Therapists in Vancouver, WA

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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 Pacific NW Relational Therapy, PLLC, Psychologist in Vancouver, WA
Pacific NW Relational Therapy, PLLC
Psychologist, PsyD
Verified Verified
7 Endorsed
Vancouver, WA 98662  (Online Only)
Currently accepting new clients. Trauma, attachment, + identity impact people in different ways. Do you often feel detached or numb? Do you avoid thinking about the past or self-medicate? Are you concerned about your parenting? Do you often find yourself in difficult relationships? Are you concerned about your memory? Do you feel sad or anxious a lot? Are you "stuck" in the same pattern? Do you have trouble trusting people? Are you irritable most of the time? Do you feel like you don't know yourself or your purpose? Do you feel incomplete or want meaning in life? If you answered yes to any-I believe I could be a good fit for you.
Currently accepting new clients. Trauma, attachment, + identity impact people in different ways. Do you often feel detached or numb? Do you avoid thinking about the past or self-medicate? Are you concerned about your parenting? Do you often find yourself in difficult relationships? Are you concerned about your memory? Do you feel sad or anxious a lot? Are you "stuck" in the same pattern? Do you have trouble trusting people? Are you irritable most of the time? Do you feel like you don't know yourself or your purpose? Do you feel incomplete or want meaning in life? If you answered yes to any-I believe I could be a good fit for you.
(360) 869-0118 View (360) 869-0118
Photo of Michael A Miller LMHC , Counselor in Vancouver, WA
Michael A Miller LMHC
Counselor, L, M, H, C
Verified Verified
1 Endorsed
Vancouver, WA 98660
Accepting new clients for in-person or telehealth appointments. You don't need to know exactly why you are seeking counseling. Common topics addressed in counseling are issues with self-esteem, finding purpose and meaning in life, relationship concerns, stressful life circumstances, psychological education and/or symptom improvement. Whether you have goals or are needing to figure that out, I can be flexible and hopefully useful! I have 20 years of experience working with all ranges of presenting issues (intense psychosis to everyday stress) and can vary the approach to one that best suits your unique experience.
Accepting new clients for in-person or telehealth appointments. You don't need to know exactly why you are seeking counseling. Common topics addressed in counseling are issues with self-esteem, finding purpose and meaning in life, relationship concerns, stressful life circumstances, psychological education and/or symptom improvement. Whether you have goals or are needing to figure that out, I can be flexible and hopefully useful! I have 20 years of experience working with all ranges of presenting issues (intense psychosis to everyday stress) and can vary the approach to one that best suits your unique experience.
(360) 523-7497 View (360) 523-7497
Photo of Natalie Schwartz, Counselor in Vancouver, WA
Natalie Schwartz
Counselor
Verified Verified
Vancouver, WA 98686
Natalie's education includes a Bachelor of Arts degree in Psychology from Chapman University and a Master of Arts degree in Counseling Psychology from Lewis and Clark College. Her major graduate coursework included Individual, Group and Family Counseling, Lifespan Development, Theories in Counseling and Behavior Change in Children, Treatment and Diagnosis of Mental Health Disorders, Clinical Work in Diverse Populations, Ethical and Legal Issues in Mental Health Counseling, Play Therapy, Sand Tray and Assessment. Natalie has worked in Residential, Therapeutic School, Clinic Based, school and client home settings.
Natalie's education includes a Bachelor of Arts degree in Psychology from Chapman University and a Master of Arts degree in Counseling Psychology from Lewis and Clark College. Her major graduate coursework included Individual, Group and Family Counseling, Lifespan Development, Theories in Counseling and Behavior Change in Children, Treatment and Diagnosis of Mental Health Disorders, Clinical Work in Diverse Populations, Ethical and Legal Issues in Mental Health Counseling, Play Therapy, Sand Tray and Assessment. Natalie has worked in Residential, Therapeutic School, Clinic Based, school and client home settings.
(360) 361-8427 View (360) 361-8427
Photo of David Grushkin, Counselor in Vancouver, WA
David Grushkin
Counselor, MS, LMHC, LPC
Verified Verified
Vancouver, WA 98662  (Online Only)
Therapy isn't mysterious. It's a conversation that helps you create clarity about your feelings, what you really need or want, and how to get there. My photo shows me years ago enjoying a hike in Yellowstone. I also enjoy my clients. It is refreshing to provide a comfortable place for you to express your true feelings, to problem-solve and clarify your thinking. It is OK to seek help. Emotional overload happens to everyone. Your problem doesn't define your value. Imagine newborn babies. They are all equal and valuable. Self-limiting beliefs are "learned" later. It is an essential understanding that your true self is perfect.
Therapy isn't mysterious. It's a conversation that helps you create clarity about your feelings, what you really need or want, and how to get there. My photo shows me years ago enjoying a hike in Yellowstone. I also enjoy my clients. It is refreshing to provide a comfortable place for you to express your true feelings, to problem-solve and clarify your thinking. It is OK to seek help. Emotional overload happens to everyone. Your problem doesn't define your value. Imagine newborn babies. They are all equal and valuable. Self-limiting beliefs are "learned" later. It is an essential understanding that your true self is perfect.
(360) 389-3962 View (360) 389-3962
Photo of Angela M Rosson, Counselor in Vancouver, WA
Angela M Rosson
Counselor, LMHC, LPC
Verified Verified
Vancouver, WA 98684
Are you stuck in survival mode and don't know how to get out? Living with overwhelm, depression, or struggling to move past old wounds can drain your energy and make it hard to find joy in life. If you've tried to make changes, but just can't seem to find your way out of the stuck places, I would love to offer you hope.
Are you stuck in survival mode and don't know how to get out? Living with overwhelm, depression, or struggling to move past old wounds can drain your energy and make it hard to find joy in life. If you've tried to make changes, but just can't seem to find your way out of the stuck places, I would love to offer you hope.
(360) 356-8756 x704 View (360) 356-8756 x704
Photo of Caity Morgan, Counselor in Vancouver, WA
Caity Morgan
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Vancouver, WA 98660
Not accepting new clients
We will figure it out together. This is a safe place to explore your experiences and learn new skills to strengthen the relationship with yourself and others and build the life you want. Together with your wisdom and my expertise we will create a plan to help you get where you want to go.
We will figure it out together. This is a safe place to explore your experiences and learn new skills to strengthen the relationship with yourself and others and build the life you want. Together with your wisdom and my expertise we will create a plan to help you get where you want to go.
(360) 200-8812 View (360) 200-8812
Photo of Wise Mind Wellness, LLC, Counselor in Vancouver, WA
Wise Mind Wellness, LLC
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98660
Choosing to come to therapy can be an intimidating experience...one that involves you shining a light on feelings of vulnerability or discomfort. But it's also a brave step that reminds you that you can be in control of how you respond to difficult situations, as well as empowers you to find your voice. If you are struggling with your mental health, feeling overwhelmed, or just need someone to support you in this season of your life, I am here to make sure you feel seen and heard. Along the way I will provide you with concrete skills, challenge you to see another perspective, and celebrate your successes.
Choosing to come to therapy can be an intimidating experience...one that involves you shining a light on feelings of vulnerability or discomfort. But it's also a brave step that reminds you that you can be in control of how you respond to difficult situations, as well as empowers you to find your voice. If you are struggling with your mental health, feeling overwhelmed, or just need someone to support you in this season of your life, I am here to make sure you feel seen and heard. Along the way I will provide you with concrete skills, challenge you to see another perspective, and celebrate your successes.
(360) 548-7175 View (360) 548-7175
Photo of Blake Hauser, Counselor in Vancouver, WA
Blake Hauser
Counselor, MA, LMHCA
Verified Verified
Vancouver, WA 98662  (Online Only)
I believe in helping people learn to live authentically from a place of self-compassion and self-worth. I pride myself in offering comprehensive and collaborative individual therapeutic care. I work with all diagnoses and disorders and have experience addressing symptoms and offering behavioral interventions across a range of evidence-based modalities. I believe that meaning-making is an important part of the human experience and so I spend time talking to clients about existential issues and collaborating with you to make a story of your life worth living.
I believe in helping people learn to live authentically from a place of self-compassion and self-worth. I pride myself in offering comprehensive and collaborative individual therapeutic care. I work with all diagnoses and disorders and have experience addressing symptoms and offering behavioral interventions across a range of evidence-based modalities. I believe that meaning-making is an important part of the human experience and so I spend time talking to clients about existential issues and collaborating with you to make a story of your life worth living.
(360) 800-4965 View (360) 800-4965
Photo of Rebecca Bradley, Clinical Social Work/Therapist in Vancouver, WA
Rebecca Bradley
Clinical Social Work/Therapist
Verified Verified
Vancouver, WA 98660
Welcome to a therapeutic space where healing is holistic, and the mind-body connection is at the core of transformation. My practice is a sanctuary for those navigating the complexities of life, offering support for a range of challenges including trauma, depression, anxiety, grief, psychosis and existential crisis. In our collaborative journey, I see myself as a partner and guide, empowering you to explore the depths of your own potential for healing. My practice is rooted in the belief that each individual possesses innate ability to heal themselves. Together, we navigate the path towards unlocking the transformative power within
Welcome to a therapeutic space where healing is holistic, and the mind-body connection is at the core of transformation. My practice is a sanctuary for those navigating the complexities of life, offering support for a range of challenges including trauma, depression, anxiety, grief, psychosis and existential crisis. In our collaborative journey, I see myself as a partner and guide, empowering you to explore the depths of your own potential for healing. My practice is rooted in the belief that each individual possesses innate ability to heal themselves. Together, we navigate the path towards unlocking the transformative power within
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Photo of Heidi Louise McKinney, Marriage & Family Therapist in Vancouver, WA
Heidi Louise McKinney
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Vancouver, WA 98660
Not accepting new clients
I am looking forward to expanding my scope of practice to include working/collaborating with medical physicians in an integrated health care clinic in Southwest Washington. It has been a pleasure and privilege serving patients in the Middle Tennessee area.
I am looking forward to expanding my scope of practice to include working/collaborating with medical physicians in an integrated health care clinic in Southwest Washington. It has been a pleasure and privilege serving patients in the Middle Tennessee area.
(615) 247-6458 View (615) 247-6458
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 Rachel Richards, Counselor in Vancouver, WA
Rachel Richards
Counselor, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98662  (Online Only)
Hi, I'm Rachel Richards, therapist and founder of Four Winds Therapy. At Four Winds we believe that humans have the ability to awaken their highest potential and that authentic individualized therapy and collaborative support can help one to recognize their true inner goodness. Therapy with Four Winds is client centered and we believe that therapy's focus can be whatever you'd like it to be. I am here to address your mental health needs with compassion and respect. I am trauma informed and culturally aware as well as respectful to people of all backgrounds and beliefs and I operate within counseling's strict ethical guidelines.
Hi, I'm Rachel Richards, therapist and founder of Four Winds Therapy. At Four Winds we believe that humans have the ability to awaken their highest potential and that authentic individualized therapy and collaborative support can help one to recognize their true inner goodness. Therapy with Four Winds is client centered and we believe that therapy's focus can be whatever you'd like it to be. I am here to address your mental health needs with compassion and respect. I am trauma informed and culturally aware as well as respectful to people of all backgrounds and beliefs and I operate within counseling's strict ethical guidelines.
(503) 836-8894 View (503) 836-8894
Photo of Linda Romig, Counselor in Vancouver, WA
Linda Romig
Counselor, LMHC
Verified Verified
Vancouver, WA 98663
I believe that clients and counselors partner together to work towards optimum mental health for each client. I believe in client involvement in setting and working towards those goals through a variety of clinical interventions with a focus on Cognitive Behavioral Therapy, EMDR and DBT.
I believe that clients and counselors partner together to work towards optimum mental health for each client. I believe in client involvement in setting and working towards those goals through a variety of clinical interventions with a focus on Cognitive Behavioral Therapy, EMDR and DBT.
(360) 301-7940 View (360) 301-7940
Photo of Raquel Ramirez, Counselor in Vancouver, WA
Raquel Ramirez
Counselor, LMHC
Verified Verified
Vancouver, WA 98660
Raquel is a Licensed Mental Health Counselor (LMHC) and EMDR Therapist who provides a container, a safe and compassionate space, to explore the areas you seek to shift or expand. Her style is warm, intuitive, authentic, compassionate, and direct. Raquel naturally uses a trauma-informed lens, and leans towards a Psychodynamic, Attachment, and Person-Centered approach to get a big picture of you and your experience. She believes we are better able to shed layers and get into deeper truths when we feel seen, safe, and heard, from a supportive non judgemental person.
Raquel is a Licensed Mental Health Counselor (LMHC) and EMDR Therapist who provides a container, a safe and compassionate space, to explore the areas you seek to shift or expand. Her style is warm, intuitive, authentic, compassionate, and direct. Raquel naturally uses a trauma-informed lens, and leans towards a Psychodynamic, Attachment, and Person-Centered approach to get a big picture of you and your experience. She believes we are better able to shed layers and get into deeper truths when we feel seen, safe, and heard, from a supportive non judgemental person.
(360) 860-5480 View (360) 860-5480
Photo of Sarah J Psychotherapy, Counselor in Vancouver, WA
Sarah J Psychotherapy
Counselor, LMHC, MA
Verified Verified
Vancouver, WA 98660  (Online Only)
In my practice, I strive to help you get to a place of peace, balance of mind, and stability, through providing direction to help you live a satisfying and meaningful life on your own terms. My approach to therapy is collaborative, inclusive, empowerment-focused, and nonjudgemental. I am especially passionate about working with individuals who struggle with eating disorders and body image concerns. I draw from a variety of therapeutic perspectives, though I most often incorporate "Health at Every Size", mindfulness, and liberation psychology into treatment.
In my practice, I strive to help you get to a place of peace, balance of mind, and stability, through providing direction to help you live a satisfying and meaningful life on your own terms. My approach to therapy is collaborative, inclusive, empowerment-focused, and nonjudgemental. I am especially passionate about working with individuals who struggle with eating disorders and body image concerns. I draw from a variety of therapeutic perspectives, though I most often incorporate "Health at Every Size", mindfulness, and liberation psychology into treatment.
(360) 364-5661 View (360) 364-5661
Photo of Emily Jackson, Counselor in Vancouver, WA
Emily Jackson
Counselor, MACP
Verified Verified
Vancouver, WA 98686
Emily Jackson is a Licensed Mental Health Counselor in Washington who has been practicing since 2018. She has a Master's Degree in Counseling Psychology from Northwest University. Emily's philosophy for therapy is collaborative and holistic. She feels therapy is a space where one can come to be fully seen, known, and accepted, but also challenged in a way that is a catalyst for growth and change to improve how they feel in relation to themselves, others, and life itself. To Emily, therapy requires a willingness to do the courageous and often difficult work to achieve change in regard to one's particular suffering.
Emily Jackson is a Licensed Mental Health Counselor in Washington who has been practicing since 2018. She has a Master's Degree in Counseling Psychology from Northwest University. Emily's philosophy for therapy is collaborative and holistic. She feels therapy is a space where one can come to be fully seen, known, and accepted, but also challenged in a way that is a catalyst for growth and change to improve how they feel in relation to themselves, others, and life itself. To Emily, therapy requires a willingness to do the courageous and often difficult work to achieve change in regard to one's particular suffering.
(360) 996-1178 View (360) 996-1178
Photo of Michael Fernandez, Counselor in Vancouver, WA
Michael Fernandez
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Vancouver, WA 98684
If you have felt taken advantage of by spiritual leaders, hurt by those who are meant to shepherd, or just turned off by the hypocrisy of the church, we could be a great fit. I work with young adults and grown adults to help you discover a more meaningful way to integrate with your negative spiritual experiences with whatever your remaining faith may look like. Empathy and humor is central to how I interact with clients. If you’re ready to see a change in your life, even if it seems out of reach, please reach out and let me join you on your journey.
If you have felt taken advantage of by spiritual leaders, hurt by those who are meant to shepherd, or just turned off by the hypocrisy of the church, we could be a great fit. I work with young adults and grown adults to help you discover a more meaningful way to integrate with your negative spiritual experiences with whatever your remaining faith may look like. Empathy and humor is central to how I interact with clients. If you’re ready to see a change in your life, even if it seems out of reach, please reach out and let me join you on your journey.
(360) 968-8831 View (360) 968-8831
Photo of Macdonald Dunbar, Marriage & Family Therapist in Vancouver, WA
Macdonald Dunbar
Marriage & Family Therapist, LMFT
Verified Verified
Vancouver, WA 98686
When working individually, Mac offers strength based humanistic therapy drawing from theoretical orientations including cognitive behavioral therapy, solution focus brief therapy, motivational interviewing, and narrative therapy. This approach is implemented in support of those experiencing anxiety, depression, trauma responses, loss and grief, and other symptoms. Family therapy is grounded in family system theory addressing various forms of conflict and stabilizing family dynamics as family members move through various life cycle challenges.
When working individually, Mac offers strength based humanistic therapy drawing from theoretical orientations including cognitive behavioral therapy, solution focus brief therapy, motivational interviewing, and narrative therapy. This approach is implemented in support of those experiencing anxiety, depression, trauma responses, loss and grief, and other symptoms. Family therapy is grounded in family system theory addressing various forms of conflict and stabilizing family dynamics as family members move through various life cycle challenges.
(360) 361-8381 View (360) 361-8381
Photo of Cori Lydic, Pre-Licensed Professional in Vancouver, WA
Cori Lydic
Pre-Licensed Professional, LMHCA, AAC
Verified Verified
Vancouver, WA 98665  (Online Only)
I have a strong foundation as a caring and supportive counselor and aim to make a meaningful difference in people’s lives. I am an enthusiastic, diligent and motivated counselor dedicated to helping each client achieve success. While the work can be complicated, I have the empathy, active listening skills and adaptability required to understand and convey even complex needs. I tailor my communication to meet the needs of each client and to collaborate with external partners like housing services or emergency responders.
I have a strong foundation as a caring and supportive counselor and aim to make a meaningful difference in people’s lives. I am an enthusiastic, diligent and motivated counselor dedicated to helping each client achieve success. While the work can be complicated, I have the empathy, active listening skills and adaptability required to understand and convey even complex needs. I tailor my communication to meet the needs of each client and to collaborate with external partners like housing services or emergency responders.
(360) 295-4340 View (360) 295-4340

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
69% Self Esteem
68% Stress
67% 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

79% Female
19% 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.