Therapists in Roseburg, OR

Photo of Dr. Thaen Saelee, PsyD, EMDR, Psychologist
Dr. Thaen Saelee
Psychologist, PsyD, EMDR
Verified Verified
2 Endorsed
Roseburg, OR 97471  (Online Only)
I operate from a trauma-informed lens. I use evidence-based, holistic, and indigenous healing practices in working through trauma. We all deserve safety in our connection to others, the world and ourselves. As a third-culture psychologist, my empathy well runs deep. I am here to support anyone working on acceptance, belonging, compassion and safety. My method targets stuck places in your past that still interfere with your life today. I have been a counselor for over 15 years. I find meaning in the stability I’ve co-created with folx. I would love to hear from you if these are themes that resonate with you.
I operate from a trauma-informed lens. I use evidence-based, holistic, and indigenous healing practices in working through trauma. We all deserve safety in our connection to others, the world and ourselves. As a third-culture psychologist, my empathy well runs deep. I am here to support anyone working on acceptance, belonging, compassion and safety. My method targets stuck places in your past that still interfere with your life today. I have been a counselor for over 15 years. I find meaning in the stability I’ve co-created with folx. I would love to hear from you if these are themes that resonate with you.
(458) 237-4979 View (458) 237-4979
Photo of Tania Welikala - Aspire Counseling, MSW, LCSW, Clinical Social Work/Therapist
Aspire Counseling
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Roseburg, OR 97470
Not accepting new clients
As an EMDR board certified therapist, I am committed to helping survivors of trauma heal. I specialize in working with individuals struggling with acute and complex PTSD, depression, anxiety, self-esteem and relationship issues. Through EMDRIA/CPT board certifications, advanced trainings, consultations with leaders in the field of trauma informed psychotherapy, and working at an inpatient/outpatient PTSD clinic. I have mastered how to refine and customize culturally competent treatments to fit each individual’s unique needs and improve therapeutic outcomes for trauma, anxiety, depression, shame, and eating disorders.
As an EMDR board certified therapist, I am committed to helping survivors of trauma heal. I specialize in working with individuals struggling with acute and complex PTSD, depression, anxiety, self-esteem and relationship issues. Through EMDRIA/CPT board certifications, advanced trainings, consultations with leaders in the field of trauma informed psychotherapy, and working at an inpatient/outpatient PTSD clinic. I have mastered how to refine and customize culturally competent treatments to fit each individual’s unique needs and improve therapeutic outcomes for trauma, anxiety, depression, shame, and eating disorders.
(541) 418-4616 View (541) 418-4616
Photo of Nicole Engler - Tougas Therapy, LLC, FNP
Tougas Therapy, LLC
FNP
Verified Verified
Roseburg, OR 97470
Nicole was born and raised near Salt Lake City, Utah. She attended Westminster University in Salt Lake for both her BSN and FNP degrees. She is an avid Utah Utes fan and cheers for her Utes every football season. She has lived in Oregon for 10 years and has worked in Douglas County as a primary care provider. She is married and has a little boy that keeps her on her toes. She enjoys music, being outdoors, travel and animals. She has a large menagerie of her own including dogs, cats, parrots, snakes, and a hedgehog. She is excited to help meet the mental health needs in our community.
Nicole was born and raised near Salt Lake City, Utah. She attended Westminster University in Salt Lake for both her BSN and FNP degrees. She is an avid Utah Utes fan and cheers for her Utes every football season. She has lived in Oregon for 10 years and has worked in Douglas County as a primary care provider. She is married and has a little boy that keeps her on her toes. She enjoys music, being outdoors, travel and animals. She has a large menagerie of her own including dogs, cats, parrots, snakes, and a hedgehog. She is excited to help meet the mental health needs in our community.
(458) 207-2586 View (458) 207-2586
Photo of Jessica Brake, NCC, LPC, Licensed Professional Counselor
Jessica Brake
Licensed Professional Counselor, NCC, LPC
Verified Verified
Roseburg, OR 97471
Not accepting new clients
I am starting an online class series on self-care, visit my website for more details timetobrake.com. Spirituality is an important part of the counseling process. Sometimes the reason that we are having issues with depression and anxiety is because we are not being true to our life purpose, have not found it yet, or we are trying to live a life that is not authentic to ourselves. Getting to know ourselves better, figuring out who we are and what we want out of life, learning to live our lives in a joyful and happy way will help us to feel better overall and reduce stress, anxiety, and sadness. That is where I come in.
I am starting an online class series on self-care, visit my website for more details timetobrake.com. Spirituality is an important part of the counseling process. Sometimes the reason that we are having issues with depression and anxiety is because we are not being true to our life purpose, have not found it yet, or we are trying to live a life that is not authentic to ourselves. Getting to know ourselves better, figuring out who we are and what we want out of life, learning to live our lives in a joyful and happy way will help us to feel better overall and reduce stress, anxiety, and sadness. That is where I come in.
(541) 378-6905 View (541) 378-6905
Photo of Lisa Crawford, MSW, LCSW, Clinical Social Work/Therapist
Lisa Crawford
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Roseburg, OR 97470  (Online Only)
As a Licensed Clinical Social Worker (LCSW), my journey as a therapist has been defined by a deep commitment to empowering individuals on their path to healing and self-discovery. With a foundation rooted in compassionate care and evidence-based practice, I have dedicated myself to creating a safe space where clients can explore their emotions, confront challenges, and embrace personal growth. My approach is holistic, recognizing that each individual carries a unique story shaped by their experiences, relationships, and aspirations. I believe in the power of human connection and strive to build authentic therapeutic relationships.
As a Licensed Clinical Social Worker (LCSW), my journey as a therapist has been defined by a deep commitment to empowering individuals on their path to healing and self-discovery. With a foundation rooted in compassionate care and evidence-based practice, I have dedicated myself to creating a safe space where clients can explore their emotions, confront challenges, and embrace personal growth. My approach is holistic, recognizing that each individual carries a unique story shaped by their experiences, relationships, and aspirations. I believe in the power of human connection and strive to build authentic therapeutic relationships.
(458) 310-9411 View (458) 310-9411
Photo of Diane Christine Rose - Diane Rose, LCSW, LLC, MSW, LCSW, Clinical Social Work/Therapist
Diane Rose, LCSW, LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Roseburg, OR 97470  (Online Only)
The world is in chaos, but that doesn't mean WE have to be. It's more important now than ever, that we face our future with inner strength, hope and optimism. Many of us are struggling in the midst of these unpredictable times, not sure of who or what to believe. Feelings of discouragement, anxiety and anger are more prevalent than ever before. I will support and guide you in finding your direction, teach you how to cope with emotional turmoil, and help you discover the inner strength you have always had.
The world is in chaos, but that doesn't mean WE have to be. It's more important now than ever, that we face our future with inner strength, hope and optimism. Many of us are struggling in the midst of these unpredictable times, not sure of who or what to believe. Feelings of discouragement, anxiety and anger are more prevalent than ever before. I will support and guide you in finding your direction, teach you how to cope with emotional turmoil, and help you discover the inner strength you have always had.
(541) 636-2146 View (541) 636-2146
Photo of Meredith Concepcion, LCSW, Clinical Social Work/Therapist
Meredith Concepcion
Clinical Social Work/Therapist, LCSW
Verified Verified
Roseburg, OR 97470
Waitlist for new clients
I am a licensed clinical social worker in Roseburg, Oregon. I have several years of experience working with all ages, cultural backgrounds and struggles. I am a sand tray therapist and am also working on completing my credentials as a substance abuse therapist. I am easy going, patient and compassionate. I am willing to work with you through your journey of healing, working with you, getting to know you and supporting you. I have a small practice for a more personal experience.
I am a licensed clinical social worker in Roseburg, Oregon. I have several years of experience working with all ages, cultural backgrounds and struggles. I am a sand tray therapist and am also working on completing my credentials as a substance abuse therapist. I am easy going, patient and compassionate. I am willing to work with you through your journey of healing, working with you, getting to know you and supporting you. I have a small practice for a more personal experience.
(458) 207-5665 View (458) 207-5665
Photo of Dr. Debbie And Dr. Roger Horton, PhD, LCPC, NCCA, Pastoral Counselor
Dr. Debbie And Dr. Roger Horton
Pastoral Counselor, PhD, LCPC, NCCA
Verified Verified
Roseburg, OR 97470
Our mission as members of the LifeCare Collaborative Counseling Team is to serve families by helping them meet their needs spiritually, emotionally, mentally and physically. We seek to instill dignity, self-respect and self-reliance that will strengthen individuals, families and communities. We strive to help people live an enjoyable and satisfying life using healthy skills and Godly character. Our desire is to see people set free, healed and walking in wholeness. Our counseling ministry helps people discover their unique personality, needs, gifts and destiny.
Our mission as members of the LifeCare Collaborative Counseling Team is to serve families by helping them meet their needs spiritually, emotionally, mentally and physically. We seek to instill dignity, self-respect and self-reliance that will strengthen individuals, families and communities. We strive to help people live an enjoyable and satisfying life using healthy skills and Godly character. Our desire is to see people set free, healed and walking in wholeness. Our counseling ministry helps people discover their unique personality, needs, gifts and destiny.
(541) 241-7297 View (541) 241-7297
Photo of Lee VanBeuzekom - L. Lee VanBeuzekom, L.M.F.T., LMFT, Marriage & Family Therapist
L. Lee VanBeuzekom, L.M.F.T.
Marriage & Family Therapist, LMFT
Verified Verified
Roseburg, OR 97470
Waitlist for new clients
I have over thirty years of training and experience in assessing and treating mental health and life-skills issues. I have provided treatment to individuals, couples, families, teenagers and children. I value the confidentiality of my clients above all else; what you bring to me IS your life story and I treat that privilege as what it is...something to be treasured and protected! Beginning treatment can be overwhelming and angst producing, I will do my best to provide an inviting and comfortable environment that you can relax in, knowing you are respected and honored in my office.
I have over thirty years of training and experience in assessing and treating mental health and life-skills issues. I have provided treatment to individuals, couples, families, teenagers and children. I value the confidentiality of my clients above all else; what you bring to me IS your life story and I treat that privilege as what it is...something to be treasured and protected! Beginning treatment can be overwhelming and angst producing, I will do my best to provide an inviting and comfortable environment that you can relax in, knowing you are respected and honored in my office.
(541) 248-2779 View (541) 248-2779
Photo of Tammy Harris, CSWA, Pre-Licensed Professional
Tammy Harris
Pre-Licensed Professional, CSWA
Verified Verified
1 Endorsed
Roseburg, OR 97471  (Online Only)
These are challenging times. My goal is to meet you where you are at emotionally and empower and guide you through barriers to achieve your goals. I believe everyone needs someone in their corner, and I would be honored to be that person. I look forward to collaborating with you to improve your life.
These are challenging times. My goal is to meet you where you are at emotionally and empower and guide you through barriers to achieve your goals. I believe everyone needs someone in their corner, and I would be honored to be that person. I look forward to collaborating with you to improve your life.
(541) 945-8130 View (541) 945-8130
Photo of Jason Wilcox, LCSW, Clinical Social Work/Therapist
Jason Wilcox
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Roseburg, OR 97471  (Online Only)
I am a person-focused therapist dedicated to understanding your experiences, identifying challenges, and collaboratively exploring the best path forward for you. I recognize the internal strengths and capabilities inherent in each individual, which we harness in the discovery and therapeutic process. With over 15 years of experience, I have successfully assisted adults dealing with various issues such as depression, anxiety, bipolar disorder, identity concerns, life transitions, weight management, healthy living, marital/relationship difficulties, parenting challenges, stress, leadership, and work-related stress/anxiety.
I am a person-focused therapist dedicated to understanding your experiences, identifying challenges, and collaboratively exploring the best path forward for you. I recognize the internal strengths and capabilities inherent in each individual, which we harness in the discovery and therapeutic process. With over 15 years of experience, I have successfully assisted adults dealing with various issues such as depression, anxiety, bipolar disorder, identity concerns, life transitions, weight management, healthy living, marital/relationship difficulties, parenting challenges, stress, leadership, and work-related stress/anxiety.
(458) 224-8802 View (458) 224-8802
Photo of Randy Olander, PhD, MA, Psychologist
Randy Olander
Psychologist, PhD, MA
Verified Verified
Roseburg, OR 97471
Life, at times, is chaotic and absurd. So often we carry burdens born out of stress, heartache, frustration, sadness, anger, and confusion. Often we find ourselves in a place where things need sorting out--a safe place to discover clarity. I love working with individuals to build on what is working for them as a person. Understanding your interests, how you see yourself, the world, and other people who have a place in your life. Let's find the barriers that keep you from greater insight. This is vital to your growth as an individual. I would be honored to participate with you in finding your path to peace, success, and joy.
Life, at times, is chaotic and absurd. So often we carry burdens born out of stress, heartache, frustration, sadness, anger, and confusion. Often we find ourselves in a place where things need sorting out--a safe place to discover clarity. I love working with individuals to build on what is working for them as a person. Understanding your interests, how you see yourself, the world, and other people who have a place in your life. Let's find the barriers that keep you from greater insight. This is vital to your growth as an individual. I would be honored to participate with you in finding your path to peace, success, and joy.
(458) 217-6305 View (458) 217-6305
Photo of Rummy Rodriguez Anchia Telehealth Provider, CSWA, MSW, Pre-Licensed Professional
Rummy Rodriguez Anchia Telehealth Provider
Pre-Licensed Professional, CSWA, MSW
Verified Verified
Roseburg, OR 97470  (Online Only)
I enjoy working with clients to build on their strengths and gifts to improve their quality of life. My goal as a Tele-Health therapist is to provide a safe and welcoming, non-judgmental, environment to collaboratively identify struggles, traumas, issues, and problems that have been difficult to overcome, then support and help guide you in developing skills that lead to a more fulfilling life. While serving In the U.S. Army, I noticed how a devoted therapist can have an immense impact on a person's recovery. After completing my enlistment, I decided to pursue a career in Mental Health.
I enjoy working with clients to build on their strengths and gifts to improve their quality of life. My goal as a Tele-Health therapist is to provide a safe and welcoming, non-judgmental, environment to collaboratively identify struggles, traumas, issues, and problems that have been difficult to overcome, then support and help guide you in developing skills that lead to a more fulfilling life. While serving In the U.S. Army, I noticed how a devoted therapist can have an immense impact on a person's recovery. After completing my enlistment, I decided to pursue a career in Mental Health.
(458) 237-4377 View (458) 237-4377
Photo of Rand G. Hunt - Rand Hunt, MS, LPC, MS, LPC, Licensed Professional Counselor
Rand Hunt, MS, LPC
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Roseburg, OR 97471
I am here to help, dedicated to your happiness and peace of mind. My first concern is you, not money. You have the abilities you need to live happy but sometimes life gets in the way. Together we can cultivate your own skills to live your life your way.
I am here to help, dedicated to your happiness and peace of mind. My first concern is you, not money. You have the abilities you need to live happy but sometimes life gets in the way. Together we can cultivate your own skills to live your life your way.
(541) 313-3509 View (541) 313-3509
Photo of Monica Shorb, CSWA, MSW
Monica Shorb
Clinical Social Work Associate, CSWA, MSW
Verified Verified
Roseburg, OR 97470
My client focus is on women with trauma, relationship issues, grief, depression, anxiety, and sexual trauma. I work with adolescents from age 11-17 years and adults.
My client focus is on women with trauma, relationship issues, grief, depression, anxiety, and sexual trauma. I work with adolescents from age 11-17 years and adults.
(458) 203-6077 View (458) 203-6077
Photo of Casey Kohl, LCSW, Clinical Social Work/Therapist
Casey Kohl
Clinical Social Work/Therapist, LCSW
Verified Verified
Roseburg, OR 97470
Not accepting new clients
Welcome! My name is Casey and I am a Licensed Clinical Social Worker with over 20 years of experience. I work to provide a calm and peaceful environment where healing can happen. In treatment I focus heavily on increasing awareness through the use of mindfulness. For example, consider how much time we spend thinking about the past or future compared to the present. Too much time in the future breeds anxiety while too much time in the past breeds depression. The present is where we find peace even for just a moment. I Provide both Telehealth and In Person Treatment. For Appointments, Please schedule through my website.
Welcome! My name is Casey and I am a Licensed Clinical Social Worker with over 20 years of experience. I work to provide a calm and peaceful environment where healing can happen. In treatment I focus heavily on increasing awareness through the use of mindfulness. For example, consider how much time we spend thinking about the past or future compared to the present. Too much time in the future breeds anxiety while too much time in the past breeds depression. The present is where we find peace even for just a moment. I Provide both Telehealth and In Person Treatment. For Appointments, Please schedule through my website.
(458) 236-5614 View (458) 236-5614
Photo of Lauren M Broussard - Lauren Broussard LCSW, LLC, LCSW, Clinical Social Work/Therapist
Lauren Broussard LCSW, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Roseburg, OR 97470
Lauren Broussard empowers adults of all ages to overcome anxiety, depression, and the effects of trauma. She has a master’s degree in social work and a clinical license to provide psychotherapy in Oregon. Lauren offers an integrated approach to therapy, focusing on care tailored to the client's needs through a combination of effective methods.
Lauren Broussard empowers adults of all ages to overcome anxiety, depression, and the effects of trauma. She has a master’s degree in social work and a clinical license to provide psychotherapy in Oregon. Lauren offers an integrated approach to therapy, focusing on care tailored to the client's needs through a combination of effective methods.
(458) 216-2292 View (458) 216-2292
Photo of Robert Lydon - Stronger Oregon, LCSW, Clinical Social Work/Therapist
Stronger Oregon
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Roseburg, OR 97471
We have a robust team of approximately 180+ providers, and growing, so that you can place a call, likely have someone answer and hopefully find access to treatment within the week or next. We treat all ages and most ailments. We have offices throughout Oregon and we do telehealth. Our providers cover almost all modalities, insurances and demographics so that you have a high probably of getting the right provider and the right time. Search through our list of providers on our website to see how many fit your needs. We'll do our best to be your solution and join you in a journey of healing.
We have a robust team of approximately 180+ providers, and growing, so that you can place a call, likely have someone answer and hopefully find access to treatment within the week or next. We treat all ages and most ailments. We have offices throughout Oregon and we do telehealth. Our providers cover almost all modalities, insurances and demographics so that you have a high probably of getting the right provider and the right time. Search through our list of providers on our website to see how many fit your needs. We'll do our best to be your solution and join you in a journey of healing.
(541) 275-5248 View (541) 275-5248
Photo of Ryan Cooper, CSWA, MSW, Pre-Licensed Professional
Ryan Cooper
Pre-Licensed Professional, CSWA, MSW
Verified Verified
1 Endorsed
Roseburg, OR 97470
I am well versed in PTSD, vicarious trauma, and depression through my education and personal experiences. I want to serve my community and provide you with the tools you need to grow in good mental health. I can provide the time and a safe space for you to discuss how experiences of trauma have had an impact. In therapy, you will learn coping skills to address symptoms of PTSD, vicarious trauma and develop self-care practices to help prevent future recurrences. Our office is quiet, welcoming and a safe space for you to be.
I am well versed in PTSD, vicarious trauma, and depression through my education and personal experiences. I want to serve my community and provide you with the tools you need to grow in good mental health. I can provide the time and a safe space for you to discuss how experiences of trauma have had an impact. In therapy, you will learn coping skills to address symptoms of PTSD, vicarious trauma and develop self-care practices to help prevent future recurrences. Our office is quiet, welcoming and a safe space for you to be.
(458) 224-3983 View (458) 224-3983
Photo of Amber Elaine Barrows - Mountain Wellness LLC, MSW, LCSW, Clinical Social Work/Therapist
Mountain Wellness LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Roseburg, OR 97470
My focus over the last 16 years has been to support and assist people in becoming the healthiest “You.” Making sure to focus on each individual’s story and experiences. I have an extensive background in working with clients that have experienced a variety of traumas and strive to provide the most effective and supportive intervention. Whether your struggling with your own depression, anxiety, childhood trauma or parenting a strong willed child Mountain Wellness can support you.
My focus over the last 16 years has been to support and assist people in becoming the healthiest “You.” Making sure to focus on each individual’s story and experiences. I have an extensive background in working with clients that have experienced a variety of traumas and strive to provide the most effective and supportive intervention. Whether your struggling with your own depression, anxiety, childhood trauma or parenting a strong willed child Mountain Wellness can support you.
(458) 203-1528 View (458) 203-1528

How does your Therapist compare?

Number of Therapists in Roseburg, OR

40+

Average cost per session

$180

Therapists in Roseburg, OR who prioritize treating:

95% Anxiety
90% Depression
86% Trauma and PTSD
76% Self Esteem
74% Coping Skills
74% Stress
71% Relationship Issues

Average years in practice

16 Years

Top 3 insurances accepted

81% BlueCross and BlueShield
78% PacificSource
69% Oregon Health Plan (OHP)

How Therapists in Roseburg, OR see their clients

65% In Person and Online
35% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Roseburg?

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.