Therapists in Salem, OR

Photo of David C. Brillhart, Psychologist in Salem, OR
David C. Brillhart
Psychologist, PsyD
Verified Verified
1 Endorsed
Salem, OR 97302  (Online Only)
Not accepting new clients
If you've ever watched a good movie or seen a compelling drama on the stage, you know the story doesn't resolve itself until the second act. Just as "life imitates art," you may experience situations, thoughts, and emotions road blocking your "second act." I’m honored to help you navigate life choices amidst these roadblocks through my combined approach using Acceptance and Commitment Therapy (ACT) and mindfulness-based exposure therapy. ACT is an evidenced-based therapy consistent with the sentiment of the "Serenity Prayer" in focusing on change we can control; letting go of things we cannot.
If you've ever watched a good movie or seen a compelling drama on the stage, you know the story doesn't resolve itself until the second act. Just as "life imitates art," you may experience situations, thoughts, and emotions road blocking your "second act." I’m honored to help you navigate life choices amidst these roadblocks through my combined approach using Acceptance and Commitment Therapy (ACT) and mindfulness-based exposure therapy. ACT is an evidenced-based therapy consistent with the sentiment of the "Serenity Prayer" in focusing on change we can control; letting go of things we cannot.
(503) 567-9681 View (503) 567-9681
Photo of Kyle R Johnson, Clinical Social Work Associate in Salem, OR
Kyle R Johnson
Clinical Social Work Associate, MSW, CSWA, CADC 1
Verified Verified
Salem, OR 97301  (Online Only)
I view my role in helping those experiences mental health challenges as an ally, advocate and to promote challenge and growth for consumers. I believe the treatment process should be collaborative in nature and foster a relationship with transparency and accountability. I strive to address the needs of an individual comprehensively, which can require discussion on cultural factors, family systems, etc. During my coursework I was formally trained in delivery of individual and group counseling for mental health and substance use services, human development across a lifespan, addiction, risk assessment, crisis/suicide prevention.
I view my role in helping those experiences mental health challenges as an ally, advocate and to promote challenge and growth for consumers. I believe the treatment process should be collaborative in nature and foster a relationship with transparency and accountability. I strive to address the needs of an individual comprehensively, which can require discussion on cultural factors, family systems, etc. During my coursework I was formally trained in delivery of individual and group counseling for mental health and substance use services, human development across a lifespan, addiction, risk assessment, crisis/suicide prevention.
(971) 272-8172 View (971) 272-8172
Photo of New Perspectives Center for Counseling & Therapy, Clinical Social Work/Therapist in Salem, OR
New Perspectives Center for Counseling & Therapy
Clinical Social Work/Therapist, MS
Not Verified Not Verified
1 Endorsed
Salem, OR 97301
NEW PERSPECTIVES CENTER for Counseling and Therapy, LLC is an outpatient behavioral health facility with a multi-disciplinary team of therapists and psychiatric nurse practioners who provide comprehensive services to CHILDREN,ADOLESCENTS,ADULTS, and SENIORS. Working in an atmosphere of safety and acceptance, individuals, couples, families and groups are encouraged to explore and confront the issues affecting their lives. We are licensed by the state of Oregon for both mental health and addiction services. We are covered by most insurance plans and have therapists/nurses on most managed care panels.
NEW PERSPECTIVES CENTER for Counseling and Therapy, LLC is an outpatient behavioral health facility with a multi-disciplinary team of therapists and psychiatric nurse practioners who provide comprehensive services to CHILDREN,ADOLESCENTS,ADULTS, and SENIORS. Working in an atmosphere of safety and acceptance, individuals, couples, families and groups are encouraged to explore and confront the issues affecting their lives. We are licensed by the state of Oregon for both mental health and addiction services. We are covered by most insurance plans and have therapists/nurses on most managed care panels.
(503) 446-5085 View (503) 446-5085
Photo of Wholehearted Counseling LLC, Licensed Professional Counselor in Salem, OR
Wholehearted Counseling LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Salem, OR 97306  (Online Only)
Not accepting new clients
Not accepting new clients. Hello! I'm Karen Haag, and Wholehearted Counseling is my completely virtual private practice. I specialize in working with women with trauma, particularly childhood abuse, sexual abuse, incest, and emotional abuse. Together, we explore the impact of past experiences on the brain, body, and mind. We work to identify the negative self-scripts and worldviews that are the result of trauma, and to replace these with more realistic, adaptive, and compassionate internal and external responses. My style of therapy is warm and down to earth, and my primary goal is to create a genuine human-to-human relationship.
Not accepting new clients. Hello! I'm Karen Haag, and Wholehearted Counseling is my completely virtual private practice. I specialize in working with women with trauma, particularly childhood abuse, sexual abuse, incest, and emotional abuse. Together, we explore the impact of past experiences on the brain, body, and mind. We work to identify the negative self-scripts and worldviews that are the result of trauma, and to replace these with more realistic, adaptive, and compassionate internal and external responses. My style of therapy is warm and down to earth, and my primary goal is to create a genuine human-to-human relationship.
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Photo of Alexandra Taylor, Professional Counselor Associate in Salem, OR
Alexandra Taylor
Professional Counselor Associate , LPCA
Verified Verified
1 Endorsed
Salem, OR 97301  (Online Only)
I am eager to engage with clients who are experiencing anxiety, trauma, or depression and have a strong interest in working collaboratively with me to address their concerns. I value openness and willingness to engage in rapport-building to establish a foundation of trust and understanding. I am interested in people ready to actively participate in the therapeutic process, valuing the reciprocal nature of the therapeutic relationship. Ideally working with clients who also appreciate the importance of creating a mutually safe and non-judgmental space where they can express their thoughts and feelings fostering healing and growth.
I am eager to engage with clients who are experiencing anxiety, trauma, or depression and have a strong interest in working collaboratively with me to address their concerns. I value openness and willingness to engage in rapport-building to establish a foundation of trust and understanding. I am interested in people ready to actively participate in the therapeutic process, valuing the reciprocal nature of the therapeutic relationship. Ideally working with clients who also appreciate the importance of creating a mutually safe and non-judgmental space where they can express their thoughts and feelings fostering healing and growth.
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Photo of Sandra Stephen, Marriage & Family Therapist in Salem, OR
Sandra Stephen
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Salem, OR 97301
Waitlist for new clients
I offer family and individual counseling for all ages. Maybe you are tired of things being the same cycle that doesn't work, Maybe you are tired of the old way of doing life, or want better relationships with family or friends. Perhaps you're struggling with anxiety and depression, grief and loss, or you have other relationships or lifestyle concerns. It is my goal to support you in realizing and living your best self. I strive to provide and continuously improve on ways to support equity and social justice, non-violence, and strengths based, trauma informed care.
I offer family and individual counseling for all ages. Maybe you are tired of things being the same cycle that doesn't work, Maybe you are tired of the old way of doing life, or want better relationships with family or friends. Perhaps you're struggling with anxiety and depression, grief and loss, or you have other relationships or lifestyle concerns. It is my goal to support you in realizing and living your best self. I strive to provide and continuously improve on ways to support equity and social justice, non-violence, and strengths based, trauma informed care.
(503) 379-0297 View (503) 379-0297
Photo of Unique L. Page, Licensed Professional Counselor in Salem, OR
Unique L. Page
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
Salem, OR 97301  (Online Only)
We often hope that negative and unhelpful feelings and behaviors will go away on their own, and while some do, others seem to linger and make life more difficult. As a counselor who embraces Emotion-Focused and Attachment Therapy, there is an opportunity to change unhelpful feelings into ones that empower and motivate you toward success and healing. With a passion for working with all people looking for help and healing, I strive to provide an atmosphere where everyone will feel welcomed, heard, and encouraged in each session. I offer holistic and personalized counseling to fit your unique needs and those of your loved ones.
We often hope that negative and unhelpful feelings and behaviors will go away on their own, and while some do, others seem to linger and make life more difficult. As a counselor who embraces Emotion-Focused and Attachment Therapy, there is an opportunity to change unhelpful feelings into ones that empower and motivate you toward success and healing. With a passion for working with all people looking for help and healing, I strive to provide an atmosphere where everyone will feel welcomed, heard, and encouraged in each session. I offer holistic and personalized counseling to fit your unique needs and those of your loved ones.
(503) 843-8861 View (503) 843-8861
Photo of Tyler Case, Licensed Professional Counselor in Salem, OR
Tyler Case
Licensed Professional Counselor, LPC, CADC II
Verified Verified
Salem, OR 97301
Waitlist for new clients
No one makes it through life without picking up stuff that weighs us down or holds us back. Counseling gives us the chance to examine why we're carrying this stuff around and how to let go of it. By using Rational Emotive Behavior Therapy along with a mixture of therapeutic styles, we will work together to uncover the thoughts and beliefs that drive your emotions and behaviors so that you can move forward in your life with confidence. My associates and I work with adults of all ages and with any level of mental health goals or concerns.
No one makes it through life without picking up stuff that weighs us down or holds us back. Counseling gives us the chance to examine why we're carrying this stuff around and how to let go of it. By using Rational Emotive Behavior Therapy along with a mixture of therapeutic styles, we will work together to uncover the thoughts and beliefs that drive your emotions and behaviors so that you can move forward in your life with confidence. My associates and I work with adults of all ages and with any level of mental health goals or concerns.
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Photo of Dana Crane, Licensed Professional Counselor in Salem, OR
Dana Crane
Licensed Professional Counselor, MS, LPC, LMHC, NCC
Verified Verified
Salem, OR 97302  (Online Only)
Good Sense Counseling helps people grow their mental health by getting to know themselves well and building skills for a thriving life full of curiosity, confidence, resilience, and fun. Clients learn to clarify core values, set goals, identify and overcome barriers, build strategies, solve problems, and celebrate successes.
Good Sense Counseling helps people grow their mental health by getting to know themselves well and building skills for a thriving life full of curiosity, confidence, resilience, and fun. Clients learn to clarify core values, set goals, identify and overcome barriers, build strategies, solve problems, and celebrate successes.
(503) 822-7471 View (503) 822-7471
Photo of Mia Broberg, Licensed Professional Counselor in Salem, OR
Mia Broberg
Licensed Professional Counselor, MS, LPC
Verified Verified
Salem, OR 97302
Just like you, my personal journey of being a mom, wife, daughter, and friend has been filled with both joy and pain. As a therapist, I love being able to come together with you, bringing my experiences, both personal and professional, to help create a way forward. I believe that all experiences, whether good or bad, are a learning opportunity. I use strength based interventions with the goal of empowering you to recognize the choices you have in the difficult moments of life.
Just like you, my personal journey of being a mom, wife, daughter, and friend has been filled with both joy and pain. As a therapist, I love being able to come together with you, bringing my experiences, both personal and professional, to help create a way forward. I believe that all experiences, whether good or bad, are a learning opportunity. I use strength based interventions with the goal of empowering you to recognize the choices you have in the difficult moments of life.
(503) 926-6843 View (503) 926-6843
Photo of Darcey Kirkwood, Clinical Social Work/Therapist in Salem, OR
Darcey Kirkwood
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Salem, OR 97306  (Online Only)
Not accepting new clients
I believe that one of the most powerful things in the world is to feel seen, heard, cared for, and understood. It is my goal that each person I meet with feels these needs being met. One of the greatest privileges of my work is to walk alongside individuals during some of their darkest seasons of life. I strive to provide a space for hope and healing.
I believe that one of the most powerful things in the world is to feel seen, heard, cared for, and understood. It is my goal that each person I meet with feels these needs being met. One of the greatest privileges of my work is to walk alongside individuals during some of their darkest seasons of life. I strive to provide a space for hope and healing.
(503) 563-7162 View (503) 563-7162
Photo of Steve Henderson, Licensed Professional Counselor in Salem, OR
Steve Henderson
Licensed Professional Counselor, LPC
Verified Verified
Salem, OR 97302  (Online Only)
I primarily work with young adults on an individual basis and have experience with a wide range of issues including depression, anxiety, severe and persistent mental illness, self-esteem, interpersonal issues, trauma, identity issues, spiritual and existential concerns, life transition, and other emotional wellness concerns. I am currently only providing services via telehealth / secure online video chat. For Oregon clients, at this time I am only accepting Moda insurance or private pay.
I primarily work with young adults on an individual basis and have experience with a wide range of issues including depression, anxiety, severe and persistent mental illness, self-esteem, interpersonal issues, trauma, identity issues, spiritual and existential concerns, life transition, and other emotional wellness concerns. I am currently only providing services via telehealth / secure online video chat. For Oregon clients, at this time I am only accepting Moda insurance or private pay.
(503) 461-7997 View (503) 461-7997
Photo of Leanna K Jones-Bishop, Licensed Professional Counselor in Salem, OR
Leanna K Jones-Bishop
Licensed Professional Counselor, LPC, NCC®, CADCI
Verified Verified
Salem, OR 97301
Waitlist for new clients
I believe that mental health is an important element in the overall wellbeing of all individuals. I employ techniques based on evidenced based practices; to ensure your services are high quality, ethically sound, and culturally appropriate and sensitive to your needs as a consumer. As a Licensed Professional Counselor, CADC, and National Certification through NBCC I have met high national standards and commit to ongoing quality and verified trainings.
I believe that mental health is an important element in the overall wellbeing of all individuals. I employ techniques based on evidenced based practices; to ensure your services are high quality, ethically sound, and culturally appropriate and sensitive to your needs as a consumer. As a Licensed Professional Counselor, CADC, and National Certification through NBCC I have met high national standards and commit to ongoing quality and verified trainings.
(503) 461-4757 View (503) 461-4757
Photo of Rebekah Degner, LPC Intern in Salem, OR
Rebekah Degner
LPC Intern, MS
Verified Verified
1 Endorsed
Salem, OR 97302
It sounds "cliché" but I focus on meeting each client where they are from the very first therapy session. If you aren't sure what your exact issues, needs or goals for therapy are, you are not alone. I work with clients to identify key issues impacting daily life and contributing to their primary symptoms, develop treatment goals and objectives tailored to address the identified issues in a realistic way, and spending sessions working together to facilitate positive change.
It sounds "cliché" but I focus on meeting each client where they are from the very first therapy session. If you aren't sure what your exact issues, needs or goals for therapy are, you are not alone. I work with clients to identify key issues impacting daily life and contributing to their primary symptoms, develop treatment goals and objectives tailored to address the identified issues in a realistic way, and spending sessions working together to facilitate positive change.
(503) 809-4598 View (503) 809-4598
Photo of Terry Pond, Licensed Professional Counselor in Salem, OR
Terry Pond
Licensed Professional Counselor, LPC
Verified Verified
4 Endorsed
Salem, OR 97306
Reaching out for help can be difficult, but healing is a process of recovering to ones’ true self. I have created an environment that is safe so each client can explore their thoughts, feelings, and behaviors. Each session will be directed by the client with an opportunity to develop skills to work through daily trials, past trauma and any future obstacles.
Reaching out for help can be difficult, but healing is a process of recovering to ones’ true self. I have created an environment that is safe so each client can explore their thoughts, feelings, and behaviors. Each session will be directed by the client with an opportunity to develop skills to work through daily trials, past trauma and any future obstacles.
(971) 599-2850 View (971) 599-2850
Photo of Brianne DeYoung, Licensed Professional Counselor in Salem, OR
Brianne DeYoung
Licensed Professional Counselor, MA, LPC
Verified Verified
Salem, OR 97303
Life is a continual marathon, growth is an ongoing process, success is not defined by a tangible finish line and we as humans can do hard things; however, sometimes seeking therapy helps us get through hard things with the help and guidance of another person. At times, we are able to manage and navigate our struggles and other times our struggles are overwhelmingly difficult. If you feel that you have reached a point where would like assistance improving mental or emotional distress, then you have come to the right place! Email me or visit www.arisecounselingservice.com today!
Life is a continual marathon, growth is an ongoing process, success is not defined by a tangible finish line and we as humans can do hard things; however, sometimes seeking therapy helps us get through hard things with the help and guidance of another person. At times, we are able to manage and navigate our struggles and other times our struggles are overwhelmingly difficult. If you feel that you have reached a point where would like assistance improving mental or emotional distress, then you have come to the right place! Email me or visit www.arisecounselingservice.com today!
(503) 386-0335 View (503) 386-0335
Photo of Kiri Watson, Pre-Licensed Professional in Salem, OR
Kiri Watson
Pre-Licensed Professional, Intern
Verified Verified
1 Endorsed
Salem, OR 97301
It’s my belief that within relationships healing and growth occurs. As your counselor, my goal is to provide a non-judgmental and compassionate space where you can feel safe exploring difficult experiences, sharing vulnerable emotions, and identifying any barriers to your goals. I strongly believe that you are the expert of your own life and that my role is to walk alongside you, helping to facilitate growth and any changes you may desire.
It’s my belief that within relationships healing and growth occurs. As your counselor, my goal is to provide a non-judgmental and compassionate space where you can feel safe exploring difficult experiences, sharing vulnerable emotions, and identifying any barriers to your goals. I strongly believe that you are the expert of your own life and that my role is to walk alongside you, helping to facilitate growth and any changes you may desire.
(503) 751-3870 View (503) 751-3870
Photo of Cherry City Counseling and Consulting, Licensed Professional Counselor in Salem, OR
Cherry City Counseling and Consulting
Licensed Professional Counselor, LPC, NCC
Verified Verified
Salem, OR 97302  (Online Only)
Not accepting new clients
Hi there, my name is Cynthia Shaver, LPC, NCC. I have over 10 years of experience working professionally with clients to achieve their counselling goals in both private practice and community mental health settings. I work with individuals and couples, as well as providing clinical supervision for LPC and MFT Associates in Oregon. I use a trauma-informed lens when working with both clients or supervisees and have experience in emotional focused therapy, EMDR, and various other modalities that attune to clients' unique needs to help them reach their therapeutic goals.
Hi there, my name is Cynthia Shaver, LPC, NCC. I have over 10 years of experience working professionally with clients to achieve their counselling goals in both private practice and community mental health settings. I work with individuals and couples, as well as providing clinical supervision for LPC and MFT Associates in Oregon. I use a trauma-informed lens when working with both clients or supervisees and have experience in emotional focused therapy, EMDR, and various other modalities that attune to clients' unique needs to help them reach their therapeutic goals.
(503) 966-2695 View (503) 966-2695
Photo of Gary Daily, Licensed Professional Counselor in Salem, OR
Gary Daily
Licensed Professional Counselor, MA, EdS, LPC
Verified Verified
1 Endorsed
Salem, OR 97301
Waitlist for new clients
There are times when it is difficult to see a way forward, and discovering who we are, where we came from and what has transpired in our lives is vitally important. If you are here, my guess is that you may be grieving a loss, struggling to accept difficult life changes like divorce or separation, or perhaps dealing with anxiety. Whatever the circumstances, it is my desire to see you rediscover happiness and purpose-- I wholeheartedly believe that therapy can help you get there.
There are times when it is difficult to see a way forward, and discovering who we are, where we came from and what has transpired in our lives is vitally important. If you are here, my guess is that you may be grieving a loss, struggling to accept difficult life changes like divorce or separation, or perhaps dealing with anxiety. Whatever the circumstances, it is my desire to see you rediscover happiness and purpose-- I wholeheartedly believe that therapy can help you get there.
(503) 461-7936 View (503) 461-7936
Photo of Debbie Williams, Marriage & Family Therapist in Salem, OR
Debbie Williams
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Salem, OR 97301
Not accepting new clients
I work with children and adults experiencing worry, anxiety, grief, depression, shame, low self-esteem, and other stressors, challenges, or changes in life. We are not meant to deal with the difficulties of life alone. Therapy provides a place to feel heard and understood. It can offer a fresh perspective and help you find solutions. I believe that when a person feels safe, accepted, and emotionally supported that healing can begin. My style is warm, gentle, encouraging, and collaborative. I focus on connecting with you, exploring your story, and identifying strengths and opportunities.
I work with children and adults experiencing worry, anxiety, grief, depression, shame, low self-esteem, and other stressors, challenges, or changes in life. We are not meant to deal with the difficulties of life alone. Therapy provides a place to feel heard and understood. It can offer a fresh perspective and help you find solutions. I believe that when a person feels safe, accepted, and emotionally supported that healing can begin. My style is warm, gentle, encouraging, and collaborative. I focus on connecting with you, exploring your story, and identifying strengths and opportunities.
(971) 220-5232 View (971) 220-5232

How does your Therapist compare?

Number of Therapists in Salem, OR

400+

Average cost per session

$150

Therapists in Salem, OR who prioritize treating:

89% Anxiety
85% Depression
73% Relationship Issues
73% Trauma and PTSD
71% Self Esteem
70% Stress
64% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

62% PacificSource
50% Providence
47% Aetna

How Therapists in Salem, OR see their clients

55% In Person and Online
45% Online Only

Gender breakdown

77% Female
21% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Salem?

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.