Therapists in Eugene, OR

View neighborhoods in Eugene
Photo of Melissa Todd, Psychologist in Eugene, OR
Melissa Todd
Psychologist, PhD
Verified Verified
Eugene, OR 97401
Not accepting new clients
If you are an early adult or someone who must function at a high level under pressure, I would like to work with you. Athletes, college or graduate students, and performance intensive professionals - you expect a lot out of yourself and you are your own worst critic. While your strengths have brought you far, you may be experiencing some of the problems that often arise when high expectations meet high pressure; anxiety, perfectionism, loss of motivation, fear of failure, and depression. It is difficult to ask for help, especially when you are used to solving problems on your own.
If you are an early adult or someone who must function at a high level under pressure, I would like to work with you. Athletes, college or graduate students, and performance intensive professionals - you expect a lot out of yourself and you are your own worst critic. While your strengths have brought you far, you may be experiencing some of the problems that often arise when high expectations meet high pressure; anxiety, perfectionism, loss of motivation, fear of failure, and depression. It is difficult to ask for help, especially when you are used to solving problems on your own.
(541) 725-4002 View (541) 725-4002
Photo of Bridges Community Health, Marriage & Family Therapist in Eugene, OR
Bridges Community Health
Marriage & Family Therapist, LMFT, LPC, LCSW, PMHNP
Verified Verified
Eugene, OR 97401
Bridges Community Health is a growing therapy and prescribing collective serving Lane County, Eugene/Springfield and Cottage Grove. We provide therapy and medication management services. We are here to help you set and meet your goals. We provide individual, family, teen, play and couples therapy. We work hard to be available to you and to set your initial appointment in a quick and timely manner. We offer both in person and teletherapy sessions. We have immediate openings at this time. We understand the stressors you are facing today and want to help you succeed in making positive and lasting change.
Bridges Community Health is a growing therapy and prescribing collective serving Lane County, Eugene/Springfield and Cottage Grove. We provide therapy and medication management services. We are here to help you set and meet your goals. We provide individual, family, teen, play and couples therapy. We work hard to be available to you and to set your initial appointment in a quick and timely manner. We offer both in person and teletherapy sessions. We have immediate openings at this time. We understand the stressors you are facing today and want to help you succeed in making positive and lasting change.
(541) 359-3717 x1 View (541) 359-3717 x1
Photo of Misha Bogart, Licensed Professional Counselor in Eugene, OR
Misha Bogart
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
Eugene, OR 97402
Accepting new clients! It takes courage to embrace vulnerability and reach out for support. That's an invaluable asset, and in our work together, we will draw upon the strengths you already possess to address the stressors that emerge. Whether you're navigating significant life transitions, grappling with anxiety and depression, or belong to the LGBTQIA+ community striving to navigate an all-too-often unwelcoming world, I am here to provide assistance. In therapy, you will acquire resources to ground your active nervous system, reduce reactivity in your relationships, and uncover the profound wisdom of your true nature when a
Accepting new clients! It takes courage to embrace vulnerability and reach out for support. That's an invaluable asset, and in our work together, we will draw upon the strengths you already possess to address the stressors that emerge. Whether you're navigating significant life transitions, grappling with anxiety and depression, or belong to the LGBTQIA+ community striving to navigate an all-too-often unwelcoming world, I am here to provide assistance. In therapy, you will acquire resources to ground your active nervous system, reduce reactivity in your relationships, and uncover the profound wisdom of your true nature when a
(541) 209-5817 View (541) 209-5817
Photo of Gina M. Siqueiros, Licensed Professional Counselor in Eugene, OR
Gina M. Siqueiros
Licensed Professional Counselor, MA, LPC
Verified Verified
Eugene, OR 97401
Waitlist for new clients
Waitlist currently in place. Email is best for quicker response. Life is a series of steps we take, shifting from one level to another, but this journey is not always lateral or forward-moving. This is true throughout our lives, through transitions of all kinds, whether they be emotional, spiritual, mental, or physical in nature. It can be surprising and daunting when life's blueprints don't unfold as planned, and we all need help sometimes to connect with our authentic selves and build flexibility to throw out the old and build anew. Let me help you with the next step.
Waitlist currently in place. Email is best for quicker response. Life is a series of steps we take, shifting from one level to another, but this journey is not always lateral or forward-moving. This is true throughout our lives, through transitions of all kinds, whether they be emotional, spiritual, mental, or physical in nature. It can be surprising and daunting when life's blueprints don't unfold as planned, and we all need help sometimes to connect with our authentic selves and build flexibility to throw out the old and build anew. Let me help you with the next step.
(541) 876-1745 View (541) 876-1745
Photo of O'Niell Osborn, Licensed Professional Counselor in Eugene, OR
O'Niell Osborn
Licensed Professional Counselor, MEd, MFT, LPC
Verified Verified
1 Endorsed
Eugene, OR 97401  (Online Only)
**Please leave the name of your insurance provider (if applicable) when you contact me so I can best serve you in our initial consultation. Thank You Kindly** “It’s not about being a new person, but becoming the person you were already meant to be.” -Anonymous The journey to becoming your authentic self can be challenging, but there is help.
**Please leave the name of your insurance provider (if applicable) when you contact me so I can best serve you in our initial consultation. Thank You Kindly** “It’s not about being a new person, but becoming the person you were already meant to be.” -Anonymous The journey to becoming your authentic self can be challenging, but there is help.
(541) 214-2195 View (541) 214-2195
Photo of Zankhana Smith, Psychologist in Eugene, OR
Zankhana Smith
Psychologist, PsyD
Verified Verified
Eugene, OR 97403
Not accepting new clients
Are you anxious? Struggling with trauma? Needing a space to process multicultural experiences? I enjoy helping people address trauma, depression, anxiety, and increase the ability to manage emotions. I also help with adjusting to medical diagnoses. My passion is working with you to look at your cultural experiences and working to navigate race-related stress, immigrant, first generation, or multiracial identities, and LGBT identity concerns.
Are you anxious? Struggling with trauma? Needing a space to process multicultural experiences? I enjoy helping people address trauma, depression, anxiety, and increase the ability to manage emotions. I also help with adjusting to medical diagnoses. My passion is working with you to look at your cultural experiences and working to navigate race-related stress, immigrant, first generation, or multiracial identities, and LGBT identity concerns.
(541) 515-7800 View (541) 515-7800
Wise Counseling Center
Licensed Professional Counselor, LPC
Verified Verified
Eugene, OR 97405
I am a Licensed Professional Counselor (MA) using an empathetic, client-centered, strength-based orientation to help clients overcome difficulties they face in their lives and relationships. I have been in practice since 2008, working with all ages, focusing on Anxiety, ADHD, Pain Management, and healing from Traumatic Brain Injuries. I am also a certified Neurofeedback (LENS) practitioner (see Ochslabs.com) with extensive training and experience using Neurofeedback training to successfully treat many different issues: ADHD, PTSD, other Anxiety disorders, and supporting the brain in re-wiring and re-regulating- getting a tune-up.
I am a Licensed Professional Counselor (MA) using an empathetic, client-centered, strength-based orientation to help clients overcome difficulties they face in their lives and relationships. I have been in practice since 2008, working with all ages, focusing on Anxiety, ADHD, Pain Management, and healing from Traumatic Brain Injuries. I am also a certified Neurofeedback (LENS) practitioner (see Ochslabs.com) with extensive training and experience using Neurofeedback training to successfully treat many different issues: ADHD, PTSD, other Anxiety disorders, and supporting the brain in re-wiring and re-regulating- getting a tune-up.
(541) 214-2946 View (541) 214-2946
Photo of Cristman J Lumsden, Marriage & Family Therapist in Eugene, OR
Cristman J Lumsden
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Eugene, OR 97401
I work with clients to focus on what has worked in the past and emphasize the strengths and unique qualities they possess. I strive to help build skills that clients can use to lower stress, anxiety, depression, and self-loathing. I have counseled adults of all ages, teens and preteens, disabled teens, adults, and vets, and families and couples going through difficult life cycle transitions.
I work with clients to focus on what has worked in the past and emphasize the strengths and unique qualities they possess. I strive to help build skills that clients can use to lower stress, anxiety, depression, and self-loathing. I have counseled adults of all ages, teens and preteens, disabled teens, adults, and vets, and families and couples going through difficult life cycle transitions.
(541) 204-4509 View (541) 204-4509
Photo of Galyn Forster, Licensed Professional Counselor in Eugene, OR
Galyn Forster
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Eugene, OR 97401
Not accepting new clients
Do you long for personal growth and happiness but find yourself struggling with old wounds, criticism, anxiety and self defeating behaviors? The individuals I work with learn to tap into their own natural instinct to heal and thrive. With 30 years experience, I am skilled at helping people find competence and meaning when they thought there was no hope. Together in the adventure of counseling, we explore how your life experiences, relationships and natural mind-body systems currently serve you - well, not so well or quite badly - and then work together to restore strength, balance and vitality.
Do you long for personal growth and happiness but find yourself struggling with old wounds, criticism, anxiety and self defeating behaviors? The individuals I work with learn to tap into their own natural instinct to heal and thrive. With 30 years experience, I am skilled at helping people find competence and meaning when they thought there was no hope. Together in the adventure of counseling, we explore how your life experiences, relationships and natural mind-body systems currently serve you - well, not so well or quite badly - and then work together to restore strength, balance and vitality.
(541) 246-6040 View (541) 246-6040
Photo of Shoshanah Thielle in Eugene, OR
Shoshanah Thielle
MA, CHT
Verified Verified
1 Endorsed
Eugene, OR 97405  (Online Only)
Hypnosis puts you in touch with your inner resources, allowing you to bring more of what you want into your life. Hypnosis is safe and gentle. It is the fastest and most effective way to make positive changes in your life; either physical, emotional or spiritual. Hypnosis has been scientifically proven to enhance your immune system, reduce tension and stress, lower your blood pressure, improve your entire circulatory system, improve focus and concentration, elevate your feelings of self-esteem, and release you from addictive behaviors. I have been practicing hypnosis and guided imagery in Eugene, OR for 30 years.
Hypnosis puts you in touch with your inner resources, allowing you to bring more of what you want into your life. Hypnosis is safe and gentle. It is the fastest and most effective way to make positive changes in your life; either physical, emotional or spiritual. Hypnosis has been scientifically proven to enhance your immune system, reduce tension and stress, lower your blood pressure, improve your entire circulatory system, improve focus and concentration, elevate your feelings of self-esteem, and release you from addictive behaviors. I have been practicing hypnosis and guided imagery in Eugene, OR for 30 years.
(541) 968-1572 View (541) 968-1572
Photo of Kristen Rudolf, Licensed Professional Counselor in Eugene, OR
Kristen Rudolf
Licensed Professional Counselor, LPC
Verified Verified
Eugene, OR 97401  (Online Only)
I have a Master’s in Clinical Mental Health from Bushnell University. I believe that people are influenced by their biological dispositions, life experiences, relationships to others, and personal core values
I have a Master’s in Clinical Mental Health from Bushnell University. I believe that people are influenced by their biological dispositions, life experiences, relationships to others, and personal core values
(458) 241-5805 View (458) 241-5805
Photo of Molly Gelinas, Professional Counselor Associate in Eugene, OR
Molly Gelinas
Professional Counselor Associate, PCA
Verified Verified
Eugene, OR 97401
Waitlist for new clients
My professional experience is in working with generational trauma, adverse childhood experiences, substance use, eating disorders, life transitions, traumatic brain injury and challenging family dynamics. I am often curious about developmental, environmental, cognitive, and family processes. I use a collaborative approach and am welcoming of all the emotions that we as humans are born with and bring multicultural sensitivity to my work.
My professional experience is in working with generational trauma, adverse childhood experiences, substance use, eating disorders, life transitions, traumatic brain injury and challenging family dynamics. I am often curious about developmental, environmental, cognitive, and family processes. I use a collaborative approach and am welcoming of all the emotions that we as humans are born with and bring multicultural sensitivity to my work.
(458) 231-8373 View (458) 231-8373
Photo of Lorie Ann Lee, Marriage & Family Therapist in Eugene, OR
Lorie Ann Lee
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Eugene, OR 97401
I provide counseling to individuals and families who are interested in increasing their well-being. My approach is refreshing and well suited to clients who hope to live with less stress, less depression, anxiety and unhealthy coping habits. Clients will begin to live with more peace of mind, happiness, balance and fulfilling relationships. I use an approach that helps clients to get a deeper understanding of where their psychological experience comes from. I use a psycho-educational approach that asks clients to delve into an understanding of the spiritual nature behind life.
I provide counseling to individuals and families who are interested in increasing their well-being. My approach is refreshing and well suited to clients who hope to live with less stress, less depression, anxiety and unhealthy coping habits. Clients will begin to live with more peace of mind, happiness, balance and fulfilling relationships. I use an approach that helps clients to get a deeper understanding of where their psychological experience comes from. I use a psycho-educational approach that asks clients to delve into an understanding of the spiritual nature behind life.
(458) 215-1723 View (458) 215-1723
Photo of Jennalyn Strickland, Licensed Professional Counselor in Eugene, OR
Jennalyn Strickland
Licensed Professional Counselor, LPC, NCC, CADC I, CTP
Verified Verified
Eugene, OR 97401
CURRENTLY ACCEPTING NEW CLIENTS! I believe that everyone is capable of healthy change to achieve their maximum potential and reach a deep satisfaction with life. I value depth and spirituality, identifying as a follower of Jesus. This drives me to show compassion, openness, and hope to all people in a nonjudgmental environment, recognizing that every person is a human being who deserves to live a life they find worth living. My desire is to create a space where people can feel comfortable and safe to be their authentic selves as they engage in the process of delving into the human within.
CURRENTLY ACCEPTING NEW CLIENTS! I believe that everyone is capable of healthy change to achieve their maximum potential and reach a deep satisfaction with life. I value depth and spirituality, identifying as a follower of Jesus. This drives me to show compassion, openness, and hope to all people in a nonjudgmental environment, recognizing that every person is a human being who deserves to live a life they find worth living. My desire is to create a space where people can feel comfortable and safe to be their authentic selves as they engage in the process of delving into the human within.
(458) 203-3422 View (458) 203-3422
Photo of Jonathan Fox, Marriage & Family Therapist in Eugene, OR
Jonathan Fox
Marriage & Family Therapist, MS, MA, LMFT
Verified Verified
Eugene, OR 97401
Appointments available. Feeling stuck by stress, depression, anxiety, and/or the past? Counseling helps. I am skilled at helping people decrease the crippling power of stuck-ness by building real action and change. Change takes having a plan, tools, encouragement, and lots of practice. You have strengths and knowledge. I am here to support you in increasing your capabilities. This happens through weekly, empathic and collaborative conversations. Together we will identify practical steps towards reaching your goals. You can take action towards healing and living your life in a healthier, meaningful, and more productive way. Unstuck.
Appointments available. Feeling stuck by stress, depression, anxiety, and/or the past? Counseling helps. I am skilled at helping people decrease the crippling power of stuck-ness by building real action and change. Change takes having a plan, tools, encouragement, and lots of practice. You have strengths and knowledge. I am here to support you in increasing your capabilities. This happens through weekly, empathic and collaborative conversations. Together we will identify practical steps towards reaching your goals. You can take action towards healing and living your life in a healthier, meaningful, and more productive way. Unstuck.
(458) 236-3173 View (458) 236-3173
Photo of Shannon McGrath, Clinical Social Work/Therapist in Eugene, OR
Shannon McGrath
Clinical Social Work/Therapist, LCSW
Verified Verified
Eugene, OR 97401  (Online Only)
Waitlist for new clients
It takes true courage to reach out for support. It’s my belief that we are each on our own unique journey through life. Choosing to work with a therapist can be significantly helpful with making sense of and navigating the layers of challenges, uncertainty, loss, transition, and traumatic circumstances that are experienced throughout life. I feel deeply honored to be a source of support and a witness to my clients’ journeys toward increased understanding, healing, growth, clarity, a greater sense of connection and wellbeing. Important to me is to offer a space with kindness, warmth, non-judgement, safe connection, and inclusivity.
It takes true courage to reach out for support. It’s my belief that we are each on our own unique journey through life. Choosing to work with a therapist can be significantly helpful with making sense of and navigating the layers of challenges, uncertainty, loss, transition, and traumatic circumstances that are experienced throughout life. I feel deeply honored to be a source of support and a witness to my clients’ journeys toward increased understanding, healing, growth, clarity, a greater sense of connection and wellbeing. Important to me is to offer a space with kindness, warmth, non-judgement, safe connection, and inclusivity.
(541) 920-1026 View (541) 920-1026
Photo of Julie Rudolph, Licensed Professional Counselor in Eugene, OR
Julie Rudolph
Licensed Professional Counselor, LPC
Verified Verified
4 Endorsed
Eugene, OR 97401  (Online Only)
Self-awareness is the key to profound and positive change. I respect your courage to begin. My goal in therapy is to facilitate exploration in an attempt to heal and make sense of difficult situations, emotional states, and relationships. I have confidence in the power of compassion and human connection. Whatever your goals, I provide a relaxed, safe, and supportive environment where your feelings and thoughts can be expressed without judgment. I’m currently doing TELEHEALTH ONLY. I look forward to hearing from you!
Self-awareness is the key to profound and positive change. I respect your courage to begin. My goal in therapy is to facilitate exploration in an attempt to heal and make sense of difficult situations, emotional states, and relationships. I have confidence in the power of compassion and human connection. Whatever your goals, I provide a relaxed, safe, and supportive environment where your feelings and thoughts can be expressed without judgment. I’m currently doing TELEHEALTH ONLY. I look forward to hearing from you!
(541) 648-1021 View (541) 648-1021
Photo of Kara Schrenk Litwiller, LLC, Licensed Professional Counselor in Eugene, OR
Kara Schrenk Litwiller, LLC
Licensed Professional Counselor, MEd, LPC, NCC, CADCIII
Verified Verified
4 Endorsed
Eugene, OR 97401
Waitlist for new clients
I believe in the value and worth of each human being and that each one of us has the ability to heal and master new skills throughout the life span. I strive to form trusting relationships with clients to assist them with improving their quality of relationships, increase their personal sense of well being or self esteem, achieve a better balance in their life, resolve traumatic history, and learn effective coping skills. Through a collaborative relationship, I assist clients with exploring their personal and spiritual development.
I believe in the value and worth of each human being and that each one of us has the ability to heal and master new skills throughout the life span. I strive to form trusting relationships with clients to assist them with improving their quality of relationships, increase their personal sense of well being or self esteem, achieve a better balance in their life, resolve traumatic history, and learn effective coping skills. Through a collaborative relationship, I assist clients with exploring their personal and spiritual development.
(541) 214-2894 View (541) 214-2894
Photo of Kara Rawlings, Clinical Social Work Associate in Eugene, OR
Kara Rawlings
Clinical Social Work Associate, CSWA
Verified Verified
1 Endorsed
Eugene, OR 97401  (Online Only)
I approach therapy with compassion and acceptance, meeting clients where they are at and tailoring evidence-based modalities to meet each client’s unique needs. I am adept in cognitive behavioral therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), and mindfulness techniques.
I approach therapy with compassion and acceptance, meeting clients where they are at and tailoring evidence-based modalities to meet each client’s unique needs. I am adept in cognitive behavioral therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), and mindfulness techniques.
(458) 204-4471 View (458) 204-4471
Photo of Emerging Phoenix EMDR, LLC, Clinical Social Work/Therapist in Eugene, OR
Emerging Phoenix EMDR, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Eugene, OR 97405  (Online Only)
You are probably here due to your strength & survival skills. I bet you've read self-help books, and blogs & watched videos to help yourself. You've probably achieved success at work, in your career, or at home, but somehow still feel like no matter how hard you try, "you're never good enough." Something brought back the painful, unwanted memories you tried so hard to forget & patterns that hold you back on the inside. Imagine yourself one day waking up without re-living your past, enjoying life, feeling more fully present every moment, safe enough to explore friendships, & romantic relationships, & having the ability to say no!
You are probably here due to your strength & survival skills. I bet you've read self-help books, and blogs & watched videos to help yourself. You've probably achieved success at work, in your career, or at home, but somehow still feel like no matter how hard you try, "you're never good enough." Something brought back the painful, unwanted memories you tried so hard to forget & patterns that hold you back on the inside. Imagine yourself one day waking up without re-living your past, enjoying life, feeling more fully present every moment, safe enough to explore friendships, & romantic relationships, & having the ability to say no!
(541) 248-6437 View (541) 248-6437

How does your Therapist compare?

Number of Therapists in Eugene, OR

700+

Average cost per session

$165

Therapists in Eugene, OR who prioritize treating:

94% Anxiety
88% Depression
83% Trauma and PTSD
78% Self Esteem
77% Relationship Issues
75% Stress
71% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

78% PacificSource
45% Oregon Health Plan (OHP)
44% BlueCross and BlueShield

How Therapists in Eugene, OR see their clients

58% In Person and Online
42% Online Only

Gender breakdown

74% Female
22% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Eugene?

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.