Therapists in Portland, OR

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Photo of Crystal Wilkes, Licensed Professional Counselor in Portland, OR
Crystal Wilkes
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97216
Hello!! Thank you for stopping by my profile. I provide therapy to older adolescents and adults. My specialized training and treatment focus is in Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) for the treatment of anxiety and mood disorders, trauma, suicidal ideation and self-harm. These types of therapies focus on teaching skills to manage overwhelming emotions and behaviors you would like to change. While making changes is important, my practice is heavily influenced by mindfulness, acceptance and compassion.
Hello!! Thank you for stopping by my profile. I provide therapy to older adolescents and adults. My specialized training and treatment focus is in Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) for the treatment of anxiety and mood disorders, trauma, suicidal ideation and self-harm. These types of therapies focus on teaching skills to manage overwhelming emotions and behaviors you would like to change. While making changes is important, my practice is heavily influenced by mindfulness, acceptance and compassion.
(503) 917-3140 View (503) 917-3140
Photo of Josiah Biles, Pre-Licensed Professional in Portland, OR
Josiah Biles
Pre-Licensed Professional
Verified Verified
1 Endorsed
Portland, OR 97239
Hello! I am excited to meet you and work with you towards meeting your mental health goals. A little about me: I am a pre-licensed therapist working towards my master's degree in counseling at Western Seminary in Portland, Oregon. I am an avid runner, reader, and sourdough bread enthusiast, and enjoy getting outdoors with my spouse and toddler. I enjoy working with clients along a wide spectrum of issues, including anxiety, depression, life transitions, anger, and trauma.
Hello! I am excited to meet you and work with you towards meeting your mental health goals. A little about me: I am a pre-licensed therapist working towards my master's degree in counseling at Western Seminary in Portland, Oregon. I am an avid runner, reader, and sourdough bread enthusiast, and enjoy getting outdoors with my spouse and toddler. I enjoy working with clients along a wide spectrum of issues, including anxiety, depression, life transitions, anger, and trauma.
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Photo of L Pearson, Licensed Professional Counselor in Portland, OR
L Pearson
Licensed Professional Counselor, MA
Verified Verified
1 Endorsed
Portland, OR 97214  (Online Only)
There are many paths to wellness. People enter therapy to address a wide range of concerns, from anxiety, crisis, depression, trauma, and shame. Others are exploring more about themselves, relationships, reflecting upon past patterns, and developing new strategies for living. My intention is to create an authentic, non-judgmental, safe environment in which I can join you on your journey of self-compassion, exploration, and growth. I am passionate about living in a world that is safe for all. I strive in my practice to be sensitive to concerns regarding intersectionality, marginalization, and oppression.
There are many paths to wellness. People enter therapy to address a wide range of concerns, from anxiety, crisis, depression, trauma, and shame. Others are exploring more about themselves, relationships, reflecting upon past patterns, and developing new strategies for living. My intention is to create an authentic, non-judgmental, safe environment in which I can join you on your journey of self-compassion, exploration, and growth. I am passionate about living in a world that is safe for all. I strive in my practice to be sensitive to concerns regarding intersectionality, marginalization, and oppression.
(503) 754-8905 View (503) 754-8905
Photo of Kim Daglen, Pre-Licensed Professional in Portland, OR
Kim Daglen
Pre-Licensed Professional, MA
Verified Verified
2 Endorsed
Portland, OR 97217  (Online Only)
Feeling trapped by your circumstances or struggling to find meaning in your life? Maybe you feel powerless to change your personal or relational thought patterns and habits; fortunately, therapy can offer a welcoming space to explore your inner world while providing valuable tools to diffuse negative thinking, develop greater self-love and compassion, and help you reach your full potential. We can all benefit from additional support to address specific problems in life or as a means to further personal growth. If you are motivated and willing, you can make the transformative changes you seek.
Feeling trapped by your circumstances or struggling to find meaning in your life? Maybe you feel powerless to change your personal or relational thought patterns and habits; fortunately, therapy can offer a welcoming space to explore your inner world while providing valuable tools to diffuse negative thinking, develop greater self-love and compassion, and help you reach your full potential. We can all benefit from additional support to address specific problems in life or as a means to further personal growth. If you are motivated and willing, you can make the transformative changes you seek.
(503) 400-3308 View (503) 400-3308
Photo of Uribe Music Therapy, LLC, Music Therapist in Portland, OR
Uribe Music Therapy, LLC
Music Therapist, MT-BC
Verified Verified
Portland, OR 97202
My name is Natalia Uribe (They/Them), I am a Latine Music Therapist, born and raised in Colombia. My ethical duty as a mental health professional is to reach out to underserved communities and break the barriers of access down, by offering high quality mental health services at an affordable price. It is also my duty as a professional to educate myself on systemic issues that affect my current and future clients, in order to truly be of service to them. My practice is based on a combination of humanistic and feminist approaches, through an anti-racist lens.
My name is Natalia Uribe (They/Them), I am a Latine Music Therapist, born and raised in Colombia. My ethical duty as a mental health professional is to reach out to underserved communities and break the barriers of access down, by offering high quality mental health services at an affordable price. It is also my duty as a professional to educate myself on systemic issues that affect my current and future clients, in order to truly be of service to them. My practice is based on a combination of humanistic and feminist approaches, through an anti-racist lens.
(503) 832-6386 View (503) 832-6386
Photo of Quinne Salameh, Clinical Social Work/Therapist in Portland, OR
Quinne Salameh
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97217  (Online Only)
Hello, I'm Quinne. I have been in the Social Work field since 2006, and have focused most of my career in behavioral health and public health. I often spend a lot of time working with folx around healthy relationships, attachment, trauma healing, the complexities of identity, and I work from an anti-oppressive practice lens. I often bring considerations of intersectionality and privilege into the room. I identify as Queer and Biracial myself, and often support folx in these realms. I like to have a consultation with folx to see if we are a good fit, and think it's important for folx to find the therapist that is right for them.
Hello, I'm Quinne. I have been in the Social Work field since 2006, and have focused most of my career in behavioral health and public health. I often spend a lot of time working with folx around healthy relationships, attachment, trauma healing, the complexities of identity, and I work from an anti-oppressive practice lens. I often bring considerations of intersectionality and privilege into the room. I identify as Queer and Biracial myself, and often support folx in these realms. I like to have a consultation with folx to see if we are a good fit, and think it's important for folx to find the therapist that is right for them.
(971) 318-2816 View (971) 318-2816
Photo of Congruent Therapy: Dana Stroud, Pre-Licensed Professional in Portland, OR
Congruent Therapy: Dana Stroud
Pre-Licensed Professional, EMDR
Verified Verified
1 Endorsed
Portland, OR 97214  (Online Only)
Dana's session rate is $120 with a sliding scale down to $60 based on what you feel you can afford. Dana is best suited for clients 15+ seeking LGBTQ+, neurodiverse, or chronic pain-affirming therapy. As an intersex therapist, they care deeply about inclusivity and belonging. They are inspired by nature metaphors to bring empowerment to clients. Dana’s commitment to equity and justice, informs their holistic and systemic approach. Dana knows that our environment shapes our mental health, working to unfold the impacts of social bias and family patterns on our self-esteem.
Dana's session rate is $120 with a sliding scale down to $60 based on what you feel you can afford. Dana is best suited for clients 15+ seeking LGBTQ+, neurodiverse, or chronic pain-affirming therapy. As an intersex therapist, they care deeply about inclusivity and belonging. They are inspired by nature metaphors to bring empowerment to clients. Dana’s commitment to equity and justice, informs their holistic and systemic approach. Dana knows that our environment shapes our mental health, working to unfold the impacts of social bias and family patterns on our self-esteem.
(971) 364-4163 View (971) 364-4163
Photo of Sahara Miller Counseling LLC, Licensed Professional Counselor in Portland, OR
Sahara Miller Counseling LLC
Licensed Professional Counselor, LPC
Verified Verified
Portland, OR 97230  (Online Only)
Not accepting new clients
Hi and welcome! I’m glad you stopped by to learn a little bit more about my practice. The majority of client’s I work with are individuals who struggle with high levels of anxiety perfectionism and relationship challenges. I commonly hear things like I can’t stop thinking about this thing(s) it distracts me at work and keeps me up at night. Some experience a lot of fear and worry around socializing being in public and other things that cause high distress. Many describe coming to a place where anxiety controlled how they showed up in life including their relationship with themselves and others. Anxiety is common so you're not alone!
Hi and welcome! I’m glad you stopped by to learn a little bit more about my practice. The majority of client’s I work with are individuals who struggle with high levels of anxiety perfectionism and relationship challenges. I commonly hear things like I can’t stop thinking about this thing(s) it distracts me at work and keeps me up at night. Some experience a lot of fear and worry around socializing being in public and other things that cause high distress. Many describe coming to a place where anxiety controlled how they showed up in life including their relationship with themselves and others. Anxiety is common so you're not alone!
(503) 782-5894 View (503) 782-5894
Photo of Jonathan Robert in Portland, OR
Jonathan Robert
MEd
Verified Verified
Portland, OR 97214
**Currently focusing on web-based video sessions during Covid-19 issues - let's all be safe** We, as humans, create long-lasting patterns of beliefs and actions to help cope with life’s difficulties. However, as time passes, these deeply rooted patterns can cause growing pains. They also, unfortunately, become shadowed and intertwined in our selves. Like a tree’s thick roots, they need to be carefully excavated, nurtured, and soothed before they can be changed. My goal is to help you to see the internal struggle with your patterns and ease the pain around them so you can fill your day with joy and happiness.
**Currently focusing on web-based video sessions during Covid-19 issues - let's all be safe** We, as humans, create long-lasting patterns of beliefs and actions to help cope with life’s difficulties. However, as time passes, these deeply rooted patterns can cause growing pains. They also, unfortunately, become shadowed and intertwined in our selves. Like a tree’s thick roots, they need to be carefully excavated, nurtured, and soothed before they can be changed. My goal is to help you to see the internal struggle with your patterns and ease the pain around them so you can fill your day with joy and happiness.
(971) 717-2227 View (971) 717-2227
Photo of Natalie Mitchell, Psychologist in Portland, OR
Natalie Mitchell
Psychologist, PsyD
Verified Verified
Portland, OR 97201  (Online Only)
I am a Licensed Psychologist with over 15 years experience in university and private practice settings. My work focuses on adults with a range of concerns, including depression and anxiety, difficult life transitions, relationship problems or losses, trauma, and identity. I have specific expertise working with young adults and the common challenges experienced at that time. I also enjoy working with individuals of diverse identities and backgrounds, which has been a focus in both my career and my ongoing education.
I am a Licensed Psychologist with over 15 years experience in university and private practice settings. My work focuses on adults with a range of concerns, including depression and anxiety, difficult life transitions, relationship problems or losses, trauma, and identity. I have specific expertise working with young adults and the common challenges experienced at that time. I also enjoy working with individuals of diverse identities and backgrounds, which has been a focus in both my career and my ongoing education.
(503) 461-7307 View (503) 461-7307
Photo of Robin L Magdahlen, Licensed Professional Counselor in Portland, OR
Robin L Magdahlen
Licensed Professional Counselor, MFT, RDT
Verified Verified
1 Endorsed
Portland, OR 97239
My intention for you is to gently but dynamically create opportunities for growth and healing through flexible and creative alternatives to break through old patterns. I like to collaborate with motivated clients who are willing to work to change their lives. My goal is to help you discover your own solutions to your problems and concerns in an environment that is welcoming, empathetic and non-judgmental. I do that by carefully attending to your thoughts and feelings. Although I will offer specific "interventions" I believe that change occurs during therapy when there is strong motivation combined with the quality of our connection.
My intention for you is to gently but dynamically create opportunities for growth and healing through flexible and creative alternatives to break through old patterns. I like to collaborate with motivated clients who are willing to work to change their lives. My goal is to help you discover your own solutions to your problems and concerns in an environment that is welcoming, empathetic and non-judgmental. I do that by carefully attending to your thoughts and feelings. Although I will offer specific "interventions" I believe that change occurs during therapy when there is strong motivation combined with the quality of our connection.
(503) 766-5714 View (503) 766-5714
Photo of Samantha Tracy, Professional Counselor Associate in Portland, OR
Samantha Tracy
Professional Counselor Associate, MA
Verified Verified
1 Endorsed
Portland, OR 97202  (Online Only)
Are you struggling with stressors causing an emotional or physical response? Or feeling persistent excessive worry and uncertainty creating difficulty to manage it on your own? Have you felt disconnected from the people you care about and it’s creating challenges in your life that have led to relational conflicts? I am passionate about working with clients who struggle with anxiety, stress, challenging transitions, relational issues, alcohol use & past childhood trauma causing present day obstacles.
Are you struggling with stressors causing an emotional or physical response? Or feeling persistent excessive worry and uncertainty creating difficulty to manage it on your own? Have you felt disconnected from the people you care about and it’s creating challenges in your life that have led to relational conflicts? I am passionate about working with clients who struggle with anxiety, stress, challenging transitions, relational issues, alcohol use & past childhood trauma causing present day obstacles.
(503) 461-8093 View (503) 461-8093
Photo of Maureen A O'Donnell, Licensed Professional Counselor in Portland, OR
Maureen A O'Donnell
Licensed Professional Counselor, MA, Jungian, Analyst
Verified Verified
Portland, OR 97212
Waitlist for new clients
I specialize in the treatment of depression, anxiety, the aftereffects of trauma, and life-transitions. If you are feeling hopelessness, despair, anger, or lack motivation, you are probably suffering from depression. Excessive worry and fears are signs of anxiety. Symptoms of trauma can include: panic attacks, anxiety, hyper-vigilance, anger, depression, and dissociation.
I specialize in the treatment of depression, anxiety, the aftereffects of trauma, and life-transitions. If you are feeling hopelessness, despair, anger, or lack motivation, you are probably suffering from depression. Excessive worry and fears are signs of anxiety. Symptoms of trauma can include: panic attacks, anxiety, hyper-vigilance, anger, depression, and dissociation.
(503) 880-0966 View (503) 880-0966
Photo of Erin Carkner, Clinical Social Work/Therapist in Portland, OR
Erin Carkner
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97202
Hello! I want to provide you with some helpful information to support you decide whether we might be a good fit for therapy: We might be a good fit if you are experiencing any of the following: - Anxiety - Depression - Trauma related issues - Body Image issues - Identity development - Relationship issues - Chronic stressors - Family dynamic issues - Life transitions. We will work collaboratively to achieve what you most desire to accomplish in therapy.
Hello! I want to provide you with some helpful information to support you decide whether we might be a good fit for therapy: We might be a good fit if you are experiencing any of the following: - Anxiety - Depression - Trauma related issues - Body Image issues - Identity development - Relationship issues - Chronic stressors - Family dynamic issues - Life transitions. We will work collaboratively to achieve what you most desire to accomplish in therapy.
(503) 549-1139 View (503) 549-1139
Photo of Sophia Colletti, Marriage & Family Therapist Associate in Portland, OR
Sophia Colletti
Marriage & Family Therapist Associate, MA, MFT
Verified Verified
1 Endorsed
Portland, OR 97232  (Online Only)
Have you been struggling with getting your needs met in your romantic relationships? Feeling like you want to explore your sexual interests and pleasure, but not sure where to start? In our work together, I'll support you in getting curious, gaining new understanding, and initiating fresh changes in your life and relationships.
Have you been struggling with getting your needs met in your romantic relationships? Feeling like you want to explore your sexual interests and pleasure, but not sure where to start? In our work together, I'll support you in getting curious, gaining new understanding, and initiating fresh changes in your life and relationships.
(503) 512-6161 View (503) 512-6161
Photo of John Lenkin, LPC Intern in Portland, OR
John Lenkin
LPC Intern, SEP
Verified Verified
Portland, OR 97202
Hi I'm Lincoln. I appreciate that you reading this is a reflection of your own curiosity and showing up for yourself! Therapy is a safe, collaborative, and respectful space to work with you towards lessening your struggles and achieving your goals. Our work together is an opportunity to shift from scripts, wounding and habit patterns of your past and more fully enter the present moment with clarity, belief in yourself, and strength to act. Ultimately, our work together can decrease your stress, cultivate a more comfortable relationship with yourself and others, and overall lead to more possibilities and self-empowerment.
Hi I'm Lincoln. I appreciate that you reading this is a reflection of your own curiosity and showing up for yourself! Therapy is a safe, collaborative, and respectful space to work with you towards lessening your struggles and achieving your goals. Our work together is an opportunity to shift from scripts, wounding and habit patterns of your past and more fully enter the present moment with clarity, belief in yourself, and strength to act. Ultimately, our work together can decrease your stress, cultivate a more comfortable relationship with yourself and others, and overall lead to more possibilities and self-empowerment.
(971) 224-7397 View (971) 224-7397
Photo of Sally Foster Rudolph, Art Therapist in Portland, OR
Sally Foster Rudolph
Art Therapist, LCAT, ART-BC
Verified Verified
Portland, OR 97206
Do you seek emotional healing, spiritual transformation, or support through your grief? Perhaps you feel stuck in sadness, anger or anxiety, and need a way to express yourself and integrate your experiences. Perhaps you have lost a loved one, or your health, or a job, or an important relationship. Maybe the past is not allowing you to move forward. As a therapist, I strive to provide an accepting, genuine, creative, and hands-on way to process confusion, loss and trauma. I offer individual therapy, as well as grief groups.
Do you seek emotional healing, spiritual transformation, or support through your grief? Perhaps you feel stuck in sadness, anger or anxiety, and need a way to express yourself and integrate your experiences. Perhaps you have lost a loved one, or your health, or a job, or an important relationship. Maybe the past is not allowing you to move forward. As a therapist, I strive to provide an accepting, genuine, creative, and hands-on way to process confusion, loss and trauma. I offer individual therapy, as well as grief groups.
(503) 832-5061 View (503) 832-5061
Photo of Ruth Q. Leibowitz, Psychologist in Portland, OR
Ruth Q. Leibowitz
Psychologist, PhD, SEP
Verified Verified
Portland, OR 97239
Not accepting new clients
My apologies, however, my waitlist is currently closed. I will edit this profile when that changes. I especially enjoy working with individuals who have experienced "outsider status" and are on a journey to create a sense of belonging in their own way and style. Many of my patients are creatives who experience hindrances in connecting with their creative energies and seek ways to more fully nourish and honor these aspects of Self.
My apologies, however, my waitlist is currently closed. I will edit this profile when that changes. I especially enjoy working with individuals who have experienced "outsider status" and are on a journey to create a sense of belonging in their own way and style. Many of my patients are creatives who experience hindrances in connecting with their creative energies and seek ways to more fully nourish and honor these aspects of Self.
(503) 567-4327 View (503) 567-4327
Photo of Molz Wirtz-Wold, Counselor in Portland, OR
Molz Wirtz-Wold
Counselor, MS, LMHC, LPC
Verified Verified
1 Endorsed
Portland, OR 97203
Accepting clients as of 4/22/24. A therapist for 19 years, I am a good fit for people looking for a non-judgmental, open, directive and creative therapist. I support individual adults and couples/relationships from an attachment and relational approach. I am very experienced in supporting transgender, queer, polyamorous and/or sex positive clients. People looking for a safe space to be their authentic selves are welcomed. I am queer, transgender, autistic and have lived experience as a fat bodied person.
Accepting clients as of 4/22/24. A therapist for 19 years, I am a good fit for people looking for a non-judgmental, open, directive and creative therapist. I support individual adults and couples/relationships from an attachment and relational approach. I am very experienced in supporting transgender, queer, polyamorous and/or sex positive clients. People looking for a safe space to be their authentic selves are welcomed. I am queer, transgender, autistic and have lived experience as a fat bodied person.
(503) 379-9742 View (503) 379-9742
Photo of Luke Colbourn, Licensed Professional Counselor in Portland, OR
Luke Colbourn
Licensed Professional Counselor, LPC
Verified Verified
Portland, OR 97212  (Online Only)
Do you find yourself trying hard to overcome difficulties in your life, but end up feeling stuck, wondering “Why can’t I change this”? You might feel like your old patterns have control over you. It’s frustrating to commit to change and yet seem to make little progress. It might be time to try something different.
Do you find yourself trying hard to overcome difficulties in your life, but end up feeling stuck, wondering “Why can’t I change this”? You might feel like your old patterns have control over you. It’s frustrating to commit to change and yet seem to make little progress. It might be time to try something different.
(971) 252-7174 View (971) 252-7174

How does your Therapist compare?

Number of Therapists in Portland, OR

3,000+

Average cost per session

$160

Therapists in Portland, OR who prioritize treating:

91% Anxiety
85% Depression
78% Relationship Issues
76% Self Esteem
74% Trauma and PTSD
71% Stress
67% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

55% PacificSource
47% Aetna
38% BlueCross and BlueShield

How Therapists in Portland, OR see their clients

56% In Person and Online
44% Online Only

Gender breakdown

75% Female
21% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Portland?

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.