Therapists in Vancouver, WA

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Photo of Rachael Mishanec, Psychologist in Vancouver, WA
Rachael Mishanec
Psychologist
Verified Verified
Vancouver, WA 98686
Every individual comes with a community and a cultural identification existing within the context of greater society. Through an emotion focused/ family systems lens, I enjoy listening to and collaborating with individuals, couples, and families to therapeutically address each of these layers. Together, we focus on gaining greater awareness of emotions and the relationship to self and others, integrating the different parts of self we all experience, and connecting to natural supports that exist within our environments.
Every individual comes with a community and a cultural identification existing within the context of greater society. Through an emotion focused/ family systems lens, I enjoy listening to and collaborating with individuals, couples, and families to therapeutically address each of these layers. Together, we focus on gaining greater awareness of emotions and the relationship to self and others, integrating the different parts of self we all experience, and connecting to natural supports that exist within our environments.
(360) 776-7030 View (360) 776-7030
Photo of Jamie A Bunnell, Marriage & Family Therapist Associate in Vancouver, WA
Jamie A Bunnell
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Vancouver, WA 98684  (Online Only)
Imagine having hope and happiness within your life instead of depression, anxiety, or at a loss in knowing where your life is taking you to. Learn to highlight the best assets, the strengths you already possess. Focusing on your Emotions and Solutions to bring you to the inner peace and balance within yourself while releasing trauma and past hurt. You are the only one that can direct your path and create everything you want within your healing journey. We often can stand in our own way so it is vital to knock these barriers down to find our true selves!
Imagine having hope and happiness within your life instead of depression, anxiety, or at a loss in knowing where your life is taking you to. Learn to highlight the best assets, the strengths you already possess. Focusing on your Emotions and Solutions to bring you to the inner peace and balance within yourself while releasing trauma and past hurt. You are the only one that can direct your path and create everything you want within your healing journey. We often can stand in our own way so it is vital to knock these barriers down to find our true selves!
(360) 968-7534 View (360) 968-7534
Photo of Mind, Money & Mental Health PLLC , Clinical Social Work/Therapist in Vancouver, WA
Mind, Money & Mental Health PLLC
Clinical Social Work/Therapist, MSW, LICSW, CFSW
Verified Verified
1 Endorsed
Vancouver, WA 98683  (Online Only)
Waitlist for new clients
Welcome! It takes courage to reach out and ask for help. It takes courage to reach out and find a therapist you can connect with. Navigating the complex process to find a therapist can be overwhelming. I work with adults and elders to assist them navigating feelings of anxiety, caregiver burnout, chronic illness, depression, financial toxicity, life transitions, and stress. I welcome you to schedule a FREE 20 minute consultation with me to learn more! I offer Telehealth appointments only in Washington State.
Welcome! It takes courage to reach out and ask for help. It takes courage to reach out and find a therapist you can connect with. Navigating the complex process to find a therapist can be overwhelming. I work with adults and elders to assist them navigating feelings of anxiety, caregiver burnout, chronic illness, depression, financial toxicity, life transitions, and stress. I welcome you to schedule a FREE 20 minute consultation with me to learn more! I offer Telehealth appointments only in Washington State.
(360) 614-4367 View (360) 614-4367
Photo of Megan Rabon, Psychologist in Vancouver, WA
Megan Rabon
Psychologist
Verified Verified
Vancouver, WA 98683
Education Education: Psy. D. (Doctorate in Clinical Psychology, 2011, George Fox University); M. A. (Master of Arts in Clinical Psychology, 2007, George Fox University); and B.A. (Bachelor of Arts in Psychology, 2004, Washington State University Vancouver). Experience: Presently in practice at Western Psychological and Counseling Services, Vancouver, Washington including individual therapy, and group therapy. Post-doctoral residency at Western Psychological and Counseling Services, Portland and Beaverton, Oregon from October 2011 until July 2014 providing individual therapy with adults, children and adolescents.
Education Education: Psy. D. (Doctorate in Clinical Psychology, 2011, George Fox University); M. A. (Master of Arts in Clinical Psychology, 2007, George Fox University); and B.A. (Bachelor of Arts in Psychology, 2004, Washington State University Vancouver). Experience: Presently in practice at Western Psychological and Counseling Services, Vancouver, Washington including individual therapy, and group therapy. Post-doctoral residency at Western Psychological and Counseling Services, Portland and Beaverton, Oregon from October 2011 until July 2014 providing individual therapy with adults, children and adolescents.
(360) 361-8886 View (360) 361-8886
Photo of Leslie Collord, Counselor in Vancouver, WA
Leslie Collord
Counselor, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98661
Currently accepting adult individuals in Washington, in office or telehealth, and Montana, telehealth only. At this time, I am not accepting new couples. I work with adult individuals, couples, and teens ages 13+ seeking support for anxiety, depression, relationship issues, life transitions, and trauma and stress-related problems. My aim is to provide a supportive space to explore life’s challenges and develop more effective and adaptive coping strategies along the way.
Currently accepting adult individuals in Washington, in office or telehealth, and Montana, telehealth only. At this time, I am not accepting new couples. I work with adult individuals, couples, and teens ages 13+ seeking support for anxiety, depression, relationship issues, life transitions, and trauma and stress-related problems. My aim is to provide a supportive space to explore life’s challenges and develop more effective and adaptive coping strategies along the way.
(360) 516-1383 View (360) 516-1383
Photo of Nicole Kennedy, Counselor in Vancouver, WA
Nicole Kennedy
Counselor, LMHC
Verified Verified
Vancouver, WA 98660
Welcome. I'm so glad you're here. If you're seeking therapy, you're likely looking for some sort of change, which requires hope. I believe hope is gritty and requires courage. I believe the magic is found right in that liminal space where we start to open the door to new possibilities. I currently serve adult women-identifying clients in my private practice who desire to work through grief, trauma, anxiety, depression, and relational conflict. Informed by relational psychodynamic theory and existential psychotherapy, my therapeutic orientation is relationship centered.
Welcome. I'm so glad you're here. If you're seeking therapy, you're likely looking for some sort of change, which requires hope. I believe hope is gritty and requires courage. I believe the magic is found right in that liminal space where we start to open the door to new possibilities. I currently serve adult women-identifying clients in my private practice who desire to work through grief, trauma, anxiety, depression, and relational conflict. Informed by relational psychodynamic theory and existential psychotherapy, my therapeutic orientation is relationship centered.
(360) 559-6373 View (360) 559-6373
Photo of Harry C Dudley, Psychologist in Vancouver, WA
Harry C Dudley
Psychologist, PsyD
Verified Verified
Vancouver, WA 98662
My psychology practice draws upon diverse training, including but not limited to Internal Family Systems (IFS), Psychodynamic and Depth Psychology, Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Behavioral Therapy for Insomnia (CBT-I), somatic psychotherapy, Integrative Restoration Yoga Nidra Meditation (iRest) and nondual contemplative and mindfulness based interventions and practices. Meditation training is a major component of my practice. Free iRest yoga nidra meditation recordings are on my website. I provide Ketamine Assisted Psychotherapy in collaboration with Journey Clinical
My psychology practice draws upon diverse training, including but not limited to Internal Family Systems (IFS), Psychodynamic and Depth Psychology, Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Behavioral Therapy for Insomnia (CBT-I), somatic psychotherapy, Integrative Restoration Yoga Nidra Meditation (iRest) and nondual contemplative and mindfulness based interventions and practices. Meditation training is a major component of my practice. Free iRest yoga nidra meditation recordings are on my website. I provide Ketamine Assisted Psychotherapy in collaboration with Journey Clinical
(360) 253-6425 View (360) 253-6425
Photo of Susan Keene, Counselor in Vancouver, WA
Susan Keene
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98682  (Online Only)
I am currently accepting new clients! I work through telehealth only, You are the expert on your own life. But, when life does not follow your best laid plans, you sometimes need help to work through the changes to become stronger than before. In the space we create together, you can examine your life journey and find ways to use your strengths to make a better life. In my practice, I use a strengths-based approach for individual therapy that is appropriate for adults of all genders, orientations, and ages. Together, I can to help you with life changes, sexuality, relationships, and self esteem.
I am currently accepting new clients! I work through telehealth only, You are the expert on your own life. But, when life does not follow your best laid plans, you sometimes need help to work through the changes to become stronger than before. In the space we create together, you can examine your life journey and find ways to use your strengths to make a better life. In my practice, I use a strengths-based approach for individual therapy that is appropriate for adults of all genders, orientations, and ages. Together, I can to help you with life changes, sexuality, relationships, and self esteem.
(206) 207-3024 View (206) 207-3024
Photo of Allison Chambers-Dixon, Psychologist in Vancouver, WA
Allison Chambers-Dixon
Psychologist, PsyD
Verified Verified
Vancouver, WA 98662
Allison is a licensed psychologist in Oregon and Washington. She has worked in private practice and university counseling settings and has extensive experience assisting adults with trauma reconciliation, disability and chronic illness, grief and loss, multicultural counseling, anxiety, depression, identity exploration, and building healthy and satisfying relationships. In addition, she has experience conducting psychological assessment.
Allison is a licensed psychologist in Oregon and Washington. She has worked in private practice and university counseling settings and has extensive experience assisting adults with trauma reconciliation, disability and chronic illness, grief and loss, multicultural counseling, anxiety, depression, identity exploration, and building healthy and satisfying relationships. In addition, she has experience conducting psychological assessment.
(360) 361-8410 View (360) 361-8410
Photo of Mindful Path Counseling, Marriage & Family Therapist in Vancouver, WA
Mindful Path Counseling
Marriage & Family Therapist, LMFT
Verified Verified
Vancouver, WA 98660  (Online Only)
Email me 24/7 for shortest response times! Welcome Mindful Path Counseling, virtual therapy anywhere in Washington! I provide a safe space for you to meet painful issues and gently dismantle their power over your life. If you want to restructure and redefine relationships that are no longer working for you, I can help. If you think self-defeating thought patterns and underlying belief systems might be opening the door to unwanted situations in your life, I can help you rewrite that story. I would be honored to walk through this journey with you. Email me today and start living your best life. I can’t wait to meet you!
Email me 24/7 for shortest response times! Welcome Mindful Path Counseling, virtual therapy anywhere in Washington! I provide a safe space for you to meet painful issues and gently dismantle their power over your life. If you want to restructure and redefine relationships that are no longer working for you, I can help. If you think self-defeating thought patterns and underlying belief systems might be opening the door to unwanted situations in your life, I can help you rewrite that story. I would be honored to walk through this journey with you. Email me today and start living your best life. I can’t wait to meet you!
(509) 739-7196 View (509) 739-7196
Photo of Caroline Gearing, Marriage & Family Therapist in Vancouver, WA
Caroline Gearing
Marriage & Family Therapist, MA, LMFT
Verified Verified
Vancouver, WA 98660
As a licensed marriage and family therapist I specialize in sexual addiction work for men and women transitioning from sexual addiction to healthy sexuality, and partners and couples dealing with sexual addiction. Groups provided: sex addiction, partner of sexual addict, couples dealing with sexual addiction, and love addiction. Strong focus on couples counseling, premarital counseling using Prepare/Enrich assessment tools. Expertise with sexual therapy for couples and individuals. Specialty dealing with narcissistic people and assisting clients with great transitional challenges. I am a highly dedicated counselor and therapist partnering with my clients to successfully move forward in their lives.
As a licensed marriage and family therapist I specialize in sexual addiction work for men and women transitioning from sexual addiction to healthy sexuality, and partners and couples dealing with sexual addiction. Groups provided: sex addiction, partner of sexual addict, couples dealing with sexual addiction, and love addiction. Strong focus on couples counseling, premarital counseling using Prepare/Enrich assessment tools. Expertise with sexual therapy for couples and individuals. Specialty dealing with narcissistic people and assisting clients with great transitional challenges. I am a highly dedicated counselor and therapist partnering with my clients to successfully move forward in their lives.
(360) 450-4373 View (360) 450-4373
Photo of Alissa Marie Fisher, Counselor in Vancouver, WA
Alissa Marie Fisher
Counselor, MA, LMHCA
Verified Verified
2 Endorsed
Vancouver, WA 98683
Are you feeling anxious, off-kilter, or struggling with emotions? Maybe you wish you could connect to others in different ways, but you don’t know how to start. Perhaps you want to change how you relate to your child but don’t know where to begin, or are trying to cope with a loss. My philosophy is that our relationships and experiences set the tone in how we relate to others and ourselves. Uncovering unhealthy patterns in relationships and thinking can free us to change how we experience and move through life, opening us up to healing and health.
Are you feeling anxious, off-kilter, or struggling with emotions? Maybe you wish you could connect to others in different ways, but you don’t know how to start. Perhaps you want to change how you relate to your child but don’t know where to begin, or are trying to cope with a loss. My philosophy is that our relationships and experiences set the tone in how we relate to others and ourselves. Uncovering unhealthy patterns in relationships and thinking can free us to change how we experience and move through life, opening us up to healing and health.
(360) 996-1475 View (360) 996-1475
Photo of Nimuë, PLLC - Conscious Collaborative Counseling , Counselor in Vancouver, WA
Nimuë, PLLC - Conscious Collaborative Counseling
Counselor, LMHC
Verified Verified
Vancouver, WA 98662
I am an LGBTQIA+ provider and love working with adults who are ready to dig deep and make healthy changes to live their best lives. Whether you are LGBTQIA+, BIPOC, a Highly Sensitive Person (HSP) or Empath, or label yourself as "outside the box" I am ready to help you see your beautiful strengths and empower you with the tools to help change unhealthy patterns in order to create your best life. Clients that have sought my services have reported that I was helpful in processing their trauma, identifying self-sabotaging behaviors, moving thru grief, re-inventing themselves post divorce or in simply learning how to live in the Now.
I am an LGBTQIA+ provider and love working with adults who are ready to dig deep and make healthy changes to live their best lives. Whether you are LGBTQIA+, BIPOC, a Highly Sensitive Person (HSP) or Empath, or label yourself as "outside the box" I am ready to help you see your beautiful strengths and empower you with the tools to help change unhealthy patterns in order to create your best life. Clients that have sought my services have reported that I was helpful in processing their trauma, identifying self-sabotaging behaviors, moving thru grief, re-inventing themselves post divorce or in simply learning how to live in the Now.
(360) 531-7607 View (360) 531-7607
Photo of Melanie Marie Bikis, Counselor in Vancouver, WA
Melanie Marie Bikis
Counselor, LMHCA
Verified Verified
Vancouver, WA 98660
During our therapy settings we organize our sessions based on the child and family’s goals and motivations. Working together we find a wide variety of interventions to help them improve their everyday experience and meet the objective at hand. We identity road blocks, map what success looks like and trouble shoot together as a team using a combination of science supported, therapeutic art practices and talk therapy.
During our therapy settings we organize our sessions based on the child and family’s goals and motivations. Working together we find a wide variety of interventions to help them improve their everyday experience and meet the objective at hand. We identity road blocks, map what success looks like and trouble shoot together as a team using a combination of science supported, therapeutic art practices and talk therapy.
(971) 328-3346 View (971) 328-3346
Photo of Marla Joy Carman, Mental Health Counselor in Vancouver, WA
Marla Joy Carman
Mental Health Counselor, MAPC, NCC, LMHC, LPC
Verified Verified
Vancouver, WA 98683
Waitlist for new clients
Please call 253-352-2480 or email me directly at inner.wellth@yahoo.com to schedule an intake or a free consultation for 15 minutes. It can be a scary thing to reach out for help and support! You might feel like there might be judgment or misunderstanding! Maybe you're puzzled as to why you haven't reached your goals, wondering what's holding you back? What are the barriers? I also offer EMDR and ART (accelerated resolution therapy) if we feel you're "stuck". Maybe you've never considered what you really want in life? Are you in a transition in life? I'd love to help you get to where you want to go!
Please call 253-352-2480 or email me directly at inner.wellth@yahoo.com to schedule an intake or a free consultation for 15 minutes. It can be a scary thing to reach out for help and support! You might feel like there might be judgment or misunderstanding! Maybe you're puzzled as to why you haven't reached your goals, wondering what's holding you back? What are the barriers? I also offer EMDR and ART (accelerated resolution therapy) if we feel you're "stuck". Maybe you've never considered what you really want in life? Are you in a transition in life? I'd love to help you get to where you want to go!
(360) 516-4796 View (360) 516-4796
Photo of Michael Jankowski, Clinical Social Work/Therapist in Vancouver, WA
Michael Jankowski
Clinical Social Work/Therapist, LlCSW
Verified Verified
Vancouver, WA 98662  (Online Only)
Are worried and ruminating anxious thoughts keeping you up at night? Are you feeling a lack of motivation to do the things you once enjoyed? Feeling centered in these moments might feel challenging, but please know you're not alone in this struggle against anxiety and/or depression. There is a path forward, and enduring this forever isn't your only option. We'll tackle healing using a holistic approach, pairing your story with the appropriate supportive treatments.
Are worried and ruminating anxious thoughts keeping you up at night? Are you feeling a lack of motivation to do the things you once enjoyed? Feeling centered in these moments might feel challenging, but please know you're not alone in this struggle against anxiety and/or depression. There is a path forward, and enduring this forever isn't your only option. We'll tackle healing using a holistic approach, pairing your story with the appropriate supportive treatments.
(360) 392-5160 View (360) 392-5160
Photo of Blake Hauser, Counselor in Vancouver, WA
Blake Hauser
Counselor, MA, LMHCA
Verified Verified
Vancouver, WA 98662  (Online Only)
I believe in helping people learn to live authentically from a place of self-compassion and self-worth. I pride myself in offering comprehensive and collaborative individual therapeutic care. I work with all diagnoses and disorders and have experience addressing symptoms and offering behavioral interventions across a range of evidence-based modalities. I believe that meaning-making is an important part of the human experience and so I spend time talking to clients about existential issues and collaborating with you to make a story of your life worth living.
I believe in helping people learn to live authentically from a place of self-compassion and self-worth. I pride myself in offering comprehensive and collaborative individual therapeutic care. I work with all diagnoses and disorders and have experience addressing symptoms and offering behavioral interventions across a range of evidence-based modalities. I believe that meaning-making is an important part of the human experience and so I spend time talking to clients about existential issues and collaborating with you to make a story of your life worth living.
(360) 800-4965 View (360) 800-4965
Photo of David Grushkin, Counselor in Vancouver, WA
David Grushkin
Counselor
Verified Verified
Vancouver, WA 98662
MS in Counseling from San Francisco State University, 1993. BS Music New York University 1982. 30+ years experience as a therapist. 21 years with LifeStance Health (formerly Western Psychological).
MS in Counseling from San Francisco State University, 1993. BS Music New York University 1982. 30+ years experience as a therapist. 21 years with LifeStance Health (formerly Western Psychological).
(360) 803-2583 View (360) 803-2583
Photo of Loraine G Madian, Counselor in Vancouver, WA
Loraine G Madian
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98660
At Bluebird Counseling, I enjoy working with individuals, families, and youth. My areas of expertise are Mindfulness Practice, Cognitive Behavioral Therapy, Neural Therapies (LifeSpan Integration and EMDR- Eye Movement Desentization Reprocessing) and Gestalt - In the moment awareness.
At Bluebird Counseling, I enjoy working with individuals, families, and youth. My areas of expertise are Mindfulness Practice, Cognitive Behavioral Therapy, Neural Therapies (LifeSpan Integration and EMDR- Eye Movement Desentization Reprocessing) and Gestalt - In the moment awareness.
(541) 516-1297 View (541) 516-1297
Photo of Pasternak Counseling, Psychologist in Vancouver, WA
Pasternak Counseling
Psychologist, Alan Pasternak
Verified Verified
Vancouver, WA 98685
As a semiretired Psychologist, I do not have an office and visit my client(s) in their home or office anywhere in Clark county. I am married to a Marriage and Family Therapist and understand the difficulties that couples have even with our level of knowledge. I help each member of the couple rise above the conflict and participate in healing their relationship by encouraging personal responsibility and self-disclosure and by getting in touch with the goodness in each person and the love they are missing.
As a semiretired Psychologist, I do not have an office and visit my client(s) in their home or office anywhere in Clark county. I am married to a Marriage and Family Therapist and understand the difficulties that couples have even with our level of knowledge. I help each member of the couple rise above the conflict and participate in healing their relationship by encouraging personal responsibility and self-disclosure and by getting in touch with the goodness in each person and the love they are missing.
(360) 227-5356 View (360) 227-5356

How does your Therapist compare?

Number of Therapists in Vancouver, WA

800+

Average cost per session

$150

Therapists in Vancouver, WA who prioritize treating:

93% Anxiety
87% Depression
76% Trauma and PTSD
71% Relationship Issues
69% Self Esteem
67% Grief
67% Stress

Average years in practice

10 Years

Top 3 insurances accepted

71% Aetna
54% Cigna and Evernorth
51% UnitedHealthcare UHC | UBH

How Therapists in Vancouver, WA see their clients

65% In Person and Online
35% 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.