Therapists in Hazel Dell, WA

Photo of Milena Trifunovich, Licensed Professional Counselor in Hazel Dell, WA
Milena Trifunovich
Licensed Professional Counselor, MA, LMHC
Verified
Hazel Dell, WA 98665  (Online Only)
I work with a wide range of client's wanting to focus on anxiety, ways of coping, depression, life and work stress, trauma, PTSD, self-exploration and growth, relationship challenges, women empowerment, LGBTQIA issues, body image concerns, and eating disorders/disordered eating. I work primarily from an emotion focused lens and provide EMDR. My goal is to provide trauma-informed, social justice-oriented and culturally aware therapy and a space where you can feel comfortable, safe, and heard. Please note that I have a virtual-only practice in the states of Oregon and Washington.
I work with a wide range of client's wanting to focus on anxiety, ways of coping, depression, life and work stress, trauma, PTSD, self-exploration and growth, relationship challenges, women empowerment, LGBTQIA issues, body image concerns, and eating disorders/disordered eating. I work primarily from an emotion focused lens and provide EMDR. My goal is to provide trauma-informed, social justice-oriented and culturally aware therapy and a space where you can feel comfortable, safe, and heard. Please note that I have a virtual-only practice in the states of Oregon and Washington.
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Photo of Pasternak Counseling, Psychologist in Hazel Dell, WA
Pasternak Counseling
Psychologist, Alan Pasternak
Verified
Hazel Dell, WA 98665
As a semiretired Psychologist, I do not have an office and visit my client(s) in their home or office anywhere in Clark county. I am married to a Marriage and Family Therapist and understand the difficulties that couples have even with our level of knowledge. I help each member of the couple rise above the conflict and participate in healing their relationship by encouraging personal responsibility and self-disclosure and by getting in touch with the goodness in each person and the love they are missing.
As a semiretired Psychologist, I do not have an office and visit my client(s) in their home or office anywhere in Clark county. I am married to a Marriage and Family Therapist and understand the difficulties that couples have even with our level of knowledge. I help each member of the couple rise above the conflict and participate in healing their relationship by encouraging personal responsibility and self-disclosure and by getting in touch with the goodness in each person and the love they are missing.
(360) 227-5356 View (360) 227-5356
Photo of Helping Professionals Wellness Center, Clinical Social Work/Therapist in Hazel Dell, WA
Helping Professionals Wellness Center
Clinical Social Work/Therapist, LICSW, LCSW, CADCII, SUDP, DVPT
Verified
3 Endorsed
Hazel Dell, WA 98665
Helping Professionals Wellness Center serve individuals and families who are experiencing difficulties due to substance use, mental health, and domestic violence . We offer individual, family, and group counseling, in addition to weekly Outpatient and Intensive Outpatient substance use group sessions. We are a certified as a Deferred Prosecution Treatment agency for DUI and offer Alcohol & Drug Education School (ADES) on Saturdays, in addition to drug screening. We are a certified Domestic Violence Intervention Treatment provider. We accept most insurance. We place a high value on individualized treatment and care.
Helping Professionals Wellness Center serve individuals and families who are experiencing difficulties due to substance use, mental health, and domestic violence . We offer individual, family, and group counseling, in addition to weekly Outpatient and Intensive Outpatient substance use group sessions. We are a certified as a Deferred Prosecution Treatment agency for DUI and offer Alcohol & Drug Education School (ADES) on Saturdays, in addition to drug screening. We are a certified Domestic Violence Intervention Treatment provider. We accept most insurance. We place a high value on individualized treatment and care.
(360) 529-3502 View (360) 529-3502
Photo of Kelly R. Fielding, Psychologist in Hazel Dell, WA
Kelly R. Fielding
Psychologist, PhD
Verified
Hazel Dell, WA 98665
I enjoy working with a wide variety of clients, and have done so since I began practicing in 1994. Psychotherapy can be an uncomfortable experience, and I see myself as a fellow traveler in that journey. I have worked extensively with sexual abuse victims, anxiety, and depression. I am also a sex offender treatment provider.
I enjoy working with a wide variety of clients, and have done so since I began practicing in 1994. Psychotherapy can be an uncomfortable experience, and I see myself as a fellow traveler in that journey. I have worked extensively with sexual abuse victims, anxiety, and depression. I am also a sex offender treatment provider.
(833) 988-4273 View (833) 988-4273

More Therapists Nearby

Photo of Adventure Psychological Services - ASD Testing, Psychologist in Hazel Dell, WA
Adventure Psychological Services - ASD Testing
Psychologist, PsyD, LMHC
Verified
Vancouver, WA 98665
Therapy and counseling play a vital role in promoting mental health and overall well-being. It provides a unique opportunity for self-reflection and personal growth. By working with a trained therapist or counselor, individuals can develop healthier perspectives, and improve self-esteem. Therapy and counseling offer the guidance and tools necessary to navigate life’s challenges, improve mental health, and foster personal development. It is important that a therapist feels right to you and has the skills, education, and experience to best help you.
Therapy and counseling play a vital role in promoting mental health and overall well-being. It provides a unique opportunity for self-reflection and personal growth. By working with a trained therapist or counselor, individuals can develop healthier perspectives, and improve self-esteem. Therapy and counseling offer the guidance and tools necessary to navigate life’s challenges, improve mental health, and foster personal development. It is important that a therapist feels right to you and has the skills, education, and experience to best help you.
(360) 926-7393 View (360) 926-7393
Photo of Justin Gladney, Pre-Licensed Professional in Hazel Dell, WA
Justin Gladney
Pre-Licensed Professional, LCSWIA
Verified
Vancouver, WA 98660  (Online Only)
I am a passionate and dedicated queer therapist with a specialization in LGBTQ-related issues, substance use disorders, trauma, chemsex, sex, and men with sexual dysfunction. My focus is on providing tailored support and guidance to individuals, including gay and bisexual men, MSM (men who have sex with men), and straight men, in their journey towards achieving their mental health goals.
I am a passionate and dedicated queer therapist with a specialization in LGBTQ-related issues, substance use disorders, trauma, chemsex, sex, and men with sexual dysfunction. My focus is on providing tailored support and guidance to individuals, including gay and bisexual men, MSM (men who have sex with men), and straight men, in their journey towards achieving their mental health goals.
(509) 631-8445 View (509) 631-8445
Photo of Assert Your Boundaries Counseling, LLC, Licensed Professional Counselor in Hazel Dell, WA
Assert Your Boundaries Counseling, LLC
Licensed Professional Counselor, MA, LPC, MHC, NCC
Verified
5 Endorsed
Vancouver, WA 98660  (Online Only)
My name is Pauline Botchway, and I strongly believe that, as human beings, we have the ability to change and transform our lives through choice. Since no single theory can capture our experiences as human beings, I utilize an integrated approach that allows me to use some aspects of Gestalt, Existential, and Solution Focused, as well as high utilization of Cognitive Behavioral Therapy and EMDR. In addition to my community mental health, I am including private practice in my line of work. My main goal as a clinician is to help and guide individuals to change their lives to improve everyday living.
My name is Pauline Botchway, and I strongly believe that, as human beings, we have the ability to change and transform our lives through choice. Since no single theory can capture our experiences as human beings, I utilize an integrated approach that allows me to use some aspects of Gestalt, Existential, and Solution Focused, as well as high utilization of Cognitive Behavioral Therapy and EMDR. In addition to my community mental health, I am including private practice in my line of work. My main goal as a clinician is to help and guide individuals to change their lives to improve everyday living.
(541) 648-1060 View (541) 648-1060
Photo of Tracy Heart, M.A., L.P.C., Licensed Professional Counselor in Hazel Dell, WA
Tracy Heart, M.A., L.P.C.
Licensed Professional Counselor, MA, LPC
Verified
Vancouver, WA 98663  (Online Only)
Please check availability. Sensitive, respectful collaboration & therapy. Are you sensitive, sad or anxious? Are there questions in your relationships? Do you feel shame or regret about yourself or your body, or struggle with other distressing thought or behavior patterns? Are there memories of childhood neglect or other trauma? I help people explore & come to terms with issues like these. My education, training and work have given me detailed perspectives about some of the concerns that trouble people - as well as underlying wounds, challenges and complicated feelings that come up in dealing with them.
Please check availability. Sensitive, respectful collaboration & therapy. Are you sensitive, sad or anxious? Are there questions in your relationships? Do you feel shame or regret about yourself or your body, or struggle with other distressing thought or behavior patterns? Are there memories of childhood neglect or other trauma? I help people explore & come to terms with issues like these. My education, training and work have given me detailed perspectives about some of the concerns that trouble people - as well as underlying wounds, challenges and complicated feelings that come up in dealing with them.
(971) 205-2793 View (971) 205-2793
Photo of Jasmine Cejna (She_Her), Counselor in Hazel Dell, WA
Jasmine Cejna (She_Her)
Counselor, LMHC, LPC
Verified
3 Endorsed
Vancouver, WA 98660
Life can be as painful as it is beautiful. It's not always easy to be our true selves. I am here to support you in living life authentically and without shame - to be confident in the person you truly are. Together we can celebrate the positives and work through the challenges that life presents. I believe your personal goals can be achieved and your struggles can be overcome with support that meets your needs.
Life can be as painful as it is beautiful. It's not always easy to be our true selves. I am here to support you in living life authentically and without shame - to be confident in the person you truly are. Together we can celebrate the positives and work through the challenges that life presents. I believe your personal goals can be achieved and your struggles can be overcome with support that meets your needs.
(971) 205-7843 View (971) 205-7843
Photo of Rachael Mishanec, Psychologist in Hazel Dell, WA
Rachael Mishanec
Psychologist
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 Tonya Molnar, Counselor in Hazel Dell, WA
Tonya Molnar
Counselor, PhD, LMHC, MHP
Verified
Vancouver, WA 98686  (Online Only)
Are you exhausted, tired, stressed-out, and always on edge? Do you find racing thoughts are keeping you awake at night, tossing and turning instead of sleeping? You may be fed up with constant anxiety and lack of sleep that leaves you feeling tired and irritable and is causing you problems at work or home. You might not even remember a time things didn’t feel this way. But, one this is for sure: you’re ready for some relief. You’re ready to start sleeping soundly again. You’re ready to start feeling good again. Most of all, you’re ready to start feeling energized about your life again.
Are you exhausted, tired, stressed-out, and always on edge? Do you find racing thoughts are keeping you awake at night, tossing and turning instead of sleeping? You may be fed up with constant anxiety and lack of sleep that leaves you feeling tired and irritable and is causing you problems at work or home. You might not even remember a time things didn’t feel this way. But, one this is for sure: you’re ready for some relief. You’re ready to start sleeping soundly again. You’re ready to start feeling good again. Most of all, you’re ready to start feeling energized about your life again.
(360) 953-5896 View (360) 953-5896
Photo of Fulsher Therapy Services, LLC, Current Openings , Clinical Social Work/Therapist in Hazel Dell, WA
Fulsher Therapy Services, LLC, Current Openings
Clinical Social Work/Therapist, LICSW, LCSW
Verified
1 Endorsed
Vancouver, WA 98663
Email is best for contact, calling may delay response time. I see clients in WA and OR some in person, mostly virtual. My ideal client...might have anxiety, dealing with relational issues, struggling with depression, might feel isolated or lonely or might need support in other areas of life. My clients might be somewhat scared to approach change and some may be goal oriented. Some clients that I see might struggle to really know the path they wish to take or how to begin their therapeutic journey. My client/s may wish to work on self care and self love and integrate that in each of their personal goals. My clients are resilient.
Email is best for contact, calling may delay response time. I see clients in WA and OR some in person, mostly virtual. My ideal client...might have anxiety, dealing with relational issues, struggling with depression, might feel isolated or lonely or might need support in other areas of life. My clients might be somewhat scared to approach change and some may be goal oriented. Some clients that I see might struggle to really know the path they wish to take or how to begin their therapeutic journey. My client/s may wish to work on self care and self love and integrate that in each of their personal goals. My clients are resilient.
(360) 234-3288 View (360) 234-3288
Photo of Megan Soland, Licensed Professional Counselor in Hazel Dell, WA
Megan Soland
Licensed Professional Counselor, LPC, LMHC
Verified
Vancouver, WA 98660  (Online Only)
Not accepting new clients
I help client's heal from trauma and re-establish a relationship with their intuition and learn how to trust themselves again. I help client’s through a deconditioning process to challenge past lessons and messages that no longer serve them so they can realign with their true self. I believe that each person is unique and requires an individual approach to treatment. I use a variety of modalities such as Eye Movement Desensitization Therapy (EMDR), Acceptance and Commitment Therapy, Narrative Therapy, Interpersonal Neurobiology, Somatic-based therapies, and parts work such as Internal Family Systems and Ego-State interventions.
I help client's heal from trauma and re-establish a relationship with their intuition and learn how to trust themselves again. I help client’s through a deconditioning process to challenge past lessons and messages that no longer serve them so they can realign with their true self. I believe that each person is unique and requires an individual approach to treatment. I use a variety of modalities such as Eye Movement Desensitization Therapy (EMDR), Acceptance and Commitment Therapy, Narrative Therapy, Interpersonal Neurobiology, Somatic-based therapies, and parts work such as Internal Family Systems and Ego-State interventions.
(503) 966-3416 View (503) 966-3416
Photo of Jael Esquibel, Counselor in Hazel Dell, WA
Jael Esquibel
Counselor, MA, LMHC, LPC, NCC
Verified
4 Endorsed
Vancouver, WA 98665
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 Isabel Kim, Counselor in Hazel Dell, WA
Isabel Kim
Counselor, MA, LMHCA
Verified
2 Endorsed
Vancouver, WA 98665  (Online Only)
Not accepting new clients
I provide Christian counseling, focusing on bringing faith and mental health together. Our wounds from some of the most important relationships can distort the way we see God, ourselves, and the world, impacting our relationships. With Holy Spirit's help and the sacred space that counseling provides, I'd love to walk with you to attend to those wounds with compassion, love, and the truth from God's Word. My approach is holistic (as in we will consider the health of your spirit, soul, mind, and body) and trauma-informed. Together, we will attend with curiosity and compassion to understand and heal what is at the root of your pain.
I provide Christian counseling, focusing on bringing faith and mental health together. Our wounds from some of the most important relationships can distort the way we see God, ourselves, and the world, impacting our relationships. With Holy Spirit's help and the sacred space that counseling provides, I'd love to walk with you to attend to those wounds with compassion, love, and the truth from God's Word. My approach is holistic (as in we will consider the health of your spirit, soul, mind, and body) and trauma-informed. Together, we will attend with curiosity and compassion to understand and heal what is at the root of your pain.
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Photo of Terry Turner James, Counselor in Hazel Dell, WA
Terry Turner James
Counselor, LMHC
Verified
Vancouver, WA 98660  (Online Only)
Navigating through life's ever-changing landscape can be a complex journey, often marked by waves of anxiety, shades of depression, and the challenges of adjustment disorder. These experiences, though unique, share a common thread: they reflect our response to the world around us and the transitions we face. In my practice, I focus on understanding these emotional landscapes, creating a supportive space where you can explore and process these feelings. We'll work together to acknowledge the impact of life's shifts and the emotions they stir, fostering resilience and a deeper understanding of your personal journey.
Navigating through life's ever-changing landscape can be a complex journey, often marked by waves of anxiety, shades of depression, and the challenges of adjustment disorder. These experiences, though unique, share a common thread: they reflect our response to the world around us and the transitions we face. In my practice, I focus on understanding these emotional landscapes, creating a supportive space where you can explore and process these feelings. We'll work together to acknowledge the impact of life's shifts and the emotions they stir, fostering resilience and a deeper understanding of your personal journey.
(360) 262-1911 View (360) 262-1911
Photo of Brittany Lenihan, Clinical Social Work/Therapist in Hazel Dell, WA
Brittany Lenihan
Clinical Social Work/Therapist, MSW, LICSW-A
Verified
Vancouver, WA 98660  (Online Only)
I provide individual therapeutic interventions to those in need of mental health support. Specializing in Trauma, Perinatal Mental Health, Terminal Illness, and Alternative Relationships. My goal is to meet each person where they are and create a treatment plan with the client at the forefront. I will provide you with a safe and supportive space to work through the challenges you are experiencing.
I provide individual therapeutic interventions to those in need of mental health support. Specializing in Trauma, Perinatal Mental Health, Terminal Illness, and Alternative Relationships. My goal is to meet each person where they are and create a treatment plan with the client at the forefront. I will provide you with a safe and supportive space to work through the challenges you are experiencing.
(509) 255-3063 View (509) 255-3063
Keri Anderson
Clinical Social Work/Therapist, MSW, LICSW
Verified
1 Endorsed
Vancouver, WA 98685  (Online Only)
Not accepting new clients
Join me at my online location! I believe in the innate potential each person has to do their best and I feel that each client is the expert in their own life. My role is to guide the natural process of problem solving, increasing client self-awareness, building on client strengths and reconnecting clients to their values, goals, restoring balance in their lives. I work from a client-centered approach that is holistic, solution focused, mindful, and utilizes a cognitive behavioral approach as appropriate. I am passionate about the power of play and nature as catalysts for healing and perspective.
Join me at my online location! I believe in the innate potential each person has to do their best and I feel that each client is the expert in their own life. My role is to guide the natural process of problem solving, increasing client self-awareness, building on client strengths and reconnecting clients to their values, goals, restoring balance in their lives. I work from a client-centered approach that is holistic, solution focused, mindful, and utilizes a cognitive behavioral approach as appropriate. I am passionate about the power of play and nature as catalysts for healing and perspective.
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Photo of Bryan Ledbury, Counselor in Hazel Dell, WA
Bryan Ledbury
Counselor, LMHC
Verified
Vancouver, WA 98686
Bryan graduated with a Master of Arts in Counseling from Multnomah University in 2012. Bryan is a Licensed Mental Health Counselor in the state of Washington. Bryan has experience working with various diagnoses, including depression, anxiety, PTSD, and bipolar. Bryan also has experience working with dual diagnosis (substance abuse/addictions and mental health).
Bryan graduated with a Master of Arts in Counseling from Multnomah University in 2012. Bryan is a Licensed Mental Health Counselor in the state of Washington. Bryan has experience working with various diagnoses, including depression, anxiety, PTSD, and bipolar. Bryan also has experience working with dual diagnosis (substance abuse/addictions and mental health).
(360) 361-8513 View (360) 361-8513
Photo of Steve Walker, Counselor in Hazel Dell, WA
Steve Walker
Counselor, LMHCA
Verified
Vancouver, WA 98665
I've spent the majority of my professional career, 30 plus years, in the helping professions. Having worked with a vast array of individuals facing many different life struggles, I'm confident in my ability to provide the support needed to help you navigate life's challenges. I have career experience in substance abuse treatment, geriatrics, and developmental disabilities, to mention a few.
I've spent the majority of my professional career, 30 plus years, in the helping professions. Having worked with a vast array of individuals facing many different life struggles, I'm confident in my ability to provide the support needed to help you navigate life's challenges. I have career experience in substance abuse treatment, geriatrics, and developmental disabilities, to mention a few.
(360) 284-2824 View (360) 284-2824

How does your Therapist compare?

Number of Therapists in Hazel Dell, WA

< 10

Therapists in Hazel Dell, WA who prioritize treating:

100% Depression
100% Anxiety
100% Trauma and PTSD
75% Relationship Issues
75% Suicidal Ideation
75% Life Transitions
50% Parenting

Average years in practice

30 Years

Top 3 insurances accepted

67% BlueCross and BlueShield
67% Cigna and Evernorth
67% Providence

How Therapists in Hazel Dell, WA see their clients

75% In Person and Online
25% Online Only

Gender breakdown

50% Female
50% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Hazel Dell?

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.