Therapists in Cathedral Park, Portland, OR

Photo of Kiki Carlstrom, LPC Intern, MA
Kiki Carlstrom
LPC Intern, MA
1 Endorsed
Online Only
Waitlist for new clients
Healing is a subtle & gradual process, & thankfully we don't have to do it alone. In supporting your healing process, my desire is to see you move from constriction (pain/trauma/symptoms) into expansion (pleasure/liberation/alignment with self). I believe we do this by: recognizing the barriers in our lives, finding the ways in which trauma has been stuck & stored within the body, & gently moving through stagnant pain/symptoms by establishing safety & recalibrating the nervous system together. Therapy is a beautiful co-creative process where we get to support the life you envision; one that honors your most sacred self!
Healing is a subtle & gradual process, & thankfully we don't have to do it alone. In supporting your healing process, my desire is to see you move from constriction (pain/trauma/symptoms) into expansion (pleasure/liberation/alignment with self). I believe we do this by: recognizing the barriers in our lives, finding the ways in which trauma has been stuck & stored within the body, & gently moving through stagnant pain/symptoms by establishing safety & recalibrating the nervous system together. Therapy is a beautiful co-creative process where we get to support the life you envision; one that honors your most sacred self!
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Photo of John 'davy' Norris - Aging Simplified, LLC, Clinical Social Work/Therapist, LCSW
Aging Simplified, LLC
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Not accepting new clients
Later life can be a particularly difficult time with multiple major life changes and transitions, losses, declining health and ability, and other issues. Likewise, those who provide care to aging loved ones or clients may face their own difficulty adjusting to life transitions, caregiver fatigue and burnout, or loss of identity and social connections. You may feel emotionally distant, numb, sad, stressed, anxious, depressed, etc. Regardless of you're specific situation and goals, you're taking a positive step by reaching out for help. I'm happy that you're here!
Later life can be a particularly difficult time with multiple major life changes and transitions, losses, declining health and ability, and other issues. Likewise, those who provide care to aging loved ones or clients may face their own difficulty adjusting to life transitions, caregiver fatigue and burnout, or loss of identity and social connections. You may feel emotionally distant, numb, sad, stressed, anxious, depressed, etc. Regardless of you're specific situation and goals, you're taking a positive step by reaching out for help. I'm happy that you're here!
(503) 966-0673 View (503) 966-0673
Photo of Stephen Arnold, Clinical Social Work/Therapist, MSW, LCSW
Stephen Arnold
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Online Only
What I offer you: Companionship through a hard time, Social/emotional skills, Insights that can help change thoughts and feelings. How do I do this? With online counseling/psychotherapy: Actively listening to you, Reviewing events in your life, Helping you learn new ways to address situations. Techniques I use: Acceptance and Commitment Therapy - mindfully acting from values, Internal Family Systems - harmonious, non-judgmental internal conversations, Narrative Therapy - changing your stories in order to move forward, Trauma Informed Therapy - changing the relationship with your traumas.
What I offer you: Companionship through a hard time, Social/emotional skills, Insights that can help change thoughts and feelings. How do I do this? With online counseling/psychotherapy: Actively listening to you, Reviewing events in your life, Helping you learn new ways to address situations. Techniques I use: Acceptance and Commitment Therapy - mindfully acting from values, Internal Family Systems - harmonious, non-judgmental internal conversations, Narrative Therapy - changing your stories in order to move forward, Trauma Informed Therapy - changing the relationship with your traumas.
(971) 248-2639 View (971) 248-2639
Photo of Grace Provost, Clinical Social Work/Therapist, MSW, LCSW
Grace Provost
Clinical Social Work/Therapist, MSW, LCSW
Online Only
Do you feel misunderstood or alone in your interactions, and find that arguments or conversations with others often leave you feeling confused or upset? Do you experience chronic pain, stress, or overwhelm, and often feel on edge or have racing thoughts? Do you struggle with concentration, overthinking, or analyzing your interactions with others afterward? Do you feel constantly on the edge of burnout, or like there's no escape from the daily monotony of being an adult? Do you feel like you don't know yourself anymore?
Do you feel misunderstood or alone in your interactions, and find that arguments or conversations with others often leave you feeling confused or upset? Do you experience chronic pain, stress, or overwhelm, and often feel on edge or have racing thoughts? Do you struggle with concentration, overthinking, or analyzing your interactions with others afterward? Do you feel constantly on the edge of burnout, or like there's no escape from the daily monotony of being an adult? Do you feel like you don't know yourself anymore?
(971) 318-4304 View (971) 318-4304
Photo of Molly Sterling - Molly Sterling Counseling, Licensed Professional Counselor, LPC
Molly Sterling Counseling
Licensed Professional Counselor, LPC
1 Endorsed
Online Only
My name is Molly Sterling (she/her) and I am a Licensed Professional Counselor (LPC) here in beautiful Portland, OR. I see adults 18+ with a wide variety of presenting goals and issues, including PTSD/trauma, anxiety/panic, depression, grief and/or difficulties navigating a major life transition. I specialize in working with trauma, including complex/developmental trauma and how early attachment patterns continue to show up in our relationships as adults. I particularly enjoy working with helping professionals, perfectionists, and individuals who have a hard time “getting out of their heads”.
My name is Molly Sterling (she/her) and I am a Licensed Professional Counselor (LPC) here in beautiful Portland, OR. I see adults 18+ with a wide variety of presenting goals and issues, including PTSD/trauma, anxiety/panic, depression, grief and/or difficulties navigating a major life transition. I specialize in working with trauma, including complex/developmental trauma and how early attachment patterns continue to show up in our relationships as adults. I particularly enjoy working with helping professionals, perfectionists, and individuals who have a hard time “getting out of their heads”.
(971) 385-5789 View (971) 385-5789
Photo of Monica A Geretti, Licensed Professional Counselor, MA, LPC
Monica A Geretti
Licensed Professional Counselor, MA, LPC
Cathedral Park, Portland, OR 97203
Life is a journey for all of us and people seek therapy for a variety of reasons. My work is about helping you address whatever challenges are getting in the way of you living as your fullest self. Therapy with me is an active and collaborative exploration of your mostly unconscious internal world- the beliefs and feelings that unknowingly drive you in life. Together we create a space for you to better know and understand yourself so that you can make thoughtful, responsive, and sustainable changes.
Life is a journey for all of us and people seek therapy for a variety of reasons. My work is about helping you address whatever challenges are getting in the way of you living as your fullest self. Therapy with me is an active and collaborative exploration of your mostly unconscious internal world- the beliefs and feelings that unknowingly drive you in life. Together we create a space for you to better know and understand yourself so that you can make thoughtful, responsive, and sustainable changes.
(503) 468-1392 View (503) 468-1392
Photo of Christine Simons, FNP-C, DNP
Christine Simons
Verified Verified
1 Endorsed
Online Only
My ideal client struggles with issues like hormonal imbalances, chronic fatigue, digestive problems, and insomnia. They seek a holistic approach to uncover the root causes of their symptoms and desire sustainable, natural solutions. Their goals include achieving balanced health, improving energy levels, and restoring restful sleep. They want personalized care that empowers them with knowledge and tools to take control of their health journey, leading to lasting well-being and a vibrant, unrestricted life.
My ideal client struggles with issues like hormonal imbalances, chronic fatigue, digestive problems, and insomnia. They seek a holistic approach to uncover the root causes of their symptoms and desire sustainable, natural solutions. Their goals include achieving balanced health, improving energy levels, and restoring restful sleep. They want personalized care that empowers them with knowledge and tools to take control of their health journey, leading to lasting well-being and a vibrant, unrestricted life.
(971) 316-5090 View (971) 316-5090
Photo of Darcy Arnall, Professional Counselor Associate, MA
Darcy Arnall
Professional Counselor Associate, MA
Online Only
Counseling is not one-size-fits-all. My approach is to allow the client to tell their story in an open, judgement-free environment creating a safe and trusting connection with treatment designed according to what makes sense to you. Whether you need assistance in processing your experiences, have a specific problem/habit, are seeking general growth, or simply need support and a trusting connection. I offer short and long-term treatment designed to work with you and your unique situation and experiences.
Counseling is not one-size-fits-all. My approach is to allow the client to tell their story in an open, judgement-free environment creating a safe and trusting connection with treatment designed according to what makes sense to you. Whether you need assistance in processing your experiences, have a specific problem/habit, are seeking general growth, or simply need support and a trusting connection. I offer short and long-term treatment designed to work with you and your unique situation and experiences.
(503) 500-5680 View (503) 500-5680
Photo of Stacy Sheffler, Licensed Professional Counselor, MA, LPC
Stacy Sheffler
Licensed Professional Counselor, MA, LPC
Cathedral Park, Portland, OR 97203
If you would like support while addressing: current stressors, pains, trauma, struggles, transitions, communication needs, healing from relationships, or identity I can help guide you within your own journey to ease these feelings for you and develop fulfilling coping skills. I am also supportive of incorporating your partner or your family to aid in healing, communication and healthier dynamics. I am client centered and focus on what you would like your journey in therapy to look and feel like. I am attachment theory and trauma focused in my modalities.
If you would like support while addressing: current stressors, pains, trauma, struggles, transitions, communication needs, healing from relationships, or identity I can help guide you within your own journey to ease these feelings for you and develop fulfilling coping skills. I am also supportive of incorporating your partner or your family to aid in healing, communication and healthier dynamics. I am client centered and focus on what you would like your journey in therapy to look and feel like. I am attachment theory and trauma focused in my modalities.
(503) 379-9761 View (503) 379-9761
Photo of Kelsey Carrier, Licensed Professional Counselor, MA, LPC, LMHC, QMHP, CMHS
Kelsey Carrier
Licensed Professional Counselor, MA, LPC, LMHC, QMHP, CMHS
Online Only
Not accepting new clients
The prompt asks: imagine your ideal client, but what if we imagine your ideal therapist? Someone who gets it, living with chronic illness - the unpredictability, the exhaustion, the way it impacts every single part of your life. Would your ideal therapist have the training to help you process your traumas but also have personal experience navigating the medical system and living with a body that doesn't always cooperate?
The prompt asks: imagine your ideal client, but what if we imagine your ideal therapist? Someone who gets it, living with chronic illness - the unpredictability, the exhaustion, the way it impacts every single part of your life. Would your ideal therapist have the training to help you process your traumas but also have personal experience navigating the medical system and living with a body that doesn't always cooperate?
(971) 251-1482 View (971) 251-1482
Photo of Brooke Gateley Meier, Clinical Social Work/Therapist, LCSW
Brooke Gateley Meier
Clinical Social Work/Therapist, LCSW
2 Endorsed
Cathedral Park, Portland, OR 97203
My goal is to support the whole person in their desire to identify strengths, address their struggles, and to encourage growth. My relational approach includes helping create a safe place in which you feel like you can start the change process. Issues range from impulsivity, anxiety, emotional regulation, unhealthy coping tools, and difficulties working through trauma. I can assist this process with creating genuine connections to begin addressing emotional regulation tactics, stress reduction, psychoeducation of trauma and the brain, and cognitive restructuring.
My goal is to support the whole person in their desire to identify strengths, address their struggles, and to encourage growth. My relational approach includes helping create a safe place in which you feel like you can start the change process. Issues range from impulsivity, anxiety, emotional regulation, unhealthy coping tools, and difficulties working through trauma. I can assist this process with creating genuine connections to begin addressing emotional regulation tactics, stress reduction, psychoeducation of trauma and the brain, and cognitive restructuring.
(503) 966-9273 View (503) 966-9273
Photo of Joan Arbor, Clinical Social Work/Therapist, LCSW, CADCI
Joan Arbor
Clinical Social Work/Therapist, LCSW, CADCI
Online Only
Not accepting new clients
My approach as a mental health counselor is to support you in a collaborative process to nurture the growth and change that aligns with your goals, values, strengths, and resilience. Anxiety, depression, trauma, grief, loneliness, oppression, or addiction can stand in the way of healing from painful situations. My therapeutic style is one of respect, safety, and compassion. I incorporate many therapeutic modalities tailored to your needs to create the growth you would like to see. ​
My approach as a mental health counselor is to support you in a collaborative process to nurture the growth and change that aligns with your goals, values, strengths, and resilience. Anxiety, depression, trauma, grief, loneliness, oppression, or addiction can stand in the way of healing from painful situations. My therapeutic style is one of respect, safety, and compassion. I incorporate many therapeutic modalities tailored to your needs to create the growth you would like to see. ​
(971) 260-9315 View (971) 260-9315
Photo of Jill Shealy, Professional Counselor Associate, MA, NCC, LPCA
Jill Shealy
Professional Counselor Associate, MA, NCC, LPCA
Online Only
Waitlist for new clients
I believe that there is a unique path to well-being for each person. I honor that belief by embracing an eclectic counseling style and by meeting the individual needs of each client. I believe that making small changes can have ripple effects which improve mental health in unforeseen ways. I feel that being willing to look within and change is one of the hardest and bravest things that people can do. I consider it an honor that my clients ask me to join them on their path to wellness.
I believe that there is a unique path to well-being for each person. I honor that belief by embracing an eclectic counseling style and by meeting the individual needs of each client. I believe that making small changes can have ripple effects which improve mental health in unforeseen ways. I feel that being willing to look within and change is one of the hardest and bravest things that people can do. I consider it an honor that my clients ask me to join them on their path to wellness.
(971) 447-0746 View (971) 447-0746
Photo of Dan Frantz, Licensed Professional Counselor, LCPC, LPC
Dan Frantz
Licensed Professional Counselor, LCPC, LPC
1 Endorsed
Cathedral Park, Portland, OR 97203
Life can often feel like an obstacle course. A whirlwind of challenges pushing the limits of our most vital resources (time, attention, and energy). If you are feeling the strain, feeling drained from the battle- you are not alone. If you feel like distressing emotions are taking you for a ride, negative self-talk and beliefs are bombarding your self-esteem, persistent worries keep taking you out of the moment, difficulty concentrating and low energy are messing up your motivation, navigating conflict is stealing your thunder, learning to build healthy boundaries and deep connections seems damn-near impossible, I hope we can talk.
Life can often feel like an obstacle course. A whirlwind of challenges pushing the limits of our most vital resources (time, attention, and energy). If you are feeling the strain, feeling drained from the battle- you are not alone. If you feel like distressing emotions are taking you for a ride, negative self-talk and beliefs are bombarding your self-esteem, persistent worries keep taking you out of the moment, difficulty concentrating and low energy are messing up your motivation, navigating conflict is stealing your thunder, learning to build healthy boundaries and deep connections seems damn-near impossible, I hope we can talk.
(971) 309-1129 View (971) 309-1129
Photo of Misao Eliahim, Marriage & Family Therapist
Misao Eliahim
Marriage & Family Therapist
Online Only
I'm an African American mental health therapist who was born and raised in Portland, Oregon. As an African American person in Portland Oregon, I acutely recognize the health and safety risks associated with being a black person in a city where African Americans represent approximately 6% of the population.
I'm an African American mental health therapist who was born and raised in Portland, Oregon. As an African American person in Portland Oregon, I acutely recognize the health and safety risks associated with being a black person in a city where African Americans represent approximately 6% of the population.
(971) 231-1422 View (971) 231-1422
Photo of Julie Collura, Clinical Social Work/Therapist, MM, MSW, LCSW, REAT
Julie Collura
Clinical Social Work/Therapist, MM, MSW, LCSW, REAT
Cathedral Park, Portland, OR 97203
I provide therapy to adults experiencing a wide range of strengths and challenges. I integrate Expressive Arts with Internal Family Systems (IFS) to help you process feelings and experiences, reduce inner conflict, and improve relationships. I use a multi-arts, or intermodal, approach, which means I use movement, visual art, music and sound, writing, and mindfulness as therapeutic tools to initiate healing and change. Since this work is based on the creative process and not the resulting product, no background or training in the arts is required to benefit.
I provide therapy to adults experiencing a wide range of strengths and challenges. I integrate Expressive Arts with Internal Family Systems (IFS) to help you process feelings and experiences, reduce inner conflict, and improve relationships. I use a multi-arts, or intermodal, approach, which means I use movement, visual art, music and sound, writing, and mindfulness as therapeutic tools to initiate healing and change. Since this work is based on the creative process and not the resulting product, no background or training in the arts is required to benefit.
(971) 293-2837 View (971) 293-2837
Photo of Ryan Carroll, Clinical Social Work/Therapist, LCSW
Ryan Carroll
Clinical Social Work/Therapist, LCSW
5 Endorsed
Online Only
Are you ready to explore a new path and navigate life’s challenges successfully? You can transform and become truly authentic. As your guide, I will spark your curiosity and ignite motivation. I will actively listen, offer empathetic and compassionate feedback, and encourage self-discovery through introspection. On this path you will develop a growth mindset, truly believing that you can become better and improve with time and practice. As you begin to live the life you want to live you will start embracing challenges. As you start to harness the power of your mind, you’ll begin to get the results you want and move towards success.
Are you ready to explore a new path and navigate life’s challenges successfully? You can transform and become truly authentic. As your guide, I will spark your curiosity and ignite motivation. I will actively listen, offer empathetic and compassionate feedback, and encourage self-discovery through introspection. On this path you will develop a growth mindset, truly believing that you can become better and improve with time and practice. As you begin to live the life you want to live you will start embracing challenges. As you start to harness the power of your mind, you’ll begin to get the results you want and move towards success.
(971) 290-1067 View (971) 290-1067
Photo of Rhena Miller, Clinical Social Work/Therapist, MSW, LCSW
Rhena Miller
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Online Only
Do you wish to make changes in your life? People team with me to live more fully: with enthusiasm, passion and greater satisfaction. As your therapist, I offer you presence that is non-judgmental, caring and compassionate. Everyone deserves to have someone who is fully present with them. I am an insightful listener, and will meet you where you are at, in whatever moment you are in. As we partner together, we can unlock the key to achieving your personal goals and the aspirations you wish to accomplish. The Acceptance and Commitment Therapy Model, ACT, is my primary approach.
Do you wish to make changes in your life? People team with me to live more fully: with enthusiasm, passion and greater satisfaction. As your therapist, I offer you presence that is non-judgmental, caring and compassionate. Everyone deserves to have someone who is fully present with them. I am an insightful listener, and will meet you where you are at, in whatever moment you are in. As we partner together, we can unlock the key to achieving your personal goals and the aspirations you wish to accomplish. The Acceptance and Commitment Therapy Model, ACT, is my primary approach.
(503) 850-2188 View (503) 850-2188
Photo of Jayna Bates, Licensed Professional Counselor
Jayna Bates
Licensed Professional Counselor
1 Endorsed
Online Only
Waitlist for new clients
Hello there! I am a queer non-binary femme and have over 4 years of experience working with LGBTQIA+ clients, as well as partners and family of transgender individuals. I also enjoy working with clients in non-traditional relationship styles, such as polyamory or long-distance relationships. I can assist in processing religious trauma and figuring out how to meet spiritual needs in new ways. I also have a lot of insight and compassion for men who want to build introspective skills.
Hello there! I am a queer non-binary femme and have over 4 years of experience working with LGBTQIA+ clients, as well as partners and family of transgender individuals. I also enjoy working with clients in non-traditional relationship styles, such as polyamory or long-distance relationships. I can assist in processing religious trauma and figuring out how to meet spiritual needs in new ways. I also have a lot of insight and compassion for men who want to build introspective skills.
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Photo of Allison Strausberg, Clinical Social Work/Therapist, LCSW
Allison Strausberg
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Current openings! I can help you heal your nervous system, expand emotional capacity, and relate more effectively. I work with motivated adults individually and in couples who feel stuck in thoughts, emotions, or relationship patterns that just aren’t working. I also work with people struggling with a sudden stressor or who want to work through past events. This includes things like trauma, depression, a challenging transition or loss, low self-esteem, loneliness, or persistent conflict and disconnection from your partner. You might feel the impact at work, in your close relationships, or in your relationship with yourself.
Current openings! I can help you heal your nervous system, expand emotional capacity, and relate more effectively. I work with motivated adults individually and in couples who feel stuck in thoughts, emotions, or relationship patterns that just aren’t working. I also work with people struggling with a sudden stressor or who want to work through past events. This includes things like trauma, depression, a challenging transition or loss, low self-esteem, loneliness, or persistent conflict and disconnection from your partner. You might feel the impact at work, in your close relationships, or in your relationship with yourself.
(971) 449-1034 View (971) 449-1034

How does your Therapist compare?

Number of Therapists in Cathedral Park, Portland, OR

30+

Average cost per session

$175

Therapists in Cathedral Park, Portland, OR who prioritize treating:

95% Anxiety
87% Depression
84% Coping Skills
84% Life Transitions
82% Trauma and PTSD
82% Self Esteem
82% Stress

Average years in practice

11 Years

Top 3 insurances accepted

61% Aetna
58% PacificSource
52% Moda Health

How Therapists in Cathedral Park, Portland, OR see their clients

74% Online Only
26% In Person and Online

Gender breakdown

74% Female
16% Male
10% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Cathedral Park, 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.