Therapists in Napavine, WA

Photo of Michelle Kolpin, LCSW, Clinical Social Work/Therapist
Michelle Kolpin
Clinical Social Work/Therapist, LCSW
Verified Verified
Napavine, WA 98565  (Online Only)
I am a clinical social worker and therapist licensed in the state of Washington. In my practice, I see children, adolescents and adults of all ages who may be experiencing difficulties within themselves or in their relationships with others or may be seeking a journey or self-growth and change. My style is based on the belief that in order to best assist my clients in reaching their goals during the psychotherapeutic process, I need to know when to listen attentively, when to offer practical advice and when to bring attention to deeper internal conflicts that may cause suffering.
I am a clinical social worker and therapist licensed in the state of Washington. In my practice, I see children, adolescents and adults of all ages who may be experiencing difficulties within themselves or in their relationships with others or may be seeking a journey or self-growth and change. My style is based on the belief that in order to best assist my clients in reaching their goals during the psychotherapeutic process, I need to know when to listen attentively, when to offer practical advice and when to bring attention to deeper internal conflicts that may cause suffering.
(833) 928-1290 View (833) 928-1290

More Therapists Nearby

Photo of Dr. Holli Schoonover, PhD, Pastoral Counselor
Dr. Holli Schoonover
Pastoral Counselor, PhD
Verified Verified
Chehalis, WA 98532
Accepting new clients. Life can be hard, challenging, and at times can feel truly hopeless. There IS hope! Learn to implement key changes and create shifts to overcome even the most challenging of obstacles. As a Therapist/Licensed Clinical Pastoral Counselor, I am trained in both psychology and theology, and provide psychological as well as spiritual guidance as requested by clients.
Accepting new clients. Life can be hard, challenging, and at times can feel truly hopeless. There IS hope! Learn to implement key changes and create shifts to overcome even the most challenging of obstacles. As a Therapist/Licensed Clinical Pastoral Counselor, I am trained in both psychology and theology, and provide psychological as well as spiritual guidance as requested by clients.
(360) 300-8540 View (360) 300-8540
Photo of Tera Middlebrook, LMHC, Counselor
Tera Middlebrook
Counselor, LMHC
Verified Verified
Chehalis, WA 98532  (Online Only)
Not accepting new clients
I will serve as a witness to your self healing journey, providing tools and insights as you create this new path, moving from where you are to where you want to be. Together we will create a safe environment for self exploration. Using a holistic approach to counseling, I utilize talk therapy, cognitive behavioral therapy (CBT), psychoeducation, and motivational therapy. I have worked with clients from all walks of life and will always provide a safe, respectful space, regardless of your ethnicity, race, sexual orientation, gender or spiritual beliefs. Please visit my website: www.awakeningspirittherapy.com for more information!
I will serve as a witness to your self healing journey, providing tools and insights as you create this new path, moving from where you are to where you want to be. Together we will create a safe environment for self exploration. Using a holistic approach to counseling, I utilize talk therapy, cognitive behavioral therapy (CBT), psychoeducation, and motivational therapy. I have worked with clients from all walks of life and will always provide a safe, respectful space, regardless of your ethnicity, race, sexual orientation, gender or spiritual beliefs. Please visit my website: www.awakeningspirittherapy.com for more information!
(206) 203-6674 View (206) 203-6674
Photo of Niston Franco, CAAR, SUDP, Counselor
Niston Franco
Counselor, CAAR, SUDP
Verified Verified
Chehalis, WA 98532
Never stop dreaming in reaching your full potential. Give yourself the opportunity to move forward and let go of the past.
Never stop dreaming in reaching your full potential. Give yourself the opportunity to move forward and let go of the past.
(360) 667-1612 View (360) 667-1612
Photo of Jessica Martinez, MA, LMFT, Marriage & Family Therapist
Jessica Martinez
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Centralia, WA 98531
Not accepting new clients
My approach is trauma-informed care with an emphasis on anti-oppression theory. You are the expert of your own experience and we will collaborate on your healing journey to encompass a more enriching experience of belonging to Self and others. I specialize in areas of sexual abuse, substance use, trauma, and grief/loss.
My approach is trauma-informed care with an emphasis on anti-oppression theory. You are the expert of your own experience and we will collaborate on your healing journey to encompass a more enriching experience of belonging to Self and others. I specialize in areas of sexual abuse, substance use, trauma, and grief/loss.
(833) 914-2216 View (833) 914-2216
Photo of James L Hunt, MA, LMHC, Counselor
James L Hunt
Counselor, MA, LMHC
Verified Verified
Chehalis, WA 98532
With year experience; as a Mental Health professional, I work with individuals, children, adolescents, couples and families on a variety of issues including: depression, anxiety, marital and family issues, sexual addictions, grief counseling, child development, parenting skills, and spiritual concerns. My approach to therapy incorporates a Christian worldview utilizing a cognitive and behavioral - solution - possibility focused theoretical orientation. My goal in therapy is to help you determine what patterns of thinking and behavior have develpoed in your life and what the influences in the development of those patterns have been.
With year experience; as a Mental Health professional, I work with individuals, children, adolescents, couples and families on a variety of issues including: depression, anxiety, marital and family issues, sexual addictions, grief counseling, child development, parenting skills, and spiritual concerns. My approach to therapy incorporates a Christian worldview utilizing a cognitive and behavioral - solution - possibility focused theoretical orientation. My goal in therapy is to help you determine what patterns of thinking and behavior have develpoed in your life and what the influences in the development of those patterns have been.
(360) 329-2925 View (360) 329-2925
Photo of Dodi S Forgione, PsyD, LMHCA, Counselor
Dodi S Forgione
Counselor, PsyD, LMHCA
Verified Verified
1 Endorsed
Chehalis, WA 98532
The world can be a scary place. Things can happen to us where the scars are not visible to the world. These scars can show up as depression, anxiety, anger, and even thoughts of suicide. In our sessions together, we will work together to find relief from these scars. I want to provide a safe space where you can tell your story and be heard. I am specialized to work with trauma, depression, anxiety, and feelings of intense anger. I incorporate Emotion Focus Therapy (EFT), Attachment, and LIfespan Integration (for trauma).
The world can be a scary place. Things can happen to us where the scars are not visible to the world. These scars can show up as depression, anxiety, anger, and even thoughts of suicide. In our sessions together, we will work together to find relief from these scars. I want to provide a safe space where you can tell your story and be heard. I am specialized to work with trauma, depression, anxiety, and feelings of intense anger. I incorporate Emotion Focus Therapy (EFT), Attachment, and LIfespan Integration (for trauma).
(425) 212-1979 View (425) 212-1979
Photo of Gretchen Andrews - Gold Line Counseling , MS, LMHCA, MHP
Gold Line Counseling
Mental Health Counselor Associate, MS, LMHCA, MHP
Verified Verified
1 Endorsed
Chehalis, WA 98532
I am the founder of Gold Line Counseling, PLLC., a Licensed Clinical Mental Health Counselor Associate. My purpose is to help you meet your goals and to live your best possible life. I believe that each individual holds the answers to their questions and the solutions to their problems within themselves and my role is to help you find those answers and solutions and implement them in your life. Everyone holds amazing, unique qualities to be proud of and I strive to help you recognize and honor the positive attributes that you possess. I will walk beside you if you struggle and I will celebrate with you as you meet milestones.
I am the founder of Gold Line Counseling, PLLC., a Licensed Clinical Mental Health Counselor Associate. My purpose is to help you meet your goals and to live your best possible life. I believe that each individual holds the answers to their questions and the solutions to their problems within themselves and my role is to help you find those answers and solutions and implement them in your life. Everyone holds amazing, unique qualities to be proud of and I strive to help you recognize and honor the positive attributes that you possess. I will walk beside you if you struggle and I will celebrate with you as you meet milestones.
(360) 628-2797 View (360) 628-2797
Photo of Matthew A Johnson, PsyD, MSW, Psychologist
Matthew A Johnson
Psychologist, PsyD, MSW
Verified Verified
Chehalis, WA 98532
I have worked in the Mental Health Field for 42 years. I've been a Licensed Clinical Psychologist for 29 of those 42 years. I work with children, adolescents, couples, and families. I work with clients of all ages who struggle with ADD/ADHD, Anxiety, Depression, Bipolar Disorder, Traumatic Brain Injury (TBI), PTSD, Alcohol/Drug Addictions, Family/Parenting, Marital, Sex Abuse, Sexual Addiction, Career Concerns, Self-Esteem Issues, Spirituality Issues, Law Enforcement Personnel Issues, Military Personnel Issues, Athletics, and much more.
I have worked in the Mental Health Field for 42 years. I've been a Licensed Clinical Psychologist for 29 of those 42 years. I work with children, adolescents, couples, and families. I work with clients of all ages who struggle with ADD/ADHD, Anxiety, Depression, Bipolar Disorder, Traumatic Brain Injury (TBI), PTSD, Alcohol/Drug Addictions, Family/Parenting, Marital, Sex Abuse, Sexual Addiction, Career Concerns, Self-Esteem Issues, Spirituality Issues, Law Enforcement Personnel Issues, Military Personnel Issues, Athletics, and much more.
(360) 226-7339 View (360) 226-7339
Photo of Megan Lanese, LICSW, Clinical Social Work/Therapist
Megan Lanese
Clinical Social Work/Therapist, LICSW
Verified Verified
Chehalis, WA 98532  (Online Only)
I am accepting new clients. I help new and expectant parents embrace their unique parenting journey. I know firsthand that there is no job more challenging—or more sacred—than that of a parent. As parents we often feel guilt, disappointment, grief, depression, anxiety, overwhelm, or self-doubt. Albeit painful, these emotions can be powerful catalysts for healing and growth. I help parents shift out of fear based emotions and into love so that they can be more joyful and fully present for both themselves and their children.
I am accepting new clients. I help new and expectant parents embrace their unique parenting journey. I know firsthand that there is no job more challenging—or more sacred—than that of a parent. As parents we often feel guilt, disappointment, grief, depression, anxiety, overwhelm, or self-doubt. Albeit painful, these emotions can be powerful catalysts for healing and growth. I help parents shift out of fear based emotions and into love so that they can be more joyful and fully present for both themselves and their children.
(360) 938-4429 View (360) 938-4429
Photo of Marrianne Schumacher, MA, LMFTA, Marriage & Family Therapist Intern
Marrianne Schumacher
Marriage & Family Therapist Intern, MA, LMFTA
Verified Verified
Chehalis, WA 98532
The relationships that we put so much work into with those that we love are often the same relationships that cause the most hurt. Feelings of disappointment, distress, hurt, anxiety, and depression are part of our life experience- but we don’t have to stay there. The choice is yours to make. I have learned through life experience that crisis events happen, problems arise, and change is really difficult, but it is so worth it!
The relationships that we put so much work into with those that we love are often the same relationships that cause the most hurt. Feelings of disappointment, distress, hurt, anxiety, and depression are part of our life experience- but we don’t have to stay there. The choice is yours to make. I have learned through life experience that crisis events happen, problems arise, and change is really difficult, but it is so worth it!
(360) 401-8526 View (360) 401-8526
Photo of Naomi Huffman, LMHCA, MS, MHP, CPC, Counselor
Naomi Huffman
Counselor, LMHCA, MS, MHP, CPC
Verified Verified
4 Endorsed
Chehalis, WA 98532  (Online Only)
I have several years of counseling experience across mental health clinics, rehab centers, and K-12 schools, I've had the privilege of supporting folks of all ages, from little kindergartners to wise elders. My belief? It's all about walking alongside you on your healing path, whether you're a kiddo adjusting to a new school or someone navigating life's challenges later on. So, let's take that first step together. I'm here to support you every step of the way.
I have several years of counseling experience across mental health clinics, rehab centers, and K-12 schools, I've had the privilege of supporting folks of all ages, from little kindergartners to wise elders. My belief? It's all about walking alongside you on your healing path, whether you're a kiddo adjusting to a new school or someone navigating life's challenges later on. So, let's take that first step together. I'm here to support you every step of the way.
(206) 687-1496 View (206) 687-1496
Photo of Whe, LMHCA, Counselor
Whe Whe
Counselor, LMHCA
Verified Verified
Chehalis, WA 98532
We all possess the capacity to heal and thrive through the processes of self exploration and discovery. Whether you are experiencing the repercussions of trauma, navigating identity, needing assistance with balancing mood and resolving anxieties, or establishing a sense of meaning in life, we work together to determine your needs and desires and develop a plan for meeting those.
We all possess the capacity to heal and thrive through the processes of self exploration and discovery. Whether you are experiencing the repercussions of trauma, navigating identity, needing assistance with balancing mood and resolving anxieties, or establishing a sense of meaning in life, we work together to determine your needs and desires and develop a plan for meeting those.
(509) 260-3107 View (509) 260-3107
Photo of Elisa Stepp, MA, LMFT, Marriage & Family Therapist
Elisa Stepp
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Centralia, WA 98531
All are welcome at Abundance Family Therapy! Everyone has times that seem too hard to bear. Life can seem pretty heavy at times, and we just need our load lightened. Sometimes the heaviness comes from feelings of anxiety, depression, life transitions, loneliness, spiritual challenges, communication issues or even relationship fractures. If you find yourself feeling the weight of these things or perhaps other things in your life, please come on in and let me help lighten your load. Although experiencing these feelings or situations remind us, we are human, it is the overcoming that brings peace and growth.
All are welcome at Abundance Family Therapy! Everyone has times that seem too hard to bear. Life can seem pretty heavy at times, and we just need our load lightened. Sometimes the heaviness comes from feelings of anxiety, depression, life transitions, loneliness, spiritual challenges, communication issues or even relationship fractures. If you find yourself feeling the weight of these things or perhaps other things in your life, please come on in and let me help lighten your load. Although experiencing these feelings or situations remind us, we are human, it is the overcoming that brings peace and growth.
(360) 230-7817 View (360) 230-7817
Photo of Denise Kapel, MA, LMHC, BC-TMH, Counselor
Denise Kapel
Counselor, MA, LMHC, BC-TMH
Verified Verified
Chehalis, WA 98532  (Online Only)
In my work, I support hope and self-determination as my clients apply their abilities in pursuit of their therapeutic goals and well being. Therapy is a collaborative process in which I use a compassionate person-centered approach and various evidence-based methods to address each individual's needs. These include Motivational Interviewing, Existential Therapy, Gestalt Therapy, Narrative Therapy, Cognitive Behavioral Therapy and Trauma-Focused CBT, Acceptance and Commitment Therapy, Exposure and Response Prevention, Mindfulness and Somatic Therapy.
In my work, I support hope and self-determination as my clients apply their abilities in pursuit of their therapeutic goals and well being. Therapy is a collaborative process in which I use a compassionate person-centered approach and various evidence-based methods to address each individual's needs. These include Motivational Interviewing, Existential Therapy, Gestalt Therapy, Narrative Therapy, Cognitive Behavioral Therapy and Trauma-Focused CBT, Acceptance and Commitment Therapy, Exposure and Response Prevention, Mindfulness and Somatic Therapy.
(509) 550-0667 View (509) 550-0667
Photo of Rebecca Grondel, MA, LMFT, Marriage & Family Therapist
Rebecca Grondel
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Centralia, WA 98531
Welcome! We are all emotional and relational beings so naturally our greatest happiness and heartache often come from our relationships and are ongoing throughout our lives. Experiencing anxiety, depression, feelings of being stuck, loneliness, spiritual challenges, struggling with communication issues, moving through discouragement, and unmet expectations in yourself and/or loved ones, is not a sign of failure or weakness. These experiences simply remind us we are human and provide opportunities for growth. The choice to do something different is yours. I welcome the walk with you on your journey of hope and transformation.
Welcome! We are all emotional and relational beings so naturally our greatest happiness and heartache often come from our relationships and are ongoing throughout our lives. Experiencing anxiety, depression, feelings of being stuck, loneliness, spiritual challenges, struggling with communication issues, moving through discouragement, and unmet expectations in yourself and/or loved ones, is not a sign of failure or weakness. These experiences simply remind us we are human and provide opportunities for growth. The choice to do something different is yours. I welcome the walk with you on your journey of hope and transformation.
(801) 664-8976 View (801) 664-8976
Photo of Rudy D Hernandez, MA MFT, LMHC, Counselor
Rudy D Hernandez
Counselor, MA MFT, LMHC
Verified Verified
1 Endorsed
Chehalis, WA 98532
Through a person-centered humanistic approach, Rudy hopes to meet people where they are at. He is honored to support those doing the hard work of facing their challenges and be a part of the healing process. He also draws from Cognitive Behavioral Therapy (CBT), Solution-Focused Brief Therapy (SFBT), and Emotion-Focused Therapy (EFT) and strength-based therapy to help guide those seeking to connect thoughts and behaviors and encourage self-efficacy. Play therapy also informs his work with children, teens, and families.
Through a person-centered humanistic approach, Rudy hopes to meet people where they are at. He is honored to support those doing the hard work of facing their challenges and be a part of the healing process. He also draws from Cognitive Behavioral Therapy (CBT), Solution-Focused Brief Therapy (SFBT), and Emotion-Focused Therapy (EFT) and strength-based therapy to help guide those seeking to connect thoughts and behaviors and encourage self-efficacy. Play therapy also informs his work with children, teens, and families.
(360) 469-6673 View (360) 469-6673
Photo of David A Jones, MA, LMFT, NCC, Marriage & Family Therapist
David A Jones
Marriage & Family Therapist, MA, LMFT, NCC
Verified Verified
2 Endorsed
Chehalis, WA 98532
Waitlist for new clients
It often starts with the unexpected. Unexpected news, unanticipated turns, unforeseen circumstances, and sometimes the unimaginable. It is at these times we can often feel powerless, afraid, confused, and uncertain. Change for some can be unwelcomed and for other’s change doesn’t seem to come soon enough. We cannot always choose what we go through, but we can choose how we go through it. Many seek therapy due to hard-fought battles with a variety of life issues, such as depression, trauma, anxiety, relationship problems, parenting challenges, and experiences from the past that keep them from moving forward.
It often starts with the unexpected. Unexpected news, unanticipated turns, unforeseen circumstances, and sometimes the unimaginable. It is at these times we can often feel powerless, afraid, confused, and uncertain. Change for some can be unwelcomed and for other’s change doesn’t seem to come soon enough. We cannot always choose what we go through, but we can choose how we go through it. Many seek therapy due to hard-fought battles with a variety of life issues, such as depression, trauma, anxiety, relationship problems, parenting challenges, and experiences from the past that keep them from moving forward.
(360) 996-1140 View (360) 996-1140
Photo of David Simonsen - Creative Solutions TMS, PhD, LMFT
Creative Solutions TMS
PhD, LMFT
Verified Verified
Chehalis, WA 98532
Imagine if you were emotionally in a place happiness. A place where you could reconnect with old friends, enjoy trips with family, feel empowered to reconnect emotionally with your partner. If you or your loved one is suffering from depression and have tried various medications and therapy without the results that you need and deserve, we can help. We at Creative Solutions TMS use an alternative to medicine approach to treat each individual who is experiencing depression, anxiety, and related conditions. We work with healthcare providers to achieve optimum outcomes using TMS therapy, also called Transcranial Magnetic Stimulation.
Imagine if you were emotionally in a place happiness. A place where you could reconnect with old friends, enjoy trips with family, feel empowered to reconnect emotionally with your partner. If you or your loved one is suffering from depression and have tried various medications and therapy without the results that you need and deserve, we can help. We at Creative Solutions TMS use an alternative to medicine approach to treat each individual who is experiencing depression, anxiety, and related conditions. We work with healthcare providers to achieve optimum outcomes using TMS therapy, also called Transcranial Magnetic Stimulation.
(360) 810-5614 View (360) 810-5614
Photo of Dr. Hughes; Schoonover - Renew Refocus Counseling, PhD, Licensed Professional Counselor
Renew Refocus Counseling
Licensed Professional Counselor, PhD
Verified Verified
Chehalis, WA 98532
Accepting new clients. Life can be hard, challenging, and at times can feel truly hopeless. There are times you may experience life controlled by intense emotions or paralyzing anxiety/fear and detached numbness takes over. Traumatic memories that are overwhelming, causing insomnia or night terrors. Relationships suffering from conflict, lack of intimacy, and distraction are inevitable. Teen conflict, locked in power struggles without solutions that result in endless frustration dominating your time. There IS hope! Learn to implement key changes and create shifts to overcome even the most challenging obstacles.
Accepting new clients. Life can be hard, challenging, and at times can feel truly hopeless. There are times you may experience life controlled by intense emotions or paralyzing anxiety/fear and detached numbness takes over. Traumatic memories that are overwhelming, causing insomnia or night terrors. Relationships suffering from conflict, lack of intimacy, and distraction are inevitable. Teen conflict, locked in power struggles without solutions that result in endless frustration dominating your time. There IS hope! Learn to implement key changes and create shifts to overcome even the most challenging obstacles.
(360) 585-4993 View (360) 585-4993

How does your Therapist compare?

Number of Therapists in Napavine, WA

< 10

Therapists in Napavine, WA who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Child
100% Life Coaching
100% Parenting
100% Trauma and PTSD

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in Napavine, WA see their clients

100% Online Only
FAQs - About Therapy and Counseling

How can I find a therapist in Napavine?

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.