Therapists in Portland, OR

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Photo of Caterin Munguia, Pre-Licensed Professional in Portland, OR
Caterin Munguia
Pre-Licensed Professional, CSWA
Verified Verified
Portland, OR 97221  (Online Only)
Hello! I am an Associate Clinical Social Worker in the state of Oregon. I've had the pleasure of working as a counselor with all types of interesting people and in various settings. I obtained my masters in social work from the University of Southern California in 2020 and have been working in private practices since then. Mental health has been my passion from a very young age. My therapeutic approach is rooted in Rogerian Therapy which makes my approach client centered, trauma informed and humanistic. I am Spanish and English Speaking.I also have ample experience supporting the Latinx community. I look forward to working with you!
Hello! I am an Associate Clinical Social Worker in the state of Oregon. I've had the pleasure of working as a counselor with all types of interesting people and in various settings. I obtained my masters in social work from the University of Southern California in 2020 and have been working in private practices since then. Mental health has been my passion from a very young age. My therapeutic approach is rooted in Rogerian Therapy which makes my approach client centered, trauma informed and humanistic. I am Spanish and English Speaking.I also have ample experience supporting the Latinx community. I look forward to working with you!
(503) 782-7219 View (503) 782-7219
Photo of Linda Berlingen, LPC - Rose City Therapists, LLC, Licensed Professional Counselor in Portland, OR
Linda Berlingen, LPC - Rose City Therapists, LLC
Licensed Professional Counselor, LPC
Verified Verified
Portland, OR 97239
Sometimes we need a caring person, skilled at listening, who will act as a mirror, reflecting back our deepest knowing and personal truth. The act of entrusting another in this manner helps us to realign with our wisest self. We begin feeling more at ease and clearer about our intentions. Choices begin to reflect who we really want to be in the world. Suddenly, we are noticing and appreciating what is right and joyful in life more of the time.
Sometimes we need a caring person, skilled at listening, who will act as a mirror, reflecting back our deepest knowing and personal truth. The act of entrusting another in this manner helps us to realign with our wisest self. We begin feeling more at ease and clearer about our intentions. Choices begin to reflect who we really want to be in the world. Suddenly, we are noticing and appreciating what is right and joyful in life more of the time.
(503) 342-7921 View (503) 342-7921
Photo of Denise Ann Lucas, Licensed Professional Counselor in Portland, OR
Denise Ann Lucas
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97213  (Online Only)
Not accepting new clients
Life is overwhelming and can be chaotic and messy but healing is possible! I provide S.A.F.E. EMDR Therapy. EMDR is an effective treatment for many issues such as PTSD, Anxiety, Phobias, Depression, and more. EMDR is a neurocognitive approach that helps the brain to make sense out of past and present experiences in alleviating symptoms so they no longer impact daily living and relationships.
Life is overwhelming and can be chaotic and messy but healing is possible! I provide S.A.F.E. EMDR Therapy. EMDR is an effective treatment for many issues such as PTSD, Anxiety, Phobias, Depression, and more. EMDR is a neurocognitive approach that helps the brain to make sense out of past and present experiences in alleviating symptoms so they no longer impact daily living and relationships.
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Photo of Adaptive Integrative Coaching in Portland, OR
Adaptive Integrative Coaching
PhDc, MA
Verified Verified
Portland, OR 97211  (Online Only)
Holistic and Person-Centered Approach. Over 12 years in psychological training, many modalities, and a diverse background of specialities. BA, MA, and PhDc in psychology, with focus on human development, multicultural competencies, and international methods. Specializing in neurodiverse and queer populations.
Holistic and Person-Centered Approach. Over 12 years in psychological training, many modalities, and a diverse background of specialities. BA, MA, and PhDc in psychology, with focus on human development, multicultural competencies, and international methods. Specializing in neurodiverse and queer populations.
(503) 272-6557 View (503) 272-6557
Jim Reavis
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97205
I prefer to meet with people in person. OK, I am willing to connect virtually and I do that about 30% of the time. After 40 years of experience with no plan for stoppage, I humbly invite individuals into an exploration. Let's talk about the desire of your dopamine drive that both wants MORE and quietly seeks regulation. Many of my clients are experiencing emotional and behavioral dysregulation due self destructive attempts to soothe distress. This is most often called addiction. I love to find solutions by both examining causes and new remedies that work without guilt or creating a big mess.
I prefer to meet with people in person. OK, I am willing to connect virtually and I do that about 30% of the time. After 40 years of experience with no plan for stoppage, I humbly invite individuals into an exploration. Let's talk about the desire of your dopamine drive that both wants MORE and quietly seeks regulation. Many of my clients are experiencing emotional and behavioral dysregulation due self destructive attempts to soothe distress. This is most often called addiction. I love to find solutions by both examining causes and new remedies that work without guilt or creating a big mess.
(971) 314-6637 View (971) 314-6637
Photo of Lisa Sacker, Professional Counselor Associate in Portland, OR
Lisa Sacker
Professional Counselor Associate, MA, QMHP, LPC-R
Verified Verified
Portland, OR 97239
As a mental health professional, I bring nearly a decade of experience to benefit clients from a broad range of backgrounds. My professional style is holistic, high-energy, compassionate, organized, and solution focused with motivation to assist clients in meeting their needs and develop skills through therapeutic treatment to achieve their optimal level of emotional health. I am available to all individuals at various stages of their mental health journey. Similarly to my choice of approach, the ultimate objective of our time together will differ between individuals, and we can work together to identify your personal goals.
As a mental health professional, I bring nearly a decade of experience to benefit clients from a broad range of backgrounds. My professional style is holistic, high-energy, compassionate, organized, and solution focused with motivation to assist clients in meeting their needs and develop skills through therapeutic treatment to achieve their optimal level of emotional health. I am available to all individuals at various stages of their mental health journey. Similarly to my choice of approach, the ultimate objective of our time together will differ between individuals, and we can work together to identify your personal goals.
(971) 247-1543 View (971) 247-1543
Photo of Meghann Reis, Psychologist in Portland, OR
Meghann Reis
Psychologist, PsyD
Verified Verified
Portland, OR 97232  (Online Only)
Not accepting new clients
Note name change: formerly Meghann Case Platt. If you have been feeling stuck, dissatisfied, disempowered, or overwhelmed by the idea of making a change, together we can uncover what is getting in your way and help you develop a path forward. I believe that every person I work with possesses unique strengths which, through therapy, we can harness to navigate even your most challenging problems. I am open, authentic, engaged, and gently challenging in my interactions with clients. As your therapist, I will strive to create a safe and supportive setting for our work.
Note name change: formerly Meghann Case Platt. If you have been feeling stuck, dissatisfied, disempowered, or overwhelmed by the idea of making a change, together we can uncover what is getting in your way and help you develop a path forward. I believe that every person I work with possesses unique strengths which, through therapy, we can harness to navigate even your most challenging problems. I am open, authentic, engaged, and gently challenging in my interactions with clients. As your therapist, I will strive to create a safe and supportive setting for our work.
(503) 343-9278 View (503) 343-9278
Photo of Jess Brunelle, Licensed Professional Counselor in Portland, OR
Jess Brunelle
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Portland, OR 97223
Not accepting new clients
Are you not feeling seen or heard? Have you been coping the best that you can with depression, anxiety or trauma symptoms, but life is still a struggle? Let me help you on your journey to recovery. There are so many ways to help unique, individual people with their challenges. Each person has different needs and I treat each client with respect, dignity and autonomy. Collaboratively, we can create therapy goals and demystify the process together.
Are you not feeling seen or heard? Have you been coping the best that you can with depression, anxiety or trauma symptoms, but life is still a struggle? Let me help you on your journey to recovery. There are so many ways to help unique, individual people with their challenges. Each person has different needs and I treat each client with respect, dignity and autonomy. Collaboratively, we can create therapy goals and demystify the process together.
(503) 436-7819 View (503) 436-7819
Photo of Lance Crawford, Licensed Professional Counselor in Portland, OR
Lance Crawford
Licensed Professional Counselor, LPC
Verified Verified
Portland, OR 97209  (Online Only)
Welcome to my practice! My name is Lance Crawford, I am a Licensed Professional Counselor (LPC) in the state(s) of Virginia and Oregon. I was born and raised in a small town in Virginia however, I am currently living in Portland, OR. I have been in the mental health field since 2013 and have been privileged enough to have worked with a range of populations including: young adults/college students, at-risk youth, LGBTQIA+, addiction/substance use, underserved minority groups, and community mental health.
Welcome to my practice! My name is Lance Crawford, I am a Licensed Professional Counselor (LPC) in the state(s) of Virginia and Oregon. I was born and raised in a small town in Virginia however, I am currently living in Portland, OR. I have been in the mental health field since 2013 and have been privileged enough to have worked with a range of populations including: young adults/college students, at-risk youth, LGBTQIA+, addiction/substance use, underserved minority groups, and community mental health.
(971) 251-1849 View (971) 251-1849
Photo of Annie Vail, Licensed Professional Counselor in Portland, OR
Annie Vail
Licensed Professional Counselor, MA, LPC, CHT
Verified Verified
2 Endorsed
Portland, OR 97211
Waitlist for new clients
I believe in your capacity to find the healing you seek and create the life you envision. Perhaps you are dealing with anxiety or depression, grieving the death of a loved one or a painful breakup, struggle with belonging, or just feel stuck and know that you are ready to do something about it. Do you want more intimacy, connection, and joy in your relationships? Let me help you uncover unconscious patterns and beliefs and heal from old wounds that may be keeping you from living from your best self. Together we can bring more love, capacity, skill, and presence into your relationships.
I believe in your capacity to find the healing you seek and create the life you envision. Perhaps you are dealing with anxiety or depression, grieving the death of a loved one or a painful breakup, struggle with belonging, or just feel stuck and know that you are ready to do something about it. Do you want more intimacy, connection, and joy in your relationships? Let me help you uncover unconscious patterns and beliefs and heal from old wounds that may be keeping you from living from your best self. Together we can bring more love, capacity, skill, and presence into your relationships.
(503) 966-9615 View (503) 966-9615
Photo of Jennie McCall, Licensed Professional Counselor in Portland, OR
Jennie McCall
Licensed Professional Counselor, MA, LPC, ATR-BC, LIC- OR, & WA
Verified Verified
2 Endorsed
Portland, OR 97232
Not accepting new clients
My professional approach views each client through a biopsychosocial lens. Knowing that each individual is dynamic creates the need for an integrative approach. My approach is client centered and strength based. Integrating, EMDR, IFS, Lifespan Integration, Art Therapy, CBT, and Collaborative Problem Solving. Client centered therapy is focused on the therapeutic relationship and utilizing client’s strengths. From this platform, I adapt theraputically to meet the needs of each client and integrate art therapy directives into counseling sessions to help the client in attaining their goals.
My professional approach views each client through a biopsychosocial lens. Knowing that each individual is dynamic creates the need for an integrative approach. My approach is client centered and strength based. Integrating, EMDR, IFS, Lifespan Integration, Art Therapy, CBT, and Collaborative Problem Solving. Client centered therapy is focused on the therapeutic relationship and utilizing client’s strengths. From this platform, I adapt theraputically to meet the needs of each client and integrate art therapy directives into counseling sessions to help the client in attaining their goals.
(503) 451-3588 View (503) 451-3588
Photo of Tamara Webb, Licensed Professional Counselor in Portland, OR
Tamara Webb
Licensed Professional Counselor, MA, LPC, LMHC, CMHC
Verified Verified
Portland, OR 97212
I provide holistic psychotherapy to help clients in Oregon, Washington and Utah explore, understand and address diverse challenges in life, helping clients become empowered stewards of their own well-being. I integrate common psychotherapy approaches, including cognitive, narrative and expressive-creative therapies, with holistic approaches based in the traditions underlying yoga, Buddhism and other Eastern philosophical practices. My goal is to help clients achieve health, balance and harmony, and to embrace life.
I provide holistic psychotherapy to help clients in Oregon, Washington and Utah explore, understand and address diverse challenges in life, helping clients become empowered stewards of their own well-being. I integrate common psychotherapy approaches, including cognitive, narrative and expressive-creative therapies, with holistic approaches based in the traditions underlying yoga, Buddhism and other Eastern philosophical practices. My goal is to help clients achieve health, balance and harmony, and to embrace life.
(971) 248-3981 View (971) 248-3981
Photo of Robyn Migliorini, Psychologist in Portland, OR
Robyn Migliorini
Psychologist, PhD
Verified Verified
Portland, OR 97206  (Online Only)
I specialize in telehealth therapy for adult ADHD, executive functioning concerns, and anxiety. As a neuropsychologist, I appreciate the complex interactions between our brains, our behaviors, and our environments. I view symptoms and their potential remedies through a scientific lens, with a focus on evidence-based strategies -- practical tools that can make a difference in your everyday life. I also believe treatment should be collaborative, creative, and tailored for your specific needs. I try to approach therapy with curiosity, determination, openness, and humor, and I invite my clients to do the same.
I specialize in telehealth therapy for adult ADHD, executive functioning concerns, and anxiety. As a neuropsychologist, I appreciate the complex interactions between our brains, our behaviors, and our environments. I view symptoms and their potential remedies through a scientific lens, with a focus on evidence-based strategies -- practical tools that can make a difference in your everyday life. I also believe treatment should be collaborative, creative, and tailored for your specific needs. I try to approach therapy with curiosity, determination, openness, and humor, and I invite my clients to do the same.
(781) 288-5141 View (781) 288-5141
Photo of Magda Permut, Psychologist in Portland, OR
Magda Permut
Psychologist, PhD
Verified Verified
Portland, OR 97214
Impossible is temporary. As a relational psychologist specializing in issues like trauma and addictions, I have learned this time and time again. The combination of a supportive relationship, motivation to change well-worn patterns, and clear, concrete guidance can lead to changes far beyond what people believe is possible. Sometimes it seems "impossible" to live a deeper, more connected existence. We may carry scars of rejection and betrayal that keep us from being our truest selves. We heal in the context of genuine, warm, accepting relationships that also encourage us to take risks. I so enjoy building these relationships.
Impossible is temporary. As a relational psychologist specializing in issues like trauma and addictions, I have learned this time and time again. The combination of a supportive relationship, motivation to change well-worn patterns, and clear, concrete guidance can lead to changes far beyond what people believe is possible. Sometimes it seems "impossible" to live a deeper, more connected existence. We may carry scars of rejection and betrayal that keep us from being our truest selves. We heal in the context of genuine, warm, accepting relationships that also encourage us to take risks. I so enjoy building these relationships.
(503) 616-2040 View (503) 616-2040
Photo of Dr. Dianna Harris (Accepting New Clients), Psychologist in Portland, OR
Dr. Dianna Harris (Accepting New Clients)
Psychologist, PsyD, PMHNP
Verified Verified
Portland, OR 97229
Accepting NEW Clients (ages 18-65) as of 4/24/24 for Medication Management (I am not taking clients for therapy). Appointments are available in 2 weeks. Complete the Patient Inquiry Form on my website. You will receive a response the same or next day. My practice is primarily composed of adults struggling with anxiety and depression. I find that people reach out to treatment when excessive worry, low motivation, and negative thinking can lead to feeling less confident in their work, behind on tasks at home, and impacting their relationships. I don't treat ADHD and I don't prescribe controlled substances, such as Xanax for anxiety.
Accepting NEW Clients (ages 18-65) as of 4/24/24 for Medication Management (I am not taking clients for therapy). Appointments are available in 2 weeks. Complete the Patient Inquiry Form on my website. You will receive a response the same or next day. My practice is primarily composed of adults struggling with anxiety and depression. I find that people reach out to treatment when excessive worry, low motivation, and negative thinking can lead to feeling less confident in their work, behind on tasks at home, and impacting their relationships. I don't treat ADHD and I don't prescribe controlled substances, such as Xanax for anxiety.
(971) 606-4749 View (971) 606-4749
Photo of Francesca L. Barnett, Marriage & Family Therapist in Portland, OR
Francesca L. Barnett
Marriage & Family Therapist, MA, LMFT , CADCIII
Verified Verified
Portland, OR 97203  (Online Only)
Accepting new clients, flexible evening & weekend appointments available. What's your therapy why? Sometimes you can't quite put your finger on it, you just know you feel some type of way! I'm here to support you through difficult life events and all the ways you feel: grief, growing pains, transitions, relationships, overwhelm, overt & undercover racism, stress, trauma, or simply feeling stuck in a rut. We'll end each session with a deeper understanding of you and the goals most important to you.
Accepting new clients, flexible evening & weekend appointments available. What's your therapy why? Sometimes you can't quite put your finger on it, you just know you feel some type of way! I'm here to support you through difficult life events and all the ways you feel: grief, growing pains, transitions, relationships, overwhelm, overt & undercover racism, stress, trauma, or simply feeling stuck in a rut. We'll end each session with a deeper understanding of you and the goals most important to you.
(503) 832-5545 View (503) 832-5545
Photo of Zaida Gomez, Marriage & Family Therapist in Portland, OR
Zaida Gomez
Marriage & Family Therapist, MS, LMFT
Verified Verified
Portland, OR 97232  (Online Only)
Are you struggling to find your way while dealing with family expectations and pressure? Is it hard to feel like what you’re doing is “enough”? Maybe you’re struggling with anxious thoughts or conflict with important people in your life. I am here to help in creating healthy boundaries and to help you feel confident in the life you want to live.
Are you struggling to find your way while dealing with family expectations and pressure? Is it hard to feel like what you’re doing is “enough”? Maybe you’re struggling with anxious thoughts or conflict with important people in your life. I am here to help in creating healthy boundaries and to help you feel confident in the life you want to live.
(503) 382-8762 View (503) 382-8762
Photo of Kelley O'Gorman, Licensed Professional Clinical Counselor in Portland, OR
Kelley O'Gorman
Licensed Professional Clinical Counselor, LPC, MFT
Verified Verified
Portland, OR 97204  (Online Only)
I've read that therapists become who they once needed. That is pretty accurate here. I sought out therapy in my late 20's when my life became too complicated for my type-A brain to logic with. I found out I have severe anxiety and depression which seemed like a huge hassle to me. I sought therapy not to talk into the void, but to learn how to fix this so I could get on with life. I found that there is a lot of therapy based in science which really resonated with me. Over the past 18 years I have developed a number of brain skills that will initially help you out of stuck - and then become a grounding element in your life.
I've read that therapists become who they once needed. That is pretty accurate here. I sought out therapy in my late 20's when my life became too complicated for my type-A brain to logic with. I found out I have severe anxiety and depression which seemed like a huge hassle to me. I sought therapy not to talk into the void, but to learn how to fix this so I could get on with life. I found that there is a lot of therapy based in science which really resonated with me. Over the past 18 years I have developed a number of brain skills that will initially help you out of stuck - and then become a grounding element in your life.
(503) 852-2664 View (503) 852-2664
Photo of Gayle M. Waitches, Marriage & Family Therapist Intern in Portland, OR
Gayle M. Waitches
Marriage & Family Therapist Intern, LPC, NCC, DO
Verified Verified
Portland, OR 97215
I am both a physician and a marriage, couple and family therapist intern. My training gives me a unique awareness of the interconnectedness of neuroscience and the tender yet resilient human psyche.
I am both a physician and a marriage, couple and family therapist intern. My training gives me a unique awareness of the interconnectedness of neuroscience and the tender yet resilient human psyche.
(503) 705-8489 View (503) 705-8489
Photo of James Reling, Licensed Professional Counselor in Portland, OR
James Reling
Licensed Professional Counselor, MS, CRC, NCC
Verified Verified
Portland, OR 97215
If you're sensing traits of Autism/ADHD, let's examine them together – from the joy of weekend research rabbit holes and regulating routines to annoying sensory sensitivities, social misunderstandings, and masking, to the overwhelming disconnect from your body. The exhaustion and emotional challenges you're facing deserve attention. I'm here to equip you with information and strategies. In our journey, we'll not only understand these facets but also celebrate your strengths. This safe space is dedicated to understanding the remarkable individual you are... weirdos, misfits, loners, rebels, and rigid rule-followers are all welcome.
If you're sensing traits of Autism/ADHD, let's examine them together – from the joy of weekend research rabbit holes and regulating routines to annoying sensory sensitivities, social misunderstandings, and masking, to the overwhelming disconnect from your body. The exhaustion and emotional challenges you're facing deserve attention. I'm here to equip you with information and strategies. In our journey, we'll not only understand these facets but also celebrate your strengths. This safe space is dedicated to understanding the remarkable individual you are... weirdos, misfits, loners, rebels, and rigid rule-followers are all welcome.
(503) 714-7621 View (503) 714-7621

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

10 Years

Top 3 insurances accepted

54% PacificSource
47% Aetna
38% BlueCross and BlueShield

How Therapists in Portland, OR see their clients

56% In Person and Online
44% 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.