Therapists in Vancouver, WA

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Photo of Michelle Moore, Counselor in Vancouver, WA
Michelle Moore
Counselor, MA, LMHCA
Verified Verified
5 Endorsed
Vancouver, WA 98683
Are you a mom who gave birth in the past year and are struggling emotionally? Are you wanting to get pregnant and struggling to conceive? Have you had a loss or a few? Have you been a mom for a while now and just struggling to feel like yourself? Or maybe your past trauma is making it hard to be your best self. If so, I can help. I am a therapist specializing in working with women who are dealing with mental health struggles. I specialize in integrating talk therapy, Neurofeedback, and EMDR to help women, like you, feel better and become their best self.
Are you a mom who gave birth in the past year and are struggling emotionally? Are you wanting to get pregnant and struggling to conceive? Have you had a loss or a few? Have you been a mom for a while now and just struggling to feel like yourself? Or maybe your past trauma is making it hard to be your best self. If so, I can help. I am a therapist specializing in working with women who are dealing with mental health struggles. I specialize in integrating talk therapy, Neurofeedback, and EMDR to help women, like you, feel better and become their best self.
(360) 227-5134 View (360) 227-5134
Photo of Rebecca Lomeland, Counselor in Vancouver, WA
Rebecca Lomeland
Counselor, LMHC
Verified Verified
2 Endorsed
Vancouver, WA 98662
Do you find yourself struggling to break unhealthy cycles, no matter what you do? You may be fed up with your own inability to cope and connect well with others, feeling full of shame and regret. You might not even remember a time when things didn’t feel this way. But one thing is for sure: you’re ready for some relief. You’re ready to find some clarity. You’re ready to start feeling confident and secure in your own skin. Most of all, you’re ready to find the empowerment you need to turn over a new leaf.
Do you find yourself struggling to break unhealthy cycles, no matter what you do? You may be fed up with your own inability to cope and connect well with others, feeling full of shame and regret. You might not even remember a time when things didn’t feel this way. But one thing is for sure: you’re ready for some relief. You’re ready to find some clarity. You’re ready to start feeling confident and secure in your own skin. Most of all, you’re ready to find the empowerment you need to turn over a new leaf.
(360) 383-5614 View (360) 383-5614
Photo of Marissa Talarico, Marriage & Family Therapist in Vancouver, WA
Marissa Talarico
Marriage & Family Therapist, LMFT
Verified Verified
Vancouver, WA 98660
Shame, guilt, hiding from those around you or who you really are? Are you tired of living a lie? Are you tired of constantly feeling like you can’t be your most authentic self? Do you feel as though you ruin or sabotage all your close relationships? All the while you are feeling low self esteem, less than genuine, or are just plain tired from hiding. Not only are you welcome, but you will find quick relief of finally feeling understood with me.
Shame, guilt, hiding from those around you or who you really are? Are you tired of living a lie? Are you tired of constantly feeling like you can’t be your most authentic self? Do you feel as though you ruin or sabotage all your close relationships? All the while you are feeling low self esteem, less than genuine, or are just plain tired from hiding. Not only are you welcome, but you will find quick relief of finally feeling understood with me.
(844) 250-7180 View (844) 250-7180
Photo of Mary A Kenney, Psychologist in Vancouver, WA
Mary A Kenney
Psychologist, PhD
Verified Verified
Vancouver, WA 98662  (Online Only)
Are you struggling with a challenging life transition or going through a particularly difficult time in the journey of your life? Are you feeling overwhelmed by the aging process - your own or that of someone you care for? Would you benefit from talking with a compassionate therapist to help you get unstuck, expand your repertoire, and find the courage to make healthy changes?
Are you struggling with a challenging life transition or going through a particularly difficult time in the journey of your life? Are you feeling overwhelmed by the aging process - your own or that of someone you care for? Would you benefit from talking with a compassionate therapist to help you get unstuck, expand your repertoire, and find the courage to make healthy changes?
(360) 777-5201 View (360) 777-5201
Photo of Tania Santoso, Counselor in Vancouver, WA
Tania Santoso
Counselor
Verified Verified
1 Endorsed
Vancouver, WA 98684  (Online Only)
Embracing the spectrum of human experience, I collaborate with individuals of diverse ages, including children, adolescents, young adults, adults, and the elderly. I bring a wealth of experience and a passion for facilitating growth and healing, in navigating anxiety, depression, generational trauma, interpersonal conflict, and the multifaceted journey of self-discovery which includes guiding individuals through life's transitions, whether they be in relationships, careers, or personal identity. I'm committed to exploring with you what makes you unique, what you value, and what motivates you to achieve your goals.
Embracing the spectrum of human experience, I collaborate with individuals of diverse ages, including children, adolescents, young adults, adults, and the elderly. I bring a wealth of experience and a passion for facilitating growth and healing, in navigating anxiety, depression, generational trauma, interpersonal conflict, and the multifaceted journey of self-discovery which includes guiding individuals through life's transitions, whether they be in relationships, careers, or personal identity. I'm committed to exploring with you what makes you unique, what you value, and what motivates you to achieve your goals.
(360) 519-5650 x504 View (360) 519-5650 x504
Photo of Michael Fernandez, Counselor in Vancouver, WA
Michael Fernandez
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Vancouver, WA 98684
If you have felt taken advantage of by spiritual leaders, hurt by those who are meant to shepherd, or just turned off by the hypocrisy of the church, we could be a great fit. I work with young adults and grown adults to help you discover a more meaningful way to integrate with your negative spiritual experiences with whatever your remaining faith may look like. Empathy and humor is central to how I interact with clients. If you’re ready to see a change in your life, even if it seems out of reach, please reach out and let me join you on your journey.
If you have felt taken advantage of by spiritual leaders, hurt by those who are meant to shepherd, or just turned off by the hypocrisy of the church, we could be a great fit. I work with young adults and grown adults to help you discover a more meaningful way to integrate with your negative spiritual experiences with whatever your remaining faith may look like. Empathy and humor is central to how I interact with clients. If you’re ready to see a change in your life, even if it seems out of reach, please reach out and let me join you on your journey.
(360) 968-8831 View (360) 968-8831
Photo of Albert Matthew, Counselor in Vancouver, WA
Albert Matthew
Counselor, LMHC
Verified Verified
Vancouver, WA 98662
Albert Matthew is a Licensed Mental Health Counselor in Washington who has been practicing since 2015. He has a Bachelor of Arts, Psychology Major, Sociology Minor and a Master's Degree in Clinical Mental Health Counseling from Gonzaga University. Albert is able to provide a safe, trusting environment for clients seeking increased self-awareness, understanding the impact of early life experiences on daily functioning and development of tools to improve decision-making and self-empowerment. Albert is a native of the Northwest and has worked in the mental health field for approximately 20 years.
Albert Matthew is a Licensed Mental Health Counselor in Washington who has been practicing since 2015. He has a Bachelor of Arts, Psychology Major, Sociology Minor and a Master's Degree in Clinical Mental Health Counseling from Gonzaga University. Albert is able to provide a safe, trusting environment for clients seeking increased self-awareness, understanding the impact of early life experiences on daily functioning and development of tools to improve decision-making and self-empowerment. Albert is a native of the Northwest and has worked in the mental health field for approximately 20 years.
(360) 276-2819 View (360) 276-2819
Photo of Natalie Schwartz, Counselor in Vancouver, WA
Natalie Schwartz
Counselor
Verified Verified
Vancouver, WA 98686
Natalie's education includes a Bachelor of Arts degree in Psychology from Chapman University and a Master of Arts degree in Counseling Psychology from Lewis and Clark College. Her major graduate coursework included Individual, Group and Family Counseling, Lifespan Development, Theories in Counseling and Behavior Change in Children, Treatment and Diagnosis of Mental Health Disorders, Clinical Work in Diverse Populations, Ethical and Legal Issues in Mental Health Counseling, Play Therapy, Sand Tray and Assessment. Natalie has worked in Residential, Therapeutic School, Clinic Based, school and client home settings.
Natalie's education includes a Bachelor of Arts degree in Psychology from Chapman University and a Master of Arts degree in Counseling Psychology from Lewis and Clark College. Her major graduate coursework included Individual, Group and Family Counseling, Lifespan Development, Theories in Counseling and Behavior Change in Children, Treatment and Diagnosis of Mental Health Disorders, Clinical Work in Diverse Populations, Ethical and Legal Issues in Mental Health Counseling, Play Therapy, Sand Tray and Assessment. Natalie has worked in Residential, Therapeutic School, Clinic Based, school and client home settings.
(360) 361-8427 View (360) 361-8427
Photo of Sharon Winkler, Clinical Social Work/Therapist in Vancouver, WA
Sharon Winkler
Clinical Social Work/Therapist, MSW, LICSW, MAC
Verified Verified
Vancouver, WA 98684
If you’re looking for a therapy of depth, insight, and durability; if you’re seeking a highly-trained therapist with over 35 years of experience who listens carefully, deeply, and thoughtfully; if you’ve been disappointed by ‘quick fix’ approaches that promise much and deliver little; if you want an individualized approach designed specifically with your needs in mind, then please call me to discuss whether we might be a good fit.
If you’re looking for a therapy of depth, insight, and durability; if you’re seeking a highly-trained therapist with over 35 years of experience who listens carefully, deeply, and thoughtfully; if you’ve been disappointed by ‘quick fix’ approaches that promise much and deliver little; if you want an individualized approach designed specifically with your needs in mind, then please call me to discuss whether we might be a good fit.
(360) 448-3379 View (360) 448-3379
Photo of Leonie Fischer-Laycock, Pre-Licensed Professional in Vancouver, WA
Leonie Fischer-Laycock
Pre-Licensed Professional, BA
Verified Verified
Vancouver, WA 98685
Now taking new clients! I enjoy working with adults and teens (age 13+) on issues related to: anxiety, family of origin issues, grief and loss, emotional regulation, and building self esteem. I approach clients with a warm curiosity, compassion, and humor. I see counseling as a collaborative growth experience. In the face of challenge, it is my joy to help clients identify and own their strengths. She is always humbled and grateful in witnessing the client’s ability to change on their terms.
Now taking new clients! I enjoy working with adults and teens (age 13+) on issues related to: anxiety, family of origin issues, grief and loss, emotional regulation, and building self esteem. I approach clients with a warm curiosity, compassion, and humor. I see counseling as a collaborative growth experience. In the face of challenge, it is my joy to help clients identify and own their strengths. She is always humbled and grateful in witnessing the client’s ability to change on their terms.
(360) 938-4357 View (360) 938-4357
Photo of Diane Mundt, Clinical Social Work/Therapist in Vancouver, WA
Diane Mundt
Clinical Social Work/Therapist, LICSW
Verified Verified
Vancouver, WA 98660  (Online Only)
Life can give us painful challenges. Sometimes we may need to ask for help. We can feel stuck and confused in our thoughts and feelings, and know we're not living the life we really want. We may have problems with relationships, divorce, loss, health, aging, loneliness, social or work issues. I aim to form a warm, interactive connection that is safe and supportive with a focus more on the present than the past. I support you in having more awareness and understanding to solve problems, learn to cope, and to discover the person you want to be. The primary goal is for lasting change that enriches and gives meaning to your life.
Life can give us painful challenges. Sometimes we may need to ask for help. We can feel stuck and confused in our thoughts and feelings, and know we're not living the life we really want. We may have problems with relationships, divorce, loss, health, aging, loneliness, social or work issues. I aim to form a warm, interactive connection that is safe and supportive with a focus more on the present than the past. I support you in having more awareness and understanding to solve problems, learn to cope, and to discover the person you want to be. The primary goal is for lasting change that enriches and gives meaning to your life.
(360) 873-5297 View (360) 873-5297
Photo of Renee Lovejoy, Counselor in Vancouver, WA
Renee Lovejoy
Counselor, LMHC
Verified Verified
Vancouver, WA 98662
As humans we all face challenges and many of us face trauma that has an impact on us throughout our entire lives causing depression, anxiety, PTSD and other various mental health concerns. These concerns can be the things that hold us back from living our life fully or being able to create a life we believe is worth living. In my practice with clients, I attempt to help people discover a way for themselves to find health, move forward and start thriving instead of surviving.
As humans we all face challenges and many of us face trauma that has an impact on us throughout our entire lives causing depression, anxiety, PTSD and other various mental health concerns. These concerns can be the things that hold us back from living our life fully or being able to create a life we believe is worth living. In my practice with clients, I attempt to help people discover a way for themselves to find health, move forward and start thriving instead of surviving.
(360) 842-0017 View (360) 842-0017
Photo of Patricia Candela-Hagen, Marriage & Family Therapist Associate in Vancouver, WA
Patricia Candela-Hagen
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
1 Endorsed
Vancouver, WA 98684  (Online Only)
Not accepting new clients
Life's challenges can sometimes feel overwhelming, leaving you feeling lost and hopeless. I'm here to tell you that your struggles don't define you, and there is strength within you that can carry you through even the darkest times. It is normal for individuals, couples, and families to experience problems at times. It can be scary to ask for help. By seeking therapy, you are taking a courageous first step toward living a more fulfilling life. I work with adult individuals, couples, families, teens, and children on their journey of healing. Having someone walk alongside us in our most vulnerable times can be just what is needed.
Life's challenges can sometimes feel overwhelming, leaving you feeling lost and hopeless. I'm here to tell you that your struggles don't define you, and there is strength within you that can carry you through even the darkest times. It is normal for individuals, couples, and families to experience problems at times. It can be scary to ask for help. By seeking therapy, you are taking a courageous first step toward living a more fulfilling life. I work with adult individuals, couples, families, teens, and children on their journey of healing. Having someone walk alongside us in our most vulnerable times can be just what is needed.
(360) 614-2078 View (360) 614-2078
Photo of Rachael Mishanec, Psychologist in Vancouver, WA
Rachael Mishanec
Psychologist
Verified Verified
Vancouver, WA 98686
Every individual comes with a community and a cultural identification existing within the context of greater society. Through an emotion focused/ family systems lens, I enjoy listening to and collaborating with individuals, couples, and families to therapeutically address each of these layers. Together, we focus on gaining greater awareness of emotions and the relationship to self and others, integrating the different parts of self we all experience, and connecting to natural supports that exist within our environments.
Every individual comes with a community and a cultural identification existing within the context of greater society. Through an emotion focused/ family systems lens, I enjoy listening to and collaborating with individuals, couples, and families to therapeutically address each of these layers. Together, we focus on gaining greater awareness of emotions and the relationship to self and others, integrating the different parts of self we all experience, and connecting to natural supports that exist within our environments.
(360) 776-7030 View (360) 776-7030
Photo of David Grushkin, Counselor in Vancouver, WA
David Grushkin
Counselor
Verified Verified
Vancouver, WA 98662
MS in Counseling from San Francisco State University, 1993. BS Music New York University 1982. 30+ years experience as a therapist. 21 years with LifeStance Health (formerly Western Psychological).
MS in Counseling from San Francisco State University, 1993. BS Music New York University 1982. 30+ years experience as a therapist. 21 years with LifeStance Health (formerly Western Psychological).
(360) 803-2583 View (360) 803-2583
Photo of Dr. Davina Kotulski, Psychologist in Vancouver, WA
Dr. Davina Kotulski
Psychologist, PhD
Verified Verified
Vancouver, WA 98685  (Online Only)
With over 20 years of experience, I help individuals reclaim personal power, embrace authenticity, and find fulfillment. I will help you navigate challenges, find your strength, and grow. Sometimes it's addressing past wounds, building self-esteem, or tackling relationship or career obstacles. Licensed in WA and OR specialities include couples therapy, life transitions, depression, and anxiety and supporting LGBTQ clients and families in the coming out process by fostering self-expression, honesty, and self-acceptance. I offer a comprehensive toolkit for thriving.
With over 20 years of experience, I help individuals reclaim personal power, embrace authenticity, and find fulfillment. I will help you navigate challenges, find your strength, and grow. Sometimes it's addressing past wounds, building self-esteem, or tackling relationship or career obstacles. Licensed in WA and OR specialities include couples therapy, life transitions, depression, and anxiety and supporting LGBTQ clients and families in the coming out process by fostering self-expression, honesty, and self-acceptance. I offer a comprehensive toolkit for thriving.
(360) 594-5801 View (360) 594-5801
Photo of Erin Hutchinson, Clinical Social Work/Therapist in Vancouver, WA
Erin Hutchinson
Clinical Social Work/Therapist, LICSW
Verified Verified
Vancouver, WA 98686
Education Erin has a Master of Social Work degree from the University of New Hampshire, as well as a graduate certificate in Intellectual and Developmental Disabilities. Theoretical Orientation Erin Hutchinson is a Licensed Independent Clinical Social Worker with 6 years experience as a therapist, as well as a wide range of life experiences. She specializes in Depression, Anxiety, Autism Spectrum Disorders, and Trauma Disorders. Erin treats clients between the ages 18-65+ utilizing an eclectic approach. She has experience working with adolescents, adults, seniors, and families, in an outpatient setting.
Education Erin has a Master of Social Work degree from the University of New Hampshire, as well as a graduate certificate in Intellectual and Developmental Disabilities. Theoretical Orientation Erin Hutchinson is a Licensed Independent Clinical Social Worker with 6 years experience as a therapist, as well as a wide range of life experiences. She specializes in Depression, Anxiety, Autism Spectrum Disorders, and Trauma Disorders. Erin treats clients between the ages 18-65+ utilizing an eclectic approach. She has experience working with adolescents, adults, seniors, and families, in an outpatient setting.
(360) 685-7659 View (360) 685-7659
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 Amber Keating, Clinical Social Work/Therapist in Vancouver, WA
Amber Keating
Clinical Social Work/Therapist, LICSW
Verified Verified
Vancouver, WA 98660  (Online Only)
Have you been ambitious your whole life, but recently feel resentful and burnt out? As a high achiever, it’s confusing to feel disconnected from the passion that has always driven you. Maybe this dissatisfaction has been slowly growing over the years & you’ve been able to manage it. But now you’re questioning whether all those long hours are worth it. You may also be feeling exhausted & unsure how something that used to be enjoyable just isn't anymore. The habitual stress of being exceptional in your work can also lead to health problems that medical doctors aren’t skilled at addressing. That's where I come in.
Have you been ambitious your whole life, but recently feel resentful and burnt out? As a high achiever, it’s confusing to feel disconnected from the passion that has always driven you. Maybe this dissatisfaction has been slowly growing over the years & you’ve been able to manage it. But now you’re questioning whether all those long hours are worth it. You may also be feeling exhausted & unsure how something that used to be enjoyable just isn't anymore. The habitual stress of being exceptional in your work can also lead to health problems that medical doctors aren’t skilled at addressing. That's where I come in.
(425) 434-5814 View (425) 434-5814
Photo of Wendy Scott, Counselor in Vancouver, WA
Wendy Scott
Counselor, LMHC, DVIT
Verified Verified
4 Endorsed
Vancouver, WA 98663  (Online Only)
Every individual is unique in their own way, and this uniqueness can also bring about different challenges to how one might navigate through their own therapy. One might not know what they need, or even what to expect when they first come into therapy, and that's okay. I'm here to help you discover just what it is "YOU" need. I believe each person has their own path to healing, and not everyone responds to the same things in the same way. "Our yesterday's do not have to predict our tomorrows, when we still have today" -Wendy
Every individual is unique in their own way, and this uniqueness can also bring about different challenges to how one might navigate through their own therapy. One might not know what they need, or even what to expect when they first come into therapy, and that's okay. I'm here to help you discover just what it is "YOU" need. I believe each person has their own path to healing, and not everyone responds to the same things in the same way. "Our yesterday's do not have to predict our tomorrows, when we still have today" -Wendy
(360) 281-6824 View (360) 281-6824

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
76% 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
54% 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.