Therapists in Vancouver, WA

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Photo of Nicole Laurent, Counselor in Vancouver, WA
Nicole Laurent
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98664  (Online Only)
My ideal clients are individuals grappling with mental health challenges, seeking to explore the therapeutic potential of ketogenic diets as a metabolic intervention for symptom reduction. They are motivated to integrate metabolic, functional, and nutritional strategies with psychotherapy to address issues like mood disorders, anxiety, trauma, and cognitive function. These clients are looking for a comprehensive, biopsychosocial approach to improve their mental well-being and meet their wellness goals.
My ideal clients are individuals grappling with mental health challenges, seeking to explore the therapeutic potential of ketogenic diets as a metabolic intervention for symptom reduction. They are motivated to integrate metabolic, functional, and nutritional strategies with psychotherapy to address issues like mood disorders, anxiety, trauma, and cognitive function. These clients are looking for a comprehensive, biopsychosocial approach to improve their mental well-being and meet their wellness goals.
(425) 224-6633 View (425) 224-6633
Photo of Michelle Tennant, Marriage & Family Therapist in Vancouver, WA
Michelle Tennant
Marriage & Family Therapist, LMFT
Verified Verified
Vancouver, WA 98662
I have a passion for helping others and offer a compassionate, safe space to help you work towards positive change. My work from a strengths-based perspective helps you recognize your strengths. Your strengths are how you have managed life as you know it. We will work together towards a solution that feels best to you. I believe we are all stronger than we know and sometimes things just get in the way. We can take time to understand the patterns that have been created in your life. While we can’t change the past, knowing your story can help you move forward.
I have a passion for helping others and offer a compassionate, safe space to help you work towards positive change. My work from a strengths-based perspective helps you recognize your strengths. Your strengths are how you have managed life as you know it. We will work together towards a solution that feels best to you. I believe we are all stronger than we know and sometimes things just get in the way. We can take time to understand the patterns that have been created in your life. While we can’t change the past, knowing your story can help you move forward.
(360) 997-2356 View (360) 997-2356
Photo of Joshua A. Furtado, Counselor in Vancouver, WA
Joshua A. Furtado
Counselor, LPC, LMHC, CADCIII, SUDP
Verified Verified
Vancouver, WA 98660
Waitlist for new clients
I believe that every client has the potential for health and wellness regardless their situation. I have dealt with many issues including, mood, thoughts, anxiety, attention, eating, gender, sexuality, spirituality, substance use, and compulsive behaviors. I want to meet you where you are. While they may not be ready to make immediate changes, planting the seeds of health and wellness are my ultimate goals. I work with adults and youth at least 11 years old.
I believe that every client has the potential for health and wellness regardless their situation. I have dealt with many issues including, mood, thoughts, anxiety, attention, eating, gender, sexuality, spirituality, substance use, and compulsive behaviors. I want to meet you where you are. While they may not be ready to make immediate changes, planting the seeds of health and wellness are my ultimate goals. I work with adults and youth at least 11 years old.
(360) 382-4396 View (360) 382-4396
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 Rob Fasman, Psychologist in Vancouver, WA
Rob Fasman
Psychologist, PhD
Verified Verified
Vancouver, WA 98662
I have a great deal of respect for the unique stories of individual lives, and I strive to create a collaborative and supportive environment where clients can safely learn about themselves, develop new skills, and make real and lasting change. I try to help people not only reduce distress and suffering, but to also cultivate more genuine and fulfilling relationships with themselves and others. My primary areas of expertise include: wellness and stress management, mindfulness, anxiety and mood concerns, health psychology and pain management, sport psychology and performance enhancement, LGBTQ concerns, and adjustment and identity concerns.
I have a great deal of respect for the unique stories of individual lives, and I strive to create a collaborative and supportive environment where clients can safely learn about themselves, develop new skills, and make real and lasting change. I try to help people not only reduce distress and suffering, but to also cultivate more genuine and fulfilling relationships with themselves and others. My primary areas of expertise include: wellness and stress management, mindfulness, anxiety and mood concerns, health psychology and pain management, sport psychology and performance enhancement, LGBTQ concerns, and adjustment and identity concerns.
(360) 587-2500 View (360) 587-2500
Photo of Justin S. Schultz, Counselor in Vancouver, WA
Justin S. Schultz
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98661
Are you struggling with feeling overwhelmed, depressed, or anxious with your current situation or recent life transition? Maybe you feel like life is an uphill battle. Well, I am here to help. I am a licensed mental health counselor in Vancouver, Washington. My approach to counseling is to provide you with a safe, nonjudgmental, and comfortable space to explore what you would like your life to look like and how we can get you moving in that direction.
Are you struggling with feeling overwhelmed, depressed, or anxious with your current situation or recent life transition? Maybe you feel like life is an uphill battle. Well, I am here to help. I am a licensed mental health counselor in Vancouver, Washington. My approach to counseling is to provide you with a safe, nonjudgmental, and comfortable space to explore what you would like your life to look like and how we can get you moving in that direction.
(360) 205-9536 View (360) 205-9536
Photo of Pamela Ann Skiver, Clinical Social Work/Therapist in Vancouver, WA
Pamela Ann Skiver
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Vancouver, WA 98684
The first environment of the unborn child is the womb, where the relationship between mother and child not only are connected on a physical and biological level, but on a psychological and spiritual level as well. Research now shows the stressors experienced by the mother internally, and in the external world, reach the baby in the womb impacting the baby’s physical, psychological development, personality and quality of later relationships. Prenatal Bonding BA creates a "souls cord" attachment that can last a lifetime.
The first environment of the unborn child is the womb, where the relationship between mother and child not only are connected on a physical and biological level, but on a psychological and spiritual level as well. Research now shows the stressors experienced by the mother internally, and in the external world, reach the baby in the womb impacting the baby’s physical, psychological development, personality and quality of later relationships. Prenatal Bonding BA creates a "souls cord" attachment that can last a lifetime.
(360) 583-4935 View (360) 583-4935
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 Shawn Kirk, Pastoral Counselor in Vancouver, WA
Shawn Kirk
Pastoral Counselor, PhD
Verified Verified
Vancouver, WA 98661
Not accepting new clients
Are you feeling overwhelmed with depression, anxiety, stress, self doubt, loss of a loved one, or other issues? These issues attack everyone’s emotional state at some point. You are not alone, we can work on these issues together. With effort and faith in God, you can learn to change how you think, how you see yourself, and how you react to situations. Are you and your spouse in a constant state of strife? Does your marriage lack love, intimacy, support, passion, or respect? Many couples struggle with these same issues. Together we can change your marriage into something unique and special. Your marriage is worth the effort.
Are you feeling overwhelmed with depression, anxiety, stress, self doubt, loss of a loved one, or other issues? These issues attack everyone’s emotional state at some point. You are not alone, we can work on these issues together. With effort and faith in God, you can learn to change how you think, how you see yourself, and how you react to situations. Are you and your spouse in a constant state of strife? Does your marriage lack love, intimacy, support, passion, or respect? Many couples struggle with these same issues. Together we can change your marriage into something unique and special. Your marriage is worth the effort.
(360) 227-5932 View (360) 227-5932
Photo of Ellie Isaacson, Counselor in Vancouver, WA
Ellie Isaacson
Counselor, LMHC, LPC, CCTP
Verified Verified
Vancouver, WA 98660
Not accepting new clients
I am a licensed mental health therapist (in Washington and Oregon) with over 17 years of solid clinical experience helping adults who have been impacted by traumatic events, chronic illness, life transitions and grief/loss.
I am a licensed mental health therapist (in Washington and Oregon) with over 17 years of solid clinical experience helping adults who have been impacted by traumatic events, chronic illness, life transitions and grief/loss.
(360) 594-5460 View (360) 594-5460
Photo of Esther Pfeiffer, Counselor in Vancouver, WA
Esther Pfeiffer
Counselor, LMHC
Verified Verified
2 Endorsed
Vancouver, WA 98684
I specialize in grief counseling, as well as counseling for perinatal loss, in order to walk through the grieving process with you and help to imagine what the future can look like one step at a time. I also utilize EMDR for trauma, depression, anxiety, and relationship concerns to stop the past from affecting the present and to create a different future. I help to create a coherent narrative to be able to move forward and live life more freely, without the learned patterns from the past. If you are ready to get help with grief, loss, trauma, attachment concerns, relationship struggles, depression, or self-esteem, please reach out!
I specialize in grief counseling, as well as counseling for perinatal loss, in order to walk through the grieving process with you and help to imagine what the future can look like one step at a time. I also utilize EMDR for trauma, depression, anxiety, and relationship concerns to stop the past from affecting the present and to create a different future. I help to create a coherent narrative to be able to move forward and live life more freely, without the learned patterns from the past. If you are ready to get help with grief, loss, trauma, attachment concerns, relationship struggles, depression, or self-esteem, please reach out!
(360) 585-8273 View (360) 585-8273
Photo of Amy W Wagner, Psychologist in Vancouver, WA
Amy W Wagner
Psychologist, PhD
Verified Verified
Vancouver, WA 98661
Hello! I offer psychotherapy and professional consultation services. As a therapist I work with adults (18 and up) who have difficulties related to trauma, life transitions, relationship issues, loss, and aging, including anxiety, depression, decreases in life satisfaction, and end of life concerns. I am cognitive-behavioral in my theoretical orientation and pull from a range of evidence-based interventions depending on my clients' needs and preferences. I integrate acceptance-based practices, such as mindfulness, in treatment as needed. I welcome clients of any race, gender, or sexual orientation.
Hello! I offer psychotherapy and professional consultation services. As a therapist I work with adults (18 and up) who have difficulties related to trauma, life transitions, relationship issues, loss, and aging, including anxiety, depression, decreases in life satisfaction, and end of life concerns. I am cognitive-behavioral in my theoretical orientation and pull from a range of evidence-based interventions depending on my clients' needs and preferences. I integrate acceptance-based practices, such as mindfulness, in treatment as needed. I welcome clients of any race, gender, or sexual orientation.
(206) 900-9586 View (206) 900-9586
Photo of Blake Frey @ Everstronger Counseling, Counselor in Vancouver, WA
Blake Frey @ Everstronger Counseling
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98662  (Online Only)
Not accepting new clients
Welcome. We all need spaces to come as we are and just talk. In our sessions we will move towards the topics that matter most to you. Clients report that they experience a safe and attuned space to show up authentically, without the worry of judgment, so they can explore important circumstances that are bringing challenges. Everstronger is a term that invites leaning a bit more towards the parts of us that have been pained, stuck, muted, or are stirring to find expression and relief in new ways.
Welcome. We all need spaces to come as we are and just talk. In our sessions we will move towards the topics that matter most to you. Clients report that they experience a safe and attuned space to show up authentically, without the worry of judgment, so they can explore important circumstances that are bringing challenges. Everstronger is a term that invites leaning a bit more towards the parts of us that have been pained, stuck, muted, or are stirring to find expression and relief in new ways.
(360) 813-6917 View (360) 813-6917
Photo of Leslie Khoury, Counselor in Vancouver, WA
Leslie Khoury
Counselor, LMHC
Verified Verified
Vancouver, WA 98683
Hi there! I was born in St. Louis, Missouri and lived there, Manila Philippines, and Taipei Taiwan long before Portland Oregon and the SW Washington area! I am a Licensed Mental Health Clinician for Washington state, and have specialized in cross cultural needs, trauma-informed and recently ADHD and Sensory disorders. I have a big brood of pets: two cats, two dogs, and spend my free time with friends and family and a bit of theme parks when I can! I have previously received a Master's degree in Educational Psychology, and one of my biggest hobbies has been roller skating and dance (all kinds)!.
Hi there! I was born in St. Louis, Missouri and lived there, Manila Philippines, and Taipei Taiwan long before Portland Oregon and the SW Washington area! I am a Licensed Mental Health Clinician for Washington state, and have specialized in cross cultural needs, trauma-informed and recently ADHD and Sensory disorders. I have a big brood of pets: two cats, two dogs, and spend my free time with friends and family and a bit of theme parks when I can! I have previously received a Master's degree in Educational Psychology, and one of my biggest hobbies has been roller skating and dance (all kinds)!.
(360) 800-1991 View (360) 800-1991
Photo of Mark D. Best, Clinical Social Work/Therapist in Vancouver, WA
Mark D. Best
Clinical Social Work/Therapist, MSW, LICSW, CCTP
Verified Verified
1 Endorsed
Vancouver, WA 98684  (Online Only)
Waitlist for new clients
When life feels presents us with stress, whether it be from anxiety, depression, or trauma, it is not uncommon to feel overwhelmed and a sense that our lives have become unmanageable. My greatest satisfaction comes with assisting individuals in recognizing their power to grow and thrive. I assist my clients, who include adolescents and adults, in finding ways to change their relationship to thoughts and emotions and develop a stronger sense of self, establishing core values, and creating an action plan linked to goals based on those values.
When life feels presents us with stress, whether it be from anxiety, depression, or trauma, it is not uncommon to feel overwhelmed and a sense that our lives have become unmanageable. My greatest satisfaction comes with assisting individuals in recognizing their power to grow and thrive. I assist my clients, who include adolescents and adults, in finding ways to change their relationship to thoughts and emotions and develop a stronger sense of self, establishing core values, and creating an action plan linked to goals based on those values.
(360) 594-5284 View (360) 594-5284
Photo of Bryanna Goodman, Marriage & Family Therapist in Vancouver, WA
Bryanna Goodman
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Vancouver, WA 98683
We are a group of dynamic therapists, in multiple Washington state locations. Our goal was to create a place for you to settle in and tell your story. Everybody has one, and we want to hear yours. Counseling is a process that encourages you to examine your choices, your thoughts, your dreams, your barriers and your pain in an effort to create the positive change you are seeking in your life. We believe that successful counseling is a collaborative experience between you and your therapist; that finding the right fit is vital to that success.
We are a group of dynamic therapists, in multiple Washington state locations. Our goal was to create a place for you to settle in and tell your story. Everybody has one, and we want to hear yours. Counseling is a process that encourages you to examine your choices, your thoughts, your dreams, your barriers and your pain in an effort to create the positive change you are seeking in your life. We believe that successful counseling is a collaborative experience between you and your therapist; that finding the right fit is vital to that success.
(360) 524-6121 View (360) 524-6121
Photo of Sarah Wahl, Counselor in Vancouver, WA
Sarah Wahl
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98663
Are the choices of others negatively affecting you? Are you losing your temper and isolating? Have you lost hope in the future or finding a solution? If you have said yes to any of those questions, you don't have to go through it alone. As your therapist, I make every effort to try and help you discover more effective ways of thinking, behaving, and coping with what has brought you to therapy. There are different paths you could take to freedom from your situation, together let's try and find the best path for you!
Are the choices of others negatively affecting you? Are you losing your temper and isolating? Have you lost hope in the future or finding a solution? If you have said yes to any of those questions, you don't have to go through it alone. As your therapist, I make every effort to try and help you discover more effective ways of thinking, behaving, and coping with what has brought you to therapy. There are different paths you could take to freedom from your situation, together let's try and find the best path for you!
(360) 919-0596 View (360) 919-0596
Photo of Elizabeth Mitchell, Clinical Social Work/Therapist in Vancouver, WA
Elizabeth Mitchell
Clinical Social Work/Therapist, LICSW
Verified Verified
Vancouver, WA 98684  (Online Only)
Mental clarity and emotional resonance can seem so out of reach sometimes. When life seems overwhelming, impulses can take the wheel driving you in circles. If you're feeling lost, frustrated, confused, stuck, need guidance or just maintenance, give me a call. With time and commitment, therapy can help put you in touch with your inner compass, increase awareness, provide tools and emotional support that will allow you to access and navigate tough feelings, thoughts, and reach desired outcomes.
Mental clarity and emotional resonance can seem so out of reach sometimes. When life seems overwhelming, impulses can take the wheel driving you in circles. If you're feeling lost, frustrated, confused, stuck, need guidance or just maintenance, give me a call. With time and commitment, therapy can help put you in touch with your inner compass, increase awareness, provide tools and emotional support that will allow you to access and navigate tough feelings, thoughts, and reach desired outcomes.
(360) 531-6890 View (360) 531-6890
Photo of Lawrance McClung, Clinical Social Work/Therapist in Vancouver, WA
Lawrance McClung
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Vancouver, WA 98660
I believe all people deserve to recognize and embrace their inherent worth and dignity. EMDR trained, I assist people reprocess their trauma in an accepting and validating space to reduce symptoms of PTSD and regain confidence in their sense of safety. I provide an inclusive space for gender identity exploration and affirmation. As a transgender man myself, I encourage and support people as they grow into living fully as their authentic self. I offer support and skills for individuals with mental health conditions including Bipolar I and psychosis for symptom reduction, stabilization and maintenance.
I believe all people deserve to recognize and embrace their inherent worth and dignity. EMDR trained, I assist people reprocess their trauma in an accepting and validating space to reduce symptoms of PTSD and regain confidence in their sense of safety. I provide an inclusive space for gender identity exploration and affirmation. As a transgender man myself, I encourage and support people as they grow into living fully as their authentic self. I offer support and skills for individuals with mental health conditions including Bipolar I and psychosis for symptom reduction, stabilization and maintenance.
(360) 745-1123 View (360) 745-1123
Photo of Aynsley Silva, Counselor in Vancouver, WA
Aynsley Silva
Counselor, MA, LMHC
Verified Verified
9 Endorsed
Vancouver, WA 98662
Affectionately known as The Angry Boy Whisperer. I enjoy helping: families in conflict, kids transitioning between split homes, and FATHERS who want better for themselves and their family. I see MEN who want a counselor who is more direct, and can help them develop a way out. I help parents change the course of the family back to their original family vision, and I help children learn how to be respectful, responsible, and fun to be around. Men who have a hard time with depression, anxiety, addiction (pornography/substances), and difficulties in relationships. I help men have more character and honor in their lives.
Affectionately known as The Angry Boy Whisperer. I enjoy helping: families in conflict, kids transitioning between split homes, and FATHERS who want better for themselves and their family. I see MEN who want a counselor who is more direct, and can help them develop a way out. I help parents change the course of the family back to their original family vision, and I help children learn how to be respectful, responsible, and fun to be around. Men who have a hard time with depression, anxiety, addiction (pornography/substances), and difficulties in relationships. I help men have more character and honor in their lives.
(360) 228-2860 View (360) 228-2860

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.