Therapists in Vancouver, WA

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Photo of RiverWay Counseling, Clinical Social Work/Therapist in Vancouver, WA
RiverWay Counseling
Clinical Social Work/Therapist, MSW, LICSW, RDT
Verified Verified
Vancouver, WA 98661
Not accepting new clients
PLEASE NOTE: Currently not accepting new clients. Change is a part of living. The struggle is normal. I assist clients through identifying strengths and cultivating tools to cope with unexpected life events, stress, and the challenges of everyday living. I'm rooted in an integrative wellness approach bringing various aspects of self and community together (mind, body, spirit, environmental). Through creativity and structure, I can assist you in finding meaning, purpose, clarity and belonging.
PLEASE NOTE: Currently not accepting new clients. Change is a part of living. The struggle is normal. I assist clients through identifying strengths and cultivating tools to cope with unexpected life events, stress, and the challenges of everyday living. I'm rooted in an integrative wellness approach bringing various aspects of self and community together (mind, body, spirit, environmental). Through creativity and structure, I can assist you in finding meaning, purpose, clarity and belonging.
(833) 470-8578 View (833) 470-8578
Photo of Sharon Winkler, Clinical Social Work/Therapist in Vancouver, WA
Sharon Winkler
Clinical Social Work/Therapist, MSW, LICSW, MAC
Verified Verified
Vancouver, WA 98684
If you’re looking for a therapy of depth, insight, and durability; if you’re seeking a highly-trained therapist with over 35 years of experience who listens carefully, deeply, and thoughtfully; if you’ve been disappointed by ‘quick fix’ approaches that promise much and deliver little; if you want an individualized approach designed specifically with your needs in mind, then please call me to discuss whether we might be a good fit.
If you’re looking for a therapy of depth, insight, and durability; if you’re seeking a highly-trained therapist with over 35 years of experience who listens carefully, deeply, and thoughtfully; if you’ve been disappointed by ‘quick fix’ approaches that promise much and deliver little; if you want an individualized approach designed specifically with your needs in mind, then please call me to discuss whether we might be a good fit.
(360) 448-3379 View (360) 448-3379
Photo of A Better Way Counseling Service, Mental Health Counselor in Vancouver, WA
A Better Way Counseling Service
Mental Health Counselor, LMHC, LMFT, LICSW
Verified Verified
1 Endorsed
Vancouver, WA 98663
Not accepting new clients
We are not currently accepting new clients and our waitlist is full - Here at A Better Way Counseling Services, our mission is to be of service to our Washington community, far and near. We offer quality mental health counseling, training, and classes on a variety of helpful topics. Our philosophy is to work with people from an individualized, needs-driven, and strength-based focus. We are committed to offering quality mental health services to all people, regardless of religious preference, race, sex, income, sexual orientation, or education. A fundamental principle of our service is to treat everyone with respect and dignity.
We are not currently accepting new clients and our waitlist is full - Here at A Better Way Counseling Services, our mission is to be of service to our Washington community, far and near. We offer quality mental health counseling, training, and classes on a variety of helpful topics. Our philosophy is to work with people from an individualized, needs-driven, and strength-based focus. We are committed to offering quality mental health services to all people, regardless of religious preference, race, sex, income, sexual orientation, or education. A fundamental principle of our service is to treat everyone with respect and dignity.
(360) 443-9801 View (360) 443-9801
Photo of Robin Weston - Roots., Counselor in Vancouver, WA
Robin Weston - Roots.
Counselor, MA, LMHCA
Verified Verified
2 Endorsed
Vancouver, WA 98665
If you're here, your outward "I have it all together" face is silently crumbling. You feel confused, overwhelmed, like you're losing control, and you don’t know how to stop the collapse. You can have a different story. What if you felt free, happy, confident, and life felt manageable or even enjoyable? What if you could understand what is fueling the chaos and resolve it, for good?
If you're here, your outward "I have it all together" face is silently crumbling. You feel confused, overwhelmed, like you're losing control, and you don’t know how to stop the collapse. You can have a different story. What if you felt free, happy, confident, and life felt manageable or even enjoyable? What if you could understand what is fueling the chaos and resolve it, for good?
(360) 869-0178 View (360) 869-0178
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 Richard Golosinskiy, Counselor in Vancouver, WA
Richard Golosinskiy
Counselor, LMHCA, MA, NCC
Verified Verified
Vancouver, WA 98684
Depression, worry, anxiety, and fear can be crippling experiences. If you feel overwhelmed by these phenomena, I want to help you overcome these barriers. I believe that reflecting on life’s past and present relationships can offer insight into helping you redefine current and future relationships, experiences, and self. Re-evaluating beliefs and held attitudes can help you achieve your goals, create new experiences, and make informed choices that forge a more satisfying and fulfilling life. The digital age snuck in on us and provided with no room to breathe. As your therapist, I hope to help you work through this and gain clarity.
Depression, worry, anxiety, and fear can be crippling experiences. If you feel overwhelmed by these phenomena, I want to help you overcome these barriers. I believe that reflecting on life’s past and present relationships can offer insight into helping you redefine current and future relationships, experiences, and self. Re-evaluating beliefs and held attitudes can help you achieve your goals, create new experiences, and make informed choices that forge a more satisfying and fulfilling life. The digital age snuck in on us and provided with no room to breathe. As your therapist, I hope to help you work through this and gain clarity.
(360) 346-1476 x4 View (360) 346-1476 x4
Photo of Kristine Kemp, Clinical Social Work/Therapist in Vancouver, WA
Kristine Kemp
Clinical Social Work/Therapist, LCSW
Verified Verified
Vancouver, WA 98662
Stress and anxiety manifest in various ways, from persistent worry and restlessness to physical symptoms like headaches and sleep disturbances. These conditions can significantly impact daily life, making tasks feel insurmountable. I specialize in helping individuals understand these symptoms, offering a supportive space to address their root causes. By acknowledging these experiences, we can work together towards managing their effects, aiming for a more balanced and fulfilling life.
Stress and anxiety manifest in various ways, from persistent worry and restlessness to physical symptoms like headaches and sleep disturbances. These conditions can significantly impact daily life, making tasks feel insurmountable. I specialize in helping individuals understand these symptoms, offering a supportive space to address their root causes. By acknowledging these experiences, we can work together towards managing their effects, aiming for a more balanced and fulfilling life.
(360) 516-2952 View (360) 516-2952
Photo of Mikhael Fuller, Marriage & Family Therapist in Vancouver, WA
Mikhael Fuller
Marriage & Family Therapist, MA, LMFT
Verified Verified
Vancouver, WA 98660
In my practice, I support teens, adults, couples, and families residing in Washington or California. I work with a number of issues, including depression, anxiety, stress, intimacy and relationships, identity, life-transitions, conflict, divorce and separation, and anything in-between. I also have experience with adoption and blended families. When working with minor clients, I provide guidance to parents through collaborative consultation throughout our therapeutic relationship. I am a licensed marriage and family therapist in both Washington and California.
In my practice, I support teens, adults, couples, and families residing in Washington or California. I work with a number of issues, including depression, anxiety, stress, intimacy and relationships, identity, life-transitions, conflict, divorce and separation, and anything in-between. I also have experience with adoption and blended families. When working with minor clients, I provide guidance to parents through collaborative consultation throughout our therapeutic relationship. I am a licensed marriage and family therapist in both Washington and California.
(925) 248-4981 View (925) 248-4981
Photo of Cece Counseling Services , Clinical Social Work/Therapist in Vancouver, WA
Cece Counseling Services
Clinical Social Work/Therapist, LSWAIC, MSW, BSW
Verified Verified
Vancouver, WA 98663  (Online Only)
As a therapist, I believe that it is important to develop a therapeutic alliance between myself and my client. Therapy should not be “one size fits all” and should always be a collaborative process between therapist and client. I will work with you to identify your treatment goals that will be clearly defined and mutually agreed upon to create a therapeutic process that will best fit your personality. I believe that therapy is about finding your authentic self and learning to embrace life.
As a therapist, I believe that it is important to develop a therapeutic alliance between myself and my client. Therapy should not be “one size fits all” and should always be a collaborative process between therapist and client. I will work with you to identify your treatment goals that will be clearly defined and mutually agreed upon to create a therapeutic process that will best fit your personality. I believe that therapy is about finding your authentic self and learning to embrace life.
(360) 845-6654 View (360) 845-6654
Photo of Scott Groseclose in Vancouver, WA
Scott Groseclose
LMFTA, AAC
Verified Verified
1 Endorsed
Vancouver, WA 98663  (Online Only)
Online Only! I work with adolescents through various work experiences. I enjoy working with couples who may be struggling in their relationship because I believe there is no problem large enough that we cannot work through. The same goes for families. The family is a fundamental building block in all of our relationships, through which all other relationships we may have can grow. I work together with my clients to create goals and helps equip them with tools to continue to grow throughout the rest of their lives. I create a safe environment in order for my clients to be able to open up and find healing in all aspects of life.
Online Only! I work with adolescents through various work experiences. I enjoy working with couples who may be struggling in their relationship because I believe there is no problem large enough that we cannot work through. The same goes for families. The family is a fundamental building block in all of our relationships, through which all other relationships we may have can grow. I work together with my clients to create goals and helps equip them with tools to continue to grow throughout the rest of their lives. I create a safe environment in order for my clients to be able to open up and find healing in all aspects of life.
(360) 281-6824 View (360) 281-6824
Photo of Denise Burningham Counseling, PLLC, Marriage & Family Therapist in Vancouver, WA
Denise Burningham Counseling, PLLC
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Vancouver, WA 98661  (Online Only)
I offer Individual, Couples & Relationship, and Children & Family Therapy in my practice. My work with you will be centered on supporting you in understanding your experiences and setting meaningful goals that feel right for your life. I am honored to be invited into a healing space with individuals, couples, and families. I know that the act of living is beautiful, difficult, amazing, and complicated. We will sit together in the difficult realities, the illuminating ‘ah-ha’ moments, and through the seasons of what it is to be alive. Come as you are and know I will show up as your advocate and collaborator in therapy.
I offer Individual, Couples & Relationship, and Children & Family Therapy in my practice. My work with you will be centered on supporting you in understanding your experiences and setting meaningful goals that feel right for your life. I am honored to be invited into a healing space with individuals, couples, and families. I know that the act of living is beautiful, difficult, amazing, and complicated. We will sit together in the difficult realities, the illuminating ‘ah-ha’ moments, and through the seasons of what it is to be alive. Come as you are and know I will show up as your advocate and collaborator in therapy.
(360) 230-5906 View (360) 230-5906
Photo of Raquel Ramirez, Counselor in Vancouver, WA
Raquel Ramirez
Counselor, LMHC
Verified Verified
Vancouver, WA 98660
Raquel is a Licensed Mental Health Counselor (LMHC) and EMDR Therapist who provides a container, a safe and compassionate space, to explore the areas you seek to shift or expand. Her style is warm, intuitive, authentic, compassionate, and direct. Raquel naturally uses a trauma-informed lens, and leans towards a Psychodynamic, Attachment, and Person-Centered approach to get a big picture of you and your experience. She believes we are better able to shed layers and get into deeper truths when we feel seen, safe, and heard, from a supportive non judgemental person.
Raquel is a Licensed Mental Health Counselor (LMHC) and EMDR Therapist who provides a container, a safe and compassionate space, to explore the areas you seek to shift or expand. Her style is warm, intuitive, authentic, compassionate, and direct. Raquel naturally uses a trauma-informed lens, and leans towards a Psychodynamic, Attachment, and Person-Centered approach to get a big picture of you and your experience. She believes we are better able to shed layers and get into deeper truths when we feel seen, safe, and heard, from a supportive non judgemental person.
(360) 860-5480 View (360) 860-5480
Photo of Katelyn Yung, Drug & Alcohol Counselor in Vancouver, WA
Katelyn Yung
Drug & Alcohol Counselor, SUDP
Verified Verified
Vancouver, WA 98662
Katie Yung is a Licensed Professional Substance Use Disorder Counselor with 2 years of experience specializing in helping clients reach their goals. Katie treats patients between the ages of 3-90 utilizing a Person Centered, Cognitive Behavioral Therapy, and Motivational Interviewing in her approach with clients. In her free time, Katie, enjoys spending time on her paddleboard in the lake, gardening, or baking with her family. Katie has a Bachelors in Social Science from Washington State University focused on psychology and addiction.
Katie Yung is a Licensed Professional Substance Use Disorder Counselor with 2 years of experience specializing in helping clients reach their goals. Katie treats patients between the ages of 3-90 utilizing a Person Centered, Cognitive Behavioral Therapy, and Motivational Interviewing in her approach with clients. In her free time, Katie, enjoys spending time on her paddleboard in the lake, gardening, or baking with her family. Katie has a Bachelors in Social Science from Washington State University focused on psychology and addiction.
(360) 614-2255 View (360) 614-2255
Photo of Melanie Marie Bikis, Counselor in Vancouver, WA
Melanie Marie Bikis
Counselor, LMHCA
Verified Verified
Vancouver, WA 98660
During our therapy settings we organize our sessions based on the child and family’s goals and motivations. Working together we find a wide variety of interventions to help them improve their everyday experience and meet the objective at hand. We identity road blocks, map what success looks like and trouble shoot together as a team using a combination of science supported, therapeutic art practices and talk therapy.
During our therapy settings we organize our sessions based on the child and family’s goals and motivations. Working together we find a wide variety of interventions to help them improve their everyday experience and meet the objective at hand. We identity road blocks, map what success looks like and trouble shoot together as a team using a combination of science supported, therapeutic art practices and talk therapy.
(971) 328-3346 View (971) 328-3346
Photo of Traci Bigelow, LPC Intern in Vancouver, WA
Traci Bigelow
LPC Intern, LMHCA
Verified Verified
Vancouver, WA 98662
Waitlist for new clients
I am a licensed mental health counseling associate in Washington State. I enjoy the outdoors, spending time with my family, and finding meaning in helping others thrive and accomplish their goals. I am an optimist at heart, I approach life with warmth and curiosity. My kids are what motivate me to do my best and grow every day. I am also an Activated Guardsman in the Oregon Air National Guard. I have been serving for nine years and intend to retire from the Air Force. I have deployed several times, worked in multiple roles, and have a deep place in my heart for serving other veterans.
I am a licensed mental health counseling associate in Washington State. I enjoy the outdoors, spending time with my family, and finding meaning in helping others thrive and accomplish their goals. I am an optimist at heart, I approach life with warmth and curiosity. My kids are what motivate me to do my best and grow every day. I am also an Activated Guardsman in the Oregon Air National Guard. I have been serving for nine years and intend to retire from the Air Force. I have deployed several times, worked in multiple roles, and have a deep place in my heart for serving other veterans.
(360) 234-3753 View (360) 234-3753
Photo of Jeremiah Williams, Counselor in Vancouver, WA
Jeremiah Williams
Counselor
Verified Verified
Vancouver, WA 98662  (Online Only)
My therapeutic approach is called Cognitive Behavioral Therapy, and involves helping my clients to see their own strengths and to identify thought processes that are counterproductive to their wellbeing. My goal is to help each client to develop and practice more adaptive ways of functioning.
My therapeutic approach is called Cognitive Behavioral Therapy, and involves helping my clients to see their own strengths and to identify thought processes that are counterproductive to their wellbeing. My goal is to help each client to develop and practice more adaptive ways of functioning.
(360) 826-8794 x1 View (360) 826-8794 x1
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 Chanel Brown, Counselor in Vancouver, WA
Chanel Brown
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98660
Obsessive Compulsive Disorder (OCD) has been called "The Doubting Disease," and is characterized by unwanted and intrusive doubts, fears, “irrational” worries, and at its worst, terror and psychological torment. People with OCD experience doubts and fears which usually focus on whatever they most care about or highly value, such as their most important relationships, their moral character, their health or the health and well-being of those they care about. Sufferers use mental or behavioral rituals that provide temporary relief from the obsession, which become compulsions that can be painful in and of themselves.
Obsessive Compulsive Disorder (OCD) has been called "The Doubting Disease," and is characterized by unwanted and intrusive doubts, fears, “irrational” worries, and at its worst, terror and psychological torment. People with OCD experience doubts and fears which usually focus on whatever they most care about or highly value, such as their most important relationships, their moral character, their health or the health and well-being of those they care about. Sufferers use mental or behavioral rituals that provide temporary relief from the obsession, which become compulsions that can be painful in and of themselves.
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Photo of Corrie Oliver, Clinical Social Work/Therapist in Vancouver, WA
Corrie Oliver
Clinical Social Work/Therapist, MHP, LCSWAIC, SUDP
Verified Verified
1 Endorsed
Vancouver, WA 98682  (Online Only)
I have heard from so many people that they have tried therapy before, or they are afraid to, because they don't want to talk to someone who is "stuffy" or "technical". I love working with people who aren't afraid to let loose and just be themselves in session. I love working with people across all ages with a sweet spot for young adults as well as those with alternative lifestyles and or spiritual beliefs.
I have heard from so many people that they have tried therapy before, or they are afraid to, because they don't want to talk to someone who is "stuffy" or "technical". I love working with people who aren't afraid to let loose and just be themselves in session. I love working with people across all ages with a sweet spot for young adults as well as those with alternative lifestyles and or spiritual beliefs.
(360) 842-0036 View (360) 842-0036
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

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.