Therapists in Buckman, Portland, OR

Photo of Karen St Clair, LCSW, Clinical Social Work/Therapist
Karen St Clair
Clinical Social Work/Therapist, LCSW
Verified Verified
Buckman, Portland, OR 97214
Not accepting new clients
Given that you are reading this, you may be experiencing stress and feeling distress. As you take this courageous step toward solving a problem, consider the following: as your therapist, I strive to support you in being your authentic self in the context of a complex and multifaceted world. You are your own expert; I want to work with that expert. You care about balance and harmony; I offer you professional therapeutic services that consider all your permutations - physical, emotions, mind, and spiritual. Together, we can find clarity in understanding while building emotional strength and flexibility.
Given that you are reading this, you may be experiencing stress and feeling distress. As you take this courageous step toward solving a problem, consider the following: as your therapist, I strive to support you in being your authentic self in the context of a complex and multifaceted world. You are your own expert; I want to work with that expert. You care about balance and harmony; I offer you professional therapeutic services that consider all your permutations - physical, emotions, mind, and spiritual. Together, we can find clarity in understanding while building emotional strength and flexibility.
(503) 489-9426 View (503) 489-9426
Photo of Alex MacLeod, MS, CRC, NCC
Alex MacLeod
Professional Counselor Associate, MS, CRC, NCC
Verified Verified
1 Endorsed
Buckman, Portland, OR 97214
Not accepting new clients
When we adapt to an oppressive environment, we are often left feeling scattered, anxious, depressed, numb, and disconnected. What’s really tricky is that we’re often not even aware of how we ended up there, we just know that it hurts. In therapy, you can learn how to widen your awareness of yourself, to encounter and even befriend the parts of yourself that cause tension and conflict in your everyday life.
When we adapt to an oppressive environment, we are often left feeling scattered, anxious, depressed, numb, and disconnected. What’s really tricky is that we’re often not even aware of how we ended up there, we just know that it hurts. In therapy, you can learn how to widen your awareness of yourself, to encounter and even befriend the parts of yourself that cause tension and conflict in your everyday life.
(503) 744-5144 View (503) 744-5144
Photo of Katherine Kneupper, LCSW, CDDONA, Clinical Social Work/Therapist
Katherine Kneupper
Clinical Social Work/Therapist, LCSW, CDDONA
Verified Verified
Buckman, Portland, OR 97214
Everyone deserves support and guidance amidst the unique challenges and transitions of life. My counseling practice offers a focus on adolescent girls and non-binary youth between the ages of 15-23. I am passionate about supporting young people in the transition to adulthood and seek to provide the opportunity to reflect, learn, and problem solve with an experienced therapist.
Everyone deserves support and guidance amidst the unique challenges and transitions of life. My counseling practice offers a focus on adolescent girls and non-binary youth between the ages of 15-23. I am passionate about supporting young people in the transition to adulthood and seek to provide the opportunity to reflect, learn, and problem solve with an experienced therapist.
(503) 683-7028 View (503) 683-7028
Photo of Kathleen Aguilar, MA, LPC-A, Pre-Licensed Professional
Kathleen Aguilar
Pre-Licensed Professional, MA, LPC-A
Verified Verified
1 Endorsed
Buckman, Portland, OR 97214
Now accepting new clients! You find yourself numb, feeling as though life is passing you by and you're just going through the motions. You have this idea of how your life is supposed to be, but you feel stuck and not in control over your free will. Your mind is your worst enemy, and it's spiraling out of control. You may feel shame, guilt, heaviness, and overwhelm. I hope to create a safe space for you to explore those hardwired thoughts and beliefs. You deserve to experience life in a new light, to reduce suffering, and freedom to find peace in your well-being.
Now accepting new clients! You find yourself numb, feeling as though life is passing you by and you're just going through the motions. You have this idea of how your life is supposed to be, but you feel stuck and not in control over your free will. Your mind is your worst enemy, and it's spiraling out of control. You may feel shame, guilt, heaviness, and overwhelm. I hope to create a safe space for you to explore those hardwired thoughts and beliefs. You deserve to experience life in a new light, to reduce suffering, and freedom to find peace in your well-being.
(971) 365-3393 View (971) 365-3393
Photo of Randi Wood, MS, QMHP
Randi Wood
Professional Counselor Associate, MS, QMHP
Verified Verified
1 Endorsed
Buckman, Portland, OR 97214
Not accepting new clients
Feel Overwhelmed? Find yourself feeling stuck in a cycle? Have you tried to work on this on your own, only to feel frustrated or defeated. You're not alone. It can be difficult navigating traumatic experiences, waves of grief, the depths of depression, and/or the sheer grip anxiety can have on us. Also sometimes our brains are just diverse within systems that aren't always supportive. Life can be really hard at times, even when you are trying your best. Yet, still there is hope. There are people that care & want to help support you in your journey. Change, healing, insight, and growth are all possible with collaboration & courage.
Feel Overwhelmed? Find yourself feeling stuck in a cycle? Have you tried to work on this on your own, only to feel frustrated or defeated. You're not alone. It can be difficult navigating traumatic experiences, waves of grief, the depths of depression, and/or the sheer grip anxiety can have on us. Also sometimes our brains are just diverse within systems that aren't always supportive. Life can be really hard at times, even when you are trying your best. Yet, still there is hope. There are people that care & want to help support you in your journey. Change, healing, insight, and growth are all possible with collaboration & courage.
(503) 506-2921 View (503) 506-2921
Photo of Caitlin Ruderman, LCSW, CADC-I, Clinical Social Work/Therapist
Caitlin Ruderman
Clinical Social Work/Therapist, LCSW, CADC-I
Verified Verified
1 Endorsed
Buckman, Portland, OR 97214
Waitlist Only - Many of us struggle to find joy in life, feel in control of our own decisions and reactions, overcome anxiety, forge meaningful connections with others, or have a strong sense of self. Emotions can be overwhelming, and we can often feel lost in our own heads. Over the last few years, even more of us have found ourselves struggling to find solid ground amidst chaos.
Waitlist Only - Many of us struggle to find joy in life, feel in control of our own decisions and reactions, overcome anxiety, forge meaningful connections with others, or have a strong sense of self. Emotions can be overwhelming, and we can often feel lost in our own heads. Over the last few years, even more of us have found ourselves struggling to find solid ground amidst chaos.
(971) 801-6356 View (971) 801-6356
Photo of Elizabeth Langford, LPC, MA, Licensed Professional Counselor
Elizabeth Langford
Licensed Professional Counselor, LPC, MA
Verified Verified
Buckman, Portland, OR 97214
Let's shoot straight to the point. You're here because you; A) at a loss with your kid these days; B) can't stand your parents; or C) don't know what to do about yourself. I'm here to help you, your child, or your family feel more human.
Let's shoot straight to the point. You're here because you; A) at a loss with your kid these days; B) can't stand your parents; or C) don't know what to do about yourself. I'm here to help you, your child, or your family feel more human.
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Photo of Tracy Braden, MS, LPC, Licensed Professional Counselor
Tracy Braden
Licensed Professional Counselor, MS, LPC
Verified Verified
Buckman, Portland, OR 97214  (Online Only)
If you are struggling you don't have to be. I can help you figure out how to let go of what's got you stuck and how to find more joy in your life. Clients dealing with stress, lack of focus, emotional issues, feelings of hopeless, and self defeating attitudes find new ways of thinking and being by working with me. Interested in using insurance? I am paneled with BCBS, UBH, MODA, Aetna, Cigna, and Pacific Source.
If you are struggling you don't have to be. I can help you figure out how to let go of what's got you stuck and how to find more joy in your life. Clients dealing with stress, lack of focus, emotional issues, feelings of hopeless, and self defeating attitudes find new ways of thinking and being by working with me. Interested in using insurance? I am paneled with BCBS, UBH, MODA, Aetna, Cigna, and Pacific Source.
(971) 274-5954 View (971) 274-5954
Photo of Jill Walsh, PCA, ATR-BC, LCAT
Jill Walsh
Professional Counselor Associate, PCA, ATR-BC, LCAT
Verified Verified
Buckman, Portland, OR 97214  (Online Only)
Hello, my name is Jill and I am accepting new clients in Oregon. As a clinician, I derive my philosophy of care from a deep value of service, honoring diversity, empowerment, social justice, ethical practice and the importance of interpersonal relationships. My primary goal in the therapeutic process is to assist clients in building the lives they want by promoting their inherent strengths, skills and community supports. My approach to therapy is one of collaboration.
Hello, my name is Jill and I am accepting new clients in Oregon. As a clinician, I derive my philosophy of care from a deep value of service, honoring diversity, empowerment, social justice, ethical practice and the importance of interpersonal relationships. My primary goal in the therapeutic process is to assist clients in building the lives they want by promoting their inherent strengths, skills and community supports. My approach to therapy is one of collaboration.
(971) 395-4015 View (971) 395-4015
Photo of Marisa Monahan, CRC, CADCI, Licensed Professional Counselor
Marisa Monahan
Licensed Professional Counselor, CRC, CADCI
Verified Verified
Buckman, Portland, OR 97214  (Online Only)
Not all people need therapy long term. I believe therapy should be individualized to the person and collaborative. My goal as a therapist is to create a space in which you can transition to your life outside of the therapy room. I strongly believe in attunement and connection as being imperative to feel seen and validated which encourages growth and healing. Being witnessed allows us to deeply process issues, identify and attune to our individual needs to make progress toward your goals. Intrinsically, we have the tools to promote integration and wellness, but may require support, to flourish.
Not all people need therapy long term. I believe therapy should be individualized to the person and collaborative. My goal as a therapist is to create a space in which you can transition to your life outside of the therapy room. I strongly believe in attunement and connection as being imperative to feel seen and validated which encourages growth and healing. Being witnessed allows us to deeply process issues, identify and attune to our individual needs to make progress toward your goals. Intrinsically, we have the tools to promote integration and wellness, but may require support, to flourish.
(503) 461-0891 View (503) 461-0891
Photo of L Pearson, MA, Licensed Professional Counselor
L Pearson
Licensed Professional Counselor, MA
Verified Verified
1 Endorsed
Buckman, Portland, OR 97214  (Online Only)
There are many paths to wellness. People enter therapy to address a wide range of concerns, from anxiety, crisis, depression, trauma, and shame. Others are exploring more about themselves, relationships, reflecting upon past patterns, and developing new strategies for living. My intention is to create an authentic, non-judgmental, safe environment in which I can join you on your journey of self-compassion, exploration, and growth. I am passionate about living in a world that is safe for all. I strive in my practice to be sensitive to concerns regarding intersectionality, marginalization, and oppression.
There are many paths to wellness. People enter therapy to address a wide range of concerns, from anxiety, crisis, depression, trauma, and shame. Others are exploring more about themselves, relationships, reflecting upon past patterns, and developing new strategies for living. My intention is to create an authentic, non-judgmental, safe environment in which I can join you on your journey of self-compassion, exploration, and growth. I am passionate about living in a world that is safe for all. I strive in my practice to be sensitive to concerns regarding intersectionality, marginalization, and oppression.
(503) 754-8905 View (503) 754-8905
Photo of Heather Mulkerns, LCSW, PsyD, Clinical Social Work/Therapist
Heather Mulkerns
Clinical Social Work/Therapist, LCSW, PsyD
Verified Verified
1 Endorsed
Buckman, Portland, OR 97214
Not accepting new clients
Therapy is a collaborative process of relational and emotional growth. I will help you to find the roots of troublesome patterns in your life so you can feel more fulfilled, improve relationships, grieve losses and experience more joy. I blend psychodynamic, psychoanalytic and cognitive/ behavioral methods. I have also been trained as an EMDR specialist. My website, drheathermulkerns.com, has more information.
Therapy is a collaborative process of relational and emotional growth. I will help you to find the roots of troublesome patterns in your life so you can feel more fulfilled, improve relationships, grieve losses and experience more joy. I blend psychodynamic, psychoanalytic and cognitive/ behavioral methods. I have also been trained as an EMDR specialist. My website, drheathermulkerns.com, has more information.
(503) 404-3485 View (503) 404-3485
Photo of Keziah Striplin, MSW, CSWA
Keziah Striplin
Clinical Social Work Associate, MSW, CSWA
Verified Verified
1 Endorsed
Buckman, Portland, OR 97214  (Online Only)
You might be struggling with the heavy impact of anxiety, depression, or unresolved trauma. Maybe the constant worry, racing thoughts, or deep sadness you’re experiencing make it hard to relax, focus, or fully engage with the people and activities you once enjoyed. You could be feeling disconnected from yourself and others, stuck in patterns that no longer serve you and wondering if healing is truly possible. Deep down, what you really want is to find relief—to feel more at peace, grounded, and empowered to live a life that's meaningful and fulfilling. You're ready for change, and I’m here to support you in making that a reality.
You might be struggling with the heavy impact of anxiety, depression, or unresolved trauma. Maybe the constant worry, racing thoughts, or deep sadness you’re experiencing make it hard to relax, focus, or fully engage with the people and activities you once enjoyed. You could be feeling disconnected from yourself and others, stuck in patterns that no longer serve you and wondering if healing is truly possible. Deep down, what you really want is to find relief—to feel more at peace, grounded, and empowered to live a life that's meaningful and fulfilling. You're ready for change, and I’m here to support you in making that a reality.
(503) 255-8473 View (503) 255-8473
Photo of Bailey Pamperien, LPC, Licensed Professional Counselor
Bailey Pamperien
Licensed Professional Counselor, LPC
Verified Verified
Buckman, Portland, OR 97214  (Online Only)
Hello, my name is Bailey and I am accepting new clients in Oregon! I provide compassionate, empathetic, inclusive, and culturally responsive mental health services to people of all backgrounds. I have experience working with juvenile justice, SPMI, children and families, marginalized communities, as well as adults of all ages. I employ a trauma informed lens with a strong reliance on evidence-based practices including Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Solution Focused Brief Therapy and Person Centered Therapy.
Hello, my name is Bailey and I am accepting new clients in Oregon! I provide compassionate, empathetic, inclusive, and culturally responsive mental health services to people of all backgrounds. I have experience working with juvenile justice, SPMI, children and families, marginalized communities, as well as adults of all ages. I employ a trauma informed lens with a strong reliance on evidence-based practices including Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Solution Focused Brief Therapy and Person Centered Therapy.
(971) 299-8182 View (971) 299-8182
Photo of Lindsay Walker - Bridgetown Sex Therapy, LMFT, Marriage & Family Therapist
Bridgetown Sex Therapy
Marriage & Family Therapist, LMFT
Verified Verified
6 Endorsed
Buckman, Portland, OR 97214  (Online Only)
Do you struggle with issues related to sex, sexuality, and gender identity? I have worked to specialize in these issues which are frequently considered taboo. I strive to provide a safe and accepting environment for my clients to discover more about their sexuality/gender identity, transform it into what they want, and affirm who they are. Finding someone you feel comfortable talking to is hard, so I hope to make it a little easier by offering a free consultation to make sure we are a good fit.
Do you struggle with issues related to sex, sexuality, and gender identity? I have worked to specialize in these issues which are frequently considered taboo. I strive to provide a safe and accepting environment for my clients to discover more about their sexuality/gender identity, transform it into what they want, and affirm who they are. Finding someone you feel comfortable talking to is hard, so I hope to make it a little easier by offering a free consultation to make sure we are a good fit.
(503) 893-8879 View (503) 893-8879
Photo of Ashley Sullivan - Ashley Sullivan Therapy, LCSW, Clinical Social Work/Therapist
Ashley Sullivan Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Buckman, Portland, OR 97214
I enjoy working with individual adult clients who want to participate more fully in their lives and who are looking for a supportive, empathetic therapist to address their concerns. Clients describe me as warm, compassionate, and relatable with a willingness to incorporate humor as part of the healing process. While I am kind and supportive, I also challenge stuck-points to create movement and directly address client distress and mental health symptoms.
I enjoy working with individual adult clients who want to participate more fully in their lives and who are looking for a supportive, empathetic therapist to address their concerns. Clients describe me as warm, compassionate, and relatable with a willingness to incorporate humor as part of the healing process. While I am kind and supportive, I also challenge stuck-points to create movement and directly address client distress and mental health symptoms.
(503) 897-1488 View (503) 897-1488
Photo of Victor Boomer-Jenks, LCSW, SUDP, Clinical Social Work/Therapist
Victor Boomer-Jenks
Clinical Social Work/Therapist, LCSW, SUDP
Verified Verified
1 Endorsed
Buckman, Portland, OR 97214  (Online Only)
Welcome! I'm honored that you would entrust me with a moment of your time to hear about my practice. Many of the people I've worked with begin therapy because they found themselves struggling to picture a brighter future; this may be because they had challenges with drug or alcohol use, their mental health, or they have experienced compounding racism, transphobia, homophobia, or gender-related violence in their homes, schools, or workplaces. Some have been made to feel that they are inadequate, broken, or not good enough even when they are trying their very best.
Welcome! I'm honored that you would entrust me with a moment of your time to hear about my practice. Many of the people I've worked with begin therapy because they found themselves struggling to picture a brighter future; this may be because they had challenges with drug or alcohol use, their mental health, or they have experienced compounding racism, transphobia, homophobia, or gender-related violence in their homes, schools, or workplaces. Some have been made to feel that they are inadequate, broken, or not good enough even when they are trying their very best.
(503) 470-4801 View (503) 470-4801
Photo of Terra Midgett Clark, LPC, NCC, MS, Licensed Professional Counselor
Terra Midgett Clark
Licensed Professional Counselor, LPC, NCC, MS
Verified Verified
1 Endorsed
Buckman, Portland, OR 97205
I believe in the strength and resilience of people. Facing the parts of us that are scared, in pain, angry or that we are ashamed of is hard work and it is rewarding work. We have the opportunity to ​increase self-awareness, understand and accept patterns, and learn new skills and ways of engaging in the world. I prioritize building a genuine, empathetic, safe relationship. I want you to experience me as an authentic person in the room. I find this is the essential key to progress. As a therapist, I ground my work in Internal Family Systems Theory and Person-Centered Theory.
I believe in the strength and resilience of people. Facing the parts of us that are scared, in pain, angry or that we are ashamed of is hard work and it is rewarding work. We have the opportunity to ​increase self-awareness, understand and accept patterns, and learn new skills and ways of engaging in the world. I prioritize building a genuine, empathetic, safe relationship. I want you to experience me as an authentic person in the room. I find this is the essential key to progress. As a therapist, I ground my work in Internal Family Systems Theory and Person-Centered Theory.
(844) 510-0314 View (844) 510-0314
Photo of Mitzy King, LCSW, LSSW, MSW, Clinical Social Work/Therapist
Mitzy King
Clinical Social Work/Therapist, LCSW, LSSW, MSW
Verified Verified
1 Endorsed
Buckman, Portland, OR 97214
Not accepting new clients
I’m in your corner. Offering therapy that is relational, affirming and empathetic while grounded in feminist and social justice values. I use evidence based modalities and a bit of intuition to partner with you on your therapeutic journey. I foster a space where you can explore your identities, your values and life experiences.
I’m in your corner. Offering therapy that is relational, affirming and empathetic while grounded in feminist and social justice values. I use evidence based modalities and a bit of intuition to partner with you on your therapeutic journey. I foster a space where you can explore your identities, your values and life experiences.
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Photo of Jacqueline R Shannon, LMFT, CADCIII, Marriage & Family Therapist
Jacqueline R Shannon
Marriage & Family Therapist, LMFT, CADCIII
Verified Verified
Buckman, Portland, OR 97214
Jackie Shannon is a Licensed Marriage and Family Therapist and Certified Alcohol and Drug Counselor. Jackie makes use of a humanistic and existential approach through a variety of experiential modalities. By creating a safe space for individuals to experience the discomfort of life’s challenges, Jackie supports individuals in developing relationship through trust, empathy, direct and candid inquiry, and down to earth humor. Jackie encourages intuitive exploration through integrating talk therapy with present moment awareness using sound, music, role play and energy work.
Jackie Shannon is a Licensed Marriage and Family Therapist and Certified Alcohol and Drug Counselor. Jackie makes use of a humanistic and existential approach through a variety of experiential modalities. By creating a safe space for individuals to experience the discomfort of life’s challenges, Jackie supports individuals in developing relationship through trust, empathy, direct and candid inquiry, and down to earth humor. Jackie encourages intuitive exploration through integrating talk therapy with present moment awareness using sound, music, role play and energy work.
(503) 751-8716 View (503) 751-8716
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How does your Therapist compare?

Number of Therapists in Buckman, Portland, OR

200+

Average cost per session

$160

Therapists in Buckman, Portland, OR who prioritize treating:

92% Anxiety
87% Depression
80% Trauma and PTSD
74% Relationship Issues
74% Self Esteem
67% Stress
65% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

53% Oregon Health Plan (OHP)
49% PacificSource
40% Aetna

How Therapists in Buckman, Portland, OR see their clients

55% In Person and Online
45% Online Only

Gender breakdown

71% Female
24% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Buckman, Portland?

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.