Therapists in Vancouver, WA

View neighborhoods in Vancouver
Photo of Leonie Fischer-Laycock, Pre-Licensed Professional in Vancouver, WA
Leonie Fischer-Laycock
Pre-Licensed Professional, BA
Verified Verified
Vancouver, WA 98685
Now taking new clients! I enjoy working with adults and teens (age 13+) on issues related to: anxiety, family of origin issues, grief and loss, emotional regulation, and building self esteem. I approach clients with a warm curiosity, compassion, and humor. I see counseling as a collaborative growth experience. In the face of challenge, it is my joy to help clients identify and own their strengths. She is always humbled and grateful in witnessing the client’s ability to change on their terms.
Now taking new clients! I enjoy working with adults and teens (age 13+) on issues related to: anxiety, family of origin issues, grief and loss, emotional regulation, and building self esteem. I approach clients with a warm curiosity, compassion, and humor. I see counseling as a collaborative growth experience. In the face of challenge, it is my joy to help clients identify and own their strengths. She is always humbled and grateful in witnessing the client’s ability to change on their terms.
(360) 938-4357 View (360) 938-4357
Photo of Cindy Feng, Psychologist in Vancouver, WA
Cindy Feng
Psychologist, PsyD
Verified Verified
Vancouver, WA 98665
Hello, I hope you and your loved ones are safe and healthy amidst the COVID-19 crisis. Coronavirus has triggered pervasive anxiety and is transforming how we work, live, consider our health, and engage in social interactions. I specialize in providing culturally-sensitive and empowering online video therapy with the goal of positive change. Therapy is an active platform for growth. I hope to help you process the stress and anxiety of shelter-in-place, working from home, social isolation, and the uncertainty that looms ahead while helping you to stay connected to a positive attitude.
Hello, I hope you and your loved ones are safe and healthy amidst the COVID-19 crisis. Coronavirus has triggered pervasive anxiety and is transforming how we work, live, consider our health, and engage in social interactions. I specialize in providing culturally-sensitive and empowering online video therapy with the goal of positive change. Therapy is an active platform for growth. I hope to help you process the stress and anxiety of shelter-in-place, working from home, social isolation, and the uncertainty that looms ahead while helping you to stay connected to a positive attitude.
(833) 766-4948 View (833) 766-4948
Photo of Roberta Dianne, Counselor in Vancouver, WA
Roberta Dianne
Counselor, MC, LMHC
Verified Verified
Vancouver, WA 98661
Not accepting new clients
When you are looking for a therapist you want someone who will listen, and who will hear your story without passing judgment. Once your story is told you hope your therapist can help you look at your situation from some different perspectives, and help you identify the limiting filters that you may use to view your world, so that you have more choices and possibilities in confronting and moving through tough times.
When you are looking for a therapist you want someone who will listen, and who will hear your story without passing judgment. Once your story is told you hope your therapist can help you look at your situation from some different perspectives, and help you identify the limiting filters that you may use to view your world, so that you have more choices and possibilities in confronting and moving through tough times.
(360) 209-2470 View (360) 209-2470
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
Photo of Tabitha Brown, Clinical Social Work/Therapist in Vancouver, WA
Tabitha Brown
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Vancouver, WA 98662  (Online Only)
I strive to provide an open and inclusive space for folks to explore who they are and any challenges within their world. This exploration can be difficult, which is why I hope having a support to guide you in this process will create a sense of safety and foster growth. Together we can work on things like coping skills, exploring trauma, interpersonal conflict, radical self-acceptance and more.
I strive to provide an open and inclusive space for folks to explore who they are and any challenges within their world. This exploration can be difficult, which is why I hope having a support to guide you in this process will create a sense of safety and foster growth. Together we can work on things like coping skills, exploring trauma, interpersonal conflict, radical self-acceptance and more.
(360) 386-7967 View (360) 386-7967
Photo of Madison Rubin, Counselor in Vancouver, WA
Madison Rubin
Counselor, LMHC
Verified Verified
Vancouver, WA 98662
Not accepting new clients
The pleasures in life are unfortunately coupled with pains and struggles that each person faces. However, each person’s struggles are unique and deserve to be attended to with care and compassion. Throughout therapy there may be painful moments and uncomfortable challenges and it is my goal to be a support, offer skills and interventions, and encourage continued growth. I utilize EMDR and other modalities to help manage and reduce symptoms that are experienced and help you on your path to healing.
The pleasures in life are unfortunately coupled with pains and struggles that each person faces. However, each person’s struggles are unique and deserve to be attended to with care and compassion. Throughout therapy there may be painful moments and uncomfortable challenges and it is my goal to be a support, offer skills and interventions, and encourage continued growth. I utilize EMDR and other modalities to help manage and reduce symptoms that are experienced and help you on your path to healing.
(360) 215-2936 View (360) 215-2936
Photo of Nancy Warren, MA LMHC, Counselor in Vancouver, WA
Nancy Warren, MA LMHC
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98660
For the past 25 years, I have worked with individuals with a wide range of concerns including anxiety, depression, grief and bereavement, post traumatic stress disorder (PTSD), sleep difficulties, troubled relationships, marital distress, chronic illness, and life transitions. My practice currently focuses on working with clients who have been diagnosed with Parkinson’s disease and other neurological disorders. I also see patients with cancer across the cancer continuum, from diagnosis, treatment, to survivorship or recurrence and end of life. I am passionate about working with both of these patient groups.
For the past 25 years, I have worked with individuals with a wide range of concerns including anxiety, depression, grief and bereavement, post traumatic stress disorder (PTSD), sleep difficulties, troubled relationships, marital distress, chronic illness, and life transitions. My practice currently focuses on working with clients who have been diagnosed with Parkinson’s disease and other neurological disorders. I also see patients with cancer across the cancer continuum, from diagnosis, treatment, to survivorship or recurrence and end of life. I am passionate about working with both of these patient groups.
(360) 680-1693 View (360) 680-1693
Photo of Shane Ladd, Mental Health Counselor Associate in Vancouver, WA
Shane Ladd
Mental Health Counselor Associate, MA, LMHCA
Verified Verified
Vancouver, WA 98660  (Online Only)
A Traumatic experience is like an injury and can have a long lasting effect on you and impact the way you perceive and interact in the world. Anyone can experience trauma, it comes in many shapes and forms. If you are an individual experiencing trauma you may have difficulty regulating emotions such as anger, anxiety, sadness and easily feel overwhelmed or numb and shut down. Due to the trauma, our brain operates in a survival mode and finds ways to cope and not always healthy ways. Trauma not only affects our relationship with ourselves but also impacts our relationships with others.
A Traumatic experience is like an injury and can have a long lasting effect on you and impact the way you perceive and interact in the world. Anyone can experience trauma, it comes in many shapes and forms. If you are an individual experiencing trauma you may have difficulty regulating emotions such as anger, anxiety, sadness and easily feel overwhelmed or numb and shut down. Due to the trauma, our brain operates in a survival mode and finds ways to cope and not always healthy ways. Trauma not only affects our relationship with ourselves but also impacts our relationships with others.
(360) 230-6279 View (360) 230-6279
Photo of Angela Giacalone, Clinical Social Work/Therapist in Vancouver, WA
Angela Giacalone
Clinical Social Work/Therapist, LICSW
Verified Verified
Vancouver, WA 98665
Waitlist for new clients
In life, we learn to do what we have to in order to survive. Sometimes that means finding skills to escape trauma that don't end up serving us in the long run. I am passionate about helping individuals nourish their mind, body and spirit to overcome trauma, anxiety disorders, eating disorders, addictive behaviors, poor self-image and other mental health struggles. I believe in helping my clients feel empowered to trust their instincts and create coping skills, self love, and a life they don't want to escape from.
In life, we learn to do what we have to in order to survive. Sometimes that means finding skills to escape trauma that don't end up serving us in the long run. I am passionate about helping individuals nourish their mind, body and spirit to overcome trauma, anxiety disorders, eating disorders, addictive behaviors, poor self-image and other mental health struggles. I believe in helping my clients feel empowered to trust their instincts and create coping skills, self love, and a life they don't want to escape from.
(360) 826-8785 View (360) 826-8785
Photo of Colleen Storey, Clinical Social Work/Therapist in Vancouver, WA
Colleen Storey
Clinical Social Work/Therapist, LICSWA, GRMS
Verified Verified
Vancouver, WA 98660
Have you experienced a loss? Are you grieving and haven't seemed to be able to move forward in your life? Perhaps you have just gone through a divorce, a bad break-up, or have begun the difficult journey of walking beside a loved one on their journey through Dementia/Alzheimer's. The Grief Recovery Method (GRM) is an action orientated program designed to help an individual like you complete the relationship to pain, isolation, and loneliness caused by a significant loss. It provides a method of releasing unfinished business which then allows you, the griever, to more forward towards a more healthy, joyful, and productive life.
Have you experienced a loss? Are you grieving and haven't seemed to be able to move forward in your life? Perhaps you have just gone through a divorce, a bad break-up, or have begun the difficult journey of walking beside a loved one on their journey through Dementia/Alzheimer's. The Grief Recovery Method (GRM) is an action orientated program designed to help an individual like you complete the relationship to pain, isolation, and loneliness caused by a significant loss. It provides a method of releasing unfinished business which then allows you, the griever, to more forward towards a more healthy, joyful, and productive life.
(833) 627-0215 View (833) 627-0215
Photo of Neha Christiaan, Counselor in Vancouver, WA
Neha Christiaan
Counselor, LMHC
Verified Verified
Vancouver, WA 98683
I have experience working with children (5+) along with their families, adults, and couples in a variety of settings, ranging from outpatient mental health in both community and private settings to day treatment programs for children and adolescents. My work focuses on the use of Collaborative Problem Solving as a therapeutic approach of communication and skills building. I enjoy working with clients struggling with communication, attachment, ADHD, anxiety, depression, trauma, and other mental health disorders, including those with comorbid diagnoses of Autism Spectrum Disorder, Developmental Delays, and Substance Use Disorders.
I have experience working with children (5+) along with their families, adults, and couples in a variety of settings, ranging from outpatient mental health in both community and private settings to day treatment programs for children and adolescents. My work focuses on the use of Collaborative Problem Solving as a therapeutic approach of communication and skills building. I enjoy working with clients struggling with communication, attachment, ADHD, anxiety, depression, trauma, and other mental health disorders, including those with comorbid diagnoses of Autism Spectrum Disorder, Developmental Delays, and Substance Use Disorders.
(360) 980-8087 View (360) 980-8087
Photo of Mindful Path Counseling, Marriage & Family Therapist in Vancouver, WA
Mindful Path Counseling
Marriage & Family Therapist, LMFT
Verified Verified
Vancouver, WA 98660  (Online Only)
Email me 24/7 for shortest response times! Welcome Mindful Path Counseling, virtual therapy anywhere in Washington! I provide a safe space for you to meet painful issues and gently dismantle their power over your life. If you want to restructure and redefine relationships that are no longer working for you, I can help. If you think self-defeating thought patterns and underlying belief systems might be opening the door to unwanted situations in your life, I can help you rewrite that story. I would be honored to walk through this journey with you. Email me today and start living your best life. I can’t wait to meet you!
Email me 24/7 for shortest response times! Welcome Mindful Path Counseling, virtual therapy anywhere in Washington! I provide a safe space for you to meet painful issues and gently dismantle their power over your life. If you want to restructure and redefine relationships that are no longer working for you, I can help. If you think self-defeating thought patterns and underlying belief systems might be opening the door to unwanted situations in your life, I can help you rewrite that story. I would be honored to walk through this journey with you. Email me today and start living your best life. I can’t wait to meet you!
(509) 739-7196 View (509) 739-7196
Photo of Ollie Gibson-Lavell, Clinical Social Work/Therapist in Vancouver, WA
Ollie Gibson-Lavell
Clinical Social Work/Therapist, LCSW
Verified Verified
Vancouver, WA 98683
Ollie Gibson-Lavell, LCSW Ollie Gibson-Lavell is a Licensed Clinical Social Worker in Washington who has been practicing since 2022. Ollie believes in focusing on the positive aspects of your reality as you creatively engage with the challenges of daily life. She utilizes a humanist, integrative, solution focus, trauma-informed approach to enhance the daily living experience of those impacted with Co-Occurring Disorders (Mental Health and SUD and other Disorders) and their families. Outside of work, Ollie enjoys engaging with others and watching plants and butterflies transform on their journey.
Ollie Gibson-Lavell, LCSW Ollie Gibson-Lavell is a Licensed Clinical Social Worker in Washington who has been practicing since 2022. Ollie believes in focusing on the positive aspects of your reality as you creatively engage with the challenges of daily life. She utilizes a humanist, integrative, solution focus, trauma-informed approach to enhance the daily living experience of those impacted with Co-Occurring Disorders (Mental Health and SUD and other Disorders) and their families. Outside of work, Ollie enjoys engaging with others and watching plants and butterflies transform on their journey.
(360) 226-4742 View (360) 226-4742
Photo of Hannah Grabhorn, Counselor in Vancouver, WA
Hannah Grabhorn
Counselor, MA, LMHCA
Verified Verified
2 Endorsed
Vancouver, WA 98684
Waitlist for new clients
I enjoy working with people who are ready to make a change, are willing to be curious, an are open to talking about hard things. I work with individuals, couples, teens, and children in a variety of settings. I enjoy working with recovering “people pleasers”, individuals with depression, anxiety, and people seeking ADHD management, and grief counseling. For couples, it is my goal to get you from a cycle of fighting to greater understanding and intimacy.
I enjoy working with people who are ready to make a change, are willing to be curious, an are open to talking about hard things. I work with individuals, couples, teens, and children in a variety of settings. I enjoy working with recovering “people pleasers”, individuals with depression, anxiety, and people seeking ADHD management, and grief counseling. For couples, it is my goal to get you from a cycle of fighting to greater understanding and intimacy.
(360) 634-0389 View (360) 634-0389
Photo of Casey Claypool, Counselor in Vancouver, WA
Casey Claypool
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98683
My primary focus is to guide individuals towards a greater sense of freedom through the awareness of one's emotional and behavioral patterns which is accessed through mind/body/soul connection and to heal the wounds that have accumulated throughout our lives.
My primary focus is to guide individuals towards a greater sense of freedom through the awareness of one's emotional and behavioral patterns which is accessed through mind/body/soul connection and to heal the wounds that have accumulated throughout our lives.
View
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 Tiffany Halpin, Counselor in Vancouver, WA
Tiffany Halpin
Counselor, MS, LMHCA
Verified Verified
Vancouver, WA 98685
No one understand you! You are having difficult time making healthy choices or maybe your making impulsive choices! Do your relationships with your parents, siblings or friends feel strained or maybe even broken? You want to fit in and get along with others but nothing you seem to do helps. School is a struggle and you feel frustrated, angry and all alone. You are craving more independence but your past choices have destroyed the trust with your parents. The stress and anxiety keep getting worse and it is hard to focus and life just seems like too much.
No one understand you! You are having difficult time making healthy choices or maybe your making impulsive choices! Do your relationships with your parents, siblings or friends feel strained or maybe even broken? You want to fit in and get along with others but nothing you seem to do helps. School is a struggle and you feel frustrated, angry and all alone. You are craving more independence but your past choices have destroyed the trust with your parents. The stress and anxiety keep getting worse and it is hard to focus and life just seems like too much.
(360) 614-4390 View (360) 614-4390
Photo of Julia Schetky, Counselor in Vancouver, WA
Julia Schetky
Counselor, MSW, LMHC
Verified Verified
6 Endorsed
Vancouver, WA 98685  (Online Only)
Waitlist for new clients
Maybe a huge event happened. Maybe lots of huge or little things happened that changed who you are. You had parents that weren't ideal (or were harmful.) You have cut off part of your family because they were too harmful and you're having a hard time. You discovered as an adult that you are neurodivergent and it rocked your world. You grew up in an oppressive environment (home/religion) and you couldn't be your true self (or you are still figuring out who your true self is now. You have these thoughts that don't match who you want to be. Sound like you? You're in the right place! Step into my virtual office!
Maybe a huge event happened. Maybe lots of huge or little things happened that changed who you are. You had parents that weren't ideal (or were harmful.) You have cut off part of your family because they were too harmful and you're having a hard time. You discovered as an adult that you are neurodivergent and it rocked your world. You grew up in an oppressive environment (home/religion) and you couldn't be your true self (or you are still figuring out who your true self is now. You have these thoughts that don't match who you want to be. Sound like you? You're in the right place! Step into my virtual office!
(360) 233-8499 View (360) 233-8499
Photo of Holli Brice, Clinical Social Work/Therapist in Vancouver, WA
Holli Brice
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Verified Verified
1 Endorsed
Vancouver, WA 98660  (Online Only)
Waitlist for new clients
If you are seeking a kind, compassionate presence to walk alongside you on your healing journey, you've come to the right place. I believe that each person who arrives to therapy comes in with a story that matters and deserves to be heard. I see my role as therapist as someone to help you to recognize your ability to heal and help to shine light on the path that leads to your highest good. I am EMDR trained and enjoy using this modality to help others overcome trauma related issues.
If you are seeking a kind, compassionate presence to walk alongside you on your healing journey, you've come to the right place. I believe that each person who arrives to therapy comes in with a story that matters and deserves to be heard. I see my role as therapist as someone to help you to recognize your ability to heal and help to shine light on the path that leads to your highest good. I am EMDR trained and enjoy using this modality to help others overcome trauma related issues.
(360) 215-5622 View (360) 215-5622
Photo of Nancy Pounds, Counselor in Vancouver, WA
Nancy Pounds
Counselor, LMHC, LPC
Verified Verified
Vancouver, WA 98663
Your past is invading your present. Your emotions overwhelm you at times. Many of your relationships are unfulfilling - or outright painful. Your self-esteem is low to non-existent, and you often feel you aren’t good enough. Celebrating your successes is hard for you because you feel like you don’t deserve them. Your inner critic is your constant companion. And the worst part is: overcoming these obstacles seems like a huge mountain to climb. You don’t know where or who to go to for help. We all need connection more than ever right now. I’d love to help!
Your past is invading your present. Your emotions overwhelm you at times. Many of your relationships are unfulfilling - or outright painful. Your self-esteem is low to non-existent, and you often feel you aren’t good enough. Celebrating your successes is hard for you because you feel like you don’t deserve them. Your inner critic is your constant companion. And the worst part is: overcoming these obstacles seems like a huge mountain to climb. You don’t know where or who to go to for help. We all need connection more than ever right now. I’d love to help!
(360) 233-8483 View (360) 233-8483

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.