Therapists in Van Mall, Vancouver, WA

Photo of Stephanie Horan, Clinical Social Work/Therapist in Van Mall, Vancouver, WA
Stephanie Horan
Clinical Social Work/Therapist, LCSW
Verified
Van Mall, Vancouver, WA 98662
Stephanie Horan is a Licensed Clinical Social Worker in Washington who has been practicing since 2018. She received her Master's of Social Work from Brigham Young University with a focus in clinical social work. She also received her Bachelor's Degree in Sociology from Brigham Young University. Since then, she has had maintained training in Suicide Prevention, Crucial Conversations, Acceptance Commitment Therapy, Neurofeedback, Cognitive Behavioral Therapy, Expressive Arts Therapy, Motivational Interviewing, Faith Deconstruction, and working with LGTBQ+ populations.
Stephanie Horan is a Licensed Clinical Social Worker in Washington who has been practicing since 2018. She received her Master's of Social Work from Brigham Young University with a focus in clinical social work. She also received her Bachelor's Degree in Sociology from Brigham Young University. Since then, she has had maintained training in Suicide Prevention, Crucial Conversations, Acceptance Commitment Therapy, Neurofeedback, Cognitive Behavioral Therapy, Expressive Arts Therapy, Motivational Interviewing, Faith Deconstruction, and working with LGTBQ+ populations.
(360) 818-2917 View (360) 818-2917
Photo of Brianna Devine, Counselor in Van Mall, Vancouver, WA
Brianna Devine
Counselor
Verified
Van Mall, Vancouver, WA 98662
I have been a practicing mental health counselor for over 10 years. I received my bachelors in Psychology from Western Washington University and my graduate degree in Mental Health Counseling from Eastern Washington University. I currently specialize in working with children and adolescents. I utilize a variety of different therapies including: CBT, person-centered, play therapy and mindfulness.
I have been a practicing mental health counselor for over 10 years. I received my bachelors in Psychology from Western Washington University and my graduate degree in Mental Health Counseling from Eastern Washington University. I currently specialize in working with children and adolescents. I utilize a variety of different therapies including: CBT, person-centered, play therapy and mindfulness.
(360) 361-8564 View (360) 361-8564
Photo of Mark Clark, Psychologist in Van Mall, Vancouver, WA
Mark Clark
Psychologist
Verified
Van Mall, Vancouver, WA 98662
Dr. Clark grew up in the Pacific Northwest and has been a licensed psychologist since 1996. He is married with two adult children. He enjoys watching his favorite sports teams, hiking and traveling.
Dr. Clark grew up in the Pacific Northwest and has been a licensed psychologist since 1996. He is married with two adult children. He enjoys watching his favorite sports teams, hiking and traveling.
(360) 361-8634 View (360) 361-8634
Photo of Matthew Engelking, Marriage & Family Therapist in Van Mall, Vancouver, WA
Matthew Engelking
Marriage & Family Therapist, MA, LMFT
Verified
Van Mall, Vancouver, WA 98662
Navigating through anxiety and trauma can feel like a relentless storm, leaving you feeling overwhelmed and unsure of where to turn. My approach focuses on creating a safe and supportive space where you can explore these challenges with empathy and understanding. Utilizing Acceptance and Commitment Therapy (ACT), we aim to foster acceptance of your thoughts and feelings, commit to action that aligns with your values, and work towards healing. Additionally, incorporating elements of the Gottman Method enhances our work, particularly in healing relationships affected by trauma and anxiety.
Navigating through anxiety and trauma can feel like a relentless storm, leaving you feeling overwhelmed and unsure of where to turn. My approach focuses on creating a safe and supportive space where you can explore these challenges with empathy and understanding. Utilizing Acceptance and Commitment Therapy (ACT), we aim to foster acceptance of your thoughts and feelings, commit to action that aligns with your values, and work towards healing. Additionally, incorporating elements of the Gottman Method enhances our work, particularly in healing relationships affected by trauma and anxiety.
(360) 300-5516 View (360) 300-5516
Photo of Kendall Jones, Mental Health Counselor in Van Mall, Vancouver, WA
Kendall Jones
Mental Health Counselor, MA, LMHC
Verified
Van Mall, Vancouver, WA 98662
Imagine a life where stress no longer consumes your every thoughts, where depression no longer casts a shadow over your days, and where anxiety no longer holds you back from reaching your full potential.
Imagine a life where stress no longer consumes your every thoughts, where depression no longer casts a shadow over your days, and where anxiety no longer holds you back from reaching your full potential.
(360) 726-4512 View (360) 726-4512
Photo of Rachel Rutkie, Psychologist in Van Mall, Vancouver, WA
Rachel Rutkie
Psychologist, PsyD
Verified
Van Mall, Vancouver, WA 98662
Dr. Rachel Rutike is a licensed psychologist in Washington State and has worked in various settings. She combines elements from several therapy frameworks (such as Dialectical Behavior Therapy (DBT), Internal Family Systems (IFS), and Motivational Interviewing) to best meet the needs of the individual. Dr. Rutkie has experience working with people from diverse backgrounds including the LGBTQIA2S+ community, the BIPOC community, individuals who struggle with substances/addictive behaviors, and individuals from various economic backgrounds.
Dr. Rachel Rutike is a licensed psychologist in Washington State and has worked in various settings. She combines elements from several therapy frameworks (such as Dialectical Behavior Therapy (DBT), Internal Family Systems (IFS), and Motivational Interviewing) to best meet the needs of the individual. Dr. Rutkie has experience working with people from diverse backgrounds including the LGBTQIA2S+ community, the BIPOC community, individuals who struggle with substances/addictive behaviors, and individuals from various economic backgrounds.
(360) 543-4220 View (360) 543-4220
Photo of Tiffany Sheely, Counselor in Van Mall, Vancouver, WA
Tiffany Sheely
Counselor, MS, LMHC, LCPC, LPC
Verified
Van Mall, Vancouver, WA 98662  (Online Only)
I currently take Aetna and United Healthcare/Optum plans. You appreciate education and are not looking for a faith-based place to heal. You also need a place where you are comfortable swearing and discussing life events. You struggle speaking your mind at times and may be your worst critic. Chronic stress, constant worry, or past trauma may also be contributing. Your relationships, emotional management, physical health, or sense of progress is being affected. You may recognize you are no longer being your best self and are searching for a better mindset. If you consider yourself neurodivergent, we may also be a good fit.
I currently take Aetna and United Healthcare/Optum plans. You appreciate education and are not looking for a faith-based place to heal. You also need a place where you are comfortable swearing and discussing life events. You struggle speaking your mind at times and may be your worst critic. Chronic stress, constant worry, or past trauma may also be contributing. Your relationships, emotional management, physical health, or sense of progress is being affected. You may recognize you are no longer being your best self and are searching for a better mindset. If you consider yourself neurodivergent, we may also be a good fit.
(360) 226-8718 View (360) 226-8718
Photo of Andrea Tomoe, Counselor in Van Mall, Vancouver, WA
Andrea Tomoe
Counselor, LPC
Verified
Van Mall, Vancouver, WA 98662
I am passionate about serving individuals who seek support, a place to be vulnerable and the opportunity to grow. My work focuses on adults who are struggling with trauma, anxiety, depression, body image and eating disorders, or significant life changes, such as a career switch, grief or a relationship shift. Just as many pieces make up the whole of a person's life, there are many components that make up a successful experience with counseling. The therapeutic journey begins from a place of trust and support. My techniques come from a combination of Solutions Focused, DBT, Family Systems and somatic therapy.
I am passionate about serving individuals who seek support, a place to be vulnerable and the opportunity to grow. My work focuses on adults who are struggling with trauma, anxiety, depression, body image and eating disorders, or significant life changes, such as a career switch, grief or a relationship shift. Just as many pieces make up the whole of a person's life, there are many components that make up a successful experience with counseling. The therapeutic journey begins from a place of trust and support. My techniques come from a combination of Solutions Focused, DBT, Family Systems and somatic therapy.
(360) 226-8492 View (360) 226-8492
Photo of Kyra Larson, Counselor in Van Mall, Vancouver, WA
Kyra Larson
Counselor, LMHC
Verified
Van Mall, Vancouver, WA 98662
First responders and veterans face unique stressors that most people never encounter. The intensity and demands of their roles can lead to feelings of isolation, heightened stress, and difficulty adjusting to civilian life. My practice is dedicated to understanding these unique challenges and providing a supportive environment to work through them. By focusing on resilience and coping strategies, I aim to help you find balance and a sense of peace amidst the chaos. My goal is to honor your service by supporting your mental health and well-being on every front.
First responders and veterans face unique stressors that most people never encounter. The intensity and demands of their roles can lead to feelings of isolation, heightened stress, and difficulty adjusting to civilian life. My practice is dedicated to understanding these unique challenges and providing a supportive environment to work through them. By focusing on resilience and coping strategies, I aim to help you find balance and a sense of peace amidst the chaos. My goal is to honor your service by supporting your mental health and well-being on every front.
(360) 774-4341 View (360) 774-4341
Photo of Cherry Foultner, Marriage & Family Therapist in Van Mall, Vancouver, WA
Cherry Foultner
Marriage & Family Therapist, LMFT
Verified
1 Endorsed
Van Mall, Vancouver, WA 98662
Pursuing a better self is a challenging journey. At times, you can feel lost and unsure how to break yourself out of the never-ending cycle. Do you often feel weighed down by challenging life situations, relationship difficulties, mental health, or stress? I can help you work on strategies and inner resources that will allow you to address the root cause of your difficulties and find healing.
Pursuing a better self is a challenging journey. At times, you can feel lost and unsure how to break yourself out of the never-ending cycle. Do you often feel weighed down by challenging life situations, relationship difficulties, mental health, or stress? I can help you work on strategies and inner resources that will allow you to address the root cause of your difficulties and find healing.
(360) 860-5303 View (360) 860-5303
Photo of B. Diane Straube, Counselor in Van Mall, Vancouver, WA
B. Diane Straube
Counselor, LMHC
Verified
Van Mall, Vancouver, WA 98662
Waitlist for new clients
My approach to therapy is based on a cognitive behavioral model, helping individuals learn how to cope with intense feelings and overcome struggles through addressing both the mind and the body. I believe knowledge is power, therefore I tailor my approach to each individual yet I primarily utilizes education, skill building and challenging unhealthy thinking styles to bring about change. Of course, I attempt to mix this with the right amount of encouragement to help you get the support you cannot always get from those around you. I work with any and all individuals, ages 13 and up, regardless of personal beliefs and identities.
My approach to therapy is based on a cognitive behavioral model, helping individuals learn how to cope with intense feelings and overcome struggles through addressing both the mind and the body. I believe knowledge is power, therefore I tailor my approach to each individual yet I primarily utilizes education, skill building and challenging unhealthy thinking styles to bring about change. Of course, I attempt to mix this with the right amount of encouragement to help you get the support you cannot always get from those around you. I work with any and all individuals, ages 13 and up, regardless of personal beliefs and identities.
(360) 997-5382 View (360) 997-5382
Photo of Elizabeth Knight, Clinical Social Work/Therapist in Van Mall, Vancouver, WA
Elizabeth Knight
Clinical Social Work/Therapist, LCSW
Verified
Van Mall, Vancouver, WA 98662
Elizabeth is a Licensed Clinical Social Worker, who has been practicing Acceptance and Commitment Therapy (ACT) since 2019. She received her Masters in Social Work from Walla Walla University and worked as a medical social worker before coming to LifeStance. Elizabeth uses Acceptance and Commitment Therapy collaboratively with clients. She believes that using warmth, authenticity, and humor creates an atmosphere of connection, safety and the vulnerability which develops a therapeutic relationship that supports growth.
Elizabeth is a Licensed Clinical Social Worker, who has been practicing Acceptance and Commitment Therapy (ACT) since 2019. She received her Masters in Social Work from Walla Walla University and worked as a medical social worker before coming to LifeStance. Elizabeth uses Acceptance and Commitment Therapy collaboratively with clients. She believes that using warmth, authenticity, and humor creates an atmosphere of connection, safety and the vulnerability which develops a therapeutic relationship that supports growth.
(360) 517-1147 View (360) 517-1147
Photo of Melissa Sivaram, Counselor in Van Mall, Vancouver, WA
Melissa Sivaram
Counselor, LMHC
Verified
Van Mall, Vancouver, WA 98662
Melissa Sivaram is a licensed therapist in the state of Washington who has been practicing since 2018. She graduated from the University of North Florida with a master's degree in Clinican Mental Health Counseling. Melissa approachs therapy from a collaborative, multicultural, and trauma informed position. She uses many different evidence based therapeutic modalities such as Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Dialectical Behavioral Therapy, and Motivational Interviewing.
Melissa Sivaram is a licensed therapist in the state of Washington who has been practicing since 2018. She graduated from the University of North Florida with a master's degree in Clinican Mental Health Counseling. Melissa approachs therapy from a collaborative, multicultural, and trauma informed position. She uses many different evidence based therapeutic modalities such as Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Dialectical Behavioral Therapy, and Motivational Interviewing.
(360) 361-8614 View (360) 361-8614
Photo of Aynsley Silva, Counselor in Van Mall, Vancouver, WA
Aynsley Silva
Counselor, MA, LMHC
Verified
9 Endorsed
Van Mall, Vancouver, WA 98662
Affectionately known as The Angry Boy Whisperer. I enjoy helping: families in conflict, kids transitioning between split homes, and FATHERS who want better for themselves and their family. I see MEN who want a counselor who is more direct, and can help them develop a way out. I help parents change the course of the family back to their original family vision, and I help children learn how to be respectful, responsible, and fun to be around. Men who have a hard time with depression, anxiety, addiction (pornography/substances), and difficulties in relationships. I help men have more character and honor in their lives.
Affectionately known as The Angry Boy Whisperer. I enjoy helping: families in conflict, kids transitioning between split homes, and FATHERS who want better for themselves and their family. I see MEN who want a counselor who is more direct, and can help them develop a way out. I help parents change the course of the family back to their original family vision, and I help children learn how to be respectful, responsible, and fun to be around. Men who have a hard time with depression, anxiety, addiction (pornography/substances), and difficulties in relationships. I help men have more character and honor in their lives.
(360) 228-2860 View (360) 228-2860
Photo of Mackenzie Gottfried, Counselor in Van Mall, Vancouver, WA
Mackenzie Gottfried
Counselor, LMHC, LPC
Verified
Van Mall, Vancouver, WA 98662
Mackenzie Gottfried is a Licensed Professional Counselor in Washington who has been practicing since 2020. She has a Bachelor of Arts: Human Services and Psychology from Southern Oregon University and a Graduate Degree: Professional Mental Health Counseling from Lewis and Clark College. Mackenzie has a passion for mental health counseling and uses curiosity as a tool to gain insight into the inner world of her clients to better understand and support them. She is excited to show up and work with clients in their development and growth in self-discovery.
Mackenzie Gottfried is a Licensed Professional Counselor in Washington who has been practicing since 2020. She has a Bachelor of Arts: Human Services and Psychology from Southern Oregon University and a Graduate Degree: Professional Mental Health Counseling from Lewis and Clark College. Mackenzie has a passion for mental health counseling and uses curiosity as a tool to gain insight into the inner world of her clients to better understand and support them. She is excited to show up and work with clients in their development and growth in self-discovery.
(360) 472-4921 View (360) 472-4921
Photo of Jackie Mitchell, Counselor in Van Mall, Vancouver, WA
Jackie Mitchell
Counselor, LMHC, SUDP
Verified
1 Endorsed
Van Mall, Vancouver, WA 98662
We are all part of a modern society where all the parts of us influence our actions, including our biology, gender identity, socio-cultural background, unique family history, and the context we live in today. My approach to therapy is strengths-based (finding your resilience), and I employ every possible technique to support your growth in a wholistic way, including cognitive behavioral therapy, brief therapy, relationship building, psychodynamics, family of origin systems work, behavioral work, and stress reduction.
We are all part of a modern society where all the parts of us influence our actions, including our biology, gender identity, socio-cultural background, unique family history, and the context we live in today. My approach to therapy is strengths-based (finding your resilience), and I employ every possible technique to support your growth in a wholistic way, including cognitive behavioral therapy, brief therapy, relationship building, psychodynamics, family of origin systems work, behavioral work, and stress reduction.
(360) 300-5446 View (360) 300-5446
Photo of Maraiah Esslinger, Counselor in Van Mall, Vancouver, WA
Maraiah Esslinger
Counselor, LMHC, LPC
Verified
Van Mall, Vancouver, WA 98662
Maraiah is a registered art therapist, licensed mental health counselor, and substance use professional. She graduated from Marylhurst University with a degree in clinical art therapy counseling, and holds a Master of Fine Art from Georgia State University and a certificate of Chemical Dependency Proficiency from Spokane Falls Community College. She is also an EMDRIA-trained EMDR (Eye Movement Desensitization and Reprocessing) therapist. Maraiah enjoys collaborating with her clients to develop a personalized approach to therapy, finding that this supports growth, healing, and empowerment.
Maraiah is a registered art therapist, licensed mental health counselor, and substance use professional. She graduated from Marylhurst University with a degree in clinical art therapy counseling, and holds a Master of Fine Art from Georgia State University and a certificate of Chemical Dependency Proficiency from Spokane Falls Community College. She is also an EMDRIA-trained EMDR (Eye Movement Desensitization and Reprocessing) therapist. Maraiah enjoys collaborating with her clients to develop a personalized approach to therapy, finding that this supports growth, healing, and empowerment.
(360) 361-8499 View (360) 361-8499
Photo of Nicole Ford, Counselor in Van Mall, Vancouver, WA
Nicole Ford
Counselor, LMHC
Verified
Van Mall, Vancouver, WA 98662  (Online Only)
Nicole Ford is a Licensed Mental Health Counselor (LMHC) in Washington state with over 6 years of experience within the mental health field. Nicole provides individual counseling to help establish a healthy relationship with body and mind. Nicole specializes in anxiety, mood disorders, eating disorders, life transitions, and trauma. Nicole's methods of treatment pull from a variety of evidence-based practices such as solution-focused therapy, acceptance and commitment therapy (ACT), and cognitive behavioral therapy (CBT).
Nicole Ford is a Licensed Mental Health Counselor (LMHC) in Washington state with over 6 years of experience within the mental health field. Nicole provides individual counseling to help establish a healthy relationship with body and mind. Nicole specializes in anxiety, mood disorders, eating disorders, life transitions, and trauma. Nicole's methods of treatment pull from a variety of evidence-based practices such as solution-focused therapy, acceptance and commitment therapy (ACT), and cognitive behavioral therapy (CBT).
(360) 997-4185 View (360) 997-4185
Photo of Stephanie Haskell, Marriage & Family Therapist Intern in Van Mall, Vancouver, WA
Stephanie Haskell
Marriage & Family Therapist Intern
Verified
1 Endorsed
Van Mall, Vancouver, WA 98662
Waitlist for new clients
With curiosity, we will explore the thoughts, feelings, and behaviors that impact your well-being and your connections with others. I bring warmth, acceptance, and collaboration so we can step through the therapeutic journey to a place of greater hope and less struggle. I believe relationships with ourself and others is very important. It can bring us the most joyous experiences but also pain, heartache, stress, and anger.
With curiosity, we will explore the thoughts, feelings, and behaviors that impact your well-being and your connections with others. I bring warmth, acceptance, and collaboration so we can step through the therapeutic journey to a place of greater hope and less struggle. I believe relationships with ourself and others is very important. It can bring us the most joyous experiences but also pain, heartache, stress, and anger.
(360) 732-8105 View (360) 732-8105
Photo of Jerrica Ching, Counselor in Van Mall, Vancouver, WA
Jerrica Ching
Counselor, MA, LMHC, LPC, LMFT, CMHS
Verified
3 Endorsed
Van Mall, Vancouver, WA 98662
Not accepting new clients
Hi there! I am not accepting any new clients at this time, but I appreciate your time and energy in learning about me! You may be at a point in your life where you feel strongly motivated for change and can imagine your desired outcome, yet you may feel unsure of how to start. I strongly believe that all people possess individual strengths and resources that are incredibly valuable and beneficial to the counseling process. I provide a space for you to identify your emotions, process life stressors, improve interactions with others, and increase your knowledge and use of effective and healthy coping skills.
Hi there! I am not accepting any new clients at this time, but I appreciate your time and energy in learning about me! You may be at a point in your life where you feel strongly motivated for change and can imagine your desired outcome, yet you may feel unsure of how to start. I strongly believe that all people possess individual strengths and resources that are incredibly valuable and beneficial to the counseling process. I provide a space for you to identify your emotions, process life stressors, improve interactions with others, and increase your knowledge and use of effective and healthy coping skills.
(855) 923-0147 View (855) 923-0147

See more therapy options for Van Mall, Vancouver

How does your Therapist compare?

Number of Therapists in Van Mall, Vancouver, WA

100+

Average cost per session

$130

Therapists in Van Mall, Vancouver, WA who prioritize treating:

93% Anxiety
90% Depression
73% Trauma and PTSD
69% Stress
58% Grief
58% Life Transitions
54% Self Esteem

Average years in practice

9 Years

Top 3 insurances accepted

86% Aetna
77% Cigna and Evernorth
65% PacificSource

How Therapists in Van Mall, Vancouver, WA see their clients

78% In Person and Online
22% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Van Mall, 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.