Therapists in Vancouver, WA

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Photo of Molly Callahan, MS, LMHC, DDMHS, Counselor
Molly Callahan
Counselor, MS, LMHC, DDMHS
Verified Verified
Vancouver, WA 98661
Waitlist for new clients
Therapy is a collaborative process of self-discovery and personal growth. I focus on helping my clients through the development of greater self-understanding, self-awareness and self-acceptance. I treat a wide range of clinical issues and invite clients of diverse identities and backgrounds into my therapy practice. I specialize in working with complex and single incident trauma, sexual/relational trauma, anxiety and mood disorders, life transitions, identity exploration, and stress reduction. I have experience working with people across the lifespan, including children ages 3-12, adolescents, and adults in various stages of life.
Therapy is a collaborative process of self-discovery and personal growth. I focus on helping my clients through the development of greater self-understanding, self-awareness and self-acceptance. I treat a wide range of clinical issues and invite clients of diverse identities and backgrounds into my therapy practice. I specialize in working with complex and single incident trauma, sexual/relational trauma, anxiety and mood disorders, life transitions, identity exploration, and stress reduction. I have experience working with people across the lifespan, including children ages 3-12, adolescents, and adults in various stages of life.
(360) 226-7556 View (360) 226-7556
Photo of Mary Elizabeth Jones-Wilcox - Wise Mind Wellness, LLC, MA, LMHC, Counselor
Wise Mind Wellness, LLC
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98660
Choosing to come to therapy can be an intimidating experience...one that involves you shining a light on feelings of vulnerability or discomfort. But it's also a brave step that reminds you that you can be in control of how you respond to difficult situations, as well as empowers you to find your voice. If you are struggling with your mental health, feeling overwhelmed, or just need someone to support you in this season of your life, I am here to make sure you feel seen and heard. Along the way I will provide you with concrete skills, challenge you to see another perspective, and celebrate your successes.
Choosing to come to therapy can be an intimidating experience...one that involves you shining a light on feelings of vulnerability or discomfort. But it's also a brave step that reminds you that you can be in control of how you respond to difficult situations, as well as empowers you to find your voice. If you are struggling with your mental health, feeling overwhelmed, or just need someone to support you in this season of your life, I am here to make sure you feel seen and heard. Along the way I will provide you with concrete skills, challenge you to see another perspective, and celebrate your successes.
(360) 548-7175 View (360) 548-7175
Photo of Aaron Powell, LMHCA
Aaron Powell
Licensed Mental Health Counselor Associate, LMHCA
Verified Verified
5 Endorsed
Vancouver, WA 98686
Do you ever feel like life keeps throwing you curveballs, leaving you isolated and overwhelmed? You're not alone. Clients come to me when they are ready to face those challenges head-on, but might need a supportive hand to navigate through them. I believe in creating a genuine connection, one where you feel comfortable being your authentic self. My role is to listen – truly listen – to your thoughts, feelings, and the ways you've persevered.
Do you ever feel like life keeps throwing you curveballs, leaving you isolated and overwhelmed? You're not alone. Clients come to me when they are ready to face those challenges head-on, but might need a supportive hand to navigate through them. I believe in creating a genuine connection, one where you feel comfortable being your authentic self. My role is to listen – truly listen – to your thoughts, feelings, and the ways you've persevered.
(360) 842-0465 View (360) 842-0465
Photo of Jenna Lander - Active Path Mental Health, LCSW, Clinical Social Work/Therapist
Active Path Mental Health
Clinical Social Work/Therapist, LCSW
Verified Verified
Vancouver, WA 98683
Are you looking for a safe space to discuss your mental health? My counseling style is calm and interactive. I believe in treating everyone with respect, sensitivity, individuality, and compassion. I work with clients who experience depression, anxiety, and postpartum. I believe the therapeutic relationship can be a rewarding and remarkable experience. I take great care in the work I do to understand your needs and am honored to witness and walk with you on your journey.
Are you looking for a safe space to discuss your mental health? My counseling style is calm and interactive. I believe in treating everyone with respect, sensitivity, individuality, and compassion. I work with clients who experience depression, anxiety, and postpartum. I believe the therapeutic relationship can be a rewarding and remarkable experience. I take great care in the work I do to understand your needs and am honored to witness and walk with you on your journey.
(360) 564-0822 View (360) 564-0822
Photo of Susan (Sue) M Bernt, LICSW, LCSW, Clinical Social Work/Therapist
Susan (Sue) M Bernt
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
1 Endorsed
Vancouver, WA 98682  (Online Only)
I am telehealth only at this time. I specialize working with adults, teens, and children (6 + ) and their families. Together we can work on relationships, behavior challenges, depression, stress and anxiety problems, self worth, and trauma. I have a great interactive internet based/HIPPA safe video platform to use with children. Play in therapy allows children to communicate and learn to solve problems and change their negative behaviors. I work with adults to assist in processing unexpected life situations. Theories used in treatment: Developmental Psychotherapy, Psychoeducation, Attachment, Person-Centered,
I am telehealth only at this time. I specialize working with adults, teens, and children (6 + ) and their families. Together we can work on relationships, behavior challenges, depression, stress and anxiety problems, self worth, and trauma. I have a great interactive internet based/HIPPA safe video platform to use with children. Play in therapy allows children to communicate and learn to solve problems and change their negative behaviors. I work with adults to assist in processing unexpected life situations. Theories used in treatment: Developmental Psychotherapy, Psychoeducation, Attachment, Person-Centered,
(503) 822-6579 View (503) 822-6579
Photo of Amy Murray, MSW, LSWAIC, SUDPT, Clinical Social Work/Therapist
Amy Murray
Clinical Social Work/Therapist, MSW, LSWAIC, SUDPT
Verified Verified
Vancouver, WA 98685
Hi, I'm Amy Murray! Is your child or teen struggling with anxiety, depression, ADHD, anger, stress, behavior problems, trauma, managing emotions or other mental health challenges? You've come to the right place. I'm dedicated to helping young people achieve happier, healthier lives with personalized therapy plans tailored to their unique needs. With my warm and friendly approach, I deeply connect with young people, making them feel safe and supported. My solutions-oriented methods typically achieve results within 4-6 weeks, teaching your child to develop effective coping skills, regulate their emotions, and develop life skills.
Hi, I'm Amy Murray! Is your child or teen struggling with anxiety, depression, ADHD, anger, stress, behavior problems, trauma, managing emotions or other mental health challenges? You've come to the right place. I'm dedicated to helping young people achieve happier, healthier lives with personalized therapy plans tailored to their unique needs. With my warm and friendly approach, I deeply connect with young people, making them feel safe and supported. My solutions-oriented methods typically achieve results within 4-6 weeks, teaching your child to develop effective coping skills, regulate their emotions, and develop life skills.
(360) 800-3918 View (360) 800-3918
Photo of Maritza Gomez, LCSW, Clinical Social Work/Therapist
Maritza Gomez
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Vancouver, WA 98663  (Online Only)
Accepting Washington and California Telehealth Clients. Seeking help is not easy! But you've already taken the first step right here. My passion is to help individuals process the things that are causing them pain, distress, sadness, and/or anxiety. To help battle those feelings of being stuck, lost or empty. To address the negative thoughts/feelings that are not allowing you to live the life you want. To help you reconnect with the things in life that bring you true happiness. You don't have to do it alone! Some of us just need a little extra help; someone to talk to, someone to vent to, someone that listens without judgement.
Accepting Washington and California Telehealth Clients. Seeking help is not easy! But you've already taken the first step right here. My passion is to help individuals process the things that are causing them pain, distress, sadness, and/or anxiety. To help battle those feelings of being stuck, lost or empty. To address the negative thoughts/feelings that are not allowing you to live the life you want. To help you reconnect with the things in life that bring you true happiness. You don't have to do it alone! Some of us just need a little extra help; someone to talk to, someone to vent to, someone that listens without judgement.
(360) 207-2678 View (360) 207-2678
Photo of Kim Cantonwine, MA, LMHC, Counselor
Kim Cantonwine
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98662
My goal as a therapist is to be able to offer you hope. There are times in life where we become overwhelmed or confused about how to manage day to day life. It is at those times when we need someone who is empathic, caring , experienced and will truly listen to us. I know everyone has a story and it is important to be heard. I offer you the opportunity to be heard and to heal.
My goal as a therapist is to be able to offer you hope. There are times in life where we become overwhelmed or confused about how to manage day to day life. It is at those times when we need someone who is empathic, caring , experienced and will truly listen to us. I know everyone has a story and it is important to be heard. I offer you the opportunity to be heard and to heal.
(360) 233-8760 View (360) 233-8760
Photo of Angela Riesterer, MA, NCC, LMHC
Angela Riesterer
Mental Health Counselor, MA, NCC, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98660
Waitlist for new clients
I am deeply passionate about helping people feel better and experience RELIEF from intense emotional pain and suffering. As a therapist, I am no stranger to deep suffering. In fact, it has been the single most powerful catalyst to who I have become, personally and professionally. I LOVE this work. Nobody escapes trauma in this life. To be human is to suffer. But we can learn how to manage and navigate the things we can't control. We can HEAL from our pain. We can rise from the most desperate of circumstances. We can become FREE. I carry a continual burning torch of hope and light for every sacred person I sit with. I believe in you.
I am deeply passionate about helping people feel better and experience RELIEF from intense emotional pain and suffering. As a therapist, I am no stranger to deep suffering. In fact, it has been the single most powerful catalyst to who I have become, personally and professionally. I LOVE this work. Nobody escapes trauma in this life. To be human is to suffer. But we can learn how to manage and navigate the things we can't control. We can HEAL from our pain. We can rise from the most desperate of circumstances. We can become FREE. I carry a continual burning torch of hope and light for every sacred person I sit with. I believe in you.
(360) 230-1878 View (360) 230-1878
Photo of Sofie Sklyarov, Pre-Licensed Professional
Sofie Sklyarov
Pre-Licensed Professional
Verified Verified
1 Endorsed
Vancouver, WA 98684
My approach to therapy incorporates a Christian worldview with a cognitive behavioral theoretical orientation (exploring one’s thoughts and beliefs). I view counseling as a collaborative effort to help clients recognize strengths, identify needs, understand conflicts, discover new options, set personal development goals, and make informed choices.
My approach to therapy incorporates a Christian worldview with a cognitive behavioral theoretical orientation (exploring one’s thoughts and beliefs). I view counseling as a collaborative effort to help clients recognize strengths, identify needs, understand conflicts, discover new options, set personal development goals, and make informed choices.
(360) 845-2356 View (360) 845-2356
Photo of Dawn Del Moral, MS, CRC, LMHCA, Counselor
Dawn Del Moral
Counselor, MS, CRC, LMHCA
Verified Verified
Vancouver, WA 98662
Life can be overwhelming and feelings of insecurity, anxiety and pain can make it feel even more overwhelming. There are times that we need someone who can sit with all that we are feeling and provide a safe place to validate and hold space for all your emotions and experiences.
Life can be overwhelming and feelings of insecurity, anxiety and pain can make it feel even more overwhelming. There are times that we need someone who can sit with all that we are feeling and provide a safe place to validate and hold space for all your emotions and experiences.
(360) 347-2385 View (360) 347-2385
Photo of Kelly Fenimore, MA, LMHC, LPC
Kelly Fenimore
Mental Health Counselor, MA, LMHC, LPC
Verified Verified
3 Endorsed
Vancouver, WA 98662
Virtual Availability for Tuesdays at 12pm! We are all born with good intentions and infinite possibilities, but sometimes life knocks us off our path. Our past experiences may have shaped who we are today, including what our relationships look like with ourselves and others, but despite whatever tragic events that have occurred during our life, we are driven towards resiliency. But this is where we can get stuck: what we used to do, what we've always done, isn't working anymore; we need to find another way. When we allow ourselves to feel connected to others and focus on our strengths, rather than weaknesses, we are able to heal.
Virtual Availability for Tuesdays at 12pm! We are all born with good intentions and infinite possibilities, but sometimes life knocks us off our path. Our past experiences may have shaped who we are today, including what our relationships look like with ourselves and others, but despite whatever tragic events that have occurred during our life, we are driven towards resiliency. But this is where we can get stuck: what we used to do, what we've always done, isn't working anymore; we need to find another way. When we allow ourselves to feel connected to others and focus on our strengths, rather than weaknesses, we are able to heal.
(360) 347-9212 View (360) 347-9212
Photo of Stephanie Zoeller, LMHCI, Pre-Licensed Professional
Stephanie Zoeller
Pre-Licensed Professional, LMHCI
Verified Verified
Vancouver, WA 98660
Look, seeking out counseling is a weird experience. It can be uncomfortable and scary to reach out for help. On the flip side, it is also an affirming experience to have someone see you for you. No judgement. No expectations. Just a person who is here to sit with you when the world feels scary and overwhelming.
Look, seeking out counseling is a weird experience. It can be uncomfortable and scary to reach out for help. On the flip side, it is also an affirming experience to have someone see you for you. No judgement. No expectations. Just a person who is here to sit with you when the world feels scary and overwhelming.
(360) 226-5699 View (360) 226-5699
Photo of Anne T. Cowan, MSW, LICSW, Clinical Social Work/Therapist
Anne T. Cowan
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Vancouver, WA 98661
We are living in complex times with many changes and turmoil. If you're feeling stressed, anxious, sad; you are not alone! I believe that we all have within us a capacity to heal. One avenue for growth and change is through the relationship between client and therapist. I use therapeutic strategies that help clients become aware of their thoughts, feelings and behaviors and how they contribute to disconnection or distress. My focus is to facilitate the desired changes identified by each client and to work at his/her pace towards their goals. It is always a privilege to walk with clients through this sacred journey.
We are living in complex times with many changes and turmoil. If you're feeling stressed, anxious, sad; you are not alone! I believe that we all have within us a capacity to heal. One avenue for growth and change is through the relationship between client and therapist. I use therapeutic strategies that help clients become aware of their thoughts, feelings and behaviors and how they contribute to disconnection or distress. My focus is to facilitate the desired changes identified by each client and to work at his/her pace towards their goals. It is always a privilege to walk with clients through this sacred journey.
(855) 247-9279 View (855) 247-9279
Photo of Brad Peterson, LMHC, LPC, Counselor
Brad Peterson
Counselor, LMHC, LPC
Verified Verified
6 Endorsed
Vancouver, WA 98684
I offer a unique blend of faith-based spiritual direction along with competent and experienced mental health counseling and effective treatment planning. A majority of my clients are seeking an experienced mental health therapist/relationship counselor in whom they place confidence that their most deeply-held spiritual values are understood and shared. I primarily treat Christian individuals, couples and families that are facing difficulties with anger and abuse, blended-family, sexual addiction, unfaithfulness, marital discord, or depression and anxiety, along with a variety of spiritual concerns.
I offer a unique blend of faith-based spiritual direction along with competent and experienced mental health counseling and effective treatment planning. A majority of my clients are seeking an experienced mental health therapist/relationship counselor in whom they place confidence that their most deeply-held spiritual values are understood and shared. I primarily treat Christian individuals, couples and families that are facing difficulties with anger and abuse, blended-family, sexual addiction, unfaithfulness, marital discord, or depression and anxiety, along with a variety of spiritual concerns.
(360) 234-3741 View (360) 234-3741
Photo of Melissa Grossman, LCMHC, Counselor
Melissa Grossman
Counselor, LCMHC
Verified Verified
Vancouver, WA 98682  (Online Only)
My name is Melissa Grossman, and I am a licensed mental health therapist for Washington State. My therapeutic approach in supporting clients who are faced with anxiety, depression, eating disorders, and more, is based on trust, client-centricity, and mindfulness. I work with clients who are challenged by anxiety, depression, grief, life transitions, eating disorders, and stress management.
My name is Melissa Grossman, and I am a licensed mental health therapist for Washington State. My therapeutic approach in supporting clients who are faced with anxiety, depression, eating disorders, and more, is based on trust, client-centricity, and mindfulness. I work with clients who are challenged by anxiety, depression, grief, life transitions, eating disorders, and stress management.
(509) 414-7960 View (509) 414-7960
Photo of Mike Shults - Mike Shults Counseling, LMHC, CRC, MAC, MBA, Counselor
Mike Shults Counseling
Counselor, LMHC, CRC, MAC, MBA
Verified Verified
1 Endorsed
Vancouver, WA 98665
You can overcome your emotional difficulties and become your best self. Change the things about yourself that you want to change and move toward becoming the person that you want to be. The secret of making lasting change is to acknowledge and accept that real change takes time and patience. There is no magic wand, change takes work, and commitment. It doesn’t matter where you are, what matters is where you can grow. Begin your journey toward wellness and strength by taking the first step.
You can overcome your emotional difficulties and become your best self. Change the things about yourself that you want to change and move toward becoming the person that you want to be. The secret of making lasting change is to acknowledge and accept that real change takes time and patience. There is no magic wand, change takes work, and commitment. It doesn’t matter where you are, what matters is where you can grow. Begin your journey toward wellness and strength by taking the first step.
(360) 743-3455 View (360) 743-3455
Photo of Sophia Claudson, Pre-Licensed Professional
Sophia Claudson
Pre-Licensed Professional
Verified Verified
2 Endorsed
Vancouver, WA 98684
Are you struggling to cope with the transitions you are facing? Do you have difficulty connecting in your relationships? Do you find yourself unable to heal from loss? Life is often a series of gains and losses that can be difficult to navigate. I am passionate about coming alongside clients as they seek emotional, mental, relational and spiritual wellness. My goal is to provide a safe, therapeutic space where my clients feel seen and heard. I am convinced that clients are the experts in their own lives. I want to help you understand yourself better, and help you achieve your goals in a way that works the best for you!
Are you struggling to cope with the transitions you are facing? Do you have difficulty connecting in your relationships? Do you find yourself unable to heal from loss? Life is often a series of gains and losses that can be difficult to navigate. I am passionate about coming alongside clients as they seek emotional, mental, relational and spiritual wellness. My goal is to provide a safe, therapeutic space where my clients feel seen and heard. I am convinced that clients are the experts in their own lives. I want to help you understand yourself better, and help you achieve your goals in a way that works the best for you!
(360) 347-2136 View (360) 347-2136
Photo of Terri Kaufman, LICSW, MSW, MHP, Clinical Social Work/Therapist
Terri Kaufman
Clinical Social Work/Therapist, LICSW, MSW, MHP
Verified Verified
Vancouver, WA 98684
Are you dealing with mild to moderate depression or anxiety; experiencing a transitional crossroad such as divorce, empty nest, change in career; or struggling with self-worth; maybe experiencing a sense of loneliness and isolation? Or, are you an individual struggling with distorted body image; possibly living in a larger sized body; experiencing a profound sense of shame regarding weight and unable to access appropriate healthcare due to fear of being judged? Or possibly a girl dealing with stress, depression, anxiety, and body image? I provide years of personal and professional experience with a passion in these areas.
Are you dealing with mild to moderate depression or anxiety; experiencing a transitional crossroad such as divorce, empty nest, change in career; or struggling with self-worth; maybe experiencing a sense of loneliness and isolation? Or, are you an individual struggling with distorted body image; possibly living in a larger sized body; experiencing a profound sense of shame regarding weight and unable to access appropriate healthcare due to fear of being judged? Or possibly a girl dealing with stress, depression, anxiety, and body image? I provide years of personal and professional experience with a passion in these areas.
(360) 910-1662 View (360) 910-1662
Photo of Marina Vile, MA, LMHC, Licensed Professional Counselor
Marina Vile
Licensed Professional Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98661
Finding a therapist can feel a lot like swiping through dating apps trying to find the right fit. You want to work with someone who gets you and is thoughtful and easy to talk to. That's how I work. I work with individuals and couples in a warm, attachment based approach. I'm here to help you heal old patterns, vent, or whatever you need. We can figure out the traps you fall into, cry, and laugh for 50 minutes. I'm not here to judge you or tell you how to live your life, just to support you in living authentically.
Finding a therapist can feel a lot like swiping through dating apps trying to find the right fit. You want to work with someone who gets you and is thoughtful and easy to talk to. That's how I work. I work with individuals and couples in a warm, attachment based approach. I'm here to help you heal old patterns, vent, or whatever you need. We can figure out the traps you fall into, cry, and laugh for 50 minutes. I'm not here to judge you or tell you how to live your life, just to support you in living authentically.
(360) 519-5305 View (360) 519-5305
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How does your Therapist compare?

Number of Therapists in Vancouver, WA

800+

Average cost per session

$150

Therapists in Vancouver, WA who prioritize treating:

92% Anxiety
87% Depression
76% Trauma and PTSD
72% Relationship Issues
68% Self Esteem
67% Stress
64% Grief

Average years in practice

10 Years

Top 3 insurances accepted

71% Aetna
55% Cigna and Evernorth
52% Regence

How Therapists in Vancouver, WA see their clients

63% In Person and Online
37% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Vancouver?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.