Therapists in Vancouver, WA

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Photo of Hannah May Williams, MS, LMHCA, Pre-Licensed Professional
Hannah May Williams
Pre-Licensed Professional, MS, LMHCA
Verified Verified
Vancouver, WA 98685  (Online Only)
Not accepting new clients
I work with clients who have a wide range of concerns, including trauma, anxiety, ADHD, OCD or obsessive-compulsive behaviors, identity exploration, and people who identify as adult children of emotionally immature parents. I am passionate about providing affirming care for trans, nonbinary/GNC, and LGBTQIA+ folks. I believe that growth happens when people feel empowered to fully be who they are and make changes to connect with their most genuine self. Through humor and empathy, I'll walk alongside you on your journey toward authenticity and peace.
I work with clients who have a wide range of concerns, including trauma, anxiety, ADHD, OCD or obsessive-compulsive behaviors, identity exploration, and people who identify as adult children of emotionally immature parents. I am passionate about providing affirming care for trans, nonbinary/GNC, and LGBTQIA+ folks. I believe that growth happens when people feel empowered to fully be who they are and make changes to connect with their most genuine self. Through humor and empathy, I'll walk alongside you on your journey toward authenticity and peace.
(360) 964-8162 View (360) 964-8162
Photo of Maggie Peterson, BA, Marriage & Family Therapist Intern
Maggie Peterson
Marriage & Family Therapist Intern, BA
Verified Verified
1 Endorsed
Vancouver, WA 98662
Words can be hard! Finding the "right" ones or knowing where to start can be a struggle. My goal is to provide a therapeutic experience that goes beyond words. My approach to therapy is grounded in meeting people where they are, without judgment or preconceptions. I understand that every client is unique, with their own set of experiences, challenges, and strengths. I prioritize tailoring counseling sessions to meet my clients' developmental, emotional, and communication needs. Incorporating playful and creative activities into therapy can enhance the therapeutic experience and offer new avenues for self-expression and growth.
Words can be hard! Finding the "right" ones or knowing where to start can be a struggle. My goal is to provide a therapeutic experience that goes beyond words. My approach to therapy is grounded in meeting people where they are, without judgment or preconceptions. I understand that every client is unique, with their own set of experiences, challenges, and strengths. I prioritize tailoring counseling sessions to meet my clients' developmental, emotional, and communication needs. Incorporating playful and creative activities into therapy can enhance the therapeutic experience and offer new avenues for self-expression and growth.
(360) 519-2491 View (360) 519-2491
Photo of Rinatta Paries, MA, CMHA, MFTA, Counselor
Rinatta Paries
Counselor, MA, CMHA, MFTA
Verified Verified
1 Endorsed
Vancouver, WA 98685  (Online Only)
Struggling with your relationship or marriage? Suffering over a painful breakup? Having trouble finding the right partner? Suffering from pain of an affair? Feeling stressed about what is happening with your teen or want to connect more with your young adult? Relationship-related situations such as these are solvable with therapy! As your therapist, I will help you navigate your way through painful situations and move towards creating lifelong, loving relationships, rich in connection and communication. Along the way, you will find yourself releasing trauma, feeling better, functioning better, and creating a life you love.
Struggling with your relationship or marriage? Suffering over a painful breakup? Having trouble finding the right partner? Suffering from pain of an affair? Feeling stressed about what is happening with your teen or want to connect more with your young adult? Relationship-related situations such as these are solvable with therapy! As your therapist, I will help you navigate your way through painful situations and move towards creating lifelong, loving relationships, rich in connection and communication. Along the way, you will find yourself releasing trauma, feeling better, functioning better, and creating a life you love.
(360) 776-7076 View (360) 776-7076
Photo of Hanako Baxter, Pre-Licensed Professional
Hanako Baxter
Pre-Licensed Professional
Verified Verified
1 Endorsed
Vancouver, WA 98663
Not accepting new clients
My approach to therapy is Person-Centered, rooted in the belief that every individual has an innate drive to become their best, authentic self. Throughout life, we may find ourselves stymied or stuck for an infinite number of reasons; whether because of past or present circumstances, certain experiences, or how we learned to exist in our environments. I believe that you are the expert on your own life – even if it may not feel like it. To me, the therapeutic process is about finding ways to become integrated, whole, and to live more authentically as yourself.
My approach to therapy is Person-Centered, rooted in the belief that every individual has an innate drive to become their best, authentic self. Throughout life, we may find ourselves stymied or stuck for an infinite number of reasons; whether because of past or present circumstances, certain experiences, or how we learned to exist in our environments. I believe that you are the expert on your own life – even if it may not feel like it. To me, the therapeutic process is about finding ways to become integrated, whole, and to live more authentically as yourself.
(360) 654-7628 View (360) 654-7628
Photo of Esther J Kim, LICSW, LCSW, Clinical Social Work/Therapist
Esther J Kim
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
6 Endorsed
Vancouver, WA 98683
Greetings and welcome to my page. Everyone has a story that matters. Telling our story benefits us in many ways. It connects us from the past and future to our present lives. It is through these stories, that healing and growth can happen and a more resilient you can arise.
Greetings and welcome to my page. Everyone has a story that matters. Telling our story benefits us in many ways. It connects us from the past and future to our present lives. It is through these stories, that healing and growth can happen and a more resilient you can arise.
(360) 763-0695 View (360) 763-0695
Photo of Cynthia E Parker, PhD, Psychologist
Cynthia E Parker
Psychologist, PhD
Verified Verified
2 Endorsed
Vancouver, WA 98685  (Online Only)
Not accepting new clients
With a decade of dedicated service, Dr. Parker has been addressing the needs of individuals grappling with a spectrum of mental health challenges, ranging from chronic conditions to acute and severe disorders. Over the last 4-5 years, Dr. Parker has progressively shifted her focus towards specializing in the support of impaired professionals, particularly first responders coping with post-traumatic stress disorder (PTSD). Our primary focus revolves around providing support to veterans, individuals in the public service sector (civil servants), and their families.
With a decade of dedicated service, Dr. Parker has been addressing the needs of individuals grappling with a spectrum of mental health challenges, ranging from chronic conditions to acute and severe disorders. Over the last 4-5 years, Dr. Parker has progressively shifted her focus towards specializing in the support of impaired professionals, particularly first responders coping with post-traumatic stress disorder (PTSD). Our primary focus revolves around providing support to veterans, individuals in the public service sector (civil servants), and their families.
(360) 284-4138 View (360) 284-4138
Photo of Denise Burningham - Denise Burningham Counseling, PLLC, LMFT, Marriage & Family Therapist
Denise Burningham Counseling, PLLC
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Vancouver, WA 98661  (Online Only)
I offer Individual, Couples & Relationship, and Children & Family Therapy in my practice. My work with you will be centered on supporting you in understanding your experiences and setting meaningful goals that feel right for your life. I am honored to be invited into a healing space with individuals, couples, and families. I know that the act of living is beautiful, difficult, amazing, and complicated. We will sit together in the difficult realities, the illuminating ‘ah-ha’ moments, and through the seasons of what it is to be alive. Come as you are and know I will show up as your advocate and collaborator in therapy.
I offer Individual, Couples & Relationship, and Children & Family Therapy in my practice. My work with you will be centered on supporting you in understanding your experiences and setting meaningful goals that feel right for your life. I am honored to be invited into a healing space with individuals, couples, and families. I know that the act of living is beautiful, difficult, amazing, and complicated. We will sit together in the difficult realities, the illuminating ‘ah-ha’ moments, and through the seasons of what it is to be alive. Come as you are and know I will show up as your advocate and collaborator in therapy.
(360) 230-5906 View (360) 230-5906
Photo of Leslie Collord, LMHC, Counselor
Leslie Collord
Counselor, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98661
Now accepting individuals only. I work with adult individuals and teens ages 13+ seeking support for anxiety, depression, relationship issues, life transitions, and trauma and stress-related problems. My aim is to provide a supportive yet challenging space that enables you to explore feelings, work through obstacles, and develop more effective coping skills along the way. I value a collaborative working relationship using evidence based practices to guide sessions and work to facilitate openness through remaining curious, engaged, and empathic.
Now accepting individuals only. I work with adult individuals and teens ages 13+ seeking support for anxiety, depression, relationship issues, life transitions, and trauma and stress-related problems. My aim is to provide a supportive yet challenging space that enables you to explore feelings, work through obstacles, and develop more effective coping skills along the way. I value a collaborative working relationship using evidence based practices to guide sessions and work to facilitate openness through remaining curious, engaged, and empathic.
(360) 516-1383 View (360) 516-1383
Photo of Rebecca Mayer, MS, LMHC, Counselor
Rebecca Mayer
Counselor, MS, LMHC
Verified Verified
2 Endorsed
Vancouver, WA 98685
**Waitlist** Living authentically can be scary, rather intimidating. With support of a therapist, individuals can learn to accept, even embrace, the vulnerability that the process towards authenticity requires. Within a supportive therapeutic relationship, clients can explore personal beliefs and develop their identity. Many individuals struggle with processing life events but it doesn't have to be done alone or involve constant suffering. Life events can be difficult, even "positive" ones such as the birth of a child; postpartum depression and postpartum anxiety are real and it doesn't have to ruin your experience as a parent!
**Waitlist** Living authentically can be scary, rather intimidating. With support of a therapist, individuals can learn to accept, even embrace, the vulnerability that the process towards authenticity requires. Within a supportive therapeutic relationship, clients can explore personal beliefs and develop their identity. Many individuals struggle with processing life events but it doesn't have to be done alone or involve constant suffering. Life events can be difficult, even "positive" ones such as the birth of a child; postpartum depression and postpartum anxiety are real and it doesn't have to ruin your experience as a parent!
(360) 526-6354 View (360) 526-6354
Photo of Brooke Jefferson, LMHCI, Pre-Licensed Professional
Brooke Jefferson
Pre-Licensed Professional, LMHCI
Verified Verified
Vancouver, WA 98660
Not accepting new clients
I am especially passionate about working with teens and adults who are navigating trauma, dissociation, eating disorders, and/or any experience of marginalization. For me, it’s an honor to walk alongside you in your wellness journey, and you can expect me to meet you wherever you are in the process with a nonjudgmental stance. I bring warmth and an authentic enthusiasm to witnessing you as already whole, just as you are.
I am especially passionate about working with teens and adults who are navigating trauma, dissociation, eating disorders, and/or any experience of marginalization. For me, it’s an honor to walk alongside you in your wellness journey, and you can expect me to meet you wherever you are in the process with a nonjudgmental stance. I bring warmth and an authentic enthusiasm to witnessing you as already whole, just as you are.
(360) 979-1376 View (360) 979-1376
Photo of Brent Belford, LICSW, LCSW, Clinical Social Work/Therapist
Brent Belford
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Vancouver, WA 98662  (Online Only)
Not accepting new clients
We often find ourselves stuck in patterns that we know do not serve us, yet we feel unable to change what may be very ingrained aspects of ourselves and our lives. We might feel mentally or emotionally blocked from what we want in life, anxious about situations for reasons not fully known to us, or repeat relationships that do not work and may in fact be harmful to us. These dynamics have been fixtures of our lives for years, or what feels like our entire life. We may struggle for years to change without success, despite great pain and a deep longing for change. These are the times when therapy can help you find meaningful change.
We often find ourselves stuck in patterns that we know do not serve us, yet we feel unable to change what may be very ingrained aspects of ourselves and our lives. We might feel mentally or emotionally blocked from what we want in life, anxious about situations for reasons not fully known to us, or repeat relationships that do not work and may in fact be harmful to us. These dynamics have been fixtures of our lives for years, or what feels like our entire life. We may struggle for years to change without success, despite great pain and a deep longing for change. These are the times when therapy can help you find meaningful change.
(360) 800-4793 View (360) 800-4793
Photo of Brian Mcintire, LMFT, Marriage & Family Therapist
Brian Mcintire
Marriage & Family Therapist, LMFT
Verified Verified
Vancouver, WA 98683  (Online Only)
Life not going as expected? Feeling confused, frustrated, stressed, overwhelmed, disconnected, or disillusioned? Let's talk. You deserve to feel empowered in your body, relationships, and life pursuits. I can help you gain clarity and find empowering strategies to be your best self to live the life most meaningful to you.
Life not going as expected? Feeling confused, frustrated, stressed, overwhelmed, disconnected, or disillusioned? Let's talk. You deserve to feel empowered in your body, relationships, and life pursuits. I can help you gain clarity and find empowering strategies to be your best self to live the life most meaningful to you.
(360) 745-1024 View (360) 745-1024
Photo of Josh Dyer, PsyD, Psychologist
Josh Dyer
Psychologist, PsyD
Verified Verified
Vancouver, WA 98686  (Online Only)
Dr. Dyer is a clinical psychologist who earned his PhD from Purdue University. He completed an internship in Primary Care Psychology at the University of Colorado Denver School of Medicine and a postdoctoral fellowship at the University of Washington School of Medicine. He served on the faculty at UW in the Department of Rehabilitation Medicine for 7 years prior to moving to Southwest Washington. He then worked in two large family medicine clinics in Vancouver before joining LifeStance. Dr. Dyer has extensive experience working with clients with depression, anxiety, trauma, pain, and multiple health conditions.
Dr. Dyer is a clinical psychologist who earned his PhD from Purdue University. He completed an internship in Primary Care Psychology at the University of Colorado Denver School of Medicine and a postdoctoral fellowship at the University of Washington School of Medicine. He served on the faculty at UW in the Department of Rehabilitation Medicine for 7 years prior to moving to Southwest Washington. He then worked in two large family medicine clinics in Vancouver before joining LifeStance. Dr. Dyer has extensive experience working with clients with depression, anxiety, trauma, pain, and multiple health conditions.
(360) 284-2866 View (360) 284-2866
Photo of Raquel Ramirez, LMHC, Counselor
Raquel Ramirez
Counselor, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98660
Raquel is a Licensed Mental Health Counselor (LMHC) and EMDR Therapist who provides a container, a safe and compassionate space, to explore the areas you seek to shift or expand. Her style is warm, intuitive, authentic, compassionate, and direct. Raquel naturally uses a trauma-informed lens, and leans towards a Psychodynamic, Attachment, and Person-Centered approach to get a big picture of you and your experience. She believes we are better able to shed layers and get into deeper truths when we feel seen, safe, and heard, from a supportive non judgemental person.
Raquel is a Licensed Mental Health Counselor (LMHC) and EMDR Therapist who provides a container, a safe and compassionate space, to explore the areas you seek to shift or expand. Her style is warm, intuitive, authentic, compassionate, and direct. Raquel naturally uses a trauma-informed lens, and leans towards a Psychodynamic, Attachment, and Person-Centered approach to get a big picture of you and your experience. She believes we are better able to shed layers and get into deeper truths when we feel seen, safe, and heard, from a supportive non judgemental person.
(360) 860-5480 View (360) 860-5480
Photo of Jaclin Belabri, LMHC, LPC, Counselor
Jaclin Belabri
Counselor, LMHC, LPC
Verified Verified
5 Endorsed
Vancouver, WA 98684  (Online Only)
Worn out from hiding how you really feel, feeling misunderstood, or constantly putting others' needs before your own? Perhaps you’re battling an inner conflict, unsure of who you are or what you stand for. These struggles have roots, and together we can uncover them, helping you break free from pain. I specialize in helping you understand how past trauma has shaped your self-perception and impacted your relationships. Together, we can transform old coping mechanisms into new ways of living, filled with connection, love, and joy.
Worn out from hiding how you really feel, feeling misunderstood, or constantly putting others' needs before your own? Perhaps you’re battling an inner conflict, unsure of who you are or what you stand for. These struggles have roots, and together we can uncover them, helping you break free from pain. I specialize in helping you understand how past trauma has shaped your self-perception and impacted your relationships. Together, we can transform old coping mechanisms into new ways of living, filled with connection, love, and joy.
(360) 979-1652 View (360) 979-1652
Photo of Naomi Schwendemann, LICSW, LCSW, Clinical Social Work/Therapist
Naomi Schwendemann
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Vancouver, WA 98661
I have extensive practice with clients experiencing anxiety, depression, PTSD, attachment trauma, and stress related to major life changes.
I have extensive practice with clients experiencing anxiety, depression, PTSD, attachment trauma, and stress related to major life changes.
(360) 680-1302 View (360) 680-1302
Photo of Allison Zoë Love, MA, LMHC, Counselor
Allison Zoë Love
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98662  (Online Only)
Ready to take the first step toward a new life? I specialize in helping women feeling weighed down by stress, anxiety, and depression. Together, we’ll explore powerful strategies and unique skills that will empower you to take control of your thoughts, emotions, and actions, allowing you to reshape your life. Imagine breaking free from the grip of judgment, shame, fear, and pain, and stepping into a new life defined by self-love and courage. As you let go of the emotional struggles that have held you back, you’ll begin to discover the person you truly are—and create the life you’ve always wanted.
Ready to take the first step toward a new life? I specialize in helping women feeling weighed down by stress, anxiety, and depression. Together, we’ll explore powerful strategies and unique skills that will empower you to take control of your thoughts, emotions, and actions, allowing you to reshape your life. Imagine breaking free from the grip of judgment, shame, fear, and pain, and stepping into a new life defined by self-love and courage. As you let go of the emotional struggles that have held you back, you’ll begin to discover the person you truly are—and create the life you’ve always wanted.
(360) 800-3707 View (360) 800-3707
Photo of Matthew Cronin - Matthew Cronin Counseling Services, PLLC, MA, LMHCA, PCA
Matthew Cronin Counseling Services, PLLC
MA, LMHCA, PCA
Verified Verified
Vancouver, WA 98663
It all starts with a desire and openness to change, to reach out for help and understanding. You define what that looks like. From there, we will work together to overcome past trauma, negative self-beliefs, or whatever your individual stuck points. Therapy can help you strengthen your mental, emotional, and physical well-being. You do not need to walk this path alone. Whatever your struggle or need, it’s something we can work through together. Make the choice and request a free 15-minute consultation to get the help you need starting today.
It all starts with a desire and openness to change, to reach out for help and understanding. You define what that looks like. From there, we will work together to overcome past trauma, negative self-beliefs, or whatever your individual stuck points. Therapy can help you strengthen your mental, emotional, and physical well-being. You do not need to walk this path alone. Whatever your struggle or need, it’s something we can work through together. Make the choice and request a free 15-minute consultation to get the help you need starting today.
(360) 234-3083 View (360) 234-3083
Photo of Teresita Lizeth Zendejas - Lizeth Zendejas, Pre-Licensed Professional
Lizeth Zendejas
Pre-Licensed Professional
Verified Verified
Vancouver, WA 98663
I believe it is important for us to find peace within ourselves. It takes courage to ask for help. It takes dedication and grit to take your power back and take steps towards healing. I want to be there to encourage you in your path. Mental health impacts all domains in our lives and I have witnessed the power of having someone walk beside you has in enabling healing.
I believe it is important for us to find peace within ourselves. It takes courage to ask for help. It takes dedication and grit to take your power back and take steps towards healing. I want to be there to encourage you in your path. Mental health impacts all domains in our lives and I have witnessed the power of having someone walk beside you has in enabling healing.
(360) 800-2303 View (360) 800-2303
Photo of Hope Farmer, MA, LMHCA, Counselor
Hope Farmer
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Vancouver, WA 98684
Not accepting new clients
I am NOT accepting new clients at this time. I have a passion for working with people of all ages, but there is a special place in my heart for kids and teens. I believe clients should feel comfortable in therapy. As a former foster parent and an adoptive mom of 3 boys, I know that families are complicated and messy. I would love to work with you and your family to strengthen your relationships. I work with neurodivergence (ADHD, Autism, etc.), trauma, depression, anxiety, social skills issues and general wellness. I use techniques from DBT, Family Systems, and Attachment Theory and more.
I am NOT accepting new clients at this time. I have a passion for working with people of all ages, but there is a special place in my heart for kids and teens. I believe clients should feel comfortable in therapy. As a former foster parent and an adoptive mom of 3 boys, I know that families are complicated and messy. I would love to work with you and your family to strengthen your relationships. I work with neurodivergence (ADHD, Autism, etc.), trauma, depression, anxiety, social skills issues and general wellness. I use techniques from DBT, Family Systems, and Attachment Theory and more.
(360) 614-4441 View (360) 614-4441
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How does your Therapist compare?

Number of Therapists in Vancouver, WA

900+

Average cost per session

$150

Therapists in Vancouver, WA who prioritize treating:

92% Anxiety
86% Depression
74% Trauma and PTSD
70% Relationship Issues
68% Self Esteem
67% Stress
64% Grief

Average years in practice

10 Years

Top 3 insurances accepted

73% Aetna
57% Cigna and Evernorth
55% Regence

How Therapists in Vancouver, WA see their clients

61% In Person and Online
39% 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.