Therapists in Portland, OR

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Photo of Jonah Stabinski, LCSW, Clinical Social Work/Therapist
Jonah Stabinski
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97227
Even the most painful emotions have wisdom to them. Instead of seeing your mental distress as just a disease, I view it as the brain telling us that things in your life need attention. This might relate to your body, to your relationships in life, to old thought patterns, to what you do with your days, to how society treats you. There are many roads that lead to suffering. I hope to work with you to identify the circumstances that make your situation unique, so we can better understand how to improve your well-being. Then, we can work together to slowly but surely make the necessary changes towards a life filled with meaning.
Even the most painful emotions have wisdom to them. Instead of seeing your mental distress as just a disease, I view it as the brain telling us that things in your life need attention. This might relate to your body, to your relationships in life, to old thought patterns, to what you do with your days, to how society treats you. There are many roads that lead to suffering. I hope to work with you to identify the circumstances that make your situation unique, so we can better understand how to improve your well-being. Then, we can work together to slowly but surely make the necessary changes towards a life filled with meaning.
(971) 251-1624 View (971) 251-1624
Photo of Laney Coulter - Loving Kindness Hypnosis, BCH, CI, NLP, BWRT , MEd
Loving Kindness Hypnosis
BCH, CI, NLP, BWRT , MEd
Verified Verified
Portland, OR 97209
Whether you want to lose weight, stop smoking, be less stressed or just want more clarity, hypnosis can help. If you are plagued by fears, misperceptions, or limiting beliefs that keep you from living the life you were meant to live, I can help you shed those limitations and guide you to your path to success. Recognized by the American Medical Association since 1958, Hypnosis is a safe and successful therapeutic tool for many conditions, addictions and limiting beliefs and habits. Also, HypnoFertility(R) aids women in making a shift at the subconscious level to ensure a positive outcome.
Whether you want to lose weight, stop smoking, be less stressed or just want more clarity, hypnosis can help. If you are plagued by fears, misperceptions, or limiting beliefs that keep you from living the life you were meant to live, I can help you shed those limitations and guide you to your path to success. Recognized by the American Medical Association since 1958, Hypnosis is a safe and successful therapeutic tool for many conditions, addictions and limiting beliefs and habits. Also, HypnoFertility(R) aids women in making a shift at the subconscious level to ensure a positive outcome.
(503) 558-6883 View (503) 558-6883
Photo of Jey E Jang, MA, MT-BC
Jey E Jang
Professional Counselor Associate, MA, MT-BC
Verified Verified
Portland, OR 97214  (Online Only)
Jey is an integrative mental health counselor trained in a variety of evidence-based psychotherapy treatments for PTSD, anxiety, and depression. Common themes of therapy may include: high emotional reactivity, sense of inadequacy, fear of abandonment, difficulty with boundary setting, and deprivation of love, connection, or acceptance. With her 13+ years of clinical experience in the mental health field, she provides a unique blend of holistic and mind-body approach, to support the healing process of a whole person.
Jey is an integrative mental health counselor trained in a variety of evidence-based psychotherapy treatments for PTSD, anxiety, and depression. Common themes of therapy may include: high emotional reactivity, sense of inadequacy, fear of abandonment, difficulty with boundary setting, and deprivation of love, connection, or acceptance. With her 13+ years of clinical experience in the mental health field, she provides a unique blend of holistic and mind-body approach, to support the healing process of a whole person.
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Photo of Frankie Forrester, MS, NCC
Frankie Forrester
Professional Counselor Associate, MS, NCC
Verified Verified
2 Endorsed
Portland, OR 97217  (Online Only)
As a Black, non-binary, transracial adoptee, identity work is the name of my game. I often work with BIPOC and/or gender non-conforming individuals including children, pre-teens, and adults. I focus my clinical work in supporting those navigating challenges that arise from identity work: racial, gender, familial, societal, etc. The subject of adoption is particularly close to my heart and one that holds much nuance and intricacy. We may be a good fit if you are looking to explore any of the aforementioned or are the parent and/or guardian of the aforementioned. Please contact me using the "my website" link or visit crybaby.care.
As a Black, non-binary, transracial adoptee, identity work is the name of my game. I often work with BIPOC and/or gender non-conforming individuals including children, pre-teens, and adults. I focus my clinical work in supporting those navigating challenges that arise from identity work: racial, gender, familial, societal, etc. The subject of adoption is particularly close to my heart and one that holds much nuance and intricacy. We may be a good fit if you are looking to explore any of the aforementioned or are the parent and/or guardian of the aforementioned. Please contact me using the "my website" link or visit crybaby.care.
Photo of Britt Tilton, LCSW, Clinical Social Work/Therapist
Britt Tilton
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97215
I’m a licensed clinical social worker and an EMDR Certified Therapist. I offer therapy to folks who have experienced various forms of trauma, grief, shame, addiction, phobias, and stressors. A lot of people I work with have shared with me that so much has happened to them in their life, they worry no one will believe them. So, they bury their pain with substances, food, sex, adrenaline, accomplishments, busyness, exercise, diet, status, or money. They’ve tried talk therapy, and it doesn’t quite help.
I’m a licensed clinical social worker and an EMDR Certified Therapist. I offer therapy to folks who have experienced various forms of trauma, grief, shame, addiction, phobias, and stressors. A lot of people I work with have shared with me that so much has happened to them in their life, they worry no one will believe them. So, they bury their pain with substances, food, sex, adrenaline, accomplishments, busyness, exercise, diet, status, or money. They’ve tried talk therapy, and it doesn’t quite help.
(503) 445-1803 View (503) 445-1803
Photo of Jeremy Steenstrup Balthazar, MA, QMHP-R
Jeremy Steenstrup Balthazar
Professional Counselor Associate, MA, QMHP-R
Verified Verified
2 Endorsed
Portland, OR 97206
I've recently joined a group practice located in Sellwood, Psychology & Wellness Group PDX. I am accepting clients and appointments can be scheduled by phone or through their website www.psychologyandwellnessgrouppdx.com. My practice is grounded in existential therapy which recognizes the importance of meaning, relationships, autonomy, authenticity, agency, creativity, and connection for acceptance, growth, and change. My experience includes working with bipolar disorder, depression, anxiety, grief and bereavement, personality disorders, psychotic disorders, ADHD, sex addiction, substance addiction, and interpersonal relationships.
I've recently joined a group practice located in Sellwood, Psychology & Wellness Group PDX. I am accepting clients and appointments can be scheduled by phone or through their website www.psychologyandwellnessgrouppdx.com. My practice is grounded in existential therapy which recognizes the importance of meaning, relationships, autonomy, authenticity, agency, creativity, and connection for acceptance, growth, and change. My experience includes working with bipolar disorder, depression, anxiety, grief and bereavement, personality disorders, psychotic disorders, ADHD, sex addiction, substance addiction, and interpersonal relationships.
(503) 966-7356 View (503) 966-7356
Photo of Michael Junkins, MA, Pre-Licensed Professional
Michael Junkins
Pre-Licensed Professional, MA
Verified Verified
Portland, OR 97239
I support clients who are looking to find change and break problematic cycles especially within the relationships that matter most to them.
I support clients who are looking to find change and break problematic cycles especially within the relationships that matter most to them.
(971) 287-7330 View (971) 287-7330
Photo of Susan Yoon, MS, NCC, LPC, Licensed Professional Counselor
Susan Yoon
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
1 Endorsed
Portland, OR 97215
‍‍I really am a child at heart. I see individuals as part of a larger system, via family, community and culture. I believe that the therapeutic alliance I make with my clients is really the heart of therapy and I have seen positive outcomes for my clients when they live confident, happy and healthy lives. Much of my practice focuses on empowering women of all ages to be the best version of themselves. Overall I strive to be the kindest human I can be as I firmly believe that it is the act of true kindness to ourselves and others that allows us the ability to thrive.
‍‍I really am a child at heart. I see individuals as part of a larger system, via family, community and culture. I believe that the therapeutic alliance I make with my clients is really the heart of therapy and I have seen positive outcomes for my clients when they live confident, happy and healthy lives. Much of my practice focuses on empowering women of all ages to be the best version of themselves. Overall I strive to be the kindest human I can be as I firmly believe that it is the act of true kindness to ourselves and others that allows us the ability to thrive.
(517) 994-1093 View (517) 994-1093
Photo of Ken Steinbacher, NCC, LPC, Licensed Professional Counselor
Ken Steinbacher
Licensed Professional Counselor, NCC, LPC
Verified Verified
Portland, OR 97215
My focus includes gender and gender transition, sexuality, racial identity, trauma, and personal growth. I welcome people of all identities. I have trained in supporting people through gender affirming surgeries including letter of support. We will create a safer container for you to explore what hurts and what helps. I find it useful to consider how social, racial, gender, and economic injustice intersects with your experience. This work can be hard and sometimes we uncover painful spots. I incorporate mindfulness and grounding work to promote a safer experience.
My focus includes gender and gender transition, sexuality, racial identity, trauma, and personal growth. I welcome people of all identities. I have trained in supporting people through gender affirming surgeries including letter of support. We will create a safer container for you to explore what hurts and what helps. I find it useful to consider how social, racial, gender, and economic injustice intersects with your experience. This work can be hard and sometimes we uncover painful spots. I incorporate mindfulness and grounding work to promote a safer experience.
(971) 257-5842 View (971) 257-5842
Photo of Alison Daniels, LCSW, Clinical Social Work/Therapist
Alison Daniels
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Portland, OR 97212
Not accepting new clients
People come to therapy for many reasons. Most often, the primary reason is emotional pain and the desire for change. As humans, we stubbornly cling to patterns of thought and behavior that are not helping us live the lives we most want to live. I am a therapist with over 20 years of experience in mental health. I want to work with you in a collaborative approach to build awareness and skills to create a life that is meaningful to you. I bring to the therapy space active listening, an empathic and compassionate presence, strong clinical skills, and trauma-informed practices.
People come to therapy for many reasons. Most often, the primary reason is emotional pain and the desire for change. As humans, we stubbornly cling to patterns of thought and behavior that are not helping us live the lives we most want to live. I am a therapist with over 20 years of experience in mental health. I want to work with you in a collaborative approach to build awareness and skills to create a life that is meaningful to you. I bring to the therapy space active listening, an empathic and compassionate presence, strong clinical skills, and trauma-informed practices.
(503) 594-7626 View (503) 594-7626
Photo of Noah Carolan, LMFT, Marriage & Family Therapist
Noah Carolan
Marriage & Family Therapist, LMFT
Verified Verified
Portland, OR 97232
Hello, I am a therapist who specializes in trauma and trauma-related issues. I have worked successfully with many people who struggle to fully heal from past difficulties from different periods of their lives. I have also helped individuals who have faced family transitions, or emotionally damaging situations from childhood, or early childhood. There is not just one single issue or symptom that I work with; instead I have found that trauma can present itself in many different ways. Depression, anxiety, relational problems, shame, avoidance, and addictions (to name a few), all can result from past losses and emotional wounds.
Hello, I am a therapist who specializes in trauma and trauma-related issues. I have worked successfully with many people who struggle to fully heal from past difficulties from different periods of their lives. I have also helped individuals who have faced family transitions, or emotionally damaging situations from childhood, or early childhood. There is not just one single issue or symptom that I work with; instead I have found that trauma can present itself in many different ways. Depression, anxiety, relational problems, shame, avoidance, and addictions (to name a few), all can result from past losses and emotional wounds.
(541) 326-0019 View (541) 326-0019
Photo of Graham Borgman, MA, LPC, Licensed Professional Counselor
Graham Borgman
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97212
Not accepting new clients
As a Licensed Professional Counselor, I work well with individuals who are curious about their own minds and emotions. Individuals who can benefit from working with me are those who wish to understand and move through their suffering, as well as to enjoy the vitality that the healing process can bring. Reasons for seeking therapy which I work well with include: Anxiety & stress, Depression, Trauma, Grief, Relationship issues, Existential concerns, Difficulty with self-expression, Feelings of guilt & shame, Self criticism & self-esteem issues, Anger issues, Life transitions, Many more: just ask!
As a Licensed Professional Counselor, I work well with individuals who are curious about their own minds and emotions. Individuals who can benefit from working with me are those who wish to understand and move through their suffering, as well as to enjoy the vitality that the healing process can bring. Reasons for seeking therapy which I work well with include: Anxiety & stress, Depression, Trauma, Grief, Relationship issues, Existential concerns, Difficulty with self-expression, Feelings of guilt & shame, Self criticism & self-esteem issues, Anger issues, Life transitions, Many more: just ask!
(503) 714-7078 View (503) 714-7078
Photo of Abir Nawaz, MA, MFTA, Marriage & Family Therapist Associate
Abir Nawaz
Marriage & Family Therapist Associate, MA, MFTA
Verified Verified
Portland, OR 97232
Waitlist for new clients
Sometimes life can feel unmanageable, especially during this time when many people are struggling with loneliness and existential anxieties. I believe that people are doing the best they can with the information and skills they have. My goal is to support my clients as they move through these difficult periods of life. Therapy can be a powerful tool for healing and growth. As your therapist, I'll offer an open and and supportive environment to explore your thoughts, feelings, and relationships.
Sometimes life can feel unmanageable, especially during this time when many people are struggling with loneliness and existential anxieties. I believe that people are doing the best they can with the information and skills they have. My goal is to support my clients as they move through these difficult periods of life. Therapy can be a powerful tool for healing and growth. As your therapist, I'll offer an open and and supportive environment to explore your thoughts, feelings, and relationships.
(503) 694-3079 View (503) 694-3079
Photo of Casey Campbell, MS, LPC, Licensed Professional Counselor
Casey Campbell
Licensed Professional Counselor, MS, LPC
Verified Verified
Portland, OR 97211  (Online Only)
I have over 10 years of experience helping people change. Change can be scary, challenging, exhilarating, and fulfilling. I help facilitate change by developing a close therapeutic relationship with clients and by utilizing evidence based therapies, and my well developed intuition to identify the source of your problem and the best pathway forward. I specialize in treating motivational difficulties, depression, anxiety, and self defeating behaviors. I also help with existential issues, such as finding meaning, discovering passions, and developing and sustaining close relationships.
I have over 10 years of experience helping people change. Change can be scary, challenging, exhilarating, and fulfilling. I help facilitate change by developing a close therapeutic relationship with clients and by utilizing evidence based therapies, and my well developed intuition to identify the source of your problem and the best pathway forward. I specialize in treating motivational difficulties, depression, anxiety, and self defeating behaviors. I also help with existential issues, such as finding meaning, discovering passions, and developing and sustaining close relationships.
(503) 405-4434 View (503) 405-4434
Photo of Maureen A O'Donnell, MA, Jungian, Analyst, Licensed Professional Counselor
Maureen A O'Donnell
Licensed Professional Counselor, MA, Jungian, Analyst
Verified Verified
Portland, OR 97212
Waitlist for new clients
I specialize in the treatment of depression, anxiety, the aftereffects of trauma, and life-transitions. If you are feeling hopelessness, despair, anger, or lack motivation, you are probably suffering from depression. Excessive worry and fears are signs of anxiety. Symptoms of trauma can include: panic attacks, anxiety, hyper-vigilance, anger, depression, and dissociation.
I specialize in the treatment of depression, anxiety, the aftereffects of trauma, and life-transitions. If you are feeling hopelessness, despair, anger, or lack motivation, you are probably suffering from depression. Excessive worry and fears are signs of anxiety. Symptoms of trauma can include: panic attacks, anxiety, hyper-vigilance, anger, depression, and dissociation.
(503) 880-0966 View (503) 880-0966
Photo of Amanda J Kruszka, LCSW, Clinical Social Work/Therapist
Amanda J Kruszka
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Portland, OR 97217  (Online Only)
Not accepting new clients
I am a queer, trauma-informed Licensed Clinical Social Worker with experience connecting with and offering support to individuals from diverse cultural backgrounds, ethnicities, and social populations, specializing in LGBTQ+ folx
I am a queer, trauma-informed Licensed Clinical Social Worker with experience connecting with and offering support to individuals from diverse cultural backgrounds, ethnicities, and social populations, specializing in LGBTQ+ folx
(503) 543-1466 View (503) 543-1466
Photo of Julianna Guenther, MA, LMFT, Marriage & Family Therapist
Julianna Guenther
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Portland, OR 97212
I am a trauma informed therapist who specializes in individual and couples therapy. I strive to create an empathetic and empowering environment where together we can explore authenticity, healing and self-acceptance. I view therapy as a space to explore and discover new ways of being and relating to ourselves and others. If you and your partner(s) are finding that you are often stuck in the same fights over and over, navigating a life transition, or trying to move forward after a breach of trust, couples therapy can provide the support you need. Please visit my website for more information.
I am a trauma informed therapist who specializes in individual and couples therapy. I strive to create an empathetic and empowering environment where together we can explore authenticity, healing and self-acceptance. I view therapy as a space to explore and discover new ways of being and relating to ourselves and others. If you and your partner(s) are finding that you are often stuck in the same fights over and over, navigating a life transition, or trying to move forward after a breach of trust, couples therapy can provide the support you need. Please visit my website for more information.
(503) 395-8830 View (503) 395-8830
Photo of Jenene Belshe, BS, CADCII, QMHA, Drug & Alcohol Counselor
Jenene Belshe
Drug & Alcohol Counselor, BS, CADCII, QMHA
Verified Verified
Portland, OR 97209  (Online Only)
I am an expert in the field of drug and alcohol addiction. I offer you support and guidance while you navigate your journey to recovery. I create a supportive environment and give you the tools you need to rebuild your life, rediscover yourself, and transform your world.
I am an expert in the field of drug and alcohol addiction. I offer you support and guidance while you navigate your journey to recovery. I create a supportive environment and give you the tools you need to rebuild your life, rediscover yourself, and transform your world.
(503) 749-9012 View (503) 749-9012
Photo of Chad P Ernest - Sunny Sky Counseling, LLC, MS, LPC, Licensed Professional Counselor
Sunny Sky Counseling, LLC
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Portland, OR 97216
Hello! I am Chad Ernest, Owner and Counselor of Sunny Sky Counseling, LLC. Every one could use some sunny sky in Portland now and again. I am a Licensed Professional Counselor in the State of Oregon, who believes in the best in all of us and tries to help you find that in yourself. Whether that means I am working with you as an individual, your family, or as a couple, I am working to help you find the best outcomes. I believe in a client/family centered approach with collaboration in treatment between you and myself.
Hello! I am Chad Ernest, Owner and Counselor of Sunny Sky Counseling, LLC. Every one could use some sunny sky in Portland now and again. I am a Licensed Professional Counselor in the State of Oregon, who believes in the best in all of us and tries to help you find that in yourself. Whether that means I am working with you as an individual, your family, or as a couple, I am working to help you find the best outcomes. I believe in a client/family centered approach with collaboration in treatment between you and myself.
(503) 374-1642 View (503) 374-1642
Photo of Yael Schweitzer, LCSW, MSW, BC-DMT, Clinical Social Work/Therapist
Yael Schweitzer
Clinical Social Work/Therapist, LCSW, MSW, BC-DMT
Verified Verified
Portland, OR 97219
Not accepting new clients
As a Mindfulness-Based Therapist, people come to me because they want to be heard, and I provide a safe and welcoming space where their voice is heard with respect and a non judgmental approach. I am skilled in listening not just to the spoken word, but also to the body and non verbal expressions. An essential component of my approach is to demonstrate and work with my clients on developing acceptance and compassion to themselves and others. Everyone who seeks therapy for medical, personal and interpersonal reasons is welcome to my clinic. I work with individuals, couples, families and groups.
As a Mindfulness-Based Therapist, people come to me because they want to be heard, and I provide a safe and welcoming space where their voice is heard with respect and a non judgmental approach. I am skilled in listening not just to the spoken word, but also to the body and non verbal expressions. An essential component of my approach is to demonstrate and work with my clients on developing acceptance and compassion to themselves and others. Everyone who seeks therapy for medical, personal and interpersonal reasons is welcome to my clinic. I work with individuals, couples, families and groups.
(971) 236-4069 View (971) 236-4069
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How does your Therapist compare?

Number of Therapists in Portland, OR

3,000+

Average cost per session

$163

Therapists in Portland, OR who prioritize treating:

91% Anxiety
84% Depression
75% Relationship Issues
74% Trauma and PTSD
73% Self Esteem
69% Stress
66% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

53% PacificSource
52% Aetna
41% BlueCross and BlueShield

How Therapists in Portland, OR see their clients

56% In Person and Online
44% Online Only

Gender breakdown

74% Female
22% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 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.