Therapists in Portland, OR

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Photo of Kierstin Leigh Oliver, Licensed Professional Counselor in Portland, OR
Kierstin Leigh Oliver
Licensed Professional Counselor, MS, BFA, LPC, LCPC
Verified Verified
Portland, OR 97220
I am client-centered, creative, and interested in a holistic approach to therapy. I work to support individuals coping with: depression, anxiety, women's issues, trauma, and relational issues. I am connected to issues faced by the LGBTQ community. As a mother and an artist, I enjoy working with other creatives and parents. I offer traditional talk therapy, and 'walk & talk' therapy in Portland, Oregon. To learn more about the way I work please visit kierstinolivercounseling.com. I believe in nature as co-therapist, and try to get outside with clients when possible. You get to design your life, I am happy to help with the process.
I am client-centered, creative, and interested in a holistic approach to therapy. I work to support individuals coping with: depression, anxiety, women's issues, trauma, and relational issues. I am connected to issues faced by the LGBTQ community. As a mother and an artist, I enjoy working with other creatives and parents. I offer traditional talk therapy, and 'walk & talk' therapy in Portland, Oregon. To learn more about the way I work please visit kierstinolivercounseling.com. I believe in nature as co-therapist, and try to get outside with clients when possible. You get to design your life, I am happy to help with the process.
(503) 300-2980 View (503) 300-2980
Photo of Sarah Zenith Dykes, Licensed Professional Counselor in Portland, OR
Sarah Zenith Dykes
Licensed Professional Counselor, MS, NCC
Verified Verified
Portland, OR 97205
Feeling overwhelmed–personally, emotionally or relationally–can wear us down and leave us feeling stuck. And especially when you’re stuck, searching for resources for change and growth takes strength and guts! Counseling creates opportunities to increase awareness and facilitate change with guided support. You may have specific goals you want to focus on, or a deep sense of wanting more.
Feeling overwhelmed–personally, emotionally or relationally–can wear us down and leave us feeling stuck. And especially when you’re stuck, searching for resources for change and growth takes strength and guts! Counseling creates opportunities to increase awareness and facilitate change with guided support. You may have specific goals you want to focus on, or a deep sense of wanting more.
(458) 207-5591 View (458) 207-5591
Photo of Talks With June, Clinical Social Work Associate in Portland, OR
Talks With June
Clinical Social Work Associate, MA, CSWA, QMHP
Verified Verified
Portland, OR 97212
Not accepting new clients
"What's wrong with me" "I'm tired of this" "No one understands me" "Will things stay like this forever", are these some of the thoughts that run through your head? If so I am here to help you understand and assist you in getting a better understanding of what is going on in your life. For some of us life can bring some significant challenges, stressors or transitions that just have "you stuck" in unproductive patterns in relationships, work, school or just life in general. I am a Clinical Social Worker who wants to help people transform personal challenges into life-enhancing opportunities.
"What's wrong with me" "I'm tired of this" "No one understands me" "Will things stay like this forever", are these some of the thoughts that run through your head? If so I am here to help you understand and assist you in getting a better understanding of what is going on in your life. For some of us life can bring some significant challenges, stressors or transitions that just have "you stuck" in unproductive patterns in relationships, work, school or just life in general. I am a Clinical Social Worker who wants to help people transform personal challenges into life-enhancing opportunities.
(503) 928-6512 View (503) 928-6512
Photo of SOMA Trauma Therapy, Clinical Social Work/Therapist in Portland, OR
SOMA Trauma Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97205
For anyone struggling with debilitating trauma in the aftermath of an automobile accident, SOMA Trauma Therapy can help. Are you afraid to drive, or to be in a vehicle at all? Are you feeling anxious and scared much of the time? Experiencing nightmares and having trouble sleeping? Afraid to leave home? Struggling to focus? Having panic attacks? These symptoms are debilitating, interfering with your recovery and your life. We can help you reclaim your life!
For anyone struggling with debilitating trauma in the aftermath of an automobile accident, SOMA Trauma Therapy can help. Are you afraid to drive, or to be in a vehicle at all? Are you feeling anxious and scared much of the time? Experiencing nightmares and having trouble sleeping? Afraid to leave home? Struggling to focus? Having panic attacks? These symptoms are debilitating, interfering with your recovery and your life. We can help you reclaim your life!
(503) 227-5692 x1 View (503) 227-5692 x1
Photo of Jena Kunimune, Pre-Licensed Professional in Portland, OR
Jena Kunimune
Pre-Licensed Professional, MS
Verified Verified
Portland, OR 97232  (Online Only)
Are you looking for a couples or individual therapist? I'm glad you are taking the first steps! I am experienced working with diverse couple systems navigating interracial couple dynamics, intimacy and sex in relationships, and addressing conflict and communication patterns. I also offer individual therapy where my goal is to help you reconnect with your authentic-self and navigate ways to cope with the challenges life can throw at us. I am here to support you as you navigate the journey toward healing. I identify as a transracial and transnational Chinese adoptee and I have a special interest in serving transracial adoptees.
Are you looking for a couples or individual therapist? I'm glad you are taking the first steps! I am experienced working with diverse couple systems navigating interracial couple dynamics, intimacy and sex in relationships, and addressing conflict and communication patterns. I also offer individual therapy where my goal is to help you reconnect with your authentic-self and navigate ways to cope with the challenges life can throw at us. I am here to support you as you navigate the journey toward healing. I identify as a transracial and transnational Chinese adoptee and I have a special interest in serving transracial adoptees.
(503) 382-8521 View (503) 382-8521
Photo of Samantha Tracy, Professional Counselor Associate in Portland, OR
Samantha Tracy
Professional Counselor Associate, MA
Verified Verified
1 Endorsed
Portland, OR 97202  (Online Only)
Are you struggling with stressors causing an emotional or physical response? Or feeling persistent excessive worry and uncertainty creating difficulty to manage it on your own? Have you felt disconnected from the people you care about and it’s creating challenges in your life that have led to relational conflicts? I am passionate about working with clients who struggle with anxiety, stress, challenging transitions, relational issues, alcohol use & past childhood trauma causing present day obstacles.
Are you struggling with stressors causing an emotional or physical response? Or feeling persistent excessive worry and uncertainty creating difficulty to manage it on your own? Have you felt disconnected from the people you care about and it’s creating challenges in your life that have led to relational conflicts? I am passionate about working with clients who struggle with anxiety, stress, challenging transitions, relational issues, alcohol use & past childhood trauma causing present day obstacles.
(503) 461-8093 View (503) 461-8093
Photo of Julie Collura, Clinical Social Work/Therapist in Portland, OR
Julie Collura
Clinical Social Work/Therapist, MM, MSW, LCSW, REAT
Verified Verified
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 Lance Crawford, Licensed Professional Counselor in Portland, OR
Lance Crawford
Licensed Professional Counselor, LPC
Verified Verified
Portland, OR 97209  (Online Only)
Welcome to my practice! My name is Lance Crawford, I am a Licensed Professional Counselor (LPC) in the state(s) of Virginia and Oregon. I was born and raised in a small town in Virginia however, I am currently living in Portland, OR. I have been in the mental health field since 2013 and have been privileged enough to have worked with a range of populations including: young adults/college students, at-risk youth, LGBTQIA+, addiction/substance use, underserved minority groups, and community mental health.
Welcome to my practice! My name is Lance Crawford, I am a Licensed Professional Counselor (LPC) in the state(s) of Virginia and Oregon. I was born and raised in a small town in Virginia however, I am currently living in Portland, OR. I have been in the mental health field since 2013 and have been privileged enough to have worked with a range of populations including: young adults/college students, at-risk youth, LGBTQIA+, addiction/substance use, underserved minority groups, and community mental health.
(971) 251-1849 View (971) 251-1849
Photo of Angie Tanyi, Licensed Professional Counselor in Portland, OR
Angie Tanyi
Licensed Professional Counselor, LPC, MPH
Verified Verified
1 Endorsed
Portland, OR 97219
Are you struggling to live the life you want? Do you keep finding yourself in the same place without knowing how to change? Current situations and events can trigger old pain & trauma which can be confusing & negatively impact relationships. They can also lead to creating misguided stories that you tell yourself and that keep you anxious or in fight/flight states. I believe we sometimes need help untangling and making sense of our experiences and/or trauma in life in order to thrive. Through non-judgmental warmth, compassion and self-reflection, we re-wire old thoughts and behaviors and help you live a more authentic life.
Are you struggling to live the life you want? Do you keep finding yourself in the same place without knowing how to change? Current situations and events can trigger old pain & trauma which can be confusing & negatively impact relationships. They can also lead to creating misguided stories that you tell yourself and that keep you anxious or in fight/flight states. I believe we sometimes need help untangling and making sense of our experiences and/or trauma in life in order to thrive. Through non-judgmental warmth, compassion and self-reflection, we re-wire old thoughts and behaviors and help you live a more authentic life.
(503) 676-6669 View (503) 676-6669
Photo of Diana Crane, Professional Counselor Associate in Portland, OR
Diana Crane
Professional Counselor Associate, MA, LPC-A
Verified Verified
Portland, OR 97209
My counseling philosophy is rooted in the idea that all humans have the ability to grow and heal. No human being is broken, and most mental health struggles stem, in part, from difficult external circumstances, like a traumatic past or a flawed culture. Through active listening, reflection, and gentle challenging, I help you become better acquainted with yourself, so that you can live in closer alignment with your values. I specialize in working with eating disorders and body image distress, but I also work with anxiety, depression, relationship and family struggles.
My counseling philosophy is rooted in the idea that all humans have the ability to grow and heal. No human being is broken, and most mental health struggles stem, in part, from difficult external circumstances, like a traumatic past or a flawed culture. Through active listening, reflection, and gentle challenging, I help you become better acquainted with yourself, so that you can live in closer alignment with your values. I specialize in working with eating disorders and body image distress, but I also work with anxiety, depression, relationship and family struggles.
(503) 647-4154 View (503) 647-4154
Photo of Graham Sterling, Licensed Professional Counselor in Portland, OR
Graham Sterling
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Portland, OR 97210
It is my philosophy that each of us are on a path that encompasses understanding who we are in relation to our surroundings. Answers are found through interpersonal connections and within ourselves. It is my job to offer a safe, supportive space and the skilled assistance that allows you to discover your strengths and the tools necessary to overcome life's hurdles.
It is my philosophy that each of us are on a path that encompasses understanding who we are in relation to our surroundings. Answers are found through interpersonal connections and within ourselves. It is my job to offer a safe, supportive space and the skilled assistance that allows you to discover your strengths and the tools necessary to overcome life's hurdles.
(503) 980-1413 View (503) 980-1413
Photo of Khrystal Johnson, Licensed Professional Counselor in Portland, OR
Khrystal Johnson
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Portland, OR 97220  (Online Only)
Not accepting new clients
Finding the right therapist can sometimes feel overwhelming. It's no secret that how well you connect with your counselor is essential to flourishing in therapy, and you have a right to choose what works for you. Therefore, I offer the first session free, so that you can decide if my approach best suits your needs.
Finding the right therapist can sometimes feel overwhelming. It's no secret that how well you connect with your counselor is essential to flourishing in therapy, and you have a right to choose what works for you. Therefore, I offer the first session free, so that you can decide if my approach best suits your needs.
(503) 564-7904 View (503) 564-7904
Photo of Andrea J. Wright Johnston, Marriage & Family Therapist in Portland, OR
Andrea J. Wright Johnston
Marriage & Family Therapist, MA, LMFT
Verified Verified
7 Endorsed
Portland, OR 97213  (Online Only)
We work to create new awareness, new knowledge and new possibilities. You can have an empowered family and a happy state of mind through therapy. I work with individuals and families to build harmony and health in their relationships. I specialize in sex therapy and am an effective life coach. I approach each person and family with attention to mental and physical health, with consideration to relational, social and spiritual influences.
We work to create new awareness, new knowledge and new possibilities. You can have an empowered family and a happy state of mind through therapy. I work with individuals and families to build harmony and health in their relationships. I specialize in sex therapy and am an effective life coach. I approach each person and family with attention to mental and physical health, with consideration to relational, social and spiritual influences.
(503) 405-4321 View (503) 405-4321
Photo of Robin Kellett, LPC, LLC, Licensed Professional Counselor in Portland, OR
Robin Kellett, LPC, LLC
Licensed Professional Counselor, MEd, LPC, LMHC
Verified Verified
5 Endorsed
Portland, OR 97215
Waitlist for new clients
Living with anxieties / fears, depression and stress can be overwhelming. One may resort to avoidance and unhealthy lifestyle choices as a means of escape. I offer a safe place and opportunity for you to explore your concerns while learning healthy and effective ways to manage intense feelings and resolve problems. Our work together can help you uncover issues that impact your present, learn different ways of looking at things and grow confidence in your ability to live well.
Living with anxieties / fears, depression and stress can be overwhelming. One may resort to avoidance and unhealthy lifestyle choices as a means of escape. I offer a safe place and opportunity for you to explore your concerns while learning healthy and effective ways to manage intense feelings and resolve problems. Our work together can help you uncover issues that impact your present, learn different ways of looking at things and grow confidence in your ability to live well.
(978) 415-9926 View (978) 415-9926
Photo of Jeffrey A. Kiilsgaard, Clinical Social Work/Therapist in Portland, OR
Jeffrey A. Kiilsgaard
Clinical Social Work/Therapist, LCSW, LICSW, ACSW
Verified Verified
5 Endorsed
Portland, OR 97223  (Online Only)
My therapeutic approach is tailored to adults who are currently experiencing depression, anxiety, emotion dysregulation, interpersonal deficits, and other issues regarding the self. I am a member of the LGBTQIA2S+ community and work well with the individualistic and affirmative fashions in which human beings choose to self-identify. As a licensed clinical social worker, I believe that the individual is part of system: the micro (familial), the mezzo (immediate community), and the macro (the world at large). I look forward to speaking with you.
My therapeutic approach is tailored to adults who are currently experiencing depression, anxiety, emotion dysregulation, interpersonal deficits, and other issues regarding the self. I am a member of the LGBTQIA2S+ community and work well with the individualistic and affirmative fashions in which human beings choose to self-identify. As a licensed clinical social worker, I believe that the individual is part of system: the micro (familial), the mezzo (immediate community), and the macro (the world at large). I look forward to speaking with you.
(503) 386-9751 View (503) 386-9751
Photo of Madison Thomas, Licensed Professional Counselor in Portland, OR
Madison Thomas
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Portland, OR 97202
I am available for new clients, individually or family sessions. I am also taking clients for a teen DBT skills group (ages 12-18 if still in high school). I see our work together as a team that balances putting in the hard work while understanding you have to have some laughs along the way! Above all modalities, the therapeutic relationship is what I value most in our work together. I primarily use Dialectical Behavioral Therapy, Trauma-Focused Cognitive Behavioral Therapy, and Art Therapy. Despite my degree in art therapy, my dual license allows me to provide more traditional talk therapy, too.
I am available for new clients, individually or family sessions. I am also taking clients for a teen DBT skills group (ages 12-18 if still in high school). I see our work together as a team that balances putting in the hard work while understanding you have to have some laughs along the way! Above all modalities, the therapeutic relationship is what I value most in our work together. I primarily use Dialectical Behavioral Therapy, Trauma-Focused Cognitive Behavioral Therapy, and Art Therapy. Despite my degree in art therapy, my dual license allows me to provide more traditional talk therapy, too.
(503) 563-2503 View (503) 563-2503
Photo of Dr. Jae P. Douglas in Portland, OR
Dr. Jae P. Douglas
LMSW, PhD
Verified Verified
Portland, OR 97220
Jae Douglas is a social worker in Portland OR, where she works with adults of all ages. Dr. Douglas is particularly passionate about working with people experiencing or contemplating major life changes due to health, relationship or professional challenges. Many of her clients are facing decisions in the context of the loss of the familiar. Her style is warm, thoughtful, active and engaging. She supports and guides her clients in exploring how their life experience, skills, strengths and insights can be brought to bear on their current situation so as to find and move authentically and positively forward.
Jae Douglas is a social worker in Portland OR, where she works with adults of all ages. Dr. Douglas is particularly passionate about working with people experiencing or contemplating major life changes due to health, relationship or professional challenges. Many of her clients are facing decisions in the context of the loss of the familiar. Her style is warm, thoughtful, active and engaging. She supports and guides her clients in exploring how their life experience, skills, strengths and insights can be brought to bear on their current situation so as to find and move authentically and positively forward.
(971) 251-9881 View (971) 251-9881
Photo of Dani Lutzow, Pre-Licensed Professional in Portland, OR
Dani Lutzow
Pre-Licensed Professional
Verified Verified
Portland, OR 97214  (Online Only)
I am seeing new clients! I know how therapy can be: hard, rough, crying, happiness, wisdom, and finding who you are with your body, mind, emotions, and spirit. Together we can find a path that feels healthy and healing. We will find those brick walls on that path and smash them with our hulk hands. I work with clients to develop their strengths into powerful tools. I provide individual therapy and counseling sessions to individuals aged 18 and older. I have a particular passion and expertise in grief/bereavement/loss, trauma, anxiety, existentialism, and depression disorders.
I am seeing new clients! I know how therapy can be: hard, rough, crying, happiness, wisdom, and finding who you are with your body, mind, emotions, and spirit. Together we can find a path that feels healthy and healing. We will find those brick walls on that path and smash them with our hulk hands. I work with clients to develop their strengths into powerful tools. I provide individual therapy and counseling sessions to individuals aged 18 and older. I have a particular passion and expertise in grief/bereavement/loss, trauma, anxiety, existentialism, and depression disorders.
(503) 461-7658 View (503) 461-7658
Photo of Mindful Therapy Group, Clinical Social Work/Therapist in Portland, OR
Mindful Therapy Group
Clinical Social Work/Therapist, LCSW, PMHNP, LPC
Verified Verified
1 Endorsed
Portland, OR 97232
Mindful Therapy Group is a diverse group of over 900 independent mental health practitioners serving Washington and Oregon. Each licensed mental health professional that is a member of Mindful Therapy Group is a separate, independent business. Providers that are members of Mindful Therapy Group receive support with administrative tasks, insurance billing, client placement, and more, so they can focus on providing the best care to their clients. As a client, you can expect the highest quality administrative services, warm and professional offices, and a seamless Telehealth experience while receiving care from your provider.
Mindful Therapy Group is a diverse group of over 900 independent mental health practitioners serving Washington and Oregon. Each licensed mental health professional that is a member of Mindful Therapy Group is a separate, independent business. Providers that are members of Mindful Therapy Group receive support with administrative tasks, insurance billing, client placement, and more, so they can focus on providing the best care to their clients. As a client, you can expect the highest quality administrative services, warm and professional offices, and a seamless Telehealth experience while receiving care from your provider.
(503) 462-7349 View (503) 462-7349
Photo of Aaron L Good, Licensed Professional Counselor in Portland, OR
Aaron L Good
Licensed Professional Counselor, MS, CRC, LPC, CCC
Verified Verified
3 Endorsed
Portland, OR 97205  (Online Only)
I provide mental health and career counseling to individuals and couples dealing with life's challenges. Do you want to understand more about yourself, about your identity, about the way the patterns you've learned in the past might no longer be serving you? Do you deal with the challenges of depression, anxiety, guilt, past trauma, and grief or loss? Come on in and we can explore all of it in a supportive environment.
I provide mental health and career counseling to individuals and couples dealing with life's challenges. Do you want to understand more about yourself, about your identity, about the way the patterns you've learned in the past might no longer be serving you? Do you deal with the challenges of depression, anxiety, guilt, past trauma, and grief or loss? Come on in and we can explore all of it in a supportive environment.
(503) 743-0629 View (503) 743-0629

How does your Therapist compare?

Number of Therapists in Portland, OR

3,000+

Average cost per session

$160

Therapists in Portland, OR who prioritize treating:

91% Anxiety
85% Depression
78% Relationship Issues
76% Self Esteem
74% Trauma and PTSD
71% Stress
67% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

55% PacificSource
47% Aetna
38% BlueCross and BlueShield

How Therapists in Portland, OR see their clients

56% In Person and Online
44% Online Only

Gender breakdown

75% Female
21% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Portland?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.