Therapists in Vancouver, WA

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Photo of Anchor & Grow Therapy, LLC, Clinical Social Work/Therapist in Vancouver, WA
Anchor & Grow Therapy, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Vancouver, WA 98660
I am currently accepting clients who are curious about discovering their authentic selves. I am interested in working with individuals who are seeking to understand more about themselves and how to take control of their truth and get to know a deeper part of who they are and who they wish to become.
I am currently accepting clients who are curious about discovering their authentic selves. I am interested in working with individuals who are seeking to understand more about themselves and how to take control of their truth and get to know a deeper part of who they are and who they wish to become.
(360) 685-7507 View (360) 685-7507
Photo of Stephanie Doig, LPC Intern in Vancouver, WA
Stephanie Doig
LPC Intern, BS
Verified Verified
Vancouver, WA 98685
I strive to put clients at ease with a warm, casual, down-to-earth style. I am passionate about fat liberation, Health at Every Size (HAES), anti-racism, and queer liberation. Clients with panic attacks, worries, and social anxiety will especially feel at peace. Many people who come to see me also struggle with depression, infertility, and disordered eating. My style of therapy is supportive, collaborative, and non-judgmental. Together, we'll develop practical tools to manage anxiety and cultivate emotional resilience. My style of therapy is supportive, collaborative, and non-judgmental.
I strive to put clients at ease with a warm, casual, down-to-earth style. I am passionate about fat liberation, Health at Every Size (HAES), anti-racism, and queer liberation. Clients with panic attacks, worries, and social anxiety will especially feel at peace. Many people who come to see me also struggle with depression, infertility, and disordered eating. My style of therapy is supportive, collaborative, and non-judgmental. Together, we'll develop practical tools to manage anxiety and cultivate emotional resilience. My style of therapy is supportive, collaborative, and non-judgmental.
(360) 997-2074 View (360) 997-2074
Photo of Rachel Richards, Counselor in Vancouver, WA
Rachel Richards
Counselor, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98662  (Online Only)
Hi, I'm Rachel Richards, therapist and founder of Four Winds Therapy. At Four Winds we believe that humans have the ability to awaken their highest potential and that authentic individualized therapy and collaborative support can help one to recognize their true inner goodness. Therapy with Four Winds is client centered and we believe that therapy's focus can be whatever you'd like it to be. I am here to address your mental health needs with compassion and respect. I am trauma informed and culturally aware as well as respectful to people of all backgrounds and beliefs and I operate within counseling's strict ethical guidelines.
Hi, I'm Rachel Richards, therapist and founder of Four Winds Therapy. At Four Winds we believe that humans have the ability to awaken their highest potential and that authentic individualized therapy and collaborative support can help one to recognize their true inner goodness. Therapy with Four Winds is client centered and we believe that therapy's focus can be whatever you'd like it to be. I am here to address your mental health needs with compassion and respect. I am trauma informed and culturally aware as well as respectful to people of all backgrounds and beliefs and I operate within counseling's strict ethical guidelines.
(503) 836-8894 View (503) 836-8894
Photo of Angela Barnes, Counselor in Vancouver, WA
Angela Barnes
Counselor
Verified Verified
1 Endorsed
Vancouver, WA 98661
Do you have a child who is struggling with not being able to communicate with his/her peers and the adults in their life? Or do you know someone struggling with depression, anxiety, or suicidal thoughts? Are you wanting to find a way to understand where your child is coming from or come back to a healthy sense of wellbeing? I have worked with school aged children, before and after school, on social and emotion issues, along with working through difficult situations they may face or have already faced, and worked with them on how to communicate with peers and adults.
Do you have a child who is struggling with not being able to communicate with his/her peers and the adults in their life? Or do you know someone struggling with depression, anxiety, or suicidal thoughts? Are you wanting to find a way to understand where your child is coming from or come back to a healthy sense of wellbeing? I have worked with school aged children, before and after school, on social and emotion issues, along with working through difficult situations they may face or have already faced, and worked with them on how to communicate with peers and adults.
(360) 953-5912 View (360) 953-5912
Photo of Jeff Vovillia, Counselor in Vancouver, WA
Jeff Vovillia
Counselor, MA, LPC
Verified Verified
Vancouver, WA 98661  (Online Only)
Overwhelmed, frustrated, easily emotional or numb? Sometimes what you need is a guide to help you explore those triggers and find the touchstone event that lingers under the surface. Perhaps you already know what that past event is and just need help processing it so you can feel better about living your life. Trauma processing and EMDR can greatly enhance your life experience by addressing the past so you can live more fully in the present.
Overwhelmed, frustrated, easily emotional or numb? Sometimes what you need is a guide to help you explore those triggers and find the touchstone event that lingers under the surface. Perhaps you already know what that past event is and just need help processing it so you can feel better about living your life. Trauma processing and EMDR can greatly enhance your life experience by addressing the past so you can live more fully in the present.
(360) 934-1421 View (360) 934-1421
Photo of Fred Christopher Siedow, Counselor in Vancouver, WA
Fred Christopher Siedow
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98662
Hi! Call me "Chris." With 17 years of experience providing professional therapy to adults and teens, 14 of those years in a community mental health agency setting, and maintaining professional licensure since late-2008, I’ve learned to believe that adapting our point of view may contribute to welcome, positive changes! Every point of view seems learned from somewhere. Maybe we learned it from our parents, or grandparents, or teachers and professors. Maybe we looked to social media for our point of view. What if these learned points of view are holding us back versus moving us forward? Perhaps I may be able to help.
Hi! Call me "Chris." With 17 years of experience providing professional therapy to adults and teens, 14 of those years in a community mental health agency setting, and maintaining professional licensure since late-2008, I’ve learned to believe that adapting our point of view may contribute to welcome, positive changes! Every point of view seems learned from somewhere. Maybe we learned it from our parents, or grandparents, or teachers and professors. Maybe we looked to social media for our point of view. What if these learned points of view are holding us back versus moving us forward? Perhaps I may be able to help.
(425) 272-6416 View (425) 272-6416
Photo of LaVonna Kofstad, Mental Health Counselor in Vancouver, WA
LaVonna Kofstad
Mental Health Counselor
Verified Verified
Vancouver, WA 98686
I have a Master of Education degree in Counseling from Heritage University with advance courses in Multicultural counseling, Counseling Theory, Testing and Evaluation, Group counseling, Ethics, Research, Developmental counseling and Mental Health Community Services. I also have an undergraduate degree in Psychology from the University of Oregon (Go ducks! ) I have served a wide range of clients of diverse populations from various backgrounds, ethnicities and cultures.
I have a Master of Education degree in Counseling from Heritage University with advance courses in Multicultural counseling, Counseling Theory, Testing and Evaluation, Group counseling, Ethics, Research, Developmental counseling and Mental Health Community Services. I also have an undergraduate degree in Psychology from the University of Oregon (Go ducks! ) I have served a wide range of clients of diverse populations from various backgrounds, ethnicities and cultures.
(360) 345-3289 View (360) 345-3289
Photo of Michelle Tribe, Counselor in Vancouver, WA
Michelle Tribe
Counselor, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98660
Currently accepting new clients. I have credentials in three specialty areas. The first area, is I am a Certified Anxiety-Informed Professional. Are you experiencing anxiety or worry? This area includes anxiety, panic, social anxiety, OCD, fears, phobias, stress, social anxiety, and obsessions. The second focus area is emotional eating. Are you an emotional or binge eater? Do you believe you may be bulimic? Do you continually diet? Are you pre or post bariatric surgery? The third focus area is in grief and loss. This includes grief or loss in various ways. Death, terminal illness, a new medical diagnosis, miscarriage, divorce,
Currently accepting new clients. I have credentials in three specialty areas. The first area, is I am a Certified Anxiety-Informed Professional. Are you experiencing anxiety or worry? This area includes anxiety, panic, social anxiety, OCD, fears, phobias, stress, social anxiety, and obsessions. The second focus area is emotional eating. Are you an emotional or binge eater? Do you believe you may be bulimic? Do you continually diet? Are you pre or post bariatric surgery? The third focus area is in grief and loss. This includes grief or loss in various ways. Death, terminal illness, a new medical diagnosis, miscarriage, divorce,
(360) 230-7834 View (360) 230-7834
Photo of Tiran Sahar, Counselor in Vancouver, WA
Tiran Sahar
Counselor, MA
Verified Verified
Vancouver, WA 98660
Anyone willing to be curious about their experience is welcome at my practice. I offer gender diverse, multi-racial, neurodiverse, and non monogamous people space to process their experiences of marginalization and complexity. Together we can make meaningful change by centering your goals, understanding trauma, and building resilience from the container of our therapy relationship.
Anyone willing to be curious about their experience is welcome at my practice. I offer gender diverse, multi-racial, neurodiverse, and non monogamous people space to process their experiences of marginalization and complexity. Together we can make meaningful change by centering your goals, understanding trauma, and building resilience from the container of our therapy relationship.
(360) 544-9056 View (360) 544-9056
Photo of Tracy L Clason in Vancouver, WA
Tracy L Clason
ARNP, PMHNP, PLLC, BC
Verified Verified
1 Endorsed
Vancouver, WA 98662
My treatment approach to mental healthcare is focusing on the use of Cognitive Behavioral Therapy (CBT), Dialectical Behavioral therapy (DBT), DBT skills training, pet therapy and functional medicine as a specialty. The services I offer include; medication managment and psychogenomic testing for adult clients 18-65 years old. I have over 18 years of experience treating the following conditions; depression, anxiety, mood disorder, bipolar disorder, PTSD, ADHD and a variety of other conditions. I offer services that span grief/loss, life adjustment, work and parenting for example.
My treatment approach to mental healthcare is focusing on the use of Cognitive Behavioral Therapy (CBT), Dialectical Behavioral therapy (DBT), DBT skills training, pet therapy and functional medicine as a specialty. The services I offer include; medication managment and psychogenomic testing for adult clients 18-65 years old. I have over 18 years of experience treating the following conditions; depression, anxiety, mood disorder, bipolar disorder, PTSD, ADHD and a variety of other conditions. I offer services that span grief/loss, life adjustment, work and parenting for example.
(360) 464-9458 x9024 View (360) 464-9458 x9024
Photo of Stephanie Haskell, Marriage & Family Therapist Intern in Vancouver, WA
Stephanie Haskell
Marriage & Family Therapist Intern
Verified Verified
1 Endorsed
Vancouver, WA 98662
Waitlist for new clients
With curiosity, we will explore the thoughts, feelings, and behaviors that impact your well-being and your connections with others. I bring warmth, acceptance, and collaboration so we can step through the therapeutic journey to a place of greater hope and less struggle. I believe relationships with ourself and others is very important. It can bring us the most joyous experiences but also pain, heartache, stress, and anger.
With curiosity, we will explore the thoughts, feelings, and behaviors that impact your well-being and your connections with others. I bring warmth, acceptance, and collaboration so we can step through the therapeutic journey to a place of greater hope and less struggle. I believe relationships with ourself and others is very important. It can bring us the most joyous experiences but also pain, heartache, stress, and anger.
(360) 732-8105 View (360) 732-8105
Photo of Claire Bemis, Clinical Social Work/Therapist in Vancouver, WA
Claire Bemis
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Verified Verified
1 Endorsed
Vancouver, WA 98668  (Online Only)
You may feel alone and isolated, or experience the common core belief many of us carry of feeling "not good enough" in the many roles you take on in your daily life. Do you feel as though you are missing out on your life because of the symptoms you are experiencing? You don't have to navigate this time in your life on your own. Beginning therapy is a courageous step in searching for a better balance in life and a greater belief in yourself and I would love to be by your side on this journey.
You may feel alone and isolated, or experience the common core belief many of us carry of feeling "not good enough" in the many roles you take on in your daily life. Do you feel as though you are missing out on your life because of the symptoms you are experiencing? You don't have to navigate this time in your life on your own. Beginning therapy is a courageous step in searching for a better balance in life and a greater belief in yourself and I would love to be by your side on this journey.
(860) 431-2532 View (860) 431-2532
Photo of Jael Esquibel, Counselor in Vancouver, WA
Jael Esquibel
Counselor, MA, LMHC, LPC, NCC
Verified Verified
4 Endorsed
Vancouver, WA 98665
Waitlist for new clients
It is essential to have a counselor that you feel comfortable with and is your "best fit" counselor. I provide a warm, authentic and non-judgmental environment where you can face challenges and work through difficulties while receiving genuine support. My approach to counseling is collaborative, compassionate, identity-affirming, culturally informed, relational and strengths based. I believe in giving you the time and attention you deserve and offer high quality care in a compassionate, supportive and culturally responsive environment to help you gain insight and live a healthier and happier life.
It is essential to have a counselor that you feel comfortable with and is your "best fit" counselor. I provide a warm, authentic and non-judgmental environment where you can face challenges and work through difficulties while receiving genuine support. My approach to counseling is collaborative, compassionate, identity-affirming, culturally informed, relational and strengths based. I believe in giving you the time and attention you deserve and offer high quality care in a compassionate, supportive and culturally responsive environment to help you gain insight and live a healthier and happier life.
(360) 615-3304 View (360) 615-3304
Photo of Matthew Beeble, MA, LMHC , Counselor in Vancouver, WA
Matthew Beeble, MA, LMHC
Counselor, MA, LMHC, LPC
Verified Verified
5 Endorsed
Vancouver, WA 98660  (Online Only)
You already have what you need within yourself to experience fulfillment in your life. Unfortunately, there are many internal and external influences that can prevent this resulting in a feeling of falling short of who you should be. This can lead to a sense of being out of balance, feeling stuck and many of the symptoms that bring you to therapy. I believe that the most important task is to make meaning of your life by increasing awareness of your experience resulting in a new understanding and a feeling of peace and of being at home in your skin.
You already have what you need within yourself to experience fulfillment in your life. Unfortunately, there are many internal and external influences that can prevent this resulting in a feeling of falling short of who you should be. This can lead to a sense of being out of balance, feeling stuck and many of the symptoms that bring you to therapy. I believe that the most important task is to make meaning of your life by increasing awareness of your experience resulting in a new understanding and a feeling of peace and of being at home in your skin.
(360) 200-7192 View (360) 200-7192
Photo of Sara Giza, Clinical Social Work/Therapist in Vancouver, WA
Sara Giza
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Vancouver, WA 98662  (Online Only)
After receiving my master’s degree in Social Work from the University of Louisville and obtaining a certification on executive leadership strategy for violence and abuse prevention from the University of Pennsylvania, I moved to Vancouver in June 2021. I spent ten years working in various nonprofits and community organizations’ before going to graduate school. My professional background involves working with both teens and adults on their mental health challenges. My areas of expertise include working heavily with trauma, sexual assault, domestic violence, grief, chronic illness and LGBTQ+ issues.
After receiving my master’s degree in Social Work from the University of Louisville and obtaining a certification on executive leadership strategy for violence and abuse prevention from the University of Pennsylvania, I moved to Vancouver in June 2021. I spent ten years working in various nonprofits and community organizations’ before going to graduate school. My professional background involves working with both teens and adults on their mental health challenges. My areas of expertise include working heavily with trauma, sexual assault, domestic violence, grief, chronic illness and LGBTQ+ issues.
(360) 209-7507 View (360) 209-7507
Photo of Katherine Ham, Counselor in Vancouver, WA
Katherine Ham
Counselor, LMHC, LPC
Verified Verified
Vancouver, WA 98686
Katy received her BA in Psychology from Washington State University Vancouver. She has an MA in Counseling Psychology from Lewis & Clark College. Katy has also previously worked in residential programs at Albertina Kerr Centers for 6. 5 years and in Community Mental Health in Columbia County, Oregon for over 7 years. Katy works from several orientations that are primarily focused on skills and solutions including (but not limited to): CBT, DBT, Mindfulness, and Child-Centered expressive therapies. She prefers to work with what will work for the client. She works with clients individually and runs several DBT Groups.
Katy received her BA in Psychology from Washington State University Vancouver. She has an MA in Counseling Psychology from Lewis & Clark College. Katy has also previously worked in residential programs at Albertina Kerr Centers for 6. 5 years and in Community Mental Health in Columbia County, Oregon for over 7 years. Katy works from several orientations that are primarily focused on skills and solutions including (but not limited to): CBT, DBT, Mindfulness, and Child-Centered expressive therapies. She prefers to work with what will work for the client. She works with clients individually and runs several DBT Groups.
(360) 516-2957 View (360) 516-2957
Photo of Timothy O'Brien, Counselor in Vancouver, WA
Timothy O'Brien
Counselor, LMHC
Verified Verified
Vancouver, WA 98686
I am now twenty years in practice as a licensed mental health professional. Over that time, I have worked with children, adolescents and adults in the capacity of individual, group, couples and family therapy. I worked for eleven years in the Juvenile Drug Court Program in Clackamas County as the family therapist for that program. I have knowledge in substance abuse as well as parenting issues. I self published a book called The Parent Empowerment Program in 2021 and I currently facilitate weekly parent groups in addition to providing individual and family therapy.
I am now twenty years in practice as a licensed mental health professional. Over that time, I have worked with children, adolescents and adults in the capacity of individual, group, couples and family therapy. I worked for eleven years in the Juvenile Drug Court Program in Clackamas County as the family therapist for that program. I have knowledge in substance abuse as well as parenting issues. I self published a book called The Parent Empowerment Program in 2021 and I currently facilitate weekly parent groups in addition to providing individual and family therapy.
(360) 583-5552 View (360) 583-5552
Photo of Traci Bigelow, LPC Intern in Vancouver, WA
Traci Bigelow
LPC Intern, LMHCA
Verified Verified
Vancouver, WA 98662
Waitlist for new clients
I am a licensed mental health counseling associate in Washington State. I enjoy the outdoors, spending time with my family, and finding meaning in helping others thrive and accomplish their goals. I am an optimist at heart, I approach life with warmth and curiosity. My kids are what motivate me to do my best and grow every day. I am also an Activated Guardsman in the Oregon Air National Guard. I have been serving for nine years and intend to retire from the Air Force. I have deployed several times, worked in multiple roles, and have a deep place in my heart for serving other veterans.
I am a licensed mental health counseling associate in Washington State. I enjoy the outdoors, spending time with my family, and finding meaning in helping others thrive and accomplish their goals. I am an optimist at heart, I approach life with warmth and curiosity. My kids are what motivate me to do my best and grow every day. I am also an Activated Guardsman in the Oregon Air National Guard. I have been serving for nine years and intend to retire from the Air Force. I have deployed several times, worked in multiple roles, and have a deep place in my heart for serving other veterans.
(360) 234-3753 View (360) 234-3753
Photo of Ariel Villaseñor, Counselor in Vancouver, WA
Ariel Villaseñor
Counselor, MA, LMHC, NCC
Verified Verified
1 Endorsed
Vancouver, WA 98686
Not accepting new clients
Hi, I’m Ariel! As a therapist, I consider it a joy and a privilege to partner with kids (11+), teens, and adults in working through the inevitable challenges of life. I believe that each person has the capacity to change and to heal no matter the hand they have been dealt or what they have experienced. With this perspective, I aim to collaboratively work with each person in gaining insight into their own strengths, as well as perspective on their pain, within the context of a safe relationship.
Hi, I’m Ariel! As a therapist, I consider it a joy and a privilege to partner with kids (11+), teens, and adults in working through the inevitable challenges of life. I believe that each person has the capacity to change and to heal no matter the hand they have been dealt or what they have experienced. With this perspective, I aim to collaboratively work with each person in gaining insight into their own strengths, as well as perspective on their pain, within the context of a safe relationship.
(360) 615-3487 View (360) 615-3487
Photo of Katherine Anne Latter, Counselor in Vancouver, WA
Katherine Anne Latter
Counselor, MA, LMHC, LPC, LIMHP
Verified Verified
1 Endorsed
Vancouver, WA 98684  (Online Only)
Allow yourself to experience changes through the seasons of life! As a counselor, it is my delight to come alongside clients and encourage them to transition through life's challenges. I believe that people can transform, weather the storms of life, and gain tools and insights to help them do so. I provide a safe environment, filled with compassion and empathy, in which clients can share their hearts, their fears, their dreams, and their stories.
Allow yourself to experience changes through the seasons of life! As a counselor, it is my delight to come alongside clients and encourage them to transition through life's challenges. I believe that people can transform, weather the storms of life, and gain tools and insights to help them do so. I provide a safe environment, filled with compassion and empathy, in which clients can share their hearts, their fears, their dreams, and their stories.
(360) 383-5631 View (360) 383-5631

How does your Therapist compare?

Number of Therapists in Vancouver, WA

800+

Average cost per session

$150

Therapists in Vancouver, WA who prioritize treating:

93% Anxiety
87% Depression
77% Trauma and PTSD
71% Relationship Issues
68% Self Esteem
67% Stress
66% Grief

Average years in practice

10 Years

Top 3 insurances accepted

71% Aetna
55% Cigna and Evernorth
51% UnitedHealthcare UHC | UBH

How Therapists in Vancouver, WA see their clients

66% In Person and Online
34% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Vancouver?

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.