Therapists in Portland, OR

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Photo of Kathleen Barnes, Clinical Social Work/Therapist in Portland, OR
Kathleen Barnes
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Portland, OR 97205  (Online Only)
My name is Kathleen Barnes, and I am a Licensed Clinical Social Worker. I graduated from University of Southern California with my MSW in children, family and military clinical social work. I have experience working with diverse populations using many counseling techniques to include Dialectical Behavior Therapy, Cognitive Behavioral Therapy Protocol, Cognitive Processing Therapy, Trauma therapy, Motivational therapy and Brief Intervention Solution-based focused therapy. My experience is with individuals that struggle from stress and anxiety from everyday life to severe or mild mental health symptoms and trauma/PTSD.
My name is Kathleen Barnes, and I am a Licensed Clinical Social Worker. I graduated from University of Southern California with my MSW in children, family and military clinical social work. I have experience working with diverse populations using many counseling techniques to include Dialectical Behavior Therapy, Cognitive Behavioral Therapy Protocol, Cognitive Processing Therapy, Trauma therapy, Motivational therapy and Brief Intervention Solution-based focused therapy. My experience is with individuals that struggle from stress and anxiety from everyday life to severe or mild mental health symptoms and trauma/PTSD.
(971) 320-7376 View (971) 320-7376
Photo of Dr. Jenna LeJeune, Psychologist in Portland, OR
Dr. Jenna LeJeune
Psychologist, PhD
Verified Verified
1 Endorsed
Portland, OR 97227
I provide focused, time-limited psychotherapy for individuals who are stuck and who want to make changes in their lives. This approach allows my clients to make real and impactful changes over a relatively short period of time. My commitment is to help the people I work with live lives that are more meaningful and fulfilling. I utilize empirically supported treatments, particularly Acceptance and Commitment Therapy, an evidence-based therapy. Most importantly, I strive to always treat clients with dignity, respect, and compassion as I work to help them create for themselves the kind of meaningful life they desire.
I provide focused, time-limited psychotherapy for individuals who are stuck and who want to make changes in their lives. This approach allows my clients to make real and impactful changes over a relatively short period of time. My commitment is to help the people I work with live lives that are more meaningful and fulfilling. I utilize empirically supported treatments, particularly Acceptance and Commitment Therapy, an evidence-based therapy. Most importantly, I strive to always treat clients with dignity, respect, and compassion as I work to help them create for themselves the kind of meaningful life they desire.
(971) 224-7639 View (971) 224-7639
Photo of Margeaux Wilkinson, Psychologist in Portland, OR
Margeaux Wilkinson
Psychologist, PsyD
Verified Verified
Portland, OR 97239
Not accepting new clients
I am a licensed clinical psychologist with experience working in both community mental health and private practice settings. My practice is broad in scope, treating teens and adults from diverse backgrounds who are struggling with a variety of difficulties. From my years of work with kids and teens, I also provide consultation to help parents best support their child or teen through difficult life transitions or symptoms.
I am a licensed clinical psychologist with experience working in both community mental health and private practice settings. My practice is broad in scope, treating teens and adults from diverse backgrounds who are struggling with a variety of difficulties. From my years of work with kids and teens, I also provide consultation to help parents best support their child or teen through difficult life transitions or symptoms.
(971) 252-5358 View (971) 252-5358
Photo of Carla Canfield, Clinical Social Work/Therapist in Portland, OR
Carla Canfield
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97232
*Practice and waitlist currently full* If you have been considering couples therapy, I encourage you to reach out. The problems you face can seem overwhelming, but the type of couples therapy I practice (Emotionally Focused Couples Therapy) is very effective at helping you achieve the loving, trusting relationship you deserve. Therapy with me is nonjudgmental, compassionate and practical. I look for destructive patterns in your relationship and help you find your way back to one another.
*Practice and waitlist currently full* If you have been considering couples therapy, I encourage you to reach out. The problems you face can seem overwhelming, but the type of couples therapy I practice (Emotionally Focused Couples Therapy) is very effective at helping you achieve the loving, trusting relationship you deserve. Therapy with me is nonjudgmental, compassionate and practical. I look for destructive patterns in your relationship and help you find your way back to one another.
(503) 446-6228 View (503) 446-6228
Photo of Monica Provence, Marriage & Family Therapist in Portland, OR
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 Kristi Tasker, Clinical Social Work/Therapist in Portland, OR
Kristi Tasker
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97225
Kristi has over 23 years of experience providing therapeutic interventions across the lifespan. She received her Masters degree from Syracuse University, and spent 10 years in community mental health in Northern NY. For the past 12 years she has been a part of a large group practice individual therapy to adults. Her primary interest is working with adult individuals who are struggling with ADHD, anxiety, depression, grief and life stage changes. Kristi welcomes diverse populations and works to provide a safe space for anyone seeking therapy.
Kristi has over 23 years of experience providing therapeutic interventions across the lifespan. She received her Masters degree from Syracuse University, and spent 10 years in community mental health in Northern NY. For the past 12 years she has been a part of a large group practice individual therapy to adults. Her primary interest is working with adult individuals who are struggling with ADHD, anxiety, depression, grief and life stage changes. Kristi welcomes diverse populations and works to provide a safe space for anyone seeking therapy.
(503) 852-5673 View (503) 852-5673
Photo of Dr. Teni Davoudian, Psychologist in Portland, OR
Dr. Teni Davoudian
Psychologist, PhD
Verified Verified
Portland, OR 97204  (Online Only)
While I treat a wide variety of psychological disorders, I also specialize in working with individuals and couples who are experiencing pre- and post-natal mood and anxiety disorders. Getting pregnant, giving birth, and raising a child are all stressful experiences and depression and anxiety are actually quite common. My goal is to assist clients in learning how to manage stress, and provide clients with emotional support and the right skills to help clients and/or their partners thrive.
While I treat a wide variety of psychological disorders, I also specialize in working with individuals and couples who are experiencing pre- and post-natal mood and anxiety disorders. Getting pregnant, giving birth, and raising a child are all stressful experiences and depression and anxiety are actually quite common. My goal is to assist clients in learning how to manage stress, and provide clients with emotional support and the right skills to help clients and/or their partners thrive.
(971) 247-1408 View (971) 247-1408
Photo of Emma Slater, Licensed Professional Counselor in Portland, OR
Emma Slater
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97212
There are many different approaches to therapy. What works for one person might not work for another. By developing a strong therapeutic relationship we will find what works best. I approach sessions in a warm, interactive, collaborative and individualized way. It is my goal to create a safe, nonjudgmental environment to explore and process the things that are impacting you in your daily life. We all have a history and are doing the best we can with what we know, if we address barriers and unhelpful behaviors we can continue to improve and live a more satisfying life.
There are many different approaches to therapy. What works for one person might not work for another. By developing a strong therapeutic relationship we will find what works best. I approach sessions in a warm, interactive, collaborative and individualized way. It is my goal to create a safe, nonjudgmental environment to explore and process the things that are impacting you in your daily life. We all have a history and are doing the best we can with what we know, if we address barriers and unhelpful behaviors we can continue to improve and live a more satisfying life.
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Photo of Shelley Sauer, Licensed Professional Counselor in Portland, OR
Shelley Sauer
Licensed Professional Counselor, MS, LPC
Verified Verified
4 Endorsed
Portland, OR 97225  (Online Only)
Not accepting new clients
Life inevitably involves some pain, but it is not necessary to suffer needlessly. If you seek some relief and would like a greater degree of peace, I may be able to help. What I offer is to support you in finding clarity, and then accessing your inherent wisdom to develop a kinder, sometimes more realistic perspective, and some steps toward relief or beginnings of a solution. I bring a compassionate and educated approach, and actively collaborate with you on what could be most helpful.
Life inevitably involves some pain, but it is not necessary to suffer needlessly. If you seek some relief and would like a greater degree of peace, I may be able to help. What I offer is to support you in finding clarity, and then accessing your inherent wisdom to develop a kinder, sometimes more realistic perspective, and some steps toward relief or beginnings of a solution. I bring a compassionate and educated approach, and actively collaborate with you on what could be most helpful.
(503) 567-4490 View (503) 567-4490
Photo of Calm & Courage Therapy, Licensed Professional Counselor in Portland, OR
Calm & Courage Therapy
Licensed Professional Counselor, LPC, ATR-P
Verified Verified
3 Endorsed
Portland, OR 97216
Not accepting new clients
I believe "kids do well if they can." I want to help you and the people in your life figure out what you need to do well. Using person-centered, mindfulness and somatic based, and Collaborative Problem Solving strategies, I've also helped adults find success, since so much of therapy is about patterns formed in childhood for anyone. Creating a space for healing and growth, finding humor in the hard, making connections for healing through healthy relationships gives you opportunities to move past trauma and feelings of overwhelm, anxiety or sadness. There is so much hope for you.
I believe "kids do well if they can." I want to help you and the people in your life figure out what you need to do well. Using person-centered, mindfulness and somatic based, and Collaborative Problem Solving strategies, I've also helped adults find success, since so much of therapy is about patterns formed in childhood for anyone. Creating a space for healing and growth, finding humor in the hard, making connections for healing through healthy relationships gives you opportunities to move past trauma and feelings of overwhelm, anxiety or sadness. There is so much hope for you.
(971) 351-3455 View (971) 351-3455
Photo of Erica Weber, Clinical Social Work/Therapist in Portland, OR
Erica Weber
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97232
I believe that it is important to find a therapist that is a good fit for you. There are many wonderful therapists, but it is important for you to feel that you are understood, supported, and sometimes gently challenged by your therapist. I will ask you to identify what you want help with or what you are feeling distress around and then will actively work with you toward your goals.
I believe that it is important to find a therapist that is a good fit for you. There are many wonderful therapists, but it is important for you to feel that you are understood, supported, and sometimes gently challenged by your therapist. I will ask you to identify what you want help with or what you are feeling distress around and then will actively work with you toward your goals.
(503) 476-9119 View (503) 476-9119
Photo of Freeland Shreve, Pre-Licensed Professional in Portland, OR
Freeland Shreve
Pre-Licensed Professional
Verified Verified
2 Endorsed
Portland, OR 97221
Accepting new clients starting in 01/2024. My approach is based on the belief that we all have the power to heal and find meaning, yet sometimes we need help doing it. I welcome clients who are struggling with anxiety, stress, or daily challenges and specialize in grief, end-of-life anxiety, and psychedelic integration. Together we will create a supportive, non-judgmental, and collaborative space for this work, emphasizing transparency and trust. I agree with Alan Watts: “When you’re freed from being out to improve yourself, your own nature will begin to take over.” We’re all doing the best we can with what we’ve been given.
Accepting new clients starting in 01/2024. My approach is based on the belief that we all have the power to heal and find meaning, yet sometimes we need help doing it. I welcome clients who are struggling with anxiety, stress, or daily challenges and specialize in grief, end-of-life anxiety, and psychedelic integration. Together we will create a supportive, non-judgmental, and collaborative space for this work, emphasizing transparency and trust. I agree with Alan Watts: “When you’re freed from being out to improve yourself, your own nature will begin to take over.” We’re all doing the best we can with what we’ve been given.
(503) 486-7898 View (503) 486-7898
Photo of Patrick Welly, Marriage & Family Therapist in Portland, OR
Patrick Welly
Marriage & Family Therapist, MA, LMFT, Jungian, Analyst
Verified Verified
Portland, OR 97212
Are you looking for a Jungian Analyst to help you navigate the tension of opposites and live life more deeply, passionately, and intentionally? My practice is rooted primarily in the relationship between my client and myself. It draws upon metaphor; experiental learning; traditional methods of analytical psychology (life narrative, dream exploration, authentic movement, exploring the intersubjective field between us) meditation; visualization; and spiritual inquiry.
Are you looking for a Jungian Analyst to help you navigate the tension of opposites and live life more deeply, passionately, and intentionally? My practice is rooted primarily in the relationship between my client and myself. It draws upon metaphor; experiental learning; traditional methods of analytical psychology (life narrative, dream exploration, authentic movement, exploring the intersubjective field between us) meditation; visualization; and spiritual inquiry.
(971) 248-0987 View (971) 248-0987
Photo of Katje Wagner, Licensed Professional Counselor in Portland, OR
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 Jillynn Garcia, Marriage & Family Therapist in Portland, OR
Jillynn Garcia
Marriage & Family Therapist, LMFT, LCAT, ATR-BC
Verified Verified
1 Endorsed
Portland, OR 97202  (Online Only)
Not accepting new clients
I am a humanistic, strengths-based queer identified therapist. I have 20+ years experience supporting clients from the LGBTQIA2S+ community, neurodivergent clients and individuals navigating trauma, anxiety, depression and various life transitions. I believe that trust is the foundation of a healthy therapeutic relationship and as such, I commit to showing up to our work together as authentically, and with as much transparency, as possible. I will support you in exploring the deeper questions related to whatever challenge you are navigating and hold space for you as you explore the thoughts, feelings and insights that arise.
I am a humanistic, strengths-based queer identified therapist. I have 20+ years experience supporting clients from the LGBTQIA2S+ community, neurodivergent clients and individuals navigating trauma, anxiety, depression and various life transitions. I believe that trust is the foundation of a healthy therapeutic relationship and as such, I commit to showing up to our work together as authentically, and with as much transparency, as possible. I will support you in exploring the deeper questions related to whatever challenge you are navigating and hold space for you as you explore the thoughts, feelings and insights that arise.
(503) 479-2095 View (503) 479-2095
Photo of Lua Weatherdon, Clinical Social Work/Therapist in Portland, OR
Lua Weatherdon
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Portland, OR 97225
Not accepting new clients
It's difficult to admit we are not where we want to be in our lives. It is painful when we are overwhelmed by sadness, anger, or worry. Attending counseling is an act of self-love and courage. You know yourself, and where you long to go. We work together to help you get there. Whether your distress is acute, or subtle, managed, or uncontrolled, it will lead to a lack of mental, physical and spiritual health. Unresolved anger, trauma, neglect, hurt, and family dysfunction will keep you stuck and block you from realizing your full potential.
It's difficult to admit we are not where we want to be in our lives. It is painful when we are overwhelmed by sadness, anger, or worry. Attending counseling is an act of self-love and courage. You know yourself, and where you long to go. We work together to help you get there. Whether your distress is acute, or subtle, managed, or uncontrolled, it will lead to a lack of mental, physical and spiritual health. Unresolved anger, trauma, neglect, hurt, and family dysfunction will keep you stuck and block you from realizing your full potential.
(503) 694-3469 View (503) 694-3469
Photo of Andrea J. Wright Johnston, Marriage & Family Therapist in Portland, OR
Andrea J. Wright Johnston
Marriage & Family Therapist, MA, LMFT
Verified Verified
7 Endorsed
Portland, OR 97213  (Online Only)
We work to create new awareness, new knowledge and new possibilities. You can have an empowered family and a happy state of mind through therapy. I work with individuals and families to build harmony and health in their relationships. I specialize in sex therapy and am an effective life coach. I approach each person and family with attention to mental and physical health, with consideration to relational, social and spiritual influences.
We work to create new awareness, new knowledge and new possibilities. You can have an empowered family and a happy state of mind through therapy. I work with individuals and families to build harmony and health in their relationships. I specialize in sex therapy and am an effective life coach. I approach each person and family with attention to mental and physical health, with consideration to relational, social and spiritual influences.
(503) 405-4321 View (503) 405-4321
Photo of Fatema Rashid, Professional Counselor Associate in Portland, OR
Fatema Rashid
Professional Counselor Associate, MA
Verified Verified
Portland, OR 97209
Accepting new clients! I believe that darkness is an opportunity to find our true light. Book today to discover your own truth. I see clients who are experiencing attachment wounds, past traumatic experiences, grief, and who want a new way to approach their healing. The journey towards self-discovery if often accompanied by pain and loneliness. We may feel overwhelmed by emotions and get stuck in unhealthy patterns that we struggle to recognize. We need someone who will sit with us in our pain and darkness without judgment. I strive to create a safe, non-judgmental, and inclusive space for all individuals to explore their emotions.
Accepting new clients! I believe that darkness is an opportunity to find our true light. Book today to discover your own truth. I see clients who are experiencing attachment wounds, past traumatic experiences, grief, and who want a new way to approach their healing. The journey towards self-discovery if often accompanied by pain and loneliness. We may feel overwhelmed by emotions and get stuck in unhealthy patterns that we struggle to recognize. We need someone who will sit with us in our pain and darkness without judgment. I strive to create a safe, non-judgmental, and inclusive space for all individuals to explore their emotions.
(503) 300-6413 View (503) 300-6413
Photo of Clara Villalobos Andino, Marriage & Family Therapist Associate in Portland, OR
Clara Villalobos Andino
Marriage & Family Therapist Associate, LMFT-A
Verified Verified
1 Endorsed
Portland, OR 97202  (Online Only)
As a therapist, I am a firm believer that all people have the ability to learn, adapt and grow through their relationship to themselves, and others, in compassionate and productive ways. I believe that each client knows their lived experience best and that there is inherent value in understanding larger societal forces that affect our interactions, relationships and lives. As a multilingual and multicultural person, I provide culturally relevant therapy and facilitate a sustainable, non-judgmental experience in my practice.
As a therapist, I am a firm believer that all people have the ability to learn, adapt and grow through their relationship to themselves, and others, in compassionate and productive ways. I believe that each client knows their lived experience best and that there is inherent value in understanding larger societal forces that affect our interactions, relationships and lives. As a multilingual and multicultural person, I provide culturally relevant therapy and facilitate a sustainable, non-judgmental experience in my practice.
(503) 594-4736 View (503) 594-4736
Photo of Behjat Sedighi, Pre-Licensed Professional in Portland, OR
Behjat Sedighi
Pre-Licensed Professional, MA
Verified Verified
2 Endorsed
Portland, OR 97207
Waitlist for new clients
“The wound is the place where the light enters you” – Rumi. Life stressors can contribute to feelings of anxiety, depression, loneliness, and even hopelessness. If you are feeling any of these, know that you are not alone. I trust in the power of therapy to re-examine stressful situations in a therapeutic environment. I am passionate about working with children, families, individuals, and couples to help identify barriers and dysfunctions; and to help facilitate positive changes to reinstate normal functions.
“The wound is the place where the light enters you” – Rumi. Life stressors can contribute to feelings of anxiety, depression, loneliness, and even hopelessness. If you are feeling any of these, know that you are not alone. I trust in the power of therapy to re-examine stressful situations in a therapeutic environment. I am passionate about working with children, families, individuals, and couples to help identify barriers and dysfunctions; and to help facilitate positive changes to reinstate normal functions.
(971) 248-7998 View (971) 248-7998

How does your Therapist compare?

Number of Therapists in Portland, OR

3,000+

Average cost per session

$160

Therapists in Portland, OR who prioritize treating:

91% Anxiety
85% Depression
78% Relationship Issues
76% Self Esteem
73% Trauma and PTSD
70% Stress
67% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

54% PacificSource
47% Aetna
38% BlueCross and BlueShield

How Therapists in Portland, OR see their clients

56% In Person and Online
44% Online Only

Gender breakdown

75% Female
21% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Portland?

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.