Therapists in Multnomah County, OR

View cities in Multnomah County
Photo of Jonathan Joebgen, Clinical Social Work/Therapist in Multnomah County, OR
Jonathan Joebgen
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Portland, OR 97206  (Online Only)
Waitlist for new clients
Hello! I am a licensed therapist and I'm skilled at helping others to navigate an array of challenges by cultivating growth, building skills, deepening insight and awareness, and fostering meaningful relationships. My approach is rooted in mindfulness to build awareness and insight into one's thoughts, feelings, actions, and personal experience. With increased awareness you will be able to "slow down" and better understand what is happening so you can respond effectively to challenges rather than react in old, unhelpful ways. I will also teach you skills to help you relate to yourself and others with kindness.
Hello! I am a licensed therapist and I'm skilled at helping others to navigate an array of challenges by cultivating growth, building skills, deepening insight and awareness, and fostering meaningful relationships. My approach is rooted in mindfulness to build awareness and insight into one's thoughts, feelings, actions, and personal experience. With increased awareness you will be able to "slow down" and better understand what is happening so you can respond effectively to challenges rather than react in old, unhelpful ways. I will also teach you skills to help you relate to yourself and others with kindness.
(503) 506-2799 View (503) 506-2799
Photo of Patrick Bluett, Licensed Professional Counselor in Multnomah County, OR
Patrick Bluett
Licensed Professional Counselor, LPC, CST
Verified Verified
Portland, OR 97202
Specializing in relationship and sexual issues, I offer person-centered behavioral therapy to individuals and couples. My mission is to treat anxiety and other factors impacting my clients' ability to connect securely and deeply with others. My approach to therapy is relational, inclusive and trauma-informed. I serve as an ally to my clients and provide them with a space to explore their deepest truths without fear of judgment. I work with my clients to cultivate deep insights, self-compassion and to accept and embrace their humanity. Our therapeutic journey will be one of courage, constructive discomfort, and ultimately, clarity.
Specializing in relationship and sexual issues, I offer person-centered behavioral therapy to individuals and couples. My mission is to treat anxiety and other factors impacting my clients' ability to connect securely and deeply with others. My approach to therapy is relational, inclusive and trauma-informed. I serve as an ally to my clients and provide them with a space to explore their deepest truths without fear of judgment. I work with my clients to cultivate deep insights, self-compassion and to accept and embrace their humanity. Our therapeutic journey will be one of courage, constructive discomfort, and ultimately, clarity.
(503) 647-6995 View (503) 647-6995
Photo of Jill Hsieh, Pre-Licensed Professional in Multnomah County, OR
Jill Hsieh
Pre-Licensed Professional, PCA
Verified Verified
Portland, OR 97214
人生往往會面臨各種挑戰,我們時常會感到絕望與囚禁。事實上擁有負面的想法與信念或感到人生無動力都是在人生道路上很常見的。當你受到情緒與想法上的折磨是可以很痛苦且影響你的日常作息,但是要記住「沒有關西,是可以感到心情低落的!」。情緒與想法皆是非常的雜亂的東西因此讓我一起解析你的情緒與抉擇幫助你往心靈上自我實現的道路走。
人生往往會面臨各種挑戰,我們時常會感到絕望與囚禁。事實上擁有負面的想法與信念或感到人生無動力都是在人生道路上很常見的。當你受到情緒與想法上的折磨是可以很痛苦且影響你的日常作息,但是要記住「沒有關西,是可以感到心情低落的!」。情緒與想法皆是非常的雜亂的東西因此讓我一起解析你的情緒與抉擇幫助你往心靈上自我實現的道路走。
(503) 755-9351 View (503) 755-9351
Photo of Ashley Hernandez, Clinical Social Work/Therapist in Multnomah County, OR
Ashley Hernandez
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97215
I take a client-centered and trauma-informed approach in treatment. I also use DBT (Dialectical Behavioral Therapy). I have experience working with anxiety, stress management, depression, gender dysphoria, and trauma. I also have experience working with the LGBTQ community.
I take a client-centered and trauma-informed approach in treatment. I also use DBT (Dialectical Behavioral Therapy). I have experience working with anxiety, stress management, depression, gender dysphoria, and trauma. I also have experience working with the LGBTQ community.
(503) 300-6247 View (503) 300-6247
Photo of Mahalia Lind-Diamond, Professional Counselor Associate in Multnomah County, OR
Mahalia Lind-Diamond
Professional Counselor Associate
Verified Verified
Portland, OR 97220  (Online Only)
I work with clients who are suffering from anxiety and depression, who are experiencing PTSD or are looking to process and heal from trauma. I also work with individuals who are struggling with their self esteem concerns. Supporting young adults through life transitions is something that I have experience with and deeply enjoy! I also enjoy working with people exploring anti-oppressive relationship structures that are queer, polyamorous, or kink friendly.
I work with clients who are suffering from anxiety and depression, who are experiencing PTSD or are looking to process and heal from trauma. I also work with individuals who are struggling with their self esteem concerns. Supporting young adults through life transitions is something that I have experience with and deeply enjoy! I also enjoy working with people exploring anti-oppressive relationship structures that are queer, polyamorous, or kink friendly.
(503) 966-9252 View (503) 966-9252
Photo of Nic Sutherland, Marriage & Family Therapist Associate in Multnomah County, OR
Nic Sutherland
Marriage & Family Therapist Associate, MA
Verified Verified
4 Endorsed
Portland, OR 97205
I support my clients in finding authenticity, agency, and connection in the face of the inevitable changes life has to offer. If you find yourself processing pain from past relationships, feeling disconnected, or fighting in the kitchen, I would love to meet you there. My goal is to build a safe relationship with you, in which we can explore the complexity of your life; the mundane, the magic, the painful.
I support my clients in finding authenticity, agency, and connection in the face of the inevitable changes life has to offer. If you find yourself processing pain from past relationships, feeling disconnected, or fighting in the kitchen, I would love to meet you there. My goal is to build a safe relationship with you, in which we can explore the complexity of your life; the mundane, the magic, the painful.
(971) 274-5960 View (971) 274-5960
Photo of Forrest Merrill, Psychologist in Multnomah County, OR
Forrest Merrill
Psychologist, PsyD
Verified Verified
Portland, OR 97214
Not accepting new clients
***NOT ACCEPTING NEW CLIENTS*** I work with adults and couples from diverse backgrounds. Using a collaborative, relational approach I help you with your struggles with anxiety, grief, depression, trauma, relationship difficulties, multicultural identity concerns, and life transitions. The foundation of my approach focuses on developing a shared understanding of your current struggles and how personal, relational, familial, and cultural experiences help shape your unique life circumstances. While doing this I help you expand and enrich your ability to cope so that you may be more empowered to generate change in your life.
***NOT ACCEPTING NEW CLIENTS*** I work with adults and couples from diverse backgrounds. Using a collaborative, relational approach I help you with your struggles with anxiety, grief, depression, trauma, relationship difficulties, multicultural identity concerns, and life transitions. The foundation of my approach focuses on developing a shared understanding of your current struggles and how personal, relational, familial, and cultural experiences help shape your unique life circumstances. While doing this I help you expand and enrich your ability to cope so that you may be more empowered to generate change in your life.
(503) 444-3027 View (503) 444-3027
Photo of Molly Bowen, Professional Counselor Associate in Multnomah County, OR
Molly Bowen
Professional Counselor Associate, MA
Verified Verified
Portland, OR 97217  (Online Only)
We treat symptoms of depression, anxiety, trauma, and disorder, etc. from an intention to alleviate or change. This may bring temporary relief but it dismisses the wisdom of these internal states. When we can connect to our whole experience, we learn to be with all aspects of ourselves in a way that naturally brings a sense of aliveness to the vast experience of being human. This aliveness shows us who we are, how to be, and in what way to be of service to the world. It is a guide for meaning and beauty, showing us how to heal and remember what truly provides a sense of well being for our lives.
We treat symptoms of depression, anxiety, trauma, and disorder, etc. from an intention to alleviate or change. This may bring temporary relief but it dismisses the wisdom of these internal states. When we can connect to our whole experience, we learn to be with all aspects of ourselves in a way that naturally brings a sense of aliveness to the vast experience of being human. This aliveness shows us who we are, how to be, and in what way to be of service to the world. It is a guide for meaning and beauty, showing us how to heal and remember what truly provides a sense of well being for our lives.
(971) 350-9027 View (971) 350-9027
Photo of Rose Mary A Colorafi, Licensed Professional Counselor in Multnomah County, OR
Rose Mary A Colorafi
Licensed Professional Counselor, MA, LPC, LMHC, NCC, CRC/Ret
Verified Verified
Portland, OR 97212
Feeling Anxious? Depressed? As a Counselor, I can help you feel better, think more clearly, overcome internal obstacles, and more. As a Life Coach, I can facilitate your movement forward. Have trouble moving forward on your Plans? Find yourself back at Square One too often? Undecided about your next Steps? Difficulty Following Through? If you seek a highly experienced, yet affordable, individual who has assisted diverse persons with a wide variety of interests, needs, and obstacles, Contact me. With 30 years of experience as a helping professional, I have served people from late teens to elders. Business name: Rose C Life Goals LLC.
Feeling Anxious? Depressed? As a Counselor, I can help you feel better, think more clearly, overcome internal obstacles, and more. As a Life Coach, I can facilitate your movement forward. Have trouble moving forward on your Plans? Find yourself back at Square One too often? Undecided about your next Steps? Difficulty Following Through? If you seek a highly experienced, yet affordable, individual who has assisted diverse persons with a wide variety of interests, needs, and obstacles, Contact me. With 30 years of experience as a helping professional, I have served people from late teens to elders. Business name: Rose C Life Goals LLC.
(503) 610-4128 View (503) 610-4128
Photo of Lindsay Howson, Licensed Professional Counselor in Multnomah County, OR
Lindsay Howson
Licensed Professional Counselor, LPC
Verified Verified
Portland, OR 97229  (Online Only)
The fact that you are visiting this page implies that you have been through and are going through some very difficult, confusing, and painful life experiences. I understand how difficult it is to share these intimate experiences with someone you do not know and I am honored to be the person who is able to partner with you as you strive to heal. If you are experiencing depression, anxiety, flashbacks, nightmares, relationship problems, or suspect that past experiences may be impacting your life, it would be my honor to help you find insight, healing, and joy as you heal. I am fully telehealth and licensed in both Oregon and Colorado.
The fact that you are visiting this page implies that you have been through and are going through some very difficult, confusing, and painful life experiences. I understand how difficult it is to share these intimate experiences with someone you do not know and I am honored to be the person who is able to partner with you as you strive to heal. If you are experiencing depression, anxiety, flashbacks, nightmares, relationship problems, or suspect that past experiences may be impacting your life, it would be my honor to help you find insight, healing, and joy as you heal. I am fully telehealth and licensed in both Oregon and Colorado.
(503) 278-5685 View (503) 278-5685
Photo of Zanita B Zody, Marriage & Family Therapist in Multnomah County, OR
Zanita B Zody
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Portland, OR 97206  (Online Only)
My work focuses on creating body trust and respect, healing from disordered eating behaviors and thoughts, and recovering from diagnosable eating disorders. I have worked across the continuum of all levels of care, age groups, genders, sexual orientations, races, and religions. My work combines honoring your individual story and path toward recovery with evidenced-based interventions to provide you with the tools and information you need for that journey. For my younger clients, this often also includes working with parents so they can effectively support their loved one's recovery.
My work focuses on creating body trust and respect, healing from disordered eating behaviors and thoughts, and recovering from diagnosable eating disorders. I have worked across the continuum of all levels of care, age groups, genders, sexual orientations, races, and religions. My work combines honoring your individual story and path toward recovery with evidenced-based interventions to provide you with the tools and information you need for that journey. For my younger clients, this often also includes working with parents so they can effectively support their loved one's recovery.
(971) 351-2835 View (971) 351-2835
Healing Tides Counseling, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97214
Not accepting new clients
We are a group practice. Each person in our office offers culturally sensitive therapy with unique emphases, specialties, and qualifications. Our therapists all come from different backgrounds, which makes our practice community rich in knowledge and helps us grow collectively. We strive to connect you with the person best suited to help you with your challenges and who will most understand where you are coming from.
We are a group practice. Each person in our office offers culturally sensitive therapy with unique emphases, specialties, and qualifications. Our therapists all come from different backgrounds, which makes our practice community rich in knowledge and helps us grow collectively. We strive to connect you with the person best suited to help you with your challenges and who will most understand where you are coming from.
(971) 253-7117 View (971) 253-7117
Photo of Peter Skutt, Pre-Licensed Professional in Multnomah County, OR
Peter Skutt
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Portland, OR 97209  (Online Only)
Sometimes the act of verbalizing our experiences can be very challenging. Art can be a great way to begin the therapeutic process and to further explore the unseen and unsaid aspects of our lives. My approach focuses primarily on the combination of art therapy and internal family systems therapy, to help my clients gain a deeper understanding of their different parts and how those parts show up in the world. I try to be very collaborative and transparent with my clients to create a more equal dynamic in our sessions.
Sometimes the act of verbalizing our experiences can be very challenging. Art can be a great way to begin the therapeutic process and to further explore the unseen and unsaid aspects of our lives. My approach focuses primarily on the combination of art therapy and internal family systems therapy, to help my clients gain a deeper understanding of their different parts and how those parts show up in the world. I try to be very collaborative and transparent with my clients to create a more equal dynamic in our sessions.
(971) 571-5217 View (971) 571-5217
Photo of Doug Vogel, Licensed Professional Counselor in Multnomah County, OR
Doug Vogel
Licensed Professional Counselor, MS, LPC
Verified Verified
Portland, OR 97202  (Online Only)
Men are often raised to believe that expressing emotions, or asking for help is a sign of weakness. Many of us were taught to be stoic, no matter what we are feeling. This unfortunate and destructive stigma can influence many to ignore the importance of striving to be mentally healthy, or to avoid confiding in close friends or family. This type of emotional isolation can lead to unhealthy stress levels, difficulty with relationships, or general dissatisfaction with life. It is not just a men's issue, as many women have similar struggles.
Men are often raised to believe that expressing emotions, or asking for help is a sign of weakness. Many of us were taught to be stoic, no matter what we are feeling. This unfortunate and destructive stigma can influence many to ignore the importance of striving to be mentally healthy, or to avoid confiding in close friends or family. This type of emotional isolation can lead to unhealthy stress levels, difficulty with relationships, or general dissatisfaction with life. It is not just a men's issue, as many women have similar struggles.
(971) 266-4054 View (971) 266-4054
Photo of Andrew Trelstad, Marriage & Family Therapist in Multnomah County, OR
Andrew Trelstad
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Portland, OR 97212
My approach to counseling is to create a safe space for you and your family to build hope. We will work to raise awareness around the emotions that so often drive our behaviors. As emotional awareness increases we can choose different responses. Rather than the instantaneous reactions that plague many of us, we will be able to respond intentionally and thoughtfully. As we come to understand the emotional basis of our reactions, and choose to change our responses, we can break negative patterns of behavior with our partners, family, children, colleagues, and other people in our lives.
My approach to counseling is to create a safe space for you and your family to build hope. We will work to raise awareness around the emotions that so often drive our behaviors. As emotional awareness increases we can choose different responses. Rather than the instantaneous reactions that plague many of us, we will be able to respond intentionally and thoughtfully. As we come to understand the emotional basis of our reactions, and choose to change our responses, we can break negative patterns of behavior with our partners, family, children, colleagues, and other people in our lives.
(971) 257-5791 View (971) 257-5791
Photo of Mariah Horrigan, Clinical Social Work/Therapist in Multnomah County, OR
Mariah Horrigan
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97239  (Online Only)
I work with clients in building a clinical partnership founded on safety, choice, trustworthiness, collaboration and empowerment. Through our work together, I will support you in identifying your personal hopes and goals for health and wellness. Together, we will explore the barriers that are preventing you from living a peaceful life. During our time, we can process, strategize and learn how to cope with,and overcome these barriers at a personalized pace. We will figure it out together where you are the leader, and I am a member of your team.
I work with clients in building a clinical partnership founded on safety, choice, trustworthiness, collaboration and empowerment. Through our work together, I will support you in identifying your personal hopes and goals for health and wellness. Together, we will explore the barriers that are preventing you from living a peaceful life. During our time, we can process, strategize and learn how to cope with,and overcome these barriers at a personalized pace. We will figure it out together where you are the leader, and I am a member of your team.
(971) 365-3517 View (971) 365-3517
Photo of Noelle Ferguson, Marriage & Family Therapist in Multnomah County, OR
Noelle Ferguson
Marriage & Family Therapist, MS, LMFT, PMH-C
Verified Verified
Portland, OR 97219
Despite what Instagram, TikTok, or an opinionated in-law may have us believe, none of us are born knowing how to parent, and many of us are actively working on changing intergenerational patterns in our own families in order to better support the growth and development of our children, in essence, reparenting ourselves. This process is a difficult one, and not meant to be done in isolation. Together we can look at how you were parented, how you want to parent, and how to bridge any gaps in between.
Despite what Instagram, TikTok, or an opinionated in-law may have us believe, none of us are born knowing how to parent, and many of us are actively working on changing intergenerational patterns in our own families in order to better support the growth and development of our children, in essence, reparenting ourselves. This process is a difficult one, and not meant to be done in isolation. Together we can look at how you were parented, how you want to parent, and how to bridge any gaps in between.
(503) 461-1025 View (503) 461-1025
Photo of Sharice Burnett, Clinical Social Work/Therapist in Multnomah County, OR
Sharice Burnett
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97212  (Online Only)
Not accepting new clients
I practice from a strengths-based, attachment focused, and person-centered approach to support people in their healing journeys. I strive to integrate one’s mind, body, soul, spirit, and experience as a person into a holistic healing journey.
I practice from a strengths-based, attachment focused, and person-centered approach to support people in their healing journeys. I strive to integrate one’s mind, body, soul, spirit, and experience as a person into a holistic healing journey.
(971) 251-1987 View (971) 251-1987
Photo of Robbie Bahl in Multnomah County, OR
Robbie Bahl
MD
Verified Verified
1 Endorsed
Portland, OR 97202
At Shanti, we provide comprehensive mental health treatment. We specialize in dual diagnosis treatment for mental health issues and addiction. Our TMS therapy program treats depression in our clients using a new and unique technology. Robbie Bahl, MD is our medical director. He is a dual Board Certified medical physician, specializing in Addiction Medicine and Family Medicine. He performs Suboxone and Buprenorphine Inductions and Maintenance, Chronic Pain, Opioid Dependence, Alcohol Dependence, Vivitrol/Sublocade Injections, and TMS therapy for depression. We have a team of MDs, NPs, and therapists to work to for your wellness.
At Shanti, we provide comprehensive mental health treatment. We specialize in dual diagnosis treatment for mental health issues and addiction. Our TMS therapy program treats depression in our clients using a new and unique technology. Robbie Bahl, MD is our medical director. He is a dual Board Certified medical physician, specializing in Addiction Medicine and Family Medicine. He performs Suboxone and Buprenorphine Inductions and Maintenance, Chronic Pain, Opioid Dependence, Alcohol Dependence, Vivitrol/Sublocade Injections, and TMS therapy for depression. We have a team of MDs, NPs, and therapists to work to for your wellness.
(503) 743-7966 View (503) 743-7966
Photo of C.J. Sanders, Marriage & Family Therapist in Multnomah County, OR
C.J. Sanders
Marriage & Family Therapist, MA, LMFT
Verified Verified
Portland, OR 97280  (Online Only)
Our relationships are our most important asset. And when something feels off it can be excruciating. Through utilizing the latest research in the fields of attachment, neuroscience, and communication we can collaborate to get things back on track. You will learn some new skills in conflict management—even if you are conflict avoidant! And we will get some psychobiological hacks on board quickly which can result in fewer arguments and a greater sense of connection. Many busy couples today are craving a more fulfilling partnership truly sharing the mental and emotional load.
Our relationships are our most important asset. And when something feels off it can be excruciating. Through utilizing the latest research in the fields of attachment, neuroscience, and communication we can collaborate to get things back on track. You will learn some new skills in conflict management—even if you are conflict avoidant! And we will get some psychobiological hacks on board quickly which can result in fewer arguments and a greater sense of connection. Many busy couples today are craving a more fulfilling partnership truly sharing the mental and emotional load.
(971) 252-7556 View (971) 252-7556

See more therapy options for Multnomah County

How does your Therapist compare?

Number of Therapists in Multnomah County, OR

3,000+

Average cost per session

$160

Therapists in Multnomah County, OR who prioritize treating:

91% Anxiety
85% Depression
79% Relationship Issues
76% Self Esteem
73% Trauma and PTSD
71% Stress
68% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

55% PacificSource
46% Aetna
38% BlueCross and BlueShield

How Therapists in Multnomah County, 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 Multnomah County?

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.