead to a sense of being out of balance, feeling stuck and many of the symptoms that bring you to therapy. I believe that the most important task is to make meaning of your life by increasing awareness of your experience resulting in a new understanding and a feeling of peace and of being at home in your skin.
You already have what you need within yourself to experience fulfillment in your life. Unfortunately, there are many internal and external influences that can prevent this resulting in a feeling of falling short of who you should be. This can lead to a sense of being out of balance, feeling stuck and many of the symptoms that bring you to therapy. I believe that the most important task is to make meaning of your life by increasing awareness of your experience resulting in a new understanding and a feeling of peace and of being at home in your skin.
(360) 200-7192 View (360) 200-7192
Photo of Gina Kanagawa, Marriage & Family Therapist in Vancouver, WA
Gina Kanagawa
Marriage & Family Therapist, LMFT, ATR
Verified Verified
2 Endorsed
Vancouver, WA 98660
Do you struggle with managing stress, anxiety, depression, trauma, life transitions, grief and loss, or the challenges of neurodiversity? Or are you interested in experiencing the healing benefits of art therapy with a qualified and experienced specialist? Or are you the parent/caregiver of a child/teen who is struggling with their anxiety, depression, neurodiversity, trauma history, Misophonia, and/or big, baffling behaviors?
Do you struggle with managing stress, anxiety, depression, trauma, life transitions, grief and loss, or the challenges of neurodiversity? Or are you interested in experiencing the healing benefits of art therapy with a qualified and experienced specialist? Or are you the parent/caregiver of a child/teen who is struggling with their anxiety, depression, neurodiversity, trauma history, Misophonia, and/or big, baffling behaviors?
(360) 718-5813 View (360) 718-5813
Photo of Jerrica Ching, Counselor in Vancouver, WA
Jerrica Ching
Counselor, MA, LMHC, LPC, LMFT, CMHS
Verified Verified
3 Endorsed
Vancouver, WA 98662
Not accepting new clients
Hi there! I am not accepting any new clients at this time, but I appreciate your time and energy in learning about me! You may be at a point in your life where you feel strongly motivated for change and can imagine your desired outcome, yet you may feel unsure of how to start. I strongly believe that all people possess individual strengths and resources that are incredibly valuable and beneficial to the counseling process. I provide a space for you to identify your emotions, process life stressors, improve interactions with others, and increase your knowledge and use of effective and healthy coping skills.
Hi there! I am not accepting any new clients at this time, but I appreciate your time and energy in learning about me! You may be at a point in your life where you feel strongly motivated for change and can imagine your desired outcome, yet you may feel unsure of how to start. I strongly believe that all people possess individual strengths and resources that are incredibly valuable and beneficial to the counseling process. I provide a space for you to identify your emotions, process life stressors, improve interactions with others, and increase your knowledge and use of effective and healthy coping skills.
(855) 923-0147 View (855) 923-0147
Photo of Mackenzie Gottfried, Counselor in Vancouver, WA
Mackenzie Gottfried
Counselor, LMHC, LPC
Verified Verified
Vancouver, WA 98662
Mackenzie Gottfried is a Licensed Professional Counselor in Washington who has been practicing since 2020. She has a Bachelor of Arts: Human Services and Psychology from Southern Oregon University and a Graduate Degree: Professional Mental Health Counseling from Lewis and Clark College. Mackenzie has a passion for mental health counseling and uses curiosity as a tool to gain insight into the inner world of her clients to better understand and support them. She is excited to show up and work with clients in their development and growth in self-discovery.
Mackenzie Gottfried is a Licensed Professional Counselor in Washington who has been practicing since 2020. She has a Bachelor of Arts: Human Services and Psychology from Southern Oregon University and a Graduate Degree: Professional Mental Health Counseling from Lewis and Clark College. Mackenzie has a passion for mental health counseling and uses curiosity as a tool to gain insight into the inner world of her clients to better understand and support them. She is excited to show up and work with clients in their development and growth in self-discovery.
(360) 472-4921 View (360) 472-4921
Photo of Joy Wilson, Counselor in Vancouver, WA
Joy Wilson
Counselor, LMHCA
Verified Verified
2 Endorsed
Vancouver, WA 98684
Our life stories do not always have the fairy tale endings that we hoped for, but we are not mere puppets. We are active agents in pursuit of meaningful moments and positive outcomes. I will help you identify your strengths and collaborate with you to find solutions to challenges in your story. I strive to provide a counseling relationship in which you can feel safe, heard, and supported as you explore or process whatever you choose.
Our life stories do not always have the fairy tale endings that we hoped for, but we are not mere puppets. We are active agents in pursuit of meaningful moments and positive outcomes. I will help you identify your strengths and collaborate with you to find solutions to challenges in your story. I strive to provide a counseling relationship in which you can feel safe, heard, and supported as you explore or process whatever you choose.
(503) 850-8088 View (503) 850-8088
Photo of Alternative Behavioral Therapy, Counselor in Vancouver, WA
Alternative Behavioral Therapy
Counselor, MA, LMHC, BCN
Verified Verified
3 Endorsed
Vancouver, WA 98683
Alternative Behavioral Therapy specializes in the integration of talk therapy and Neurofeedback which is commonly used for the treatment and normalization of ADHD. We can incorporate this practice into PTSD, depression, sleep disorders, learning disabilities, anxiety, and much more. For those adept in this field, we practice Infra-low, SMR training, theta/beta ratio, and alpha-theta deep state processing as well as ISF (Infra-slow frequency training). For disorders resulting from trauma, EMDR may be incorporated as deemed appropriate. Other modality options may include Play Therapy or life coaching as well.
Alternative Behavioral Therapy specializes in the integration of talk therapy and Neurofeedback which is commonly used for the treatment and normalization of ADHD. We can incorporate this practice into PTSD, depression, sleep disorders, learning disabilities, anxiety, and much more. For those adept in this field, we practice Infra-low, SMR training, theta/beta ratio, and alpha-theta deep state processing as well as ISF (Infra-slow frequency training). For disorders resulting from trauma, EMDR may be incorporated as deemed appropriate. Other modality options may include Play Therapy or life coaching as well.
(855) 838-3053 View (855) 838-3053
Photo of Richard Golosinskiy, Counselor in Vancouver, WA
Richard Golosinskiy
Counselor, LMHCA, MA, NCC
Verified Verified
Vancouver, WA 98684
Depression, worry, anxiety, and fear can be crippling experiences. If you feel overwhelmed by these phenomena, I want to help you overcome these barriers. I believe that reflecting on life’s past and present relationships can offer insight into helping you redefine current and future relationships, experiences, and self. Re-evaluating beliefs and held attitudes can help you achieve your goals, create new experiences, and make informed choices that forge a more satisfying and fulfilling life. The digital age snuck in on us and provided with no room to breathe. As your therapist, I hope to help you work through this and gain clarity.
Depression, worry, anxiety, and fear can be crippling experiences. If you feel overwhelmed by these phenomena, I want to help you overcome these barriers. I believe that reflecting on life’s past and present relationships can offer insight into helping you redefine current and future relationships, experiences, and self. Re-evaluating beliefs and held attitudes can help you achieve your goals, create new experiences, and make informed choices that forge a more satisfying and fulfilling life. The digital age snuck in on us and provided with no room to breathe. As your therapist, I hope to help you work through this and gain clarity.
(360) 346-1476 x4 View (360) 346-1476 x4
Photo of Nicole Laurent, Counselor in Vancouver, WA
Nicole Laurent
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98664  (Online Only)
My ideal clients are individuals grappling with mental health challenges, seeking to explore the therapeutic potential of ketogenic diets as a metabolic intervention for symptom reduction. They are motivated to integrate metabolic, functional, and nutritional strategies with psychotherapy to address issues like mood disorders, anxiety, trauma, and cognitive function. These clients are looking for a comprehensive, biopsychosocial approach to improve their mental well-being and meet their wellness goals.
My ideal clients are individuals grappling with mental health challenges, seeking to explore the therapeutic potential of ketogenic diets as a metabolic intervention for symptom reduction. They are motivated to integrate metabolic, functional, and nutritional strategies with psychotherapy to address issues like mood disorders, anxiety, trauma, and cognitive function. These clients are looking for a comprehensive, biopsychosocial approach to improve their mental well-being and meet their wellness goals.
(425) 224-6633 View (425) 224-6633
Photo of Karl Reichert, Counselor in Vancouver, WA
Karl Reichert
Counselor, LMHC
Verified Verified
Vancouver, WA 98660  (Online Only)
Do you constantly feel like you’re slightly out of sync with most people? Maybe you frequently take things too literally. Maybe you constantly make movie reference quotes, but no one ever knows what you’re talking about. You shut down when you’re overwhelmed and you’ve been told that means you have depression—but you aren’t quite sure that’s right. One minute you’re in control of your emotions, and the next minute you’re lashing out at others. You don’t understand why you’re so overwhelmed this time, when you have previously handled situations like this with ease? Do you find yourself often anxious and avoidant of people and places?
Do you constantly feel like you’re slightly out of sync with most people? Maybe you frequently take things too literally. Maybe you constantly make movie reference quotes, but no one ever knows what you’re talking about. You shut down when you’re overwhelmed and you’ve been told that means you have depression—but you aren’t quite sure that’s right. One minute you’re in control of your emotions, and the next minute you’re lashing out at others. You don’t understand why you’re so overwhelmed this time, when you have previously handled situations like this with ease? Do you find yourself often anxious and avoidant of people and places?
(360) 448-1417 View (360) 448-1417
Photo of Jessalyn Jackson, Counselor in Vancouver, WA
Jessalyn Jackson
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98660  (Online Only)
I have a special interest in helping you discover what is truly possible for yourself and your life. Maybe you've found yourself in a cycle that you can't seem to get out of, missing out on what makes your life truly vital. I work closely with individuals who are struggling with life transitions, work-related stress, relationship issues, depression and anxiety. My goal is to walk alongside you as you reflect and make connections that propel your life forward in the direction that you want while gaining the tools to sustain it.
I have a special interest in helping you discover what is truly possible for yourself and your life. Maybe you've found yourself in a cycle that you can't seem to get out of, missing out on what makes your life truly vital. I work closely with individuals who are struggling with life transitions, work-related stress, relationship issues, depression and anxiety. My goal is to walk alongside you as you reflect and make connections that propel your life forward in the direction that you want while gaining the tools to sustain it.
(206) 752-4354 View (206) 752-4354
Photo of Samantha Lynes, Licensed Professional Counselor in Vancouver, WA
Samantha Lynes
Licensed Professional Counselor, LMHC
Verified Verified
Vancouver, WA 98662  (Online Only)
Samantha Lynes is a Licensed Mental Health Counselor (LMHC) who utilizes evidence-based practices and tailors her dialogue and treatment plans to meet the unique and specific needs of each client. Samantha specializes in depression, anxiety, self-esteem difficulties, life transitions, and trauma.
Samantha Lynes is a Licensed Mental Health Counselor (LMHC) who utilizes evidence-based practices and tailors her dialogue and treatment plans to meet the unique and specific needs of each client. Samantha specializes in depression, anxiety, self-esteem difficulties, life transitions, and trauma.
(360) 868-8094 View (360) 868-8094
Photo of Anne Tucker, Counselor in Vancouver, WA
Anne Tucker
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98661
Note: I am IN network with Kaiser. Through compassionate, professional counseling I am able to help people reduce anxiety and depression and lead more fulfilling lives. I work with adults of all ages with a focus on emerging adulthood (age 18-29). My specialties include helping people reduce the distressing symptoms related to anxiety, depression, concerning behaviors, life transition issues, and ADHD. During our sessions I will be engaged, interactive and provide helpful feedback as we work together to resolve the issues most relevant to you.
Note: I am IN network with Kaiser. Through compassionate, professional counseling I am able to help people reduce anxiety and depression and lead more fulfilling lives. I work with adults of all ages with a focus on emerging adulthood (age 18-29). My specialties include helping people reduce the distressing symptoms related to anxiety, depression, concerning behaviors, life transition issues, and ADHD. During our sessions I will be engaged, interactive and provide helpful feedback as we work together to resolve the issues most relevant to you.
(360) 780-7026 View (360) 780-7026
Photo of Adventure Psychological Services - ASD Testing, Psychologist in Vancouver, WA
Adventure Psychological Services - ASD Testing
Psychologist, PsyD, LMHC
Verified Verified
Vancouver, WA 98665
Therapy and counseling play a vital role in promoting mental health and overall well-being. It provides a unique opportunity for self-reflection and personal growth. By working with a trained therapist or counselor, individuals can develop healthier perspectives, and improve self-esteem. Therapy and counseling offer the guidance and tools necessary to navigate life’s challenges, improve mental health, and foster personal development. It is important that a therapist feels right to you and has the skills, education, and experience to best help you.
Therapy and counseling play a vital role in promoting mental health and overall well-being. It provides a unique opportunity for self-reflection and personal growth. By working with a trained therapist or counselor, individuals can develop healthier perspectives, and improve self-esteem. Therapy and counseling offer the guidance and tools necessary to navigate life’s challenges, improve mental health, and foster personal development. It is important that a therapist feels right to you and has the skills, education, and experience to best help you.
(360) 926-7393 View (360) 926-7393
Photo of Kristal Mathis, Counselor in Vancouver, WA
Kristal Mathis
Counselor, LMHC, MA, MFT, CMHS
Verified Verified
5 Endorsed
Vancouver, WA 98661
"The harder it is to be a teenager, the harder it is to be a parent of a teenager." Heartprints understands you want your teen to be succesful in relationships, school, and in life. We work together to give your teen the best possible chance for success. Having a healthy family takes hard work. Counseling focuses on positive changes benefiting everyone in the family.
"The harder it is to be a teenager, the harder it is to be a parent of a teenager." Heartprints understands you want your teen to be succesful in relationships, school, and in life. We work together to give your teen the best possible chance for success. Having a healthy family takes hard work. Counseling focuses on positive changes benefiting everyone in the family.
(360) 798-2058 View (360) 798-2058
Photo of Kristen Joy Dodson, Mental Health Counselor in Vancouver, WA
Kristen Joy Dodson
Mental Health Counselor, MA, LMHC, NCC
Verified Verified
Vancouver, WA 98684
Waitlist for new clients
Whether it shows up in how we view ourselves, how we respond and react in relationships or the ways we behave in our communities, our stories impact us in ways that we are often unaware. From our families of origin to our experiences of trauma, we learn and adapt ways to keep ourselves safe. When we are unable to process our experiences and stories, we often find that what we have adapted for our safety becomes the source of our conflict and discomfort. When we have the courage to re-enter and re-learn our stories, we grow in our compassion and understanding of ourselves in a way that leads to healing and freedom.
Whether it shows up in how we view ourselves, how we respond and react in relationships or the ways we behave in our communities, our stories impact us in ways that we are often unaware. From our families of origin to our experiences of trauma, we learn and adapt ways to keep ourselves safe. When we are unable to process our experiences and stories, we often find that what we have adapted for our safety becomes the source of our conflict and discomfort. When we have the courage to re-enter and re-learn our stories, we grow in our compassion and understanding of ourselves in a way that leads to healing and freedom.
(360) 774-4625 View (360) 774-4625
Photo of Mae Marie Soderquist-Bell, Counselor in Vancouver, WA
Mae Marie Soderquist-Bell
Counselor, MA, LMHC, LPC
Verified Verified
Vancouver, WA 98662  (Online Only)
Are you feeling overwhelmed? All of us experience seasons of unbalance, heartache, and emotional distress. My practice is centered on us co-authoring respectful and lasting solutions to the struggles you have experienced in the past or are presently experiencing. It is important to me for sessions to include: hopefulness, compassion, and a sense of humor. I am a Licensed Mental Health Counselor (LMHC) in Washington State. I also have a Professional Counselor License for the State of Oregon (LPC). I have worked at CHARIS Counseling Associates for over a decade. Before my counseling career, I was a high school teacher with PPS.
Are you feeling overwhelmed? All of us experience seasons of unbalance, heartache, and emotional distress. My practice is centered on us co-authoring respectful and lasting solutions to the struggles you have experienced in the past or are presently experiencing. It is important to me for sessions to include: hopefulness, compassion, and a sense of humor. I am a Licensed Mental Health Counselor (LMHC) in Washington State. I also have a Professional Counselor License for the State of Oregon (LPC). I have worked at CHARIS Counseling Associates for over a decade. Before my counseling career, I was a high school teacher with PPS.
(360) 450-0984 View (360) 450-0984
Photo of Mark Sheahan, Counselor in Vancouver, WA
Mark Sheahan
Counselor, LMHC
Verified Verified
Vancouver, WA 98683
Trauma, in its many forms, creates a barrier to joy. We endure symptoms and work hard to adjust, but sometimes it's hard to manage. Many people develop instinctive coping skills to survive, and yet, these survival skills create residual anxiety and depression. Each can lead to isolation. No one should be alone with these experiences. I hope to share my knowledge to help you manage your trauma. I'm an eclectic counselor, former teacher, and full-time empath trained multiple modalities. My background helping others has created a noticeable enthusiasm to connect and share in my client's story of growth and change.
Trauma, in its many forms, creates a barrier to joy. We endure symptoms and work hard to adjust, but sometimes it's hard to manage. Many people develop instinctive coping skills to survive, and yet, these survival skills create residual anxiety and depression. Each can lead to isolation. No one should be alone with these experiences. I hope to share my knowledge to help you manage your trauma. I'm an eclectic counselor, former teacher, and full-time empath trained multiple modalities. My background helping others has created a noticeable enthusiasm to connect and share in my client's story of growth and change.
(360) 401-8057 View (360) 401-8057
Photo of Madison Rubin, Counselor in Vancouver, WA
Madison Rubin
Counselor, LMHC
Verified Verified
Vancouver, WA 98662
Not accepting new clients
The pleasures in life are unfortunately coupled with pains and struggles that each person faces. However, each person’s struggles are unique and deserve to be attended to with care and compassion. Throughout therapy there may be painful moments and uncomfortable challenges and it is my goal to be a support, offer skills and interventions, and encourage continued growth. I utilize EMDR and other modalities to help manage and reduce symptoms that are experienced and help you on your path to healing.
The pleasures in life are unfortunately coupled with pains and struggles that each person faces. However, each person’s struggles are unique and deserve to be attended to with care and compassion. Throughout therapy there may be painful moments and uncomfortable challenges and it is my goal to be a support, offer skills and interventions, and encourage continued growth. I utilize EMDR and other modalities to help manage and reduce symptoms that are experienced and help you on your path to healing.
(360) 215-2936 View (360) 215-2936
Photo of Todd Gerson, Counselor in Vancouver, WA
Todd Gerson
Counselor, MSW, LMHC, LIACSW, MHP, CMHS
Verified Verified
Vancouver, WA 98660  (Online Only)
Waitlist for new clients
There is no one size fits all solution when it comes to therapy. In my practice, I tailor therapy to each individual’s needs by integrating relevant elements of evidence based approaches. I will be there to support and empower you as overcome you challenges and fulfill significant life goals. Seeing my clients overcome personal challenges is one of the most rewarding feeling I’ve known.
There is no one size fits all solution when it comes to therapy. In my practice, I tailor therapy to each individual’s needs by integrating relevant elements of evidence based approaches. I will be there to support and empower you as overcome you challenges and fulfill significant life goals. Seeing my clients overcome personal challenges is one of the most rewarding feeling I’ve known.
(206) 260-3320 View (206) 260-3320

How does your Therapist compare?

Number of Therapists in Vancouver, WA

800+

Average cost per session

$150

Therapists in Vancouver, WA who prioritize treating:

93% Anxiety
87% Depression
77% Trauma and PTSD
71% Relationship Issues
68% Self Esteem
67% Stress
66% Grief

Average years in practice

10 Years

Top 3 insurances accepted

71% Aetna
55% Cigna and Evernorth
51% UnitedHealthcare UHC | UBH

How Therapists in Vancouver, WA see their clients

66% In Person and Online
34% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Vancouver?

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.