Therapists in Multnomah Village, Portland, OR

Photo of Laura Ann Raynor, Marriage & Family Therapist, LMFT
Laura Ann Raynor
Marriage & Family Therapist, LMFT
Multnomah Village, Portland, OR 97219
I am passionate about helping clients develop and improve positive relationships with themselves and the important people in their lives. Attachment disruptions and childhood trauma can impact people throughout their lives and processing historical sources of symptoms or behaviors while learning and developing positive ways to cope can assist people with working through their trauma and symptoms in order to develop a positive sense of self and live the life they desire.
I am passionate about helping clients develop and improve positive relationships with themselves and the important people in their lives. Attachment disruptions and childhood trauma can impact people throughout their lives and processing historical sources of symptoms or behaviors while learning and developing positive ways to cope can assist people with working through their trauma and symptoms in order to develop a positive sense of self and live the life they desire.
(971) 265-4615 View (971) 265-4615
Photo of Jeremy Manalis - Map & Compass, Relational Life Therapy (RLT), Licensed Professional Counselor, MA, LPC, FEA
Map & Compass, Relational Life Therapy (RLT)
Licensed Professional Counselor, MA, LPC, FEA
1 Endorsed
Multnomah Village, Portland, OR 97219
My name is Jeremy Manalis. I work with individuals and couples who are struggling to find harmony and connection in their relationship. My favorite clients to work with are the ones who are ready to work hard to make the changes in themselves to improve their relationship. I work with couples who are open and ready to hearing the truth about their negative pattern of interaction that is contributing to their relationship challenges.
My name is Jeremy Manalis. I work with individuals and couples who are struggling to find harmony and connection in their relationship. My favorite clients to work with are the ones who are ready to work hard to make the changes in themselves to improve their relationship. I work with couples who are open and ready to hearing the truth about their negative pattern of interaction that is contributing to their relationship challenges.
(971) 626-1652 View (971) 626-1652
Photo of Megan Murphy, Marriage & Family Therapist, MA, LMFT
Megan Murphy
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Multnomah Village, Portland, OR 97219
Real life is complicated and often times, it hurts. The struggles that we experience can take on a variety of forms, ranging from depression and anxiety, to trauma. As a Licensed Therapist (LMFT), I am dedicated to supporting my clients on their journey towards healing, empowerment and hope. I strive to offer a personalized and collaborative approach in therapy that focuses on developing strong, trusting relationships with my clients. I utilize a trauma-informed, humanistic, strength-based, non-judgmental style to provide a safe space for my clients to explore, heal and grow.
Real life is complicated and often times, it hurts. The struggles that we experience can take on a variety of forms, ranging from depression and anxiety, to trauma. As a Licensed Therapist (LMFT), I am dedicated to supporting my clients on their journey towards healing, empowerment and hope. I strive to offer a personalized and collaborative approach in therapy that focuses on developing strong, trusting relationships with my clients. I utilize a trauma-informed, humanistic, strength-based, non-judgmental style to provide a safe space for my clients to explore, heal and grow.
(503) 486-4207 View (503) 486-4207
Photo of Hila Pazner - Mind Map Psychoeducational Services, Psychologist, PhD
Mind Map Psychoeducational Services
Psychologist, PhD
1 Endorsed
Multnomah Village, Portland, OR 97219
We are a psychological assessment clinic that specializes in conducting assessments for children, teens, and young adults including those for learning disabilities (such as Dyslexia), Autism, ADHD, giftedness, anxiety, and depression. Our approach is compassionate, collaborative, and thorough. One goal of the assessment is to provide an in-depth understanding of the individual's strengths and to uncover the causes of their challenges. Another goal is to provide families, teachers, and other individuals who work with the student with evidence-based recommendations so that they can succeed and thrive in their life.
We are a psychological assessment clinic that specializes in conducting assessments for children, teens, and young adults including those for learning disabilities (such as Dyslexia), Autism, ADHD, giftedness, anxiety, and depression. Our approach is compassionate, collaborative, and thorough. One goal of the assessment is to provide an in-depth understanding of the individual's strengths and to uncover the causes of their challenges. Another goal is to provide families, teachers, and other individuals who work with the student with evidence-based recommendations so that they can succeed and thrive in their life.
(503) 461-1239 View (503) 461-1239
Photo of Alicia Johnson, Marriage & Family Therapist, MA, LMFT
Alicia Johnson
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Multnomah Village, Portland, OR 97219
You might feel caught in cycles of self-doubt, anxiety, or uncertainty about what’s next. You don’t have to face it alone. I offer a warm, supportive space for adolescents (11+), adults, and families navigating life transitions, identity exploration, relationship challenges, and mental health concerns. Based in Portland, Oregon, I provide virtual therapy across Oregon for people of all backgrounds. I specialize in eating disorders—like anorexia, bulimia, binge eating, orthorexia, and body image distress—drawing on six years of experience in residential treatment. I also support folks working through anxiety, depression, and trauma.
You might feel caught in cycles of self-doubt, anxiety, or uncertainty about what’s next. You don’t have to face it alone. I offer a warm, supportive space for adolescents (11+), adults, and families navigating life transitions, identity exploration, relationship challenges, and mental health concerns. Based in Portland, Oregon, I provide virtual therapy across Oregon for people of all backgrounds. I specialize in eating disorders—like anorexia, bulimia, binge eating, orthorexia, and body image distress—drawing on six years of experience in residential treatment. I also support folks working through anxiety, depression, and trauma.
(971) 293-4939 View (971) 293-4939
Photo of Ashley D Guthrie, Pre-Licensed Professional, MT-BC, QMHA-II
Ashley D Guthrie
Pre-Licensed Professional, MT-BC, QMHA-II
2 Endorsed
Multnomah Village, Portland, OR 97219
I believe that true healing occurs within the context of relationships—through connection, trust, safety, and the support of others. These elements allow us to thrive as our authentic selves. Healing, in my view, is a birthright for everyone. In my practice, I offer a warm, compassionate, and non-judgmental space where we can explore all aspects of the self—mind, body, and spirit. My approach is both holistic and humanistic, honoring the complexities and beauty of what it means to be human in today's world.
I believe that true healing occurs within the context of relationships—through connection, trust, safety, and the support of others. These elements allow us to thrive as our authentic selves. Healing, in my view, is a birthright for everyone. In my practice, I offer a warm, compassionate, and non-judgmental space where we can explore all aspects of the self—mind, body, and spirit. My approach is both holistic and humanistic, honoring the complexities and beauty of what it means to be human in today's world.
(971) 318-5919 View (971) 318-5919
Photo of Christine G Glenn, Psychologist, PhD
Christine G Glenn
Psychologist, PhD
1 Endorsed
Multnomah Village, Portland, OR 97219
The holidays can be a good time to talk about family distance and estrangement. Everyone needs to talk about their personal concerns and challenges. I provide a place for these personal conversations. Life is challenging. No one and no family is perfect (whatever that is). Old misunderstandings and conflicts can be understood. New goals can be developed. Let's talk about it. I work with individuals experiencing stress/anxiety/trauma; depression; childhood and relationship issues; life transitions - divorce, the death of someone important, illness, and the transitions of midlife or becoming an elder; ADHD.
The holidays can be a good time to talk about family distance and estrangement. Everyone needs to talk about their personal concerns and challenges. I provide a place for these personal conversations. Life is challenging. No one and no family is perfect (whatever that is). Old misunderstandings and conflicts can be understood. New goals can be developed. Let's talk about it. I work with individuals experiencing stress/anxiety/trauma; depression; childhood and relationship issues; life transitions - divorce, the death of someone important, illness, and the transitions of midlife or becoming an elder; ADHD.
(503) 676-6423 View (503) 676-6423
Photo of Larisa Klein, Pre-Licensed Professional, MA
Larisa Klein
Pre-Licensed Professional, MA
1 Endorsed
Multnomah Village, Portland, OR 97219
I specialize in helping girls and women thrive through every life stage—from adolescence and identity formation to college transitions, career development, and motherhood. I support women navigating complex emotional, relational, and spiritual challenges with empathy, clinical insight, and a commitment to holistic growth.
I specialize in helping girls and women thrive through every life stage—from adolescence and identity formation to college transitions, career development, and motherhood. I support women navigating complex emotional, relational, and spiritual challenges with empathy, clinical insight, and a commitment to holistic growth.
(971) 299-7081 View (971) 299-7081
Photo of Amy Newman, Pre-Licensed Professional, MA, CADC-R, QMHP-R
Amy Newman
Pre-Licensed Professional, MA, CADC-R, QMHP-R
3 Endorsed
Multnomah Village, Portland, OR 97219
I invite you to be your authentic self in our work together, in a space without judgment. Life can be challenging, and I would love to help you find more ease, joy, and acceptance. My clinical interests include addiction, family systems, relational issues, perfectionism, and trauma, among others. I am open to working with adult individuals and couples. I have experience working in residential Substance Use Disorder treatment as well as working with their loved ones. I want to meet you where you're at, and help you connect with what matters most to you.
I invite you to be your authentic self in our work together, in a space without judgment. Life can be challenging, and I would love to help you find more ease, joy, and acceptance. My clinical interests include addiction, family systems, relational issues, perfectionism, and trauma, among others. I am open to working with adult individuals and couples. I have experience working in residential Substance Use Disorder treatment as well as working with their loved ones. I want to meet you where you're at, and help you connect with what matters most to you.
(971) 265-6646 View (971) 265-6646
Photo of Megan Lilah Martin, Professional Counselor Associate, MA, CADC I
Megan Lilah Martin
Professional Counselor Associate, MA, CADC I
1 Endorsed
Multnomah Village, Portland, OR 97219
I cultivate an atmosphere of welcoming, compassionate engagement. I work in a collaborative, client-centered way with individuals from age 16 to end of life, supporting people to channel desire, frustration, and creativity into wholeness, resilience, and thriving. My integrative counseling approach is rooted in Humanistic and Existential theories that emphasize the essential worth and wisdom of each person as they seek to form meaningful perspectives on their unique experiences and make nourishing connections. I support clients to question their social conditioning and re-author life narratives and choices to be more empowering.
I cultivate an atmosphere of welcoming, compassionate engagement. I work in a collaborative, client-centered way with individuals from age 16 to end of life, supporting people to channel desire, frustration, and creativity into wholeness, resilience, and thriving. My integrative counseling approach is rooted in Humanistic and Existential theories that emphasize the essential worth and wisdom of each person as they seek to form meaningful perspectives on their unique experiences and make nourishing connections. I support clients to question their social conditioning and re-author life narratives and choices to be more empowering.
(503) 782-9578 View (503) 782-9578
Photo of Gisele Yawa Dessou, Professional Counselor Associate , MA, PCA
Gisele Yawa Dessou
Professional Counselor Associate , MA, PCA
1 Endorsed
Multnomah Village, Portland, OR 97219
Do you struggle with anxiety, depression, grief, or navigating difficult relationships that affect your ability to connect, communicate, and thrive within your family, relationship, or everyday life? Do you feel overwhelmed, lost, or spiritually disconnected by the pressure to hold it all together, live up to others' expectations, or carry generational pain without a space to process it? Do you hope that healing, clarity, and peace are still possible for yourself, your relationship, or your family, uncertain, and emotionally burdened as you try to navigate identity, trauma, and relationships?
Do you struggle with anxiety, depression, grief, or navigating difficult relationships that affect your ability to connect, communicate, and thrive within your family, relationship, or everyday life? Do you feel overwhelmed, lost, or spiritually disconnected by the pressure to hold it all together, live up to others' expectations, or carry generational pain without a space to process it? Do you hope that healing, clarity, and peace are still possible for yourself, your relationship, or your family, uncertain, and emotionally burdened as you try to navigate identity, trauma, and relationships?
(503) 837-8332 View (503) 837-8332
Photo of Savannah T. Brown, Pre-Licensed Professional
Savannah T. Brown
Pre-Licensed Professional
2 Endorsed
Multnomah Village, Portland, OR 97219
I’m so glad you’re here. Whether you are looking for support with grief, life transitions, anxiety, or overwhelm, I welcome you and honor your journey with warmth and deep listening. I believe in the power of a genuine partnership, where we work to cultivate growth that feels truly aligned with your spirit and aspirations. I offer a gentle, trauma-informed space for children, teens, adults, and couples. Drawing from an intuitive blend of mindfulness and somatic awareness, informed by my work with families and end-of-life care, I support you in connecting with your innate healing wisdom.
I’m so glad you’re here. Whether you are looking for support with grief, life transitions, anxiety, or overwhelm, I welcome you and honor your journey with warmth and deep listening. I believe in the power of a genuine partnership, where we work to cultivate growth that feels truly aligned with your spirit and aspirations. I offer a gentle, trauma-informed space for children, teens, adults, and couples. Drawing from an intuitive blend of mindfulness and somatic awareness, informed by my work with families and end-of-life care, I support you in connecting with your innate healing wisdom.
(503) 461-6133 View (503) 461-6133
Photo of Aliah Dolan, Marriage & Family Therapist, MS, LMFT
Aliah Dolan
Marriage & Family Therapist, MS, LMFT
Multnomah Village, Portland, OR 97219
Looking for the right therapist for you can be the start of something great, but it can also feel a little overwhelming. At the heart of my practice is your comfort. When you begin talking with someone who really listens, wants to understand your point of view, and wants to not only help you, but learn from you, real growth can begin to happen. Sometimes old patterns and the things we have been through can make us feel stuck. I'm here to help you get unstuck and get where you want to be.
Looking for the right therapist for you can be the start of something great, but it can also feel a little overwhelming. At the heart of my practice is your comfort. When you begin talking with someone who really listens, wants to understand your point of view, and wants to not only help you, but learn from you, real growth can begin to happen. Sometimes old patterns and the things we have been through can make us feel stuck. I'm here to help you get unstuck and get where you want to be.
(503) 664-9241 View (503) 664-9241
Photo of Amelia Bird, Marriage & Family Therapist, MA, LMFT, PPSC
Amelia Bird
Marriage & Family Therapist, MA, LMFT, PPSC
Multnomah Village, Portland, OR 97219
I am a counselor and psychotherapist with a passion for working with children over 10, adolescents, and adults who are recovering from childhood wounds, or who want to find new ways of relating to themselves or others. I have a master's degree in counseling psychology from Saint Mary's College of California and a state license in Marriage and Family Therapy. I also hold a credential in school counseling and served as a mental health provider and counselor at all K-12 grade levels. I was a counseling-skills trainer and adjunct faculty member in the graduate counseling department at Saint Mary's College.
I am a counselor and psychotherapist with a passion for working with children over 10, adolescents, and adults who are recovering from childhood wounds, or who want to find new ways of relating to themselves or others. I have a master's degree in counseling psychology from Saint Mary's College of California and a state license in Marriage and Family Therapy. I also hold a credential in school counseling and served as a mental health provider and counselor at all K-12 grade levels. I was a counseling-skills trainer and adjunct faculty member in the graduate counseling department at Saint Mary's College.
(503) 549-4943 View (503) 549-4943
Photo of Bart J. Walsh, Clinical Social Work/Therapist
Bart J. Walsh
Clinical Social Work/Therapist
Multnomah Village, Portland, OR 97219
My orientation to counseling, psychotherapy and hypnotherapy is essentially a strengths perspective with a solution focus. The strengths perspective acknowledges all the strengths, resources and instinctual imperatives within an individual that have helped the individual get to the present moment.The strengths perspective helps me scan for the resources needed to resolve or modfy the treatment concern.
My orientation to counseling, psychotherapy and hypnotherapy is essentially a strengths perspective with a solution focus. The strengths perspective acknowledges all the strengths, resources and instinctual imperatives within an individual that have helped the individual get to the present moment.The strengths perspective helps me scan for the resources needed to resolve or modfy the treatment concern.
(503) 388-9133 View (503) 388-9133
Photo of Lisa Pace, Licensed Professional Counselor, MA, LPC
Lisa Pace
Licensed Professional Counselor, MA, LPC
3 Endorsed
Multnomah Village, Portland, OR 97219
Welcome, deciding to engage in therapy may not be an easy decision; I assure that you will be met with warmth, compassion and respect. I incorporate a mindfulness approach to treatment and utilize acceptance and change strategies to help you reach your goals. My approach is collaborative, welcoming and non-judgmental. I am a Licensed Professional Counselor and have been working in the field since 2007. I have experience working in varied settings including community mental health center's, hospital/ER settings, Portland DBT Institute, Inc and private practice.
Welcome, deciding to engage in therapy may not be an easy decision; I assure that you will be met with warmth, compassion and respect. I incorporate a mindfulness approach to treatment and utilize acceptance and change strategies to help you reach your goals. My approach is collaborative, welcoming and non-judgmental. I am a Licensed Professional Counselor and have been working in the field since 2007. I have experience working in varied settings including community mental health center's, hospital/ER settings, Portland DBT Institute, Inc and private practice.
(503) 406-6254 View (503) 406-6254
Photo of Arielle E Fettman, Marriage & Family Therapist, MA, LMFT
Arielle E Fettman
Marriage & Family Therapist, MA, LMFT
Multnomah Village, Portland, OR 97219
There aren’t many things in life that are as satisfying as feeling “at home” with your partner or other loved ones. You feel safe, cared for, understood and connected. You feel like when you express yourself, you’re being heard, valued, and held in kindness and compassion. Alternatively, there aren’t many things in life that can feel as awful as feeling disconnected from your partner or other loved ones. You can feel unheard, misunderstood, uncared for, defensive, angry, resentful, sad, and scared. And it can feel like there’s no solution.
There aren’t many things in life that are as satisfying as feeling “at home” with your partner or other loved ones. You feel safe, cared for, understood and connected. You feel like when you express yourself, you’re being heard, valued, and held in kindness and compassion. Alternatively, there aren’t many things in life that can feel as awful as feeling disconnected from your partner or other loved ones. You can feel unheard, misunderstood, uncared for, defensive, angry, resentful, sad, and scared. And it can feel like there’s no solution.
(503) 854-0469 View (503) 854-0469
Photo of Raman Jones, Professional Counselor Associate, MA
Raman Jones
Professional Counselor Associate, MA
1 Endorsed
Multnomah Village, Portland, OR 97219
I believe healing begins in a safe, supportive space where you feel truly seen and understood. In our work together, you’ll have the opportunity to explore the deeper layers of your experiences, patterns, relationships, and family dynamics with curiosity and compassion. Together, we’ll uncover the roots of what feels challenging while also recognizing the strengths and resilience you carry.I often weave mindfulness and somatic practices into therapy, offering simple tools to help you feel more grounded, regulated, and connected to yourself. My approach is also deeply guided by a multicultural and social justice perspective.
I believe healing begins in a safe, supportive space where you feel truly seen and understood. In our work together, you’ll have the opportunity to explore the deeper layers of your experiences, patterns, relationships, and family dynamics with curiosity and compassion. Together, we’ll uncover the roots of what feels challenging while also recognizing the strengths and resilience you carry.I often weave mindfulness and somatic practices into therapy, offering simple tools to help you feel more grounded, regulated, and connected to yourself. My approach is also deeply guided by a multicultural and social justice perspective.
(503) 854-5833 View (503) 854-5833
Photo of Violet Herrick, Marriage & Family Therapist Associate, MFT-A
Violet Herrick
Marriage & Family Therapist Associate, MFT-A
1 Endorsed
Multnomah Village, Portland, OR 97218
Now accepting new clients! I work with individuals and families who are navigating transitions, feeling stuck in relationship patterns, or wanting more clarity and connection in their lives.
Now accepting new clients! I work with individuals and families who are navigating transitions, feeling stuck in relationship patterns, or wanting more clarity and connection in their lives.
(503) 868-0103 View (503) 868-0103
Photo of Nicholas Hong - Dr. Nicholas Hong, PhD, Psychologist, PhD
Dr. Nicholas Hong, PhD
Psychologist, PhD
Multnomah Village, Portland, OR 97219
I am a licensed psychologist who has worked with adults and teen for over 25 years. Before engaging in private practice, I was at Stanford Medicine in the Department of Psychiatry and Behavioral Sciences, where I was awarded a fellowship following my clinical internship at University of New Mexico Medical. I received my PhD in Clinical Psychology at the University of Oregon. I have worked with clients in various clinical settings including residential treatment in Montana and Vermont, given national and international talks, facilitated many group therapy sessions and workshops for families and parents. I love what I do.
I am a licensed psychologist who has worked with adults and teen for over 25 years. Before engaging in private practice, I was at Stanford Medicine in the Department of Psychiatry and Behavioral Sciences, where I was awarded a fellowship following my clinical internship at University of New Mexico Medical. I received my PhD in Clinical Psychology at the University of Oregon. I have worked with clients in various clinical settings including residential treatment in Montana and Vermont, given national and international talks, facilitated many group therapy sessions and workshops for families and parents. I love what I do.
(503) 755-8571 View (503) 755-8571

See more therapy options for Multnomah Village, Portland

How does your Therapist compare?

Number of Therapists in Multnomah Village, Portland, OR

200+

Average cost per session

$175

Therapists in Multnomah Village, Portland, OR who prioritize treating:

93% Anxiety
84% Relationship Issues
82% Depression
78% Self Esteem
70% Trauma and PTSD
69% Stress
65% Grief

Average years in practice

11 Years

Top 3 insurances accepted

70% Aetna
67% PacificSource
61% Regence

How Therapists in Multnomah Village, Portland, OR see their clients

75% In Person and Online
25% Online Only

Gender breakdown

74% Female
23% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Multnomah Village, 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.