Photo of Michelle Broweleit, MA, LMHC, Counselor
Michelle Broweleit
Counselor, MA, LMHC
Verified Verified
Washougal, WA 98671
"I'm tired. Tired of living in a relationship that is a lot of work with little reward. I've read books and gone to seminars but nothing changes. I don't want to be miserable, walking on eggshells to avoid fighting. I feel so alone and want the person I once was madly in love with to pay attention to me and look at me with love and admiration. Everywhere I turn there are demands and I just want peace. I can't see past the issues- and sometimes I don't even know what the "issue" is except we are both unhappy."
"I'm tired. Tired of living in a relationship that is a lot of work with little reward. I've read books and gone to seminars but nothing changes. I don't want to be miserable, walking on eggshells to avoid fighting. I feel so alone and want the person I once was madly in love with to pay attention to me and look at me with love and admiration. Everywhere I turn there are demands and I just want peace. I can't see past the issues- and sometimes I don't even know what the "issue" is except we are both unhappy."
(509) 941-2402 View (509) 941-2402
Photo of Emily Van Der Laan - Gaian Body Psychotherapy , MA, LMHC
Gaian Body Psychotherapy
MA, LMHC
Verified Verified
Washougal, WA 98671  (Online Only)
*CURRENTLY WELCOMING NEW CLIENTS* Are you experiencing distress, anxiety, depression, shame, disconnection, loss, reactivity? Are you experiencing life transitions, seeking meaning, or having trouble In relationships? Are you in recovery from gaslighting, shunning, cults, having trouble finding your place in the world?
*CURRENTLY WELCOMING NEW CLIENTS* Are you experiencing distress, anxiety, depression, shame, disconnection, loss, reactivity? Are you experiencing life transitions, seeking meaning, or having trouble In relationships? Are you in recovery from gaslighting, shunning, cults, having trouble finding your place in the world?
(971) 273-2129 View (971) 273-2129
Photo of Susan G. Dingle, LICSW, Clinical Social Work/Therapist
Susan G. Dingle
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Washougal, WA 98671
When one door closes but another door isn't yet open, it can get lonely out in that hallway. Maybe a loved one has died, or you've received a diagnosis or you just moved to a new area...Is what you're feeling grief, trauma or culture shock? Or all of the above? How do you find courage, support and strength when you're in this in-between territory? It helps to have someone who's been there listen as you sort it out. Someone who gives you space to discern what you need. Someone who understands your language and can help you recognize and explore new possibilities. Someone who helps you discover who you are now, and who you can become
When one door closes but another door isn't yet open, it can get lonely out in that hallway. Maybe a loved one has died, or you've received a diagnosis or you just moved to a new area...Is what you're feeling grief, trauma or culture shock? Or all of the above? How do you find courage, support and strength when you're in this in-between territory? It helps to have someone who's been there listen as you sort it out. Someone who gives you space to discern what you need. Someone who understands your language and can help you recognize and explore new possibilities. Someone who helps you discover who you are now, and who you can become
(360) 762-3895 View (360) 762-3895
Photo of Dr. Michael Peterson
Dr. Michael Peterson
Verified Verified
1 Endorsed
Washougal, WA 98671
I provide a map for personal growth for men. On the journey you will uncover your deepest thoughts, wishes, fears, and conflicts. You will hold your history and personal identity up to the light, turning them slowly, pondering, and when you’re able, you may choose to release them, making way for a stronger interior scaffolding. You will become healthier, balanced, and psychologically strong. I work on the premise that men of this century want to be their own healers. Our work is to gather the resources needed for psychological well-being, developing the skill and power to rise to maturity and fulfillment.
I provide a map for personal growth for men. On the journey you will uncover your deepest thoughts, wishes, fears, and conflicts. You will hold your history and personal identity up to the light, turning them slowly, pondering, and when you’re able, you may choose to release them, making way for a stronger interior scaffolding. You will become healthier, balanced, and psychologically strong. I work on the premise that men of this century want to be their own healers. Our work is to gather the resources needed for psychological well-being, developing the skill and power to rise to maturity and fulfillment.
(360) 531-6293 View (360) 531-6293
Photo of Megan Boutinen Phd | Pacific Vista Psychology, PhD, Psychologist
Megan Boutinen Phd | Pacific Vista Psychology
Psychologist, PhD
Verified Verified
Washougal, WA 98671
I am currently accepting new clients. I am a licensed clinical psychologist with many years of experience treating a wide range of presenting concerns within adults, families, and couples. Some of these presenting concerns include depression, anxiety, OCD, grief, relationship dilemmas, challenges with life transitions, identity development and exploration, and working through past traumas. My areas of specialty include eating disorders and couples work. I see therapy as a collaborative process. Together we will identify and establish your goals for treatment, and work to bring you to where you feel more positively.
I am currently accepting new clients. I am a licensed clinical psychologist with many years of experience treating a wide range of presenting concerns within adults, families, and couples. Some of these presenting concerns include depression, anxiety, OCD, grief, relationship dilemmas, challenges with life transitions, identity development and exploration, and working through past traumas. My areas of specialty include eating disorders and couples work. I see therapy as a collaborative process. Together we will identify and establish your goals for treatment, and work to bring you to where you feel more positively.
(425) 332-6434 View (425) 332-6434
Photo of Holli Brice, MSW, LCSW, LICSW, Clinical Social Work/Therapist
Holli Brice
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Verified Verified
1 Endorsed
Washougal, WA 98671  (Online Only)
If you are seeking a kind, compassionate presence to walk alongside you on your healing journey, you've come to the right place. I believe that each person who arrives to therapy comes in with a story that matters and deserves to be heard. I see my role as therapist as someone to help you to recognize your ability to heal and help to shine light on the path that leads to your highest good. I am EMDR trained and enjoy using this modality to help others overcome trauma related issues.
If you are seeking a kind, compassionate presence to walk alongside you on your healing journey, you've come to the right place. I believe that each person who arrives to therapy comes in with a story that matters and deserves to be heard. I see my role as therapist as someone to help you to recognize your ability to heal and help to shine light on the path that leads to your highest good. I am EMDR trained and enjoy using this modality to help others overcome trauma related issues.
(360) 215-5622 View (360) 215-5622
Photo of Christine Finucane - Body Based Healing & Recovery, LCSW, SUDP, SEP, Clinical Social Work/Therapist
Body Based Healing & Recovery
Clinical Social Work/Therapist, LCSW, SUDP, SEP
Verified Verified
Washougal, WA 98671  (Online Only)
Waitlist for new clients
Do you struggle with not feeling happy, fulfilled with your life? Do you struggle with depression, anxiety, low self-worth? Do you struggle with fatigue and low energy? Do you have a self-critical voice that tells you you are not good enough,? Does your life look good on the outside but not on the inside? Do you struggle to feel fully present in your work and relationships? My passion in being a therapist is helping people who don’t feel good about themselves and/or their lives. They may struggle with depression, anxiety, low self-confidence, have challenges with addiction(s) and unresolved trauma.
Do you struggle with not feeling happy, fulfilled with your life? Do you struggle with depression, anxiety, low self-worth? Do you struggle with fatigue and low energy? Do you have a self-critical voice that tells you you are not good enough,? Does your life look good on the outside but not on the inside? Do you struggle to feel fully present in your work and relationships? My passion in being a therapist is helping people who don’t feel good about themselves and/or their lives. They may struggle with depression, anxiety, low self-confidence, have challenges with addiction(s) and unresolved trauma.
(360) 516-1691 View (360) 516-1691
Photo of Debbie L Shelton - Good Thinking Therapy, LMHC, MSW, SUDP, Counselor
Good Thinking Therapy
Counselor, LMHC, MSW, SUDP
Verified Verified
Washougal, WA 98671
I am a Licensed Mental Health Counselor and a Licensed Addictions Counselor in Washington. I have many years experience and my counseling is rooted in a humanistic, person-centered holistic approach within an Interpersonal Psychotherapy that focuses on challenges within relationships. Whether we realize it or not relationships are at the center of who we are as human beings; they encompass our hopes, dreams and future, as well as our biggest challenges, fears and disappointments. My philosophy for therapy is focused on building a compassionate, welcoming, and engaging person-centered therapeutic relationship for each of my clients.
I am a Licensed Mental Health Counselor and a Licensed Addictions Counselor in Washington. I have many years experience and my counseling is rooted in a humanistic, person-centered holistic approach within an Interpersonal Psychotherapy that focuses on challenges within relationships. Whether we realize it or not relationships are at the center of who we are as human beings; they encompass our hopes, dreams and future, as well as our biggest challenges, fears and disappointments. My philosophy for therapy is focused on building a compassionate, welcoming, and engaging person-centered therapeutic relationship for each of my clients.
(360) 375-0233 View (360) 375-0233
Photo of Dr. Benjamin J. Neeley, PhD, Psychologist
Dr. Benjamin J. Neeley
Psychologist, PhD
Verified Verified
Washougal, WA 98671
Neeley Psychological Services specializes in adult (18+) neurodevelopmental diagnostic evaluations for Autism Spectrum Disorder (ASD) and Attention-Deficit/Hyperactivity Disorder (ADHD). Our office makes psychological evaluations conveniently accessible to many people. Most private insurance is accepted (no Medicaid), we help with the insurance preauthorization process if needed, and we can usually complete the entire process within 1-2 months. We have never needed to utilize a waitlist. Please note that I am not a therapist or counselor and do not provide these services.
Neeley Psychological Services specializes in adult (18+) neurodevelopmental diagnostic evaluations for Autism Spectrum Disorder (ASD) and Attention-Deficit/Hyperactivity Disorder (ADHD). Our office makes psychological evaluations conveniently accessible to many people. Most private insurance is accepted (no Medicaid), we help with the insurance preauthorization process if needed, and we can usually complete the entire process within 1-2 months. We have never needed to utilize a waitlist. Please note that I am not a therapist or counselor and do not provide these services.
(360) 718-3360 View (360) 718-3360
Photo of Jeff Vovillia, MA, LPC, Counselor
Jeff Vovillia
Counselor, MA, LPC
Verified Verified
1 Endorsed
Washougal, WA 98671  (Online Only)
Irritable? Stressed? Whether it's work, relationships or all of the above, I'm here to help and support you in understanding your nervous system, and how your past connects to everyday triggers. Together we'll reduce reactivity and improve mood, manage anxiety and you'll gain confidence in riding the waves of emotions in life.
Irritable? Stressed? Whether it's work, relationships or all of the above, I'm here to help and support you in understanding your nervous system, and how your past connects to everyday triggers. Together we'll reduce reactivity and improve mood, manage anxiety and you'll gain confidence in riding the waves of emotions in life.
(360) 934-1421 View (360) 934-1421
Photo of Anthony Mucci, LMHC, Counselor
Anthony Mucci
Counselor, LMHC
Verified Verified
Washougal, WA 98671  (Online Only)
Hi, my name is Anthony Mucci. I am passionate about helping and serving others! I have experience in helping clients with stress and anxiety, relationship issues, trauma and abuse, chronic pain, & depression. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment and utilize EMDR therapy along with CBT/DBT/Existential therapy.
Hi, my name is Anthony Mucci. I am passionate about helping and serving others! I have experience in helping clients with stress and anxiety, relationship issues, trauma and abuse, chronic pain, & depression. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment and utilize EMDR therapy along with CBT/DBT/Existential therapy.
(509) 581-4282 View (509) 581-4282
Photo of Loraine G Madian, MA, LMHC, Counselor
Loraine G Madian
Counselor, MA, LMHC
Verified Verified
Washougal, WA 98671
At Bluebird Counseling, I enjoy working with individuals, families, and youth. My areas of expertise are Mindfulness Practice, Cognitive Behavioral Therapy, Neural Therapies (LifeSpan Integration and EMDR- Eye Movement Desentization Reprocessing) and Gestalt - In the moment awareness.
At Bluebird Counseling, I enjoy working with individuals, families, and youth. My areas of expertise are Mindfulness Practice, Cognitive Behavioral Therapy, Neural Therapies (LifeSpan Integration and EMDR- Eye Movement Desentization Reprocessing) and Gestalt - In the moment awareness.
(541) 516-1297 View (541) 516-1297
Photo of Wendy Bradshaw, MA, LMHC, Counselor
Wendy Bradshaw
Counselor, MA, LMHC
Verified Verified
Washougal, WA 98671
Sharing our inner experiences with someone can often feel frightening, which is exactly why I place such an importance on connection and acceptance in the therapeutic process. I aim to create a safe environment that will invite my clients to delve deeper into their personal narrative, as I truly believe we are not built to process emotions alone. As humans, we all have a propensity to grow and become our true selves, unfortunately we aren’t always gifted with the circumstances to allow it. I am passionate about creating a space for not only self-discovery and self acceptance, but to allow clients to feel seen, heard, and valued.
Sharing our inner experiences with someone can often feel frightening, which is exactly why I place such an importance on connection and acceptance in the therapeutic process. I aim to create a safe environment that will invite my clients to delve deeper into their personal narrative, as I truly believe we are not built to process emotions alone. As humans, we all have a propensity to grow and become our true selves, unfortunately we aren’t always gifted with the circumstances to allow it. I am passionate about creating a space for not only self-discovery and self acceptance, but to allow clients to feel seen, heard, and valued.
(360) 401-8485 View (360) 401-8485
Photo of Sandi Lee McQueen, MSW, LICSW, MHP, CMHS, Clinical Social Work/Therapist
Sandi Lee McQueen
Clinical Social Work/Therapist, MSW, LICSW, MHP, CMHS
Verified Verified
Washougal, WA 98671
I have experience working with children, youth and families. As a Child Mental Health Specialist, I specialize in clinical social work with clients that are struggling with anxiety, depression, suicidality and trauma. I use a creative strength based approach utilizing evidence based practice with solution focused brief counseling, cognitive behavioral therapy, motivational interviewing, and dialectical behavior therapy. My focus is to promote safe and healthy individuals and families in our community. I believe everyone has something to offer to our community. Helping others to connect and live their life to the fullest is my hope for each individual and family.
I have experience working with children, youth and families. As a Child Mental Health Specialist, I specialize in clinical social work with clients that are struggling with anxiety, depression, suicidality and trauma. I use a creative strength based approach utilizing evidence based practice with solution focused brief counseling, cognitive behavioral therapy, motivational interviewing, and dialectical behavior therapy. My focus is to promote safe and healthy individuals and families in our community. I believe everyone has something to offer to our community. Helping others to connect and live their life to the fullest is my hope for each individual and family.
(360) 329-9609 View (360) 329-9609
Photo of Claire Bemis, MSW, LCSW, LICSW, Clinical Social Work/Therapist
Claire Bemis
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Verified Verified
2 Endorsed
Washougal, WA 98671  (Online Only)
You may feel alone and isolated, or experience the common core belief many of us carry of feeling "not good enough" in the many roles you take on in your daily life. Do you feel as though you are missing out on your life because of the symptoms you are experiencing? You don't have to navigate this time in your life on your own. Beginning therapy is a courageous step in searching for a better balance in life and a greater belief in yourself and I would love to be by your side on this journey.
You may feel alone and isolated, or experience the common core belief many of us carry of feeling "not good enough" in the many roles you take on in your daily life. Do you feel as though you are missing out on your life because of the symptoms you are experiencing? You don't have to navigate this time in your life on your own. Beginning therapy is a courageous step in searching for a better balance in life and a greater belief in yourself and I would love to be by your side on this journey.
(860) 431-2532 View (860) 431-2532
Photo of Aynsley Silva, MA, LMHC, Counselor
Aynsley Silva
Counselor, MA, LMHC
Verified Verified
9 Endorsed
Washougal, WA 98671
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 Julie A Russell, MA, LMFT, LPC, LMHC
Julie A Russell
Mental Health Counselor, MA, LMFT, LPC, LMHC
Verified Verified
2 Endorsed
Washougal, WA 98671
I specialize in couples, children, teens and individuals. I believe that everyone can reach an optimum state of health, counseling helps individuals and families reach healthy functioning in their relationships with others. I employ an integrative approach with a strong reliance on cognitive-behavioral aspects, emotion focused therapy, solution focused therapy, as well as some Jungian methods, such as sand tray therapy, and child centered play therapy. Sand Tray Therapy is a form of expressive therapy. This non-verbal method of therapy is often used with children, but can be applied to adults, teens, couples, families as well.
I specialize in couples, children, teens and individuals. I believe that everyone can reach an optimum state of health, counseling helps individuals and families reach healthy functioning in their relationships with others. I employ an integrative approach with a strong reliance on cognitive-behavioral aspects, emotion focused therapy, solution focused therapy, as well as some Jungian methods, such as sand tray therapy, and child centered play therapy. Sand Tray Therapy is a form of expressive therapy. This non-verbal method of therapy is often used with children, but can be applied to adults, teens, couples, families as well.
(503) 451-6250 View (503) 451-6250
Photo of Sharon Winkler, MSW, LICSW, MAC, Clinical Social Work/Therapist
Sharon Winkler
Clinical Social Work/Therapist, MSW, LICSW, MAC
Verified Verified
Washougal, WA 98671
If you’re looking for a therapy of depth, insight, and durability; if you’re seeking a highly-trained therapist with over 35 years of experience who listens carefully, deeply, and thoughtfully; if you’ve been disappointed by ‘quick fix’ approaches that promise much and deliver little; if you want an individualized approach designed specifically with your needs in mind, then please call to discuss whether we might be a good fit.
If you’re looking for a therapy of depth, insight, and durability; if you’re seeking a highly-trained therapist with over 35 years of experience who listens carefully, deeply, and thoughtfully; if you’ve been disappointed by ‘quick fix’ approaches that promise much and deliver little; if you want an individualized approach designed specifically with your needs in mind, then please call to discuss whether we might be a good fit.
(360) 448-3379 View (360) 448-3379
Photo of Esther Pfeiffer, LMHC, Counselor
Esther Pfeiffer
Counselor, LMHC
Verified Verified
3 Endorsed
Washougal, WA 98671
I specialize in grief counseling, as well as counseling for perinatal loss, in order to walk through the grieving process with you and help to imagine what the future can look like one step at a time. I also utilize EMDR for trauma, depression, anxiety, and relationship concerns to stop the past from affecting the present and to create a different future. I help to create a coherent narrative to be able to move forward and live life more freely, without the learned patterns from the past. If you are ready to get help with grief, loss, trauma, attachment concerns, relationship struggles, depression, or self-esteem, please reach out!
I specialize in grief counseling, as well as counseling for perinatal loss, in order to walk through the grieving process with you and help to imagine what the future can look like one step at a time. I also utilize EMDR for trauma, depression, anxiety, and relationship concerns to stop the past from affecting the present and to create a different future. I help to create a coherent narrative to be able to move forward and live life more freely, without the learned patterns from the past. If you are ready to get help with grief, loss, trauma, attachment concerns, relationship struggles, depression, or self-esteem, please reach out!
(360) 585-8273 View (360) 585-8273
Photo of Priscilla Gilbert - Lacamas Counseling, Counselor
Lacamas Counseling
Counselor
Verified Verified
Washougal, WA 98671
Lacamas Counseling is the central resource for mental health in Camas, WA. We have counselors & therapists trained in working with children, teens, young adults, older adults, couples, and families; and they specialize in treating mood disorders of depression and anxiety, bipolar, trauma, grief, life transitions, postpartum distress, anger and outbursts, neurodiversity (autism, ADHD, dyslexia), identity, work/life balance, and burnout.
Lacamas Counseling is the central resource for mental health in Camas, WA. We have counselors & therapists trained in working with children, teens, young adults, older adults, couples, and families; and they specialize in treating mood disorders of depression and anxiety, bipolar, trauma, grief, life transitions, postpartum distress, anger and outbursts, neurodiversity (autism, ADHD, dyslexia), identity, work/life balance, and burnout.
(360) 233-2543 View (360) 233-2543
1

How does your Therapist compare?

Number of Therapists in 98671

30+

Average cost per session

$150

Therapists in 98671 who prioritize treating:

97% Anxiety
87% Relationship Issues
87% Depression
84% Stress
77% Trauma and PTSD
77% Life Transitions
74% Grief

Average years in practice

11 Years

Top 3 insurances accepted

68% Regence
53% Aetna
53% PacificSource

How Therapists in 98671 see their clients

59% In Person and Online
41% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 98671?

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.