Therapists in Vancouver, WA

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Photo of Kimberly Cantonwine, Counselor in Vancouver, WA
Kimberly Cantonwine
Counselor, LMHC
Verified Verified
Vancouver, WA 98662
Kimberly Cantonwine is a LMHC Graduated Western Seminary MA Counseling 2013 Kim's focus has been on bipolar, depression and anxiety with work in both residential and the hospital setting treating psychosis. Kim believes focusing on the development of a proper assessment to identify the needs of the client necessary to determine what approach will be the most effective. Usually it begin with CBT to identify thinking challenges and patterns of thought that have been developed. DBT will often be used to help the distress that comes up as one is making their way through the therapy process.
Kimberly Cantonwine is a LMHC Graduated Western Seminary MA Counseling 2013 Kim's focus has been on bipolar, depression and anxiety with work in both residential and the hospital setting treating psychosis. Kim believes focusing on the development of a proper assessment to identify the needs of the client necessary to determine what approach will be the most effective. Usually it begin with CBT to identify thinking challenges and patterns of thought that have been developed. DBT will often be used to help the distress that comes up as one is making their way through the therapy process.
(360) 615-2771 View (360) 615-2771
Photo of Travis Pieron, Counselor in Vancouver, WA
Travis Pieron
Counselor, EdS, MS, LMHC
Verified Verified
Vancouver, WA 98683
Immediate Openings for Cash Pay Clients (Sliding Scale Offered) Starting 2024. Contact me today. Do you often feel like you're not good enough? Feel like there is something wrong with you? Do you worry that the people you love with leave you? Do you worry that if you don't give into other people's wishes they will retaliate or reject you in some way? Ever feel like you find yourself repeating the same patterns over and over again? If you're ready to gain awareness of your relational patterns and break the cycle for good, the time is now, Reach out today
Immediate Openings for Cash Pay Clients (Sliding Scale Offered) Starting 2024. Contact me today. Do you often feel like you're not good enough? Feel like there is something wrong with you? Do you worry that the people you love with leave you? Do you worry that if you don't give into other people's wishes they will retaliate or reject you in some way? Ever feel like you find yourself repeating the same patterns over and over again? If you're ready to gain awareness of your relational patterns and break the cycle for good, the time is now, Reach out today
(833) 673-0944 View (833) 673-0944
Photo of Tania Santoso, Counselor in Vancouver, WA
Tania Santoso
Counselor
Verified Verified
1 Endorsed
Vancouver, WA 98684  (Online Only)
Embracing the spectrum of human experience, I collaborate with individuals of diverse ages, including children, adolescents, young adults, adults, and the elderly. I bring a wealth of experience and a passion for facilitating growth and healing, in navigating anxiety, depression, generational trauma, interpersonal conflict, and the multifaceted journey of self-discovery which includes guiding individuals through life's transitions, whether they be in relationships, careers, or personal identity. I'm committed to exploring with you what makes you unique, what you value, and what motivates you to achieve your goals.
Embracing the spectrum of human experience, I collaborate with individuals of diverse ages, including children, adolescents, young adults, adults, and the elderly. I bring a wealth of experience and a passion for facilitating growth and healing, in navigating anxiety, depression, generational trauma, interpersonal conflict, and the multifaceted journey of self-discovery which includes guiding individuals through life's transitions, whether they be in relationships, careers, or personal identity. I'm committed to exploring with you what makes you unique, what you value, and what motivates you to achieve your goals.
(360) 519-5650 x504 View (360) 519-5650 x504
Photo of Brittni Capps, Clinical Social Work/Therapist in Vancouver, WA
Brittni Capps
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Vancouver, WA 98662
Have you been struggling with anxiety and intrusive thoughts? Do you notice that your brain is controlling you instead of you controlling your brain? Is your childhood a not-so distant memory? Are you and your significant other struggling with communication, broken trust, or concerns with intimacy? Hi, I’m Brittni a therapist who firmly believes in the human capacity for growth and change. My goal is to compassionately help you explore and understand your struggles and concerns and how to reduce their impact on your life. At your pace, we can process your concerns while learning to navigate your physiological and emotional responses
Have you been struggling with anxiety and intrusive thoughts? Do you notice that your brain is controlling you instead of you controlling your brain? Is your childhood a not-so distant memory? Are you and your significant other struggling with communication, broken trust, or concerns with intimacy? Hi, I’m Brittni a therapist who firmly believes in the human capacity for growth and change. My goal is to compassionately help you explore and understand your struggles and concerns and how to reduce their impact on your life. At your pace, we can process your concerns while learning to navigate your physiological and emotional responses
(360) 512-7340 View (360) 512-7340
Photo of Mirit Markowitz, Counselor in Vancouver, WA
Mirit Markowitz
Counselor, MS, MHP, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98661  (Online Only)
Waitlist for new clients
Please email me times available and insurance if interested: My approach is open-hearted, humorous, evidence based interventions to assist and witness transformation and movement towards emotional and psychological liberation for people of all genders, sexual orientations and relationship expansive community. Non binary, transgender, Kinky, poly, non monogamous are welcome and embraced in my practice.
Please email me times available and insurance if interested: My approach is open-hearted, humorous, evidence based interventions to assist and witness transformation and movement towards emotional and psychological liberation for people of all genders, sexual orientations and relationship expansive community. Non binary, transgender, Kinky, poly, non monogamous are welcome and embraced in my practice.
(360) 685-1943 View (360) 685-1943
Photo of Fircrest Behavioral Health, Counselor in Vancouver, WA
Fircrest Behavioral Health
Counselor
Verified Verified
Vancouver, WA 98662
Our mission is to cultivate a community of compassion and respect for clinicians, individuals, and families through behavioral and mental health services, groups, public education, and resources
Our mission is to cultivate a community of compassion and respect for clinicians, individuals, and families through behavioral and mental health services, groups, public education, and resources
(360) 926-9563 View (360) 926-9563
Photo of Mindy Perry, Clinical Social Work/Therapist in Vancouver, WA
Mindy Perry
Clinical Social Work/Therapist, LCSW
Verified Verified
Vancouver, WA 98683
Mindy Perry is a licensed clinical social worker who has been in practice since 1998. She has a background in inpatient psychiatric, partial hospitalization, intensive outpatient program, and outpatient therapy. Mindy earned her bachelors in psychology from the University of California, Riverside and her master of social work from University of Denver. She has been offering outpatient psychotherapy since 2011 to adult individuals, couples and groups. Mindy comes from a position of partnering with the individual or couple to live according to their own values.
Mindy Perry is a licensed clinical social worker who has been in practice since 1998. She has a background in inpatient psychiatric, partial hospitalization, intensive outpatient program, and outpatient therapy. Mindy earned her bachelors in psychology from the University of California, Riverside and her master of social work from University of Denver. She has been offering outpatient psychotherapy since 2011 to adult individuals, couples and groups. Mindy comes from a position of partnering with the individual or couple to live according to their own values.
(360) 565-5879 View (360) 565-5879
Photo of Kelly S Anderson, Counselor in Vancouver, WA
Kelly S Anderson
Counselor, LMHCA
Verified Verified
Vancouver, WA 98662
The client/therapist relationship is at the center of positive change. Within the structure and safety of this relationship we will work together to treat anxiety, depression, relationship issues, work issues, goal attainment, and to increase overall life satisfaction. I approach this work with patience, acceptance, humor, and a firmly held believe in the ability for people to make positive change.
The client/therapist relationship is at the center of positive change. Within the structure and safety of this relationship we will work together to treat anxiety, depression, relationship issues, work issues, goal attainment, and to increase overall life satisfaction. I approach this work with patience, acceptance, humor, and a firmly held believe in the ability for people to make positive change.
(360) 245-6470 x9571 View (360) 245-6470 x9571
Photo of Samantha Adams, Pre-Licensed Professional in Vancouver, WA
Samantha Adams
Pre-Licensed Professional, BS
Verified Verified
1 Endorsed
Vancouver, WA 98685
Now seeing new clients in-person! I enjoy working with clients on a variety of issues including grief and loss, chronic illness and disability, trauma processing, life transitions, body image, family of origin concerns and generalized anxiety. I place great importance on providing a non-judgmental and safe space where clients can feel seen, cared for, respected, and encouraged to grow in their self-discovery and self-acceptance. My style is warm, compassionate, embodied, and collaborative. I am a graduate student counselor who is passionate about body liberation, anti-racism, and LGBTQIA affirming care.
Now seeing new clients in-person! I enjoy working with clients on a variety of issues including grief and loss, chronic illness and disability, trauma processing, life transitions, body image, family of origin concerns and generalized anxiety. I place great importance on providing a non-judgmental and safe space where clients can feel seen, cared for, respected, and encouraged to grow in their self-discovery and self-acceptance. My style is warm, compassionate, embodied, and collaborative. I am a graduate student counselor who is passionate about body liberation, anti-racism, and LGBTQIA affirming care.
(360) 309-0568 View (360) 309-0568
Photo of Dr. Anson L Service, Counselor in Vancouver, WA
Dr. Anson L Service
Counselor, PsyD, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98665
Specializing in ADHD and Autism assessment, especially being able to recognize ASD and ADHD in adults, Dr. Anson Service and his team are expert in the area of Autism and ADHD with short wait times. With over 13 years of experience working professionally with neurodivergent individuals, he and his team are committed to treating clients with unconditional positive regard, and respect to get to the source of the issues quickly. No judgement. No "know-it-all-ism". No weirdness. Our assessments are designed to be brief and thorough, without anxiety or fear. We get it.
Specializing in ADHD and Autism assessment, especially being able to recognize ASD and ADHD in adults, Dr. Anson Service and his team are expert in the area of Autism and ADHD with short wait times. With over 13 years of experience working professionally with neurodivergent individuals, he and his team are committed to treating clients with unconditional positive regard, and respect to get to the source of the issues quickly. No judgement. No "know-it-all-ism". No weirdness. Our assessments are designed to be brief and thorough, without anxiety or fear. We get it.
(360) 979-1613 View (360) 979-1613
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 Physician-Specialized Therapeutic Services , Psychologist in Vancouver, WA
Physician-Specialized Therapeutic Services
Psychologist, MA, PsyD
Verified Verified
Vancouver, WA 98686  (Online Only)
Seen as pillars of society, as a physician you may feel you have no one to turn to right now. The pre-pandemic statistics are especially upsetting: 29% of resident physicians experienced depression; 16% of emergency physicians met the criteria for a post-traumatic stress disorder diagnosis, & doctors have a higher risk of death by suicide compared to other professions. We stand to lose 1 doctor a day to suicide. The pandemic has been especially challenging for physicians, their families, & the medical community in general: doctors are experiencing burnout from new challenges they are encountering. Burnout is not a ride of passage.
Seen as pillars of society, as a physician you may feel you have no one to turn to right now. The pre-pandemic statistics are especially upsetting: 29% of resident physicians experienced depression; 16% of emergency physicians met the criteria for a post-traumatic stress disorder diagnosis, & doctors have a higher risk of death by suicide compared to other professions. We stand to lose 1 doctor a day to suicide. The pandemic has been especially challenging for physicians, their families, & the medical community in general: doctors are experiencing burnout from new challenges they are encountering. Burnout is not a ride of passage.
(360) 228-2952 View (360) 228-2952
Photo of Katrina L Barnes, Marriage & Family Therapist in Vancouver, WA
Katrina L Barnes
Marriage & Family Therapist, LMFT
Verified Verified
Vancouver, WA 98661
Open for new clients in some time spots. Healthier life means a balance in our relationships. Therapy can help by re-connecting mind, body, spirit and relationships with others. A change in one area often ties to threads in another. Brokenness in our primary relationships can disconnect family, work, community and culture. Together we can re-weave these threads through our stories about ourselves, and people around us. We can change the next chapter. What we do, who we are and what our relationships mean are all important. We need space to be unique and we also need relationships that provide closeness.
Open for new clients in some time spots. Healthier life means a balance in our relationships. Therapy can help by re-connecting mind, body, spirit and relationships with others. A change in one area often ties to threads in another. Brokenness in our primary relationships can disconnect family, work, community and culture. Together we can re-weave these threads through our stories about ourselves, and people around us. We can change the next chapter. What we do, who we are and what our relationships mean are all important. We need space to be unique and we also need relationships that provide closeness.
(360) 524-9351 View (360) 524-9351
Photo of Jesse A James, Drug & Alcohol Counselor in Vancouver, WA
Jesse A James
Drug & Alcohol Counselor, MS, CADCII, SUDP, SFBT-1, CC
Verified Verified
1 Endorsed
Vancouver, WA 98660
Are you seeking a path towards more positive life choices? Feeling trapped in a vortex of poor decisions? Maybe you're looking for assistance in establishing boundaries with your partner, or perhaps you're simply feeling adrift and in need of guidance. Regardless of your circumstances, I'm here to steer you towards an improved life. As a seasoned Military Veteran and accredited Life Coach, Recovery Coach, and Substance Abuse Counselor, I've dedicated myself to enabling individuals to unlock their full potential since 2005.
Are you seeking a path towards more positive life choices? Feeling trapped in a vortex of poor decisions? Maybe you're looking for assistance in establishing boundaries with your partner, or perhaps you're simply feeling adrift and in need of guidance. Regardless of your circumstances, I'm here to steer you towards an improved life. As a seasoned Military Veteran and accredited Life Coach, Recovery Coach, and Substance Abuse Counselor, I've dedicated myself to enabling individuals to unlock their full potential since 2005.
(360) 227-5941 View (360) 227-5941
Photo of Ashley Taylor, Psychologist in Vancouver, WA
Ashley Taylor
Psychologist, PsyD
Verified Verified
Vancouver, WA 98683
Dr. Taylor and her team at Wonder Tree Developmental Psychology integrate creativity, fun, and compassion into their work. We specialize in providing comprehensive, thoughtful, and trauma-informed services for children, teens, and adults including maternal/paternal mental health and support for pregnant and parenting families. We are able to provide thorough psychological, psycho-educational and trauma-informed evaluations to assess for ADHD, learning disabilities, trauma, attachment, autism, selective mutism, and more. We work collaboratively with parents, children, and teachers as needed.
Dr. Taylor and her team at Wonder Tree Developmental Psychology integrate creativity, fun, and compassion into their work. We specialize in providing comprehensive, thoughtful, and trauma-informed services for children, teens, and adults including maternal/paternal mental health and support for pregnant and parenting families. We are able to provide thorough psychological, psycho-educational and trauma-informed evaluations to assess for ADHD, learning disabilities, trauma, attachment, autism, selective mutism, and more. We work collaboratively with parents, children, and teachers as needed.
(360) 564-5082 View (360) 564-5082
Photo of Mariah Johnson, Counselor in Vancouver, WA
Mariah Johnson
Counselor
Verified Verified
1 Endorsed
Vancouver, WA 98684  (Online Only)
Going to therapy can be intimidating, and finding the right therapist can be difficult! I applaud you in making that stride and hope I can make the process easier for you. On that note, Hi! My name is Mariah and I love helping individuals who are making the journey to better themselves and improve their lives.
Going to therapy can be intimidating, and finding the right therapist can be difficult! I applaud you in making that stride and hope I can make the process easier for you. On that note, Hi! My name is Mariah and I love helping individuals who are making the journey to better themselves and improve their lives.
(509) 207-1323 View (509) 207-1323
Photo of Inness Pryor, Counselor in Vancouver, WA
Inness Pryor
Counselor, LMHC, LPC
Verified Verified
1 Endorsed
Vancouver, WA 98660  (Online Only)
On the surface, you have everything under control - yet you carry an iceberg's worth of emotion underneath. It's difficult to give space to your feelings and thoughts, or to communicate them to others. You're stuck in unhelpful patterns, but change feels threatening. Your life is filled with "shoulds," rules, and high expectations. You are often your own worst critic. You feel lonely, and you long to be seen - but the vulnerability that would require seems impossible. I can help you understand yourself and your experiences, get out of your comfort zone, and tap into joy.
On the surface, you have everything under control - yet you carry an iceberg's worth of emotion underneath. It's difficult to give space to your feelings and thoughts, or to communicate them to others. You're stuck in unhelpful patterns, but change feels threatening. Your life is filled with "shoulds," rules, and high expectations. You are often your own worst critic. You feel lonely, and you long to be seen - but the vulnerability that would require seems impossible. I can help you understand yourself and your experiences, get out of your comfort zone, and tap into joy.
View
Photo of Lujane Helwani, Pre-Licensed Professional in Vancouver, WA
Lujane Helwani
Pre-Licensed Professional
Verified Verified
1 Endorsed
Vancouver, WA 98682  (Online Only)
I enjoy and am qualified to help individuals, couples, or families navigate life's challenges, whether personal, with a partner, family, or peers. You will find that I am respectful, personable, open, knowledgeable, and humorous in my sessions. All faiths, or lack thereof, are welcome. I am experienced with grief, loss, trauma, PTSD, depression, anxiety, suicidal thoughts, bipolar, schizophrenia, autism, ODD, and OCD. My therapeutic approach involves collaborating with clients to identify and enlist their strengths or resources to improve their quality of life.
I enjoy and am qualified to help individuals, couples, or families navigate life's challenges, whether personal, with a partner, family, or peers. You will find that I am respectful, personable, open, knowledgeable, and humorous in my sessions. All faiths, or lack thereof, are welcome. I am experienced with grief, loss, trauma, PTSD, depression, anxiety, suicidal thoughts, bipolar, schizophrenia, autism, ODD, and OCD. My therapeutic approach involves collaborating with clients to identify and enlist their strengths or resources to improve their quality of life.
(360) 515-4722 View (360) 515-4722
Photo of Rebecca Pike, Psychologist in Vancouver, WA
Rebecca Pike
Psychologist
Verified Verified
Vancouver, WA 98662
Rebecca Pike is a psychologist who has been practicing since 2002. She graduated from George Fox University in Newberg, Oregon with a Psy. D. in Clinical Psychology. Rebecca believes in a collaborative, person-centered approach to therapy with psychologist and client working together as a team to achieve his/her/their desired outcomes. Her main areas of focus include treating anxiety/stressor-related disorders such as PTSD, GAD and Panic Disorder as well as mood disorders such as Depression and Bipolar Disorder.
Rebecca Pike is a psychologist who has been practicing since 2002. She graduated from George Fox University in Newberg, Oregon with a Psy. D. in Clinical Psychology. Rebecca believes in a collaborative, person-centered approach to therapy with psychologist and client working together as a team to achieve his/her/their desired outcomes. Her main areas of focus include treating anxiety/stressor-related disorders such as PTSD, GAD and Panic Disorder as well as mood disorders such as Depression and Bipolar Disorder.
(360) 585-4061 View (360) 585-4061
Photo of Active Path Mental Health, Clinical Social Work/Therapist in Vancouver, WA
Active Path Mental Health
Clinical Social Work/Therapist, LCSW
Verified Verified
Vancouver, WA 98683
Not accepting new clients
Are you looking for a safe space to discuss your mental health? My counseling style is calm and interactive. I believe in treating everyone with respect, sensitivity, individuality, and compassion. I work with clients who experience depression, anxiety, and postpartum. I believe the therapeutic relationship can be a rewarding and remarkable experience. I take great care in the work I do to understand your needs and am honored to witness and walk with you on your journey.
Are you looking for a safe space to discuss your mental health? My counseling style is calm and interactive. I believe in treating everyone with respect, sensitivity, individuality, and compassion. I work with clients who experience depression, anxiety, and postpartum. I believe the therapeutic relationship can be a rewarding and remarkable experience. I take great care in the work I do to understand your needs and am honored to witness and walk with you on your journey.
(360) 564-0822 View (360) 564-0822

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
76% 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
54% 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.