Therapists in Vancouver, WA
![Photo of Stephanie Womack, LMHCA, Counselor](https://photos.psychologytoday.com/58908599-a23f-410c-a238-bc42d1d5fca2/1/320x400.png)
Stephanie Womack
Counselor, LMHCA
Verified Verified
1 Endorsed
Vancouver, WA 98661
Waitlist for new clients
My focus is on supporting adults experiencing a variety of challenges, including depression, anxiety, stress, trauma, C/PTSD, grief, shame, boundary issues, adjustment difficulties, and relationship conflicts. I enjoy offering a range of evidence-based interventions tailored to the needs of each individual providing a holistic, person-centered approach that allows me to support clients individually and within their family systems. These interventions include Eye Movement Desensitization and Reprocessing (EMDR), Cognitive-Behavioral Therapy (CBT), Attachment Theory, Internal Family Systems (IFS), and mindfulness practices.
My focus is on supporting adults experiencing a variety of challenges, including depression, anxiety, stress, trauma, C/PTSD, grief, shame, boundary issues, adjustment difficulties, and relationship conflicts. I enjoy offering a range of evidence-based interventions tailored to the needs of each individual providing a holistic, person-centered approach that allows me to support clients individually and within their family systems. These interventions include Eye Movement Desensitization and Reprocessing (EMDR), Cognitive-Behavioral Therapy (CBT), Attachment Theory, Internal Family Systems (IFS), and mindfulness practices.
![Photo of Amy W Wagner, PhD, Psychologist](https://photos.psychologytoday.com/45355c6e-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Hello! I offer psychotherapy and professional consultation services. As a therapist I work with adults (18 and up) who have difficulties related to trauma, life transitions, relationship issues, loss, and aging, including anxiety, depression, decreases in life satisfaction, and end of life concerns. I am cognitive-behavioral in my theoretical orientation and pull from a range of evidence-based interventions depending on my clients' needs and preferences. I integrate acceptance-based practices, such as mindfulness, in treatment as needed. I welcome clients of any race, gender, or sexual orientation.
Hello! I offer psychotherapy and professional consultation services. As a therapist I work with adults (18 and up) who have difficulties related to trauma, life transitions, relationship issues, loss, and aging, including anxiety, depression, decreases in life satisfaction, and end of life concerns. I am cognitive-behavioral in my theoretical orientation and pull from a range of evidence-based interventions depending on my clients' needs and preferences. I integrate acceptance-based practices, such as mindfulness, in treatment as needed. I welcome clients of any race, gender, or sexual orientation.
![Photo of Jeremiah L. Peck, PhD, LMHC, LPC, NCC, ACS](https://photos.psychologytoday.com/3f10abe8-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Jeremiah L. Peck
Mental Health Counselor, PhD, LMHC, LPC, NCC, ACS
Verified Verified
13 Endorsed
Vancouver, WA 98684
I help individuals and couples overcome the emotional struggles and relational conflicts which are causing them distress. If you are feeling overwhelmed, hopeless, angry, or misunderstood, I will work with you to equip you with practical tools to practice emotional well-being.
I help individuals and couples overcome the emotional struggles and relational conflicts which are causing them distress. If you are feeling overwhelmed, hopeless, angry, or misunderstood, I will work with you to equip you with practical tools to practice emotional well-being.
![Photo of Darienne Marie Veri, LMHC, LPC, Counselor](https://photos.psychologytoday.com/dd86c158-7c4e-45bc-96d1-e73035447b5d/1/320x400.jpeg)
If you are struggling in relationship with yourself, with others, with the past, with your work, or just feel overwhelmed by life I may be able to help.
If you are struggling in relationship with yourself, with others, with the past, with your work, or just feel overwhelmed by life I may be able to help.
![Photo of Samantha Lynes, LMHC, Licensed Professional Counselor](https://photos.psychologytoday.com/60f3b048-60a6-4222-868b-d50b0f9dcba1/1/320x400.jpeg)
Samantha Lynes
Licensed Professional Counselor, LMHC
Verified Verified
Vancouver, WA 98662 (Online Only)
Samantha Lynes is a Licensed Mental Health Counselor (LMHC) who utilizes evidence-based practices and tailors her dialogue and treatment plans to meet the unique and specific needs of each client. Samantha specializes in depression, anxiety, self-esteem difficulties, life transitions, and trauma.
Samantha Lynes is a Licensed Mental Health Counselor (LMHC) who utilizes evidence-based practices and tailors her dialogue and treatment plans to meet the unique and specific needs of each client. Samantha specializes in depression, anxiety, self-esteem difficulties, life transitions, and trauma.
![Photo of Mark Sheahan, LMHC, Counselor](https://photos.psychologytoday.com/2fce396d-374b-49a0-8629-1b4240005c30/1/320x400.jpeg)
Trauma, in its many forms, creates a barrier to joy. We endure symptoms and work hard to adjust, but sometimes it's hard to manage. Many people develop instinctive coping skills to survive, and yet, these survival skills create residual anxiety and depression. Each can lead to isolation. No one should be alone with these experiences. I hope to share my knowledge to help you manage your trauma. I'm an eclectic counselor, former teacher, and full-time empath trained multiple modalities. My background helping others has created a noticeable enthusiasm to connect and share in my client's story of growth and change.
Trauma, in its many forms, creates a barrier to joy. We endure symptoms and work hard to adjust, but sometimes it's hard to manage. Many people develop instinctive coping skills to survive, and yet, these survival skills create residual anxiety and depression. Each can lead to isolation. No one should be alone with these experiences. I hope to share my knowledge to help you manage your trauma. I'm an eclectic counselor, former teacher, and full-time empath trained multiple modalities. My background helping others has created a noticeable enthusiasm to connect and share in my client's story of growth and change.
![Photo of April Waggoner, PhD, LMFT, LMHC, LPC, Counselor](https://photos.psychologytoday.com/36b3610a-3460-4f93-acc5-63f595770700/2/320x400.png)
COUPLES! Are you feeling more like roommates than lovers? Having a difficult time relating to one another? Take comfort in knowing that you are not alone. All couples go through phases in their relationship. Sometimes couples have a difficult time moving from one phase to another and need assistance in gaining momentum. Negotiating life as a couple can be difficult. Most people want to feel connected, cared for, and understood by their mate. Sometimes it feels as though there are two strangers living together. If this is you do not lose hope...
COUPLES! Are you feeling more like roommates than lovers? Having a difficult time relating to one another? Take comfort in knowing that you are not alone. All couples go through phases in their relationship. Sometimes couples have a difficult time moving from one phase to another and need assistance in gaining momentum. Negotiating life as a couple can be difficult. Most people want to feel connected, cared for, and understood by their mate. Sometimes it feels as though there are two strangers living together. If this is you do not lose hope...
![Photo of William Thorbecke, PhD, Psychologist](https://photos.psychologytoday.com/4611d054-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Dr. William L. Thorbecke is a clinical psychologist working in private practice in both Vancouver, Washington and Portland Oregon. Dr. Thorbecke has many years experience treating adults, children, adolescents, couples, and families. Anxiety and depression issues are Dr. Thorbecke's primary focus, interpersonal family and couples issues, recovery from trauma, Attention Deficit Hyperactivity Disorder evaluation and treatment, adoption bonding and attachment, conflict resolution, separation, and divorce are all areas of his expertise. Treatment modalities include individual psychotherapy, family therapy, couples therapy, telemedicine, assessment, and consultation.
Dr. William L. Thorbecke is a clinical psychologist working in private practice in both Vancouver, Washington and Portland Oregon. Dr. Thorbecke has many years experience treating adults, children, adolescents, couples, and families. Anxiety and depression issues are Dr. Thorbecke's primary focus, interpersonal family and couples issues, recovery from trauma, Attention Deficit Hyperactivity Disorder evaluation and treatment, adoption bonding and attachment, conflict resolution, separation, and divorce are all areas of his expertise. Treatment modalities include individual psychotherapy, family therapy, couples therapy, telemedicine, assessment, and consultation.
![Photo of Semi Grey, MS, LMHCA, SUDP, PCA, Counselor](https://photos.psychologytoday.com/f6d089e5-f53c-4793-95db-155954b0521c/1/320x400.png)
Semi Grey
Counselor, MS, LMHCA, SUDP, PCA
Verified Verified
Vancouver, WA 98660
Not accepting new clients
Maybe you've asked yourself the question "How did I get here, and what do I do next?" Perhaps you've been struggling with unsatisfying relationships, mood inconsistencies, racial trauma, trauma, motivation, attention problems, or even loneliness. Maybe you've even had difficulty sticking to goals, or even determining what those goals are. Or maybe you've been dealing with something like using too many substances, incarceration, or a problem with sexuality. All of these are valid reasons to begin a therapeutic relationship with a professional.
Maybe you've asked yourself the question "How did I get here, and what do I do next?" Perhaps you've been struggling with unsatisfying relationships, mood inconsistencies, racial trauma, trauma, motivation, attention problems, or even loneliness. Maybe you've even had difficulty sticking to goals, or even determining what those goals are. Or maybe you've been dealing with something like using too many substances, incarceration, or a problem with sexuality. All of these are valid reasons to begin a therapeutic relationship with a professional.
![Photo of Kelly R. Fielding, PhD, Psychologist](https://photos.psychologytoday.com/4c348b19-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I enjoy working with a wide variety of clients, and have done so since I began practicing in 1994. Psychotherapy can be an uncomfortable experience, and I see myself as a fellow traveler in that journey. I have worked extensively with sexual abuse victims, anxiety, and depression. I am also a sex offender treatment provider.
I enjoy working with a wide variety of clients, and have done so since I began practicing in 1994. Psychotherapy can be an uncomfortable experience, and I see myself as a fellow traveler in that journey. I have worked extensively with sexual abuse victims, anxiety, and depression. I am also a sex offender treatment provider.
![Photo of Matthew Martin, MA, LMHC, Counselor](https://photos.psychologytoday.com/3f50c4db-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Matthew Martin
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98685 (Online Only)
Waitlist for new clients
Are you seeking peace-of-mind, purpose, and fulfillment in life? Whether you're grappling with trauma, depression, anxiety, anger management, or faith-based issues, I'm here to provide understanding and assistance tailored to your unique needs. My style is genuine, good-humored, and deeply empathetic, creating a supportive environment where you can explore your challenges without judgment. Many clients, even without a specific diagnosis, find solace and support in my approach, whether they seek behavioral change, decision-making assistance, or help with life transitions.
Are you seeking peace-of-mind, purpose, and fulfillment in life? Whether you're grappling with trauma, depression, anxiety, anger management, or faith-based issues, I'm here to provide understanding and assistance tailored to your unique needs. My style is genuine, good-humored, and deeply empathetic, creating a supportive environment where you can explore your challenges without judgment. Many clients, even without a specific diagnosis, find solace and support in my approach, whether they seek behavioral change, decision-making assistance, or help with life transitions.
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![Photo of Tracy Metz, LMHCA, Counselor](https://photos.psychologytoday.com/b33aeb07-602f-445f-adf6-4ea5f2c75a02/3/320x400.jpeg)
Deciding to seek out change and be vulnerable, demands respect and garners a therapist which will meet you where you are at in the change process. I am a therapist that loves to work with anyone with a desire to do something different in their life.
Deciding to seek out change and be vulnerable, demands respect and garners a therapist which will meet you where you are at in the change process. I am a therapist that loves to work with anyone with a desire to do something different in their life.
![Photo of Stacy Oxford @ Good Talk, MS LMHC, NCC, Counselor](https://photos.psychologytoday.com/b85b2f4f-46cb-4815-810d-cc26e2ea7c21/3/320x400.jpeg)
Everyone needs a person, a place where they can talk. Freely talk. And share the things that make us feel small, the things we do that we don't understand, our worries and secret hurts that have been done to us or that we have done to others. The thing is - talking doesn't always feel good. And sometimes, the things we want to talk about are downright painful. But just because it hurts - doesn't mean we shouldn't talk about it. That's why I'm here. I want to help you have a good talk... about hard things.
Everyone needs a person, a place where they can talk. Freely talk. And share the things that make us feel small, the things we do that we don't understand, our worries and secret hurts that have been done to us or that we have done to others. The thing is - talking doesn't always feel good. And sometimes, the things we want to talk about are downright painful. But just because it hurts - doesn't mean we shouldn't talk about it. That's why I'm here. I want to help you have a good talk... about hard things.
![Photo of Elizabeth Soliday, PhD, Psychologist](https://photos.psychologytoday.com/6b632965-df7e-493f-af40-bef6264d1d9b/1/320x400.jpeg)
With over 25 years as a psychology educator, researcher, and clinician, I’ve supported people in growing the strength they need to move forward with renewed balance, confidence, and hope.
With over 25 years as a psychology educator, researcher, and clinician, I’ve supported people in growing the strength they need to move forward with renewed balance, confidence, and hope.
![Photo of Emily Knott - Alive Holistic Counseling Washington, Licensed Professional Counselor](https://photos.psychologytoday.com/0ec17158-85f9-4cde-b45a-271234af325a/1/320x400.jpeg)
Alive Holistic Counseling Washington
Licensed Professional Counselor
Verified Verified
Vancouver, WA 98684
Alive Holistic Counseling is an integrative counseling clinic that uses client-centered, strengths-based therapies to help people achieve their personal goals and cultivate authenticity in their relationships. Our therapists are specially trained in holistic therapies such as EMDR, Emotionally Focused Therapy, Hypnotherapy, and Hakomi that enable clients to go deeper into their healing journey. Our focus on evidence-based approaches that integrate the body with the busy mind allow for work to go beyond what keeps us trapped in old patterns of being.
Alive Holistic Counseling is an integrative counseling clinic that uses client-centered, strengths-based therapies to help people achieve their personal goals and cultivate authenticity in their relationships. Our therapists are specially trained in holistic therapies such as EMDR, Emotionally Focused Therapy, Hypnotherapy, and Hakomi that enable clients to go deeper into their healing journey. Our focus on evidence-based approaches that integrate the body with the busy mind allow for work to go beyond what keeps us trapped in old patterns of being.
![Photo of Laura Anne Farley, PsyD, Psychologist](https://photos.psychologytoday.com/33393952-5a7f-4e55-8bc2-a7da37c3e178/2/320x400.jpeg)
My caseload is full and I will update my profile when openings are available. Contact my office if you would like to be on my waitlist. People are resilient and capable of change to improve the quality of their lives. Whether desiring to get unstuck from a pattern of behavior (e.g., ineffective communication or substance use); struggling with anxiety, fear, depression, or trauma symptoms; or facing a difficult loss or transition, people often feel alone in their suffering and desire for change. These are human experiences. You are not alone. Together we will partner to identify and treat the crux of the problem.
My caseload is full and I will update my profile when openings are available. Contact my office if you would like to be on my waitlist. People are resilient and capable of change to improve the quality of their lives. Whether desiring to get unstuck from a pattern of behavior (e.g., ineffective communication or substance use); struggling with anxiety, fear, depression, or trauma symptoms; or facing a difficult loss or transition, people often feel alone in their suffering and desire for change. These are human experiences. You are not alone. Together we will partner to identify and treat the crux of the problem.
![Photo of Jeff Shenk, MA, LMHCA, Counselor](https://photos.psychologytoday.com/73e44b4f-6ff2-415d-83be-e0512103927a/1/320x400.jpeg)
In the intricate world of relationships, couples often struggle to define their roles as committed partners. Are you facing challenges like lack of intimacy, frequent conflicts, and isolation? Has parenthood caused division? Do you struggle with discipline, resorting to harsh methods you later regret, all while feeling isolated? Gottman Method Couples Therapy provides constructive ways to address these struggles. This research-based approach helps couples develop essential skills in communication, conflict management, and strengthening emotional connection.
In the intricate world of relationships, couples often struggle to define their roles as committed partners. Are you facing challenges like lack of intimacy, frequent conflicts, and isolation? Has parenthood caused division? Do you struggle with discipline, resorting to harsh methods you later regret, all while feeling isolated? Gottman Method Couples Therapy provides constructive ways to address these struggles. This research-based approach helps couples develop essential skills in communication, conflict management, and strengthening emotional connection.
![Photo of Tyler Jansen, PsyD, Psychologist](https://photos.psychologytoday.com/d744a1e9-85c2-4b52-a910-38095804ed1d/2/320x400.jpeg)
I primarily work with people who are working to overcome porn addictions, are struggling with self-worth, or are generally overwhelmed with stress and difficult emotions. I also enjoy working with people who want to integrate their faith into their therapeutic work. I strive to provide a non-judgmental, down-to-earth environment in which to address the issues that may feel embarrassing or shameful to broach, and earnestly want to help you reach your goals, and cheer for and encourage you every step of the way, while teaching tips and tricks that might make the process smother and easier for you. I'd love to meet you!
I primarily work with people who are working to overcome porn addictions, are struggling with self-worth, or are generally overwhelmed with stress and difficult emotions. I also enjoy working with people who want to integrate their faith into their therapeutic work. I strive to provide a non-judgmental, down-to-earth environment in which to address the issues that may feel embarrassing or shameful to broach, and earnestly want to help you reach your goals, and cheer for and encourage you every step of the way, while teaching tips and tricks that might make the process smother and easier for you. I'd love to meet you!
![Photo of Sarah Blanchette, MSW, LICSWA, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5c9fbec6-16c8-4411-9c3d-017b956f2a8b/1/320x400.jpeg)
I specialize in working with Couples, Teens/young adults and LGBTQ+ (individual & couples). My heart and passion is helping people find healing within themselves and their relationships. I have been working in Mental Health and Human Services for over 20 years. I have a strong trauma-informed approach and practice. Many of the teens/young adults who come see me LOVE my background in Expressive Art therapy. I have a heart for working with our rainbow/LGBTQ+ community, I am Kink aware, open an affirming of diverse intimate connections, there are so many ways to heal, create connection and family.
I specialize in working with Couples, Teens/young adults and LGBTQ+ (individual & couples). My heart and passion is helping people find healing within themselves and their relationships. I have been working in Mental Health and Human Services for over 20 years. I have a strong trauma-informed approach and practice. Many of the teens/young adults who come see me LOVE my background in Expressive Art therapy. I have a heart for working with our rainbow/LGBTQ+ community, I am Kink aware, open an affirming of diverse intimate connections, there are so many ways to heal, create connection and family.
![Photo of Sara Giza, MSW, LSWAIC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/7f931cc1-3e4e-452a-a504-0d2263d51f85/1/320x400.jpeg)
Sara Giza
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Vancouver, WA 98662 (Online Only)
After receiving my master’s degree in Social Work from the University of Louisville and obtaining a certification on executive leadership strategy for violence and abuse prevention from the University of Pennsylvania, I moved to Vancouver in June 2021. I spent ten years working in various nonprofits and community organizations’ before going to graduate school. My professional background involves working with both teens and adults on their mental health challenges. My areas of expertise include working heavily with trauma, sexual assault, domestic violence, grief, chronic illness and LGBTQ+ issues.
After receiving my master’s degree in Social Work from the University of Louisville and obtaining a certification on executive leadership strategy for violence and abuse prevention from the University of Pennsylvania, I moved to Vancouver in June 2021. I spent ten years working in various nonprofits and community organizations’ before going to graduate school. My professional background involves working with both teens and adults on their mental health challenges. My areas of expertise include working heavily with trauma, sexual assault, domestic violence, grief, chronic illness and LGBTQ+ issues.
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See More TherapistsHow 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
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.
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.
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.