Therapists in Portland, OR

View neighborhoods in Portland
Photo of Dani Lutzow, Pre-Licensed Professional in Portland, OR
Dani Lutzow
Pre-Licensed Professional
Verified
Portland, OR 97214  (Online Only)
I am seeing new clients! I know how therapy can be: hard, rough, crying, happiness, wisdom, and finding who you are with your body, mind, emotions, and spirit. Together we can find a path that feels healthy and healing. We will find those brick walls on that path and smash them with our hulk hands. I work with clients to develop their strengths into powerful tools. I provide individual therapy and counseling sessions to individuals aged 18 and older. I have a particular passion and expertise in grief/bereavement/loss, trauma, anxiety, existentialism, and depression disorders.
I am seeing new clients! I know how therapy can be: hard, rough, crying, happiness, wisdom, and finding who you are with your body, mind, emotions, and spirit. Together we can find a path that feels healthy and healing. We will find those brick walls on that path and smash them with our hulk hands. I work with clients to develop their strengths into powerful tools. I provide individual therapy and counseling sessions to individuals aged 18 and older. I have a particular passion and expertise in grief/bereavement/loss, trauma, anxiety, existentialism, and depression disorders.
(503) 461-7658 View (503) 461-7658
Photo of Colette Cottrill, Licensed Professional Counselor in Portland, OR
Colette Cottrill
Licensed Professional Counselor, MA, LPC
Verified
1 Endorsed
Portland, OR 97232  (Online Only)
Moving Through Uncertainty To Rediscover Peace: Hi, I'm Colette. I am a Licensed Professional Counselor in Portland, Oregon. I specialize in grief/loss and anxiety, and also help people with depression, addictive behaviors and individuals who experience an unhealthy relationship with food. I know first hand the emotional and mental toll that the death of a loved one can take, and the many ways in which anxiety can leave one feeling stuck and isolated. ​​​My practice is all about helping my clients rediscover their place of peace.
Moving Through Uncertainty To Rediscover Peace: Hi, I'm Colette. I am a Licensed Professional Counselor in Portland, Oregon. I specialize in grief/loss and anxiety, and also help people with depression, addictive behaviors and individuals who experience an unhealthy relationship with food. I know first hand the emotional and mental toll that the death of a loved one can take, and the many ways in which anxiety can leave one feeling stuck and isolated. ​​​My practice is all about helping my clients rediscover their place of peace.
(503) 782-7086 View (503) 782-7086
Photo of Jenna Washburn, Licensed Professional Counselor in Portland, OR
Jenna Washburn
Licensed Professional Counselor, MA
Verified
1 Endorsed
Portland, OR 97225  (Online Only)
It goes without saying these past few years have been an uphill battle. With the stress of a pandemic, the economic hardships facing many, and political divides deepening: it's no wonder anxiety is high. Or depression feels magnified. Or you find yourself falling back into bad habits.  But you don't have to struggle through this time alone. Empathic Counseling can help you cope during this difficult time and empower you to thrive. I work closely with clients across Oregon to help them find freedom from Anxiety, Depression, Addiction, Trauma, or that harsh voice inside you that tells you you're not enough.
It goes without saying these past few years have been an uphill battle. With the stress of a pandemic, the economic hardships facing many, and political divides deepening: it's no wonder anxiety is high. Or depression feels magnified. Or you find yourself falling back into bad habits.  But you don't have to struggle through this time alone. Empathic Counseling can help you cope during this difficult time and empower you to thrive. I work closely with clients across Oregon to help them find freedom from Anxiety, Depression, Addiction, Trauma, or that harsh voice inside you that tells you you're not enough.
(503) 739-9189 View (503) 739-9189
Photo of In the Weeds Counseling , Pre-Licensed Professional in Portland, OR
In the Weeds Counseling
Pre-Licensed Professional, MA
Verified
Portland, OR 97232  (Online Only)
Not accepting new clients
I believe that we are all beings who ultimately desire to belong and that most of our traumas result from somewhere down the line not being accepted in some way, shape, or form. Frequently these wounds are in our subconscious and we have very little awareness of how much they can control our day-to-day interactions. What’s left unaddressed has a funny way of continuing to surface.
I believe that we are all beings who ultimately desire to belong and that most of our traumas result from somewhere down the line not being accepted in some way, shape, or form. Frequently these wounds are in our subconscious and we have very little awareness of how much they can control our day-to-day interactions. What’s left unaddressed has a funny way of continuing to surface.
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Photo of Katie Eichner, Psychologist in Portland, OR
Katie Eichner
Psychologist, PhD
Verified
1 Endorsed
Portland, OR 97214  (Online Only)
Not accepting new clients
I identify as a queer woman and specialize with LGBT folks. Poly and kink friendly! I may be a good fit for you if you want a therapist who is genuine, transparent, warm, and friendly, who sees you as a unique individual and tailors our work to identify and meet your needs. I bring a social justice lens and understanding of systems of oppression into therapeutic work. I will tell you what I am thinking, will challenge you intellectually, and actively engage with you. I will be open and honest in answering your questions, work collaboratively with you, describe our options, and check in often.
I identify as a queer woman and specialize with LGBT folks. Poly and kink friendly! I may be a good fit for you if you want a therapist who is genuine, transparent, warm, and friendly, who sees you as a unique individual and tailors our work to identify and meet your needs. I bring a social justice lens and understanding of systems of oppression into therapeutic work. I will tell you what I am thinking, will challenge you intellectually, and actively engage with you. I will be open and honest in answering your questions, work collaboratively with you, describe our options, and check in often.
(971) 307-9562 View (971) 307-9562
Photo of Zoë Presley, Licensed Professional Counselor in Portland, OR
Zoë Presley
Licensed Professional Counselor, MA, LPC
Verified
1 Endorsed
Portland, OR 97209
Are you feeling alone, afraid or overwhelmed? Are you having difficulty navigating profound adjustments to your life or your relationships? Are others in your life depending on you to guide them through difficult times? I will help you achieve a sense of calm and a perspective of hopefulness.
Are you feeling alone, afraid or overwhelmed? Are you having difficulty navigating profound adjustments to your life or your relationships? Are others in your life depending on you to guide them through difficult times? I will help you achieve a sense of calm and a perspective of hopefulness.
(503) 616-2712 View (503) 616-2712
Photo of Michael Atkins, LPC Intern in Portland, OR
Michael Atkins
LPC Intern, MA
Verified
Portland, OR 97232
I work with adults 18 and over dealing with a vast array of issues such as depression, anxiety, recovery from addiction, life transitions, relationship challenges, and aging. I attempt to help people discover or rediscover their strengths and values in order to lead a full and meaningful life. I believe that each of us has the inner knowledge of what we need but it is oftentimes obscured by the wounds of early experiences. I work with you to identify and remove the obstacles to growth.
I work with adults 18 and over dealing with a vast array of issues such as depression, anxiety, recovery from addiction, life transitions, relationship challenges, and aging. I attempt to help people discover or rediscover their strengths and values in order to lead a full and meaningful life. I believe that each of us has the inner knowledge of what we need but it is oftentimes obscured by the wounds of early experiences. I work with you to identify and remove the obstacles to growth.
(503) 386-9541 View (503) 386-9541
Photo of Allison Hajdu-Paulen, Clinical Social Work/Therapist in Portland, OR
Allison Hajdu-Paulen
Clinical Social Work/Therapist, LCSW
Verified
Portland, OR 97219
Not accepting new clients
I enjoy working with college students and adults in transition, whether in the midst of changes around relationship, life stage, grief and loss, spiritual concerns, or work/education. I especially enjoy working with those seeking therapy for the first time. So often we humans try to avoid our pain or we get stuck in it. It is important to effective therapy to bring your engagement in seeking change, your honesty, and your openness to feedback.
I enjoy working with college students and adults in transition, whether in the midst of changes around relationship, life stage, grief and loss, spiritual concerns, or work/education. I especially enjoy working with those seeking therapy for the first time. So often we humans try to avoid our pain or we get stuck in it. It is important to effective therapy to bring your engagement in seeking change, your honesty, and your openness to feedback.
(503) 447-8907 View (503) 447-8907
Photo of Central Oregon Family Therapy, Professional Counselor Associate in Portland, OR
Central Oregon Family Therapy
Professional Counselor Associate, MA, PCA
Verified
Portland, OR 97220
Neuroscience has taught us that "the mind" is encapsulated not only in the head; it exists throughout the whole body. As a holistic practitioner, I am interested in how you can learn to listen to the wisdom and cues of your inner knowing, beyond just what your thoughts tell you, and mend the relationship between mind/body. We all have the ability to grow and transcend from our past and present wounds and turn them into sources of empowerment and healing. I greet identity work, life transitions, and LGBTQ+ issues with positive psychology and feminist therapy frameworks to aim towards your sense of liberation.
Neuroscience has taught us that "the mind" is encapsulated not only in the head; it exists throughout the whole body. As a holistic practitioner, I am interested in how you can learn to listen to the wisdom and cues of your inner knowing, beyond just what your thoughts tell you, and mend the relationship between mind/body. We all have the ability to grow and transcend from our past and present wounds and turn them into sources of empowerment and healing. I greet identity work, life transitions, and LGBTQ+ issues with positive psychology and feminist therapy frameworks to aim towards your sense of liberation.
(503) 966-9307 View (503) 966-9307
Photo of Max Wilson, Marriage & Family Therapist in Portland, OR
Max Wilson
Marriage & Family Therapist, MA, LMFT
Verified
Portland, OR 97217  (Online Only)
Currently not accepting new clients. I imagine you might be here looking for something different in your life. Maybe that’s change, connection, autonomy, or shifts in relationship patterns. I help people on their journey to find connection that feels nourishing and interconnected in their relationships. In counseling I aim to create a safe environment so that we can begin to explore your inner world. I work with a variety of diverse relationship structures, including families, blended families, couples, monogamous, polyamorous, and ethically non-monogamous relationships, as well as friendships and individuals.
Currently not accepting new clients. I imagine you might be here looking for something different in your life. Maybe that’s change, connection, autonomy, or shifts in relationship patterns. I help people on their journey to find connection that feels nourishing and interconnected in their relationships. In counseling I aim to create a safe environment so that we can begin to explore your inner world. I work with a variety of diverse relationship structures, including families, blended families, couples, monogamous, polyamorous, and ethically non-monogamous relationships, as well as friendships and individuals.
(971) 233-4109 View (971) 233-4109
Photo of Lucy Sherman, Licensed Professional Counselor in Portland, OR
Lucy Sherman
Licensed Professional Counselor, LPC, MS, NCC, CRC
Verified
5 Endorsed
Portland, OR 97211
Hey! I’m Lucy (She/Her), I help clients process complex trauma and sexual trauma through EMDR and creative expression. I imagine trauma is coming up that you thought was worked through but now you are realizing that you are not trusting yourself or others and your body is stuck responding as it did in the past even though things are different now. I work with sensitive souls who have felt like a burden for having needs and feel they are not enough and too much at the same time. Through our work you can build trust with yourself, your body and find relief from past trauma through 50 min, EMDR Intensives and/ or extended sessions.
Hey! I’m Lucy (She/Her), I help clients process complex trauma and sexual trauma through EMDR and creative expression. I imagine trauma is coming up that you thought was worked through but now you are realizing that you are not trusting yourself or others and your body is stuck responding as it did in the past even though things are different now. I work with sensitive souls who have felt like a burden for having needs and feel they are not enough and too much at the same time. Through our work you can build trust with yourself, your body and find relief from past trauma through 50 min, EMDR Intensives and/ or extended sessions.
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Photo of Trinity Toft, Clinical Social Work/Therapist in Portland, OR
Trinity Toft
Clinical Social Work/Therapist, LCSW
Verified
Portland, OR 97211
Not accepting new clients
***PRACTICE IS CURRENTLY FULL*** Are you a new or expecting mother looking for support during this transitional time? Have you prepared for the birth of your child, but not for what happens after? The Mother Birth acknowledges that your baby is not the only one with a brand new life. Trinity offers a judgement and shame-free zone for you to grow and process, just as your baby is. Let's mother the mothers!
***PRACTICE IS CURRENTLY FULL*** Are you a new or expecting mother looking for support during this transitional time? Have you prepared for the birth of your child, but not for what happens after? The Mother Birth acknowledges that your baby is not the only one with a brand new life. Trinity offers a judgement and shame-free zone for you to grow and process, just as your baby is. Let's mother the mothers!
(503) 217-6087 View (503) 217-6087
Photo of Phoenix McCulloch, Clinical Social Work/Therapist in Portland, OR
Phoenix McCulloch
Clinical Social Work/Therapist, LCSW, MSW
Verified
1 Endorsed
Portland, OR 97202  (Online Only)
Waitlist for new clients
Not Taking New Clients.... I am here to honor the uniqueness of you. My practice focuses on trans, nonbinary, and gender diverse adults who are facing hardships related to trauma. I offer a validating and accepting space where you can gain a deeper understanding of how life challenges have impacted the mind and body, and develop tools to love and accept yourself. I am neurodivergent affirming and create a treatment environment that honors the neurodivergent experience. I treat adults struggling with anxiety, depression, chronic pain, chronic health conditions, relationships, and identity.
Not Taking New Clients.... I am here to honor the uniqueness of you. My practice focuses on trans, nonbinary, and gender diverse adults who are facing hardships related to trauma. I offer a validating and accepting space where you can gain a deeper understanding of how life challenges have impacted the mind and body, and develop tools to love and accept yourself. I am neurodivergent affirming and create a treatment environment that honors the neurodivergent experience. I treat adults struggling with anxiety, depression, chronic pain, chronic health conditions, relationships, and identity.
(503) 213-6082 View (503) 213-6082
Photo of Gregory Maloof, Licensed Professional Counselor in Portland, OR
Gregory Maloof
Licensed Professional Counselor, MA, LPC
Verified
Portland, OR 97206
Hello, My name is Gregory Maloof. I am a Licensed Professional Counselor in Portland, Oregon. I have been working professionally in the mental health and social services field for over 14 years and I have experience working with individuals, couples, and families of all ages. I also have experience supporting clients in a variety of settings, including private practice, home-based services, schools, residential facilities, hospitals, and community mental health centers.
Hello, My name is Gregory Maloof. I am a Licensed Professional Counselor in Portland, Oregon. I have been working professionally in the mental health and social services field for over 14 years and I have experience working with individuals, couples, and families of all ages. I also have experience supporting clients in a variety of settings, including private practice, home-based services, schools, residential facilities, hospitals, and community mental health centers.
(503) 461-8576 View (503) 461-8576
Photo of Robert L Gill, Clinical Social Work Associate in Portland, OR
Robert L Gill
Clinical Social Work Associate, CSWA
Verified
Portland, OR 97202
I have a passion for providing couples therapy, but work with both individuals and couples. With my ideal clients, we will work in collaboration to help build confidence in your abilities, set boundaries and develop your self-identified goals. Overall my approach will assist you in being more comfortable with the choices you make on your life's journey. Healing is important, and I want to support you in gaining that within your own life.
I have a passion for providing couples therapy, but work with both individuals and couples. With my ideal clients, we will work in collaboration to help build confidence in your abilities, set boundaries and develop your self-identified goals. Overall my approach will assist you in being more comfortable with the choices you make on your life's journey. Healing is important, and I want to support you in gaining that within your own life.
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Photo of Jonathan Clarke, Licensed Professional Counselor in Portland, OR
Jonathan Clarke
Licensed Professional Counselor, LPC
Verified
Portland, OR 97214
Hi there! Im Jonathan! If you are looking for therapy that includes aspects of mindfulness, wellness, self-discovery and learning about your strengths, values and resilience, I can help! My approach to counseling is client-centered and involves a collaborative process between client and counselor. I use evidence based techniques to help you in your journey so that together we can come up with goals and utilize interventions that will help you to grow. Come see me for Grief & Loss, trauma, parenting, addiction, boundary setting, personal growth and self esteem. I'm here to support you!
Hi there! Im Jonathan! If you are looking for therapy that includes aspects of mindfulness, wellness, self-discovery and learning about your strengths, values and resilience, I can help! My approach to counseling is client-centered and involves a collaborative process between client and counselor. I use evidence based techniques to help you in your journey so that together we can come up with goals and utilize interventions that will help you to grow. Come see me for Grief & Loss, trauma, parenting, addiction, boundary setting, personal growth and self esteem. I'm here to support you!
(503) 676-5480 View (503) 676-5480
Photo of Erik Patterson, Professional Counselor Associate in Portland, OR
Erik Patterson
Professional Counselor Associate, MA
Verified
1 Endorsed
Portland, OR 97210  (Online Only)
Therapeutic counseling that works is counseling that supports you to create change, reach your potential, and accomplish your goals. As your counselor, I will join with you to navigate through the things that stand in your way. Barriers to change are different for every person. You may be struggling through depression or anxiety; trying to navigate changes in relationships; isolation; living with trauma; struggling with work, family, or stress; or you are one of the many who simply can’t identify what is getting in the way. My goal is to help you find a path forward and start making the changes that you are seeking!
Therapeutic counseling that works is counseling that supports you to create change, reach your potential, and accomplish your goals. As your counselor, I will join with you to navigate through the things that stand in your way. Barriers to change are different for every person. You may be struggling through depression or anxiety; trying to navigate changes in relationships; isolation; living with trauma; struggling with work, family, or stress; or you are one of the many who simply can’t identify what is getting in the way. My goal is to help you find a path forward and start making the changes that you are seeking!
(971) 232-3695 View (971) 232-3695
Photo of Brad Nyman, Clinical Social Work/Therapist in Portland, OR
Brad Nyman
Clinical Social Work/Therapist, LCSW
Verified
1 Endorsed
Portland, OR 97211  (Online Only)
Psychotherapy is a journey of discovery. It helps to reveal a better understanding of your true self, and can assist in the development of healthier, more fulfilling relationships with others. You and I will set the destination and collaborate to bring about a more optimal way of being. My goal is to work side by side with you in a safe and supportive environment. My therapeutic approach is viewed through a holistic, transpersonal lens - working with the mind, body, and spirit in a deep and intentional way.
Psychotherapy is a journey of discovery. It helps to reveal a better understanding of your true self, and can assist in the development of healthier, more fulfilling relationships with others. You and I will set the destination and collaborate to bring about a more optimal way of being. My goal is to work side by side with you in a safe and supportive environment. My therapeutic approach is viewed through a holistic, transpersonal lens - working with the mind, body, and spirit in a deep and intentional way.
(971) 290-1207 View (971) 290-1207
Photo of Tessa Turner, Art Therapist in Portland, OR
Tessa Turner
Art Therapist, MAT, ATR, LAT
Verified
1 Endorsed
Portland, OR 97214
Waitlist for new clients
Does your child or teen struggle to communicate their thoughts and feelings? Have you noticed a change in their behavior or have concerns about their self-confidence? Could you use some new strategies to communicate and emotionally connect with your child? Participating in therapy can be a great place to start the journey of developing new ways to build family connection, establish a safe space for your child to explore big feelings, and to learn new ways to navigate complex life stressors that impact your child and family's overall functioning alongside a trained professional who can provide individualized care and guidance.
Does your child or teen struggle to communicate their thoughts and feelings? Have you noticed a change in their behavior or have concerns about their self-confidence? Could you use some new strategies to communicate and emotionally connect with your child? Participating in therapy can be a great place to start the journey of developing new ways to build family connection, establish a safe space for your child to explore big feelings, and to learn new ways to navigate complex life stressors that impact your child and family's overall functioning alongside a trained professional who can provide individualized care and guidance.
(503) 809-5810 View (503) 809-5810
Photo of Annie Louise Pippert, Licensed Professional Counselor in Portland, OR
Annie Louise Pippert
Licensed Professional Counselor, MA, LPC, LMFT
Verified
Portland, OR 97212  (Online Only)
I work with a variety of concerns including couples and family conflict, eating disorders, anxiety, depression, emotional distress, and the struggle to find purpose and meaning in life. I believe in highlighting the uniqueness of the individual, while understanding that we all function as part of a multitude of larger systems. The relationships we create with ourselves, with others, and with the world around us, can both transform and challenge us. Through this approach, I help individuals, couples, and families find peace and harmony. I will support you while you heal, transcend, and build the life you want.
I work with a variety of concerns including couples and family conflict, eating disorders, anxiety, depression, emotional distress, and the struggle to find purpose and meaning in life. I believe in highlighting the uniqueness of the individual, while understanding that we all function as part of a multitude of larger systems. The relationships we create with ourselves, with others, and with the world around us, can both transform and challenge us. Through this approach, I help individuals, couples, and families find peace and harmony. I will support you while you heal, transcend, and build the life you want.
(971) 232-3458 View (971) 232-3458

See more therapy options for Portland

How does your Therapist compare?

Number of Therapists in Portland, OR

3,000+

Average cost per session

$153

Therapists in Portland, OR who prioritize treating:

92% Anxiety
85% Depression
79% Relationship Issues
76% Self Esteem
73% Trauma and PTSD
71% Stress
68% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

55% PacificSource
46% Aetna
37% 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.