Therapists in Centennial, Portland, OR

Photo of Desiree Dawn Stang, LPC, CADCIII, Licensed Professional Counselor
Desiree Dawn Stang
Licensed Professional Counselor, LPC, CADCIII
Verified Verified
1 Endorsed
Online Only
Are you looking for counseling for yourself or your teen? Whether you have experienced something traumatic, or you are struggling with minor issues I want to help. I enjoy helping people with a wide variety of problems including mental health issues, addictions, grief, and relationship problems. I believe that clients are the experts of their own lives. It is my desire as a counselor to join the client as a collaborative team, setting and working towards counseling goals. I hold a christian worldview but out of respect I will not impose my beliefs onto my client, unless christian counseling is something you are also interested in.
Are you looking for counseling for yourself or your teen? Whether you have experienced something traumatic, or you are struggling with minor issues I want to help. I enjoy helping people with a wide variety of problems including mental health issues, addictions, grief, and relationship problems. I believe that clients are the experts of their own lives. It is my desire as a counselor to join the client as a collaborative team, setting and working towards counseling goals. I hold a christian worldview but out of respect I will not impose my beliefs onto my client, unless christian counseling is something you are also interested in.
(503) 751-8756 View (503) 751-8756
Photo of Lisa J Wittorff, LCSW, Clinical Social Work/Therapist
Lisa J Wittorff
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I am currently accepting new clients. I am licensed in both Oregon and Washington. Are you trying to recover from childhood trauma? Or trying to adjust to the shock of being diagnosed with ADHD or Autism as an adult? Perhaps you're a parent of a child you just can't figure out how to parent because their needs are so great and unpredictable. Or maybe your child is telling you they are a girl, when they seemed to be a boy at birth? Some of my clients are struggling in their relationships because their partner is transitioning, or has a different type of brain that makes mutual communication hard. You've come to the right place!
I am currently accepting new clients. I am licensed in both Oregon and Washington. Are you trying to recover from childhood trauma? Or trying to adjust to the shock of being diagnosed with ADHD or Autism as an adult? Perhaps you're a parent of a child you just can't figure out how to parent because their needs are so great and unpredictable. Or maybe your child is telling you they are a girl, when they seemed to be a boy at birth? Some of my clients are struggling in their relationships because their partner is transitioning, or has a different type of brain that makes mutual communication hard. You've come to the right place!
(503) 549-4916 View (503) 549-4916
Photo of Sarah Bord, MA, LPC, CADC I, Licensed Professional Counselor
Sarah Bord
Licensed Professional Counselor, MA, LPC, CADC I
Verified Verified
2 Endorsed
Centennial, Portland, OR 97236
I work with clients struggling with trauma, anxiety, depression, substance abuse, lgbtqia2s+ issues, burnout, compassion fatigue, and sociopolitical/economical issues, environmental and climate concerns. I work with individuals that want to put the work into improving the quality of their lives.
I work with clients struggling with trauma, anxiety, depression, substance abuse, lgbtqia2s+ issues, burnout, compassion fatigue, and sociopolitical/economical issues, environmental and climate concerns. I work with individuals that want to put the work into improving the quality of their lives.
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Photo of Andrew Marshall Davis, LMFT, Marriage & Family Therapist
Andrew Marshall Davis
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Online Only
You’re ready to prioritize yourself and find the support you deserve. You’ve had enough of feeling unheard, overwhelmed by codependency, or stuck in patterns of narcissistic abuse. If you’ve felt misunderstood or struggled to find a sense of belonging, you don’t have to navigate this alone. Together, we’ll create a safe, inclusive space where your experiences are honored, your feelings validated, and you can build the skills to break free from the cycles that have held you back. Our work will focus on clarity, self-compassion, and empowerment on your journey to healing.
You’re ready to prioritize yourself and find the support you deserve. You’ve had enough of feeling unheard, overwhelmed by codependency, or stuck in patterns of narcissistic abuse. If you’ve felt misunderstood or struggled to find a sense of belonging, you don’t have to navigate this alone. Together, we’ll create a safe, inclusive space where your experiences are honored, your feelings validated, and you can build the skills to break free from the cycles that have held you back. Our work will focus on clarity, self-compassion, and empowerment on your journey to healing.
(503) 664-7542 View (503) 664-7542
Photo of Relendra Kaia, LPC, Licensed Professional Counselor
Relendra Kaia
Licensed Professional Counselor, LPC
Verified Verified
Centennial, Portland, OR 97233
In my work as a counselor, I assist clients in healing and growth by fostering openness and self-empowerment. I help my clients understand their experiences by taking their past into account, as well as their current environment. Childhood relationships with primary caregivers, past trauma, existential or spiritual concerns, current environmental stressors, and unmet needs are integral to mental health challenges in all of us. By achieving insight and affirmation about our place in the world and relationship to it, we can reclaim vitality and a sense of purpose in living, using that as a guiding light in the life journey to come.
In my work as a counselor, I assist clients in healing and growth by fostering openness and self-empowerment. I help my clients understand their experiences by taking their past into account, as well as their current environment. Childhood relationships with primary caregivers, past trauma, existential or spiritual concerns, current environmental stressors, and unmet needs are integral to mental health challenges in all of us. By achieving insight and affirmation about our place in the world and relationship to it, we can reclaim vitality and a sense of purpose in living, using that as a guiding light in the life journey to come.
(971) 365-4917 View (971) 365-4917
Photo of Krista Gautsche, MSW,  LCSW, Clinical Social Work/Therapist
Krista Gautsche
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Centennial, Portland, OR 97203
Services Offered Individual, family and group therapy Theoretical Orientation Krista takes a clientcentered approach when working with children and families. When working with clients she uses a variety of theories and approaches including Family Systems Approach, Motivational Interviewing, Dialectical Behavior Therapy, Cognitive Behavioral Therapy, Brief Solutions Focused and Collaborative Problem Solving. More Information I enjoy spending time with family and friends, being outdoors, exercising, traveling and cooking.
Services Offered Individual, family and group therapy Theoretical Orientation Krista takes a clientcentered approach when working with children and families. When working with clients she uses a variety of theories and approaches including Family Systems Approach, Motivational Interviewing, Dialectical Behavior Therapy, Cognitive Behavioral Therapy, Brief Solutions Focused and Collaborative Problem Solving. More Information I enjoy spending time with family and friends, being outdoors, exercising, traveling and cooking.
(833) 996-1403 View (833) 996-1403
Photo of Emily Schomann, MA,  LPC, Licensed Professional Counselor
Emily Schomann
Licensed Professional Counselor, MA, LPC
Verified Verified
Centennial, Portland, OR 97218
My philosophy of counseling is based on the belief that the client possesses the power to change, and that it is my role to help the client become aware of how to understand and utilize that power. I operate from a systemic approach in which I consider all the interactions a client is having with their family and community and suggest alternatives that might lead to the changes a client desires. I accept whatever goals and frameworks the client and/or family bring to sessions, and attempt to work within their framework to help folks achieve what they desire. I work in English and attempt to be culturally relevant in my suggestions.
My philosophy of counseling is based on the belief that the client possesses the power to change, and that it is my role to help the client become aware of how to understand and utilize that power. I operate from a systemic approach in which I consider all the interactions a client is having with their family and community and suggest alternatives that might lead to the changes a client desires. I accept whatever goals and frameworks the client and/or family bring to sessions, and attempt to work within their framework to help folks achieve what they desire. I work in English and attempt to be culturally relevant in my suggestions.
(833) 996-1403 View (833) 996-1403
Photo of Blake Wallace, MSW,  CSWA
Blake Wallace
Clinical Social Work Associate, MSW, CSWA
Verified Verified
Centennial, Portland, OR 97218
Blake Wallace is a CSWA in Oregon who has been practicing since 2024. He earned a Master of Social Work at Pacific University. Blake provides deeper therapy through a dynamic lens by exploring the intricate layers of the mind and the profound influence of early life experiences. By delving into the roots of emotional conflicts and unresolved issues, Blake helps his clients uncover hidden patterns and motivations that shape their current behavior and emotional state. This approach facilitates a deeper understanding of oneself, fostering insight and promoting lasting psychological growth.
Blake Wallace is a CSWA in Oregon who has been practicing since 2024. He earned a Master of Social Work at Pacific University. Blake provides deeper therapy through a dynamic lens by exploring the intricate layers of the mind and the profound influence of early life experiences. By delving into the roots of emotional conflicts and unresolved issues, Blake helps his clients uncover hidden patterns and motivations that shape their current behavior and emotional state. This approach facilitates a deeper understanding of oneself, fostering insight and promoting lasting psychological growth.
(833) 996-1403 View (833) 996-1403
Photo of Mary Chakhtoura, MSW,  QMHP
Mary Chakhtoura
Clinical Social Work Associate, MSW, QMHP
Verified Verified
Centennial, Portland, OR 97218
Mary Chakhtoura, CSWA Mary Chakhtoura is a Certified Social Worker Associate in Oregon who has been practicing since 2021. She has a BA Humanities degree and a Master of Social Work degree. Mary helps clients by understanding that they are so much more than their problems and that none of us exist in a vacuum. Mary helps clients become their own therapists by learning about the relationships between thoughts, emotions, and behavior. Clients will learn to identify the cultural factors, core beliefs, assumptions, and dysfunctional automatic thoughts that are contributing to their problems.
Mary Chakhtoura, CSWA Mary Chakhtoura is a Certified Social Worker Associate in Oregon who has been practicing since 2021. She has a BA Humanities degree and a Master of Social Work degree. Mary helps clients by understanding that they are so much more than their problems and that none of us exist in a vacuum. Mary helps clients become their own therapists by learning about the relationships between thoughts, emotions, and behavior. Clients will learn to identify the cultural factors, core beliefs, assumptions, and dysfunctional automatic thoughts that are contributing to their problems.
(833) 996-1403 View (833) 996-1403
Photo of Brent Belford, MSW,  LCSW, Clinical Social Work/Therapist
Brent Belford
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Centennial, Portland, OR 97266
My primary therapeutic orientations are psychoanalytic and existential. My focus is helping you identify and work through conscious and unconscious barriers to increased freedom in your life and to making choices that move you toward the life you want to live. Masters of Social Work in Clinical Social Work from Portland State University, BS in Psychology from University of Oregon. I have 10 years of experience in the mental health field, primarily in outpatient community mental health and residential treatment.
My primary therapeutic orientations are psychoanalytic and existential. My focus is helping you identify and work through conscious and unconscious barriers to increased freedom in your life and to making choices that move you toward the life you want to live. Masters of Social Work in Clinical Social Work from Portland State University, BS in Psychology from University of Oregon. I have 10 years of experience in the mental health field, primarily in outpatient community mental health and residential treatment.
(833) 996-1403 View (833) 996-1403
Photo of Adele Lewis, MSW,  LCSW, Clinical Social Work/Therapist
Adele Lewis
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Centennial, Portland, OR 97203
In therapy, Adele uses an integrated approach that spans various theoretical perspectives and techniques and is tailored to the specific needs of the clients with whom she works. Her theoretical orientation is personcentered, trauma informed and incorporates attachment principles. Specific therapeutic techniques utilized by Adele include: Solution Focused Therapy, Cognitive Behavioral Therapy (CBT), Narrative Therapy, and Motivational Interviewing. Adele’s pastimes include meditation, painting, gardening, hiking and meaningful connection with others.
In therapy, Adele uses an integrated approach that spans various theoretical perspectives and techniques and is tailored to the specific needs of the clients with whom she works. Her theoretical orientation is personcentered, trauma informed and incorporates attachment principles. Specific therapeutic techniques utilized by Adele include: Solution Focused Therapy, Cognitive Behavioral Therapy (CBT), Narrative Therapy, and Motivational Interviewing. Adele’s pastimes include meditation, painting, gardening, hiking and meaningful connection with others.
(833) 996-1403 View (833) 996-1403
Photo of Lucia Gonzales, MA,  LPC, Licensed Professional Counselor
Lucia Gonzales
Licensed Professional Counselor, MA, LPC
Verified Verified
Centennial, Portland, OR 97266
Lucia uses an eclectic approach to therapy; she utilizes supportive, cognitive behavioral therapy (CBT), EMDR, DBT and mindfulness, as well as somatic interventions. She believes our bodies and minds often know how to heal themselves, and her goal is to help facilitate this healing. She believes therapy should be an active process, with clients doing therapeutic work outside of the therapy session. In her spare time, Lucia enjoys learning rollerdance, backpacking/outdoor skills and activities, travel, and creative types of things.
Lucia uses an eclectic approach to therapy; she utilizes supportive, cognitive behavioral therapy (CBT), EMDR, DBT and mindfulness, as well as somatic interventions. She believes our bodies and minds often know how to heal themselves, and her goal is to help facilitate this healing. She believes therapy should be an active process, with clients doing therapeutic work outside of the therapy session. In her spare time, Lucia enjoys learning rollerdance, backpacking/outdoor skills and activities, travel, and creative types of things.
(833) 996-1403 View (833) 996-1403
Photo of Sandra Grass, MSEd,  LPC, Licensed Professional Counselor
Sandra Grass
Licensed Professional Counselor, MSEd, LPC
Verified Verified
Centennial, Portland, OR 97203
Aetna, Cigna, First Choice Health, Health Share/OHP, Humana Inc, Kaiser, Managed Health Network, MediNcrease, Medicaid, Moda, Molina, Optum, United Behavioral Health, Pacific Source Health Plans, Regence Blue Cross Blue Sheild, Tricare.
Aetna, Cigna, First Choice Health, Health Share/OHP, Humana Inc, Kaiser, Managed Health Network, MediNcrease, Medicaid, Moda, Molina, Optum, United Behavioral Health, Pacific Source Health Plans, Regence Blue Cross Blue Sheild, Tricare.
(833) 996-1403 View (833) 996-1403
Photo of Sharon Hatrak, MA,  LPC, Licensed Professional Counselor
Sharon Hatrak
Licensed Professional Counselor, MA, LPC
Verified Verified
Centennial, Portland, OR 97266
Individual, Group, Family, Couples counseling. Sharon believes that we have tremendous capacity to grow, heal, and learn when given the opportunity to share, reflect, and problem solve in the context of an accepting and supportive therapeutic relationship. She uses a person centered approach and expressive therapy techniques to partner with clients to clearly define needs, strengths, coping strategies and solutions. I grew up on the east coast but have lived in Portland since college. I really love the beautiful Northwest.
Individual, Group, Family, Couples counseling. Sharon believes that we have tremendous capacity to grow, heal, and learn when given the opportunity to share, reflect, and problem solve in the context of an accepting and supportive therapeutic relationship. She uses a person centered approach and expressive therapy techniques to partner with clients to clearly define needs, strengths, coping strategies and solutions. I grew up on the east coast but have lived in Portland since college. I really love the beautiful Northwest.
(833) 996-1403 View (833) 996-1403
Photo of Anna Hadley-Sprecher, MSW,  LCSW, Clinical Social Work/Therapist
Anna Hadley-Sprecher
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Centennial, Portland, OR 97203
I do my best to embrace each individual's unique circumstances and situation with establishing a strong therapeutic relationship. I believe I can help people learn how to access tools that empower them to meet their current challenges, while simultaneously building skills for future use. I am trained in systems and solutionfocused approaches. I look at relationships in client's lives as systems and work with people to strengthen those relationships, whether it be a relationship with an individual or within a family. I see a variety of clients and love the diversity.
I do my best to embrace each individual's unique circumstances and situation with establishing a strong therapeutic relationship. I believe I can help people learn how to access tools that empower them to meet their current challenges, while simultaneously building skills for future use. I am trained in systems and solutionfocused approaches. I look at relationships in client's lives as systems and work with people to strengthen those relationships, whether it be a relationship with an individual or within a family. I see a variety of clients and love the diversity.
(833) 996-1403 View (833) 996-1403
Photo of Kathryn Hulse, MA,  LPC, Licensed Professional Counselor
Kathryn Hulse
Licensed Professional Counselor, MA, LPC
Verified Verified
Centennial, Portland, OR 97266
Kate Hulse is a Licensed Marriage and Family Therapist in Oregon who has been practicing since 2012. Kate’s professional experience along with her personal experiences of loss and life transitions has improved her understanding of human experiences in adverse environments. The success of her clients, patients, and couples/families is reflected in Kate’s ability to think outside the box, be supportive when it comes to change and new ways of thinking, explore selfawareness, and the steps both she and the individual take together.
Kate Hulse is a Licensed Marriage and Family Therapist in Oregon who has been practicing since 2012. Kate’s professional experience along with her personal experiences of loss and life transitions has improved her understanding of human experiences in adverse environments. The success of her clients, patients, and couples/families is reflected in Kate’s ability to think outside the box, be supportive when it comes to change and new ways of thinking, explore selfawareness, and the steps both she and the individual take together.
(833) 996-1403 View (833) 996-1403
Photo of Emily Johnson, MS,  LPC,  LMFT, Licensed Professional Counselor
Emily Johnson
Licensed Professional Counselor, MS, LPC, LMFT
Verified Verified
Centennial, Portland, OR 97218
Services Offered Emily has experience working with people of all ages. She enjoys working with individuals, couples, and families. Emily enjoys reading and listening to audiobooks. Hiking the Colombia River Gorge with her family and friends is one of her favorite things to do. She enjoys cooking and baking new recipes.
Services Offered Emily has experience working with people of all ages. She enjoys working with individuals, couples, and families. Emily enjoys reading and listening to audiobooks. Hiking the Colombia River Gorge with her family and friends is one of her favorite things to do. She enjoys cooking and baking new recipes.
(833) 996-1403 View (833) 996-1403
Photo of Shyanne Holton, MSW,  CSWA
Shyanne Holton
Clinical Social Work Associate, MSW, CSWA
Verified Verified
Centennial, Portland, OR 97216
Shyanne Holton is a Clinical Social Work Associate in Oregon who has been practicing since 2019. She has a Master of Social Work from Portland State University. Shyanne believes in a wholistic, trauma-informed approach to working with clients. In her spare time, Shyanne enjoys sports like basketball, taking long walks with her dog, and listening to music.
Shyanne Holton is a Clinical Social Work Associate in Oregon who has been practicing since 2019. She has a Master of Social Work from Portland State University. Shyanne believes in a wholistic, trauma-informed approach to working with clients. In her spare time, Shyanne enjoys sports like basketball, taking long walks with her dog, and listening to music.
(833) 996-1403 View (833) 996-1403
Photo of Laura Lyons, MA,  LPC, Licensed Professional Counselor
Laura Lyons
Licensed Professional Counselor, MA, LPC
Verified Verified
Centennial, Portland, OR 97266
Laura values offering a safe, compassionate, and collaborative counseling relationship in which she is responsive to your needs, and supports you in accomplishing your goals. She considers it an honor to accompany you in one chapter of your efforts to increase wellbeing. In sessions, she integrates various approaches and tools based on your goals and a collaborative process with you. Your spirituality or aspects of your identity and experiences that are meaningful to you are welcome in sessions, and she will follow your lead.
Laura values offering a safe, compassionate, and collaborative counseling relationship in which she is responsive to your needs, and supports you in accomplishing your goals. She considers it an honor to accompany you in one chapter of your efforts to increase wellbeing. In sessions, she integrates various approaches and tools based on your goals and a collaborative process with you. Your spirituality or aspects of your identity and experiences that are meaningful to you are welcome in sessions, and she will follow your lead.
(833) 996-1403 View (833) 996-1403
Photo of Tressa Ernst, MSW,  LCSW, Clinical Social Work/Therapist
Tressa Ernst
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Centennial, Portland, OR 97266
Education & Experience: Licensed Clinical Social Worker, 2012. MSW, University of Chicago: Evidence Based Practice Program, 2010. BA in Psychology, Trinity Western University: Human Services Program, 2006 Tressa has worked with children, adolescents, and their families at an inpatient psychiatry unit, as well as with adults with co-occurring substance use issues and mental illness on a community mental health outreach team, and on an integrated primary care team providing group and individual counseling.
Education & Experience: Licensed Clinical Social Worker, 2012. MSW, University of Chicago: Evidence Based Practice Program, 2010. BA in Psychology, Trinity Western University: Human Services Program, 2006 Tressa has worked with children, adolescents, and their families at an inpatient psychiatry unit, as well as with adults with co-occurring substance use issues and mental illness on a community mental health outreach team, and on an integrated primary care team providing group and individual counseling.
(833) 996-1403 View (833) 996-1403
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How does your Therapist compare?

Number of Therapists in Centennial, Portland, OR

80+

Average cost per session

$175

Therapists in Centennial, Portland, OR who prioritize treating:

98% Anxiety
94% Depression
82% Trauma and PTSD
61% Grief
49% Life Transitions
38% ADHD
38% Family Conflict

Average years in practice

10 Years

Top 3 insurances accepted

80% Providence
80% Other
75% Aetna

How Therapists in Centennial, Portland, OR see their clients

81% In Person and Online
19% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Centennial, 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.