Therapists in Portland, OR

View neighborhoods in Portland
Photo of Christine J. Reeh, Clinical Social Work/Therapist in Portland, OR
Christine J. Reeh
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Portland, OR 97209  (Online Only)
Not accepting new clients
I believe that each of us have great capacity for personal growth. Psychotherapy can be a powerful and effective modality in the process of better understanding ourselves and in working toward change. I specialize in attachment-related issues that often result in vulnerabilities that affect one's current relationships as well as one's sense of self worth. I also have a focus on identity issues related to race, culture, and sexual orientation with a focus on the experience of Asian, biracial, and multiracial people. Additionally, I have extensive experience in treating healthcare workers affected by trauma and burnout.
I believe that each of us have great capacity for personal growth. Psychotherapy can be a powerful and effective modality in the process of better understanding ourselves and in working toward change. I specialize in attachment-related issues that often result in vulnerabilities that affect one's current relationships as well as one's sense of self worth. I also have a focus on identity issues related to race, culture, and sexual orientation with a focus on the experience of Asian, biracial, and multiracial people. Additionally, I have extensive experience in treating healthcare workers affected by trauma and burnout.
(503) 822-6686 View (503) 822-6686
Photo of Marni Wilson, Clinical Social Work/Therapist in Portland, OR
Marni Wilson
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97225
Hello! I'm Marni, a licensed clinical social worker who employs an individualized approach to therapy. I'm deeply passionate about assisting individuals, couples, and families in navigating life's challenges with compassion and insight. My specialization lies in addressing concerns such as self-esteem, anxiety, and depression, and I'm known for my ability to think creatively, recognizing that we all bring our unique perspectives.
Hello! I'm Marni, a licensed clinical social worker who employs an individualized approach to therapy. I'm deeply passionate about assisting individuals, couples, and families in navigating life's challenges with compassion and insight. My specialization lies in addressing concerns such as self-esteem, anxiety, and depression, and I'm known for my ability to think creatively, recognizing that we all bring our unique perspectives.
(503) 782-6299 View (503) 782-6299
Photo of Izy Leighton, Marriage & Family Therapist Associate in Portland, OR
Izy Leighton
Marriage & Family Therapist Associate, MA
Verified Verified
Portland, OR 97232
Waitlist for new clients
I believe that engaging in therapy is a radically courageous act. Exploring and sharing our stories can be terrifying, and doing so may go against the messages you internalized and survival strategies you adopted. Regardless of what brings you in, therapy can help you feel more fulfilled and more richly connected with yourself and others. I know that living in this time and culture can be confusing, painful, and isolating, and believe everyone deserves a space to make sense of it all, to be deeply seen and heard, and to be supported in cultivating a more meaningful and joyful life.
I believe that engaging in therapy is a radically courageous act. Exploring and sharing our stories can be terrifying, and doing so may go against the messages you internalized and survival strategies you adopted. Regardless of what brings you in, therapy can help you feel more fulfilled and more richly connected with yourself and others. I know that living in this time and culture can be confusing, painful, and isolating, and believe everyone deserves a space to make sense of it all, to be deeply seen and heard, and to be supported in cultivating a more meaningful and joyful life.
(503) 974-1984 View (503) 974-1984
Photo of Carie Arps, Licensed Professional Counselor in Portland, OR
Carie Arps
Licensed Professional Counselor, MS, NCC, LMT
Verified Verified
1 Endorsed
Portland, OR 97232
Either working with an individual, couple or family, I come from the perspective that every person is wired for connection and seeks growth to embody their wisdom and wholeness. Individuals can heal from past experiences, move through difficult transitions, and learn to tolerate the stresses of modern life. When we are disconnected from our natural capacity, we can experience life as intolerable and forget our inherent worth. I believe in a collaborative approach to not only find relief from problems, but also to restore health and a sense of internal wholeness.
Either working with an individual, couple or family, I come from the perspective that every person is wired for connection and seeks growth to embody their wisdom and wholeness. Individuals can heal from past experiences, move through difficult transitions, and learn to tolerate the stresses of modern life. When we are disconnected from our natural capacity, we can experience life as intolerable and forget our inherent worth. I believe in a collaborative approach to not only find relief from problems, but also to restore health and a sense of internal wholeness.
(971) 256-8032 View (971) 256-8032
Photo of Aaron Paul Jones, Marriage & Family Therapist in Portland, OR
Aaron Paul Jones
Marriage & Family Therapist, LMFT
Verified Verified
Portland, OR 97214
I offer you my kindness, respect and years of my own dedicated self work. Listening, presence and experience is a big part of what I bring to our sessions. A lot of pain and trauma becomes unconscious. I work with you to understand the sources of the problem. We aim to understand the different parts of your self. We work to activate your highest or most authentic self. I also aim to heal the trauma in the body. I am Jungian based, using EMDR, mindfulness psychology, and somatic approaches, all to deepen your relationship to yourself.
I offer you my kindness, respect and years of my own dedicated self work. Listening, presence and experience is a big part of what I bring to our sessions. A lot of pain and trauma becomes unconscious. I work with you to understand the sources of the problem. We aim to understand the different parts of your self. We work to activate your highest or most authentic self. I also aim to heal the trauma in the body. I am Jungian based, using EMDR, mindfulness psychology, and somatic approaches, all to deepen your relationship to yourself.
(415) 729-1997 View (415) 729-1997
Photo of Ella Brown, Pre-Licensed Professional in Portland, OR
Ella Brown
Pre-Licensed Professional
Verified Verified
1 Endorsed
Portland, OR 97209  (Online Only)
Hello! My name is Ella (she/her) and I’m happy you’re here! I believe that people have the capacity and right to access healing. Therapy is a great opportunity to share and explore your story as we journey toward healing. I feel strongly connected to the needs of my community, from those I grew up around to folks new to me. I am happy to work individually with teens and adults across identities, experiences, and wants from therapy.
Hello! My name is Ella (she/her) and I’m happy you’re here! I believe that people have the capacity and right to access healing. Therapy is a great opportunity to share and explore your story as we journey toward healing. I feel strongly connected to the needs of my community, from those I grew up around to folks new to me. I am happy to work individually with teens and adults across identities, experiences, and wants from therapy.
(971) 298-7854 View (971) 298-7854
Photo of Rhyver Rudick, Psychologist in Portland, OR
Rhyver Rudick
Psychologist, PhD
Verified Verified
Portland, OR 97214  (Online Only)
As a queer therapist, I greatly honor and celebrate the uniqueness of our own life stories and personalities. The interventions I offer are carefully tailored to your concerns, needs, and personal style. I integrate empirically validated approaches with traditional therapy and metaphysical healing components. I provide a therapeutic presence that is grounding, nurturing, and sincere. Together, we will combine your own self-knowledge and life expertise with my clinical expertise. I will co-journey with you to explore the depths and peaks of your experiences, and to provide support and reminders of your greatness along the way.
As a queer therapist, I greatly honor and celebrate the uniqueness of our own life stories and personalities. The interventions I offer are carefully tailored to your concerns, needs, and personal style. I integrate empirically validated approaches with traditional therapy and metaphysical healing components. I provide a therapeutic presence that is grounding, nurturing, and sincere. Together, we will combine your own self-knowledge and life expertise with my clinical expertise. I will co-journey with you to explore the depths and peaks of your experiences, and to provide support and reminders of your greatness along the way.
(701) 809-9033 View (701) 809-9033
Photo of Jezaiah Valencia, Pre-Licensed Professional in Portland, OR
Jezaiah Valencia
Pre-Licensed Professional, MS, NCC
Verified Verified
Portland, OR 97214
Waitlist for new clients
I believe that each individual has the potential to reach life satisfaction through self-exploration in therapy. As your therapist, I aspire to help you discover your strengths and navigate challenges within yourself and interpersonal relationships to achieve the fulfillment that everyone strives for. My hope is to support and encourage you towards learning the different parts of who you are and within your relationships so you may feel empowered throughout your life.
I believe that each individual has the potential to reach life satisfaction through self-exploration in therapy. As your therapist, I aspire to help you discover your strengths and navigate challenges within yourself and interpersonal relationships to achieve the fulfillment that everyone strives for. My hope is to support and encourage you towards learning the different parts of who you are and within your relationships so you may feel empowered throughout your life.
(503) 739-9138 View (503) 739-9138
Photo of Aletha Eastwood, Pre-Licensed Professional in Portland, OR
Aletha Eastwood
Pre-Licensed Professional, MA, CHT, NCC
Verified Verified
Portland, OR 97217
Hi, I'm Aletha (pronounced like "Aretha", but with an 'L"). I am glad you are here. Whether you are looking for relief from anxiety or depression, or navigating grief, trauma, a challenging relationship, or other difficult life circumstances, it is so good that you are seeking support. Having support is one of the most important things you can do to help yourself to heal. In working together, I endeavor to meet you where you are with warmth, acceptance, and respect to create a healing relationship with you that provides a safe space to move towards new experiences of trust, belonging, and authentic fulfillment.
Hi, I'm Aletha (pronounced like "Aretha", but with an 'L"). I am glad you are here. Whether you are looking for relief from anxiety or depression, or navigating grief, trauma, a challenging relationship, or other difficult life circumstances, it is so good that you are seeking support. Having support is one of the most important things you can do to help yourself to heal. In working together, I endeavor to meet you where you are with warmth, acceptance, and respect to create a healing relationship with you that provides a safe space to move towards new experiences of trust, belonging, and authentic fulfillment.
(503) 664-9727 View (503) 664-9727
Photo of Brittany Neighbours, Licensed Professional Counselor in Portland, OR
Brittany Neighbours
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97212  (Online Only)
Not accepting new clients
Life can be overwhelming at times and you may feel anxious, depressed, stuck, angry, lost. Maybe you feel like you can't move freely without fear. Maybe you feel misunderstood in relationships. Therapy can feel scary - it's hard to be open with another person and to experience emotions and sensations that feel painful. I hope to create a space for you to be authentically yourself. My style is thoughtful, humorous, and down-to-earth, and we'll explore your emotions and sensations gently. I believe that developing insight, curiosity, playfulness, and compassion for yourself can be a foundation for a happier life.
Life can be overwhelming at times and you may feel anxious, depressed, stuck, angry, lost. Maybe you feel like you can't move freely without fear. Maybe you feel misunderstood in relationships. Therapy can feel scary - it's hard to be open with another person and to experience emotions and sensations that feel painful. I hope to create a space for you to be authentically yourself. My style is thoughtful, humorous, and down-to-earth, and we'll explore your emotions and sensations gently. I believe that developing insight, curiosity, playfulness, and compassion for yourself can be a foundation for a happier life.
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Photo of Kristen Sartor, Clinical Social Work/Therapist in Portland, OR
Kristen Sartor
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97205
Waitlist for new clients
Hi! I love working with individuals, families and human beings in all types of relationship structures. Many clients have worked with me on anxiety, healing from trauma, navigating relationships, family conflict, parenting challenges, LGBTQ+ issues, depression and improving their relationships with themselves. My counseling is about supporting you in the way that you need to be supported while empowering you to deeply tune into your authentic self. In my practice, I strive to co-create a compassionate, non-judgmental, open space in which we can collaborate to clarify goals, build healing, strengthen skills and cultivate resilience.
Hi! I love working with individuals, families and human beings in all types of relationship structures. Many clients have worked with me on anxiety, healing from trauma, navigating relationships, family conflict, parenting challenges, LGBTQ+ issues, depression and improving their relationships with themselves. My counseling is about supporting you in the way that you need to be supported while empowering you to deeply tune into your authentic self. In my practice, I strive to co-create a compassionate, non-judgmental, open space in which we can collaborate to clarify goals, build healing, strengthen skills and cultivate resilience.
(971) 272-8668 View (971) 272-8668
Photo of Marley Small, Licensed Professional Counselor in Portland, OR
Marley Small
Licensed Professional Counselor, MA, LPC, LMHC
Verified Verified
1 Endorsed
Portland, OR 97219  (Online Only)
Not accepting new clients
In-Network with Kaiser. Life can be overwhelming and bumpy at times often resulting in layers of difficulties with adjusting, anxiety, depression, trauma, relationship struggles, and much more. An ideal client would be an individual who is ready to become unstuck and make impactful shifts in their life. Someone who is looking for support processing life stressors and is wanting to take steps toward their goals.
In-Network with Kaiser. Life can be overwhelming and bumpy at times often resulting in layers of difficulties with adjusting, anxiety, depression, trauma, relationship struggles, and much more. An ideal client would be an individual who is ready to become unstuck and make impactful shifts in their life. Someone who is looking for support processing life stressors and is wanting to take steps toward their goals.
(503) 868-2986 View (503) 868-2986
Photo of Julia Perretta, Marriage & Family Therapist in Portland, OR
Julia Perretta
Marriage & Family Therapist, MS, LMFT
Verified Verified
Portland, OR 97206  (Online Only)
I specialize in providing emotion focused therapy for couples who are interested in working on issues related to communication, trust, infidelity, connection, and intimacy. I also work with individuals who are looking to heal their relationship with food, body image, stress, anxiety, substance use, depression, and manage responses to complex trauma. I welcome folx of all types, including LGBTQI and poly/ENM identifying individuals and couples. People who work with me enjoy integrating mindfulness and humor into the therapeutic tableau.
I specialize in providing emotion focused therapy for couples who are interested in working on issues related to communication, trust, infidelity, connection, and intimacy. I also work with individuals who are looking to heal their relationship with food, body image, stress, anxiety, substance use, depression, and manage responses to complex trauma. I welcome folx of all types, including LGBTQI and poly/ENM identifying individuals and couples. People who work with me enjoy integrating mindfulness and humor into the therapeutic tableau.
(503) 213-6255 View (503) 213-6255
Photo of Karim Dabliz, LPC Intern in Portland, OR
Karim Dabliz
LPC Intern, MS
Verified Verified
Portland, OR 97225  (Online Only)
My name is Karim (he/him) and I’m a Professional Counseling Associate located in Portland, Oregon. I help individuals heal their trauma, increase awareness and work toward cultivating meaningful connections in their most important relationships. I am passionate about helping you live your life with more authenticity and freedom. I believe in understanding the parts of yourself that make you who you are, rather than removing them. I specialize in working with refugees, immigrants, and multicultural backgrounds. I am also experienced in helping self esteem, navigating body image, and working on the importance of boundaries.
My name is Karim (he/him) and I’m a Professional Counseling Associate located in Portland, Oregon. I help individuals heal their trauma, increase awareness and work toward cultivating meaningful connections in their most important relationships. I am passionate about helping you live your life with more authenticity and freedom. I believe in understanding the parts of yourself that make you who you are, rather than removing them. I specialize in working with refugees, immigrants, and multicultural backgrounds. I am also experienced in helping self esteem, navigating body image, and working on the importance of boundaries.
(971) 571-5721 View (971) 571-5721
Photo of Sara Barber, Clinical Social Work/Therapist in Portland, OR
Sara Barber
Clinical Social Work/Therapist, MSS, LCSW
Verified Verified
Portland, OR 97201  (Online Only)
My work with people focuses on meeting you where you are. First time in therapy? No problem, let's take it slow and figure out what you want to get out of this experience. A seasoned therapy pro? Let's talk about your past therapy experiences and go from there. Where ever you land on the therapy experience spectrum, you are welcome here and I look forward to working with you! The over arching goal of my work with clients is for you to align and connect with who you are and how you want to live. Sometimes that is really easy to identify, but it can also be tremendously overwhelming. Come as you are and leave who you want to be!
My work with people focuses on meeting you where you are. First time in therapy? No problem, let's take it slow and figure out what you want to get out of this experience. A seasoned therapy pro? Let's talk about your past therapy experiences and go from there. Where ever you land on the therapy experience spectrum, you are welcome here and I look forward to working with you! The over arching goal of my work with clients is for you to align and connect with who you are and how you want to live. Sometimes that is really easy to identify, but it can also be tremendously overwhelming. Come as you are and leave who you want to be!
(484) 509-9887 View (484) 509-9887
Photo of Ellie Antico, Licensed Professional Counselor in Portland, OR
Ellie Antico
Licensed Professional Counselor
Verified Verified
1 Endorsed
Portland, OR 97202
Waitlist for new clients
I'm interested in you as whole person: mind, body and spirit. I know it takes courage to reveal ourselves so I hold space for all aspects of you with deep compassion. As a therapist I respect both your strength and vulnerability, offering a safe, nonjudgmental environment to express your truth, explore, and heal.
I'm interested in you as whole person: mind, body and spirit. I know it takes courage to reveal ourselves so I hold space for all aspects of you with deep compassion. As a therapist I respect both your strength and vulnerability, offering a safe, nonjudgmental environment to express your truth, explore, and heal.
(833) 885-2803 View (833) 885-2803
Photo of Joan Arbor, Clinical Social Work/Therapist in Portland, OR
Joan Arbor
Clinical Social Work/Therapist, LCSW, CADCI
Verified Verified
Portland, OR 97203  (Online Only)
Not accepting new clients
My approach as a mental health counselor is to support you in a collaborative process to nurture the growth and change that aligns with your goals, values, strengths, and resilience. Anxiety, depression, trauma, grief, loneliness, oppression, or addiction can stand in the way of healing from painful situations. My therapeutic style is one of respect, safety, and compassion. I incorporate many therapeutic modalities tailored to your needs to create the growth you would like to see. ​
My approach as a mental health counselor is to support you in a collaborative process to nurture the growth and change that aligns with your goals, values, strengths, and resilience. Anxiety, depression, trauma, grief, loneliness, oppression, or addiction can stand in the way of healing from painful situations. My therapeutic style is one of respect, safety, and compassion. I incorporate many therapeutic modalities tailored to your needs to create the growth you would like to see. ​
(971) 260-9315 View (971) 260-9315
Photo of Jane M Sproul, Licensed Professional Counselor in Portland, OR
Jane M Sproul
Licensed Professional Counselor, MS, LPC, NCC, MAC
Verified Verified
1 Endorsed
Portland, OR 97215  (Online Only)
I work with adults who want to improve their lives through talk therapy and by making small changes over time. I counsel individuals who are worried, down, stressed out at work, frazzled or eager to get support for a change. I like working with folks who have difficulty concentrating, are in recovery or who have a dual-diagnosis. I also enjoy working with mothers, healthcare workers, and women seeking support for separation/divorce.
I work with adults who want to improve their lives through talk therapy and by making small changes over time. I counsel individuals who are worried, down, stressed out at work, frazzled or eager to get support for a change. I like working with folks who have difficulty concentrating, are in recovery or who have a dual-diagnosis. I also enjoy working with mothers, healthcare workers, and women seeking support for separation/divorce.
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Photo of Michelle Emery, LLC, Counselor in Portland, OR
Michelle Emery, LLC
Counselor, MA, NCC, CPC
Verified Verified
Portland, OR 97210
Waitlist for new clients
Hello! My name is Michelle Emery I am a psychotherapist, life coach, mama, yogini and someone who loves to learn and grow. I have many tools to help individuals gain greater insight and awareness into the way they organize and approach their lives. As a woman who has done a lot of my own deep inner work and who continues to explore new tools and new modalities, I would say that one of the greatest things I can offer my clients is a safe space to explore their inner world, thereby creating more harmony in their outer world.
Hello! My name is Michelle Emery I am a psychotherapist, life coach, mama, yogini and someone who loves to learn and grow. I have many tools to help individuals gain greater insight and awareness into the way they organize and approach their lives. As a woman who has done a lot of my own deep inner work and who continues to explore new tools and new modalities, I would say that one of the greatest things I can offer my clients is a safe space to explore their inner world, thereby creating more harmony in their outer world.
(503) 300-5621 View (503) 300-5621
Photo of Rebecca Garetz, Licensed Professional Counselor in Portland, OR
Rebecca Garetz
Licensed Professional Counselor
Verified Verified
Portland, OR 97239  (Online Only)
Now accepting new clients for telehealth in OR. Stuck in your head all the time? Feeling uneasy or disconnected from your body? I know how stuck this can feel. Stress can manifest itself in many ways, including in your mental health, physical health, and relationship with others. If you feel ready to reduce the stress in your life and tackle what is getting in the way of having a successful relationship with yourself and others, you have come to the right place!
Now accepting new clients for telehealth in OR. Stuck in your head all the time? Feeling uneasy or disconnected from your body? I know how stuck this can feel. Stress can manifest itself in many ways, including in your mental health, physical health, and relationship with others. If you feel ready to reduce the stress in your life and tackle what is getting in the way of having a successful relationship with yourself and others, you have come to the right place!
(503) 436-7444 View (503) 436-7444

How does your Therapist compare?

Number of Therapists in Portland, OR

3,000+

Average cost per session

$160

Therapists in Portland, OR who prioritize treating:

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

Average years in practice

11 Years

Top 3 insurances accepted

54% PacificSource
47% Aetna
38% BlueCross and BlueShield

How Therapists in Portland, OR see their clients

57% In Person and Online
43% Online Only

Gender breakdown

75% Female
21% Male
4% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Portland?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.