Therapists in Portland, OR

View neighborhoods in Portland
Photo of Wren Christine Anderson, Clinical Social Work/Therapist in Portland, OR
Wren Christine Anderson
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97214
Currently I work with people struggling with depression, anxiety, trauma, life transitions, addictions, and grief. While I have received training in a number of approaches, my goal is to offer you interventions and tools that best fit for you. I am most influenced by IFS, DBT, EMDR, Somatic Experiencing, Sensorimotor Psychotherapy, Mindfulness, and Expressive Art Therapy. I look through the lens of trauma, and I take a behaviorally specific approach to support experiences of transformation into long term change and growth. You can expect to have tools and skills to practice in between session to support your work.
Currently I work with people struggling with depression, anxiety, trauma, life transitions, addictions, and grief. While I have received training in a number of approaches, my goal is to offer you interventions and tools that best fit for you. I am most influenced by IFS, DBT, EMDR, Somatic Experiencing, Sensorimotor Psychotherapy, Mindfulness, and Expressive Art Therapy. I look through the lens of trauma, and I take a behaviorally specific approach to support experiences of transformation into long term change and growth. You can expect to have tools and skills to practice in between session to support your work.
(971) 414-3413 View (971) 414-3413
Photo of Rebecca A Kinman, Pre-Licensed Professional in Portland, OR
Rebecca A Kinman
Pre-Licensed Professional, CSWA
Verified Verified
Portland, OR 97230  (Online Only)
Are you tired of endlessly talking about your problems without seeing real change? Are you looking for not only a compassionate listening ear, but for real, honest feedback? If you value direct and truthful communication and seek support in taking tangible steps forward, then you've come to the right place.
Are you tired of endlessly talking about your problems without seeing real change? Are you looking for not only a compassionate listening ear, but for real, honest feedback? If you value direct and truthful communication and seek support in taking tangible steps forward, then you've come to the right place.
(503) 854-5722 View (503) 854-5722
Photo of Matthew Block, Licensed Professional Counselor in Portland, OR
Matthew Block
Licensed Professional Counselor, LPC
Verified Verified
Portland, OR 97232
Hi, my name is Matthew Block and I am a Licensed Professional Counselor in the state of Oregon. I typically work with teens, adults, couples and families. I enjoy helping people work through identity development, ADHD, depression, anxiety, trauma, parenting support, and spiritual concerns. I believe people are influenced by their biological temperament, life experiences, past and present relationships with significant people, and their core values.
Hi, my name is Matthew Block and I am a Licensed Professional Counselor in the state of Oregon. I typically work with teens, adults, couples and families. I enjoy helping people work through identity development, ADHD, depression, anxiety, trauma, parenting support, and spiritual concerns. I believe people are influenced by their biological temperament, life experiences, past and present relationships with significant people, and their core values.
(971) 791-3216 View (971) 791-3216
Photo of Susan Scharfman, Licensed Professional Counselor in Portland, OR
Susan Scharfman
Licensed Professional Counselor, MS, MFT, LPC
Verified Verified
Portland, OR 97215
My approach to clinical practice is highly interactive, relational, practical and humorous. I provide you with support,compassion and insight to encourage change and growth.
My approach to clinical practice is highly interactive, relational, practical and humorous. I provide you with support,compassion and insight to encourage change and growth.
(503) 406-3995 View (503) 406-3995
Photo of Mai Roost, Psychologist in Portland, OR
Mai Roost
Psychologist, PhD
Verified Verified
1 Endorsed
Portland, OR 97239
When faced with life's challenges and transitions, we experience a mixture of emotions, ranging from overwhelmed to deep sadness and anxiety. At times like these, it can be especially hard to find the space to pause, breathe fully, and stay connected with what truly matters in one's life. My approach is to offer a safe , compassionate space to stay centered through the various storms of life and the emotions they bring. Using evidence-based practices, I work to bring awareness to the values you hold dear and to stay grounded in those values while moving forward in life.
When faced with life's challenges and transitions, we experience a mixture of emotions, ranging from overwhelmed to deep sadness and anxiety. At times like these, it can be especially hard to find the space to pause, breathe fully, and stay connected with what truly matters in one's life. My approach is to offer a safe , compassionate space to stay centered through the various storms of life and the emotions they bring. Using evidence-based practices, I work to bring awareness to the values you hold dear and to stay grounded in those values while moving forward in life.
(503) 925-6249 View (503) 925-6249
Photo of Donald Jackson, Pre-Licensed Professional in Portland, OR
Donald Jackson
Pre-Licensed Professional
Verified Verified
Portland, OR 97220
Not accepting new clients
My practice is primarily focused on working with clients of color, and while I am rooted in Person-Centered Counseling, my approach is enriched by combining my Eclectic therapeutic styles. My overarching goal is to empower you to lead a more fulfilling and meaningful life. Together, we will delve into the roots of your challenges, foster resilience, and build a brighter future. I am dedicated to your well-being and committed to providing the support you need on your path to healing and personal or relationship growth.
My practice is primarily focused on working with clients of color, and while I am rooted in Person-Centered Counseling, my approach is enriched by combining my Eclectic therapeutic styles. My overarching goal is to empower you to lead a more fulfilling and meaningful life. Together, we will delve into the roots of your challenges, foster resilience, and build a brighter future. I am dedicated to your well-being and committed to providing the support you need on your path to healing and personal or relationship growth.
(503) 506-4854 View (503) 506-4854
Photo of Becca Newland, Clinical Social Work/Therapist in Portland, OR
Becca Newland
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97212
Not accepting new clients
Hi, I'm Becca! I provide therapy to individuals ages 16+ who are experiencing grief and loss, relational challenges, stress, depression, anxiety, and the effects of trauma. I enjoy working with clients who are ready to dive deeper into exploring their relational and emotional patterns. Often the problems or "symptoms" we bring to therapy are protective adaptations that have helped us manage or survive past circumstances. I will support you in compassionately exploring all parts of yourself and in telling your story in a new way. Growth happens within warm, safe relationships and it is my sincere hope to offer this to you.
Hi, I'm Becca! I provide therapy to individuals ages 16+ who are experiencing grief and loss, relational challenges, stress, depression, anxiety, and the effects of trauma. I enjoy working with clients who are ready to dive deeper into exploring their relational and emotional patterns. Often the problems or "symptoms" we bring to therapy are protective adaptations that have helped us manage or survive past circumstances. I will support you in compassionately exploring all parts of yourself and in telling your story in a new way. Growth happens within warm, safe relationships and it is my sincere hope to offer this to you.
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Photo of Sajani Patel, Licensed Professional Counselor in Portland, OR
Sajani Patel
Licensed Professional Counselor, MS, LPC
Verified Verified
5 Endorsed
Portland, OR 97229  (Online Only)
Not accepting new clients
I've been a therapist since 2004 and I still feel truly blessed to do the work that I love. I believe that people have the capability to create change, adjust to adverse experiences, and overcome hardships. I also believe in the resiliency, hope, and power in people to learn from mistakes, build skills, formulate positive perceptions, create healthy relationships, develop a sense of security, heal, grow, and be happy. In our work together, you can expect a safe and supportive therapeutic space and process. My style is open, strengths-based, and collaborative. I am also direct with humor and compassion.
I've been a therapist since 2004 and I still feel truly blessed to do the work that I love. I believe that people have the capability to create change, adjust to adverse experiences, and overcome hardships. I also believe in the resiliency, hope, and power in people to learn from mistakes, build skills, formulate positive perceptions, create healthy relationships, develop a sense of security, heal, grow, and be happy. In our work together, you can expect a safe and supportive therapeutic space and process. My style is open, strengths-based, and collaborative. I am also direct with humor and compassion.
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Photo of Barbara Hafdahl, Licensed Professional Counselor in Portland, OR
Barbara Hafdahl
Licensed Professional Counselor, MA, MFT, LPC, LMHC
Verified Verified
1 Endorsed
Portland, OR 97230
Not accepting new clients
*** CURRENTLY NOT ACCEPTING NEW CLIENTS**** Our early beliefs about self and others shape our concept of the world and influence our relationships. Too often we hang on to the beliefs even when they are no longer serving us and we feel stuck. Communication falters and our relationships deteriorate. There is hope. In therapy, issues to be resolved will be addressed with the idea that self-awareness leads to choice, responsibility and change. As a licensed professional, I will help you work through issues to find the joy and happiness you want and deserve.
*** CURRENTLY NOT ACCEPTING NEW CLIENTS**** Our early beliefs about self and others shape our concept of the world and influence our relationships. Too often we hang on to the beliefs even when they are no longer serving us and we feel stuck. Communication falters and our relationships deteriorate. There is hope. In therapy, issues to be resolved will be addressed with the idea that self-awareness leads to choice, responsibility and change. As a licensed professional, I will help you work through issues to find the joy and happiness you want and deserve.
(503) 567-1394 View (503) 567-1394
Photo of Katheryn Rose Hayward, Clinical Social Work/Therapist in Portland, OR
Katheryn Rose Hayward
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97283  (Online Only)
Not accepting new clients
My name is Katheryn. I am a Licensed Clinical Social Worker who has an extensive history of working with children, adults, and older adults in a variety of community, inpatient and outpatient settings. I work under an eclectic framework and primarily support individuals who experience anxiety, phobias, depression, and trauma related symptoms. Using a strengths-based approach, I guide individuals in bringing change to their lives that is positive and constructive. I believe in creating safe, collaborative environments for individuals to take on their journey toward growth and healing. I am licensed in California and Oregon.
My name is Katheryn. I am a Licensed Clinical Social Worker who has an extensive history of working with children, adults, and older adults in a variety of community, inpatient and outpatient settings. I work under an eclectic framework and primarily support individuals who experience anxiety, phobias, depression, and trauma related symptoms. Using a strengths-based approach, I guide individuals in bringing change to their lives that is positive and constructive. I believe in creating safe, collaborative environments for individuals to take on their journey toward growth and healing. I am licensed in California and Oregon.
(971) 999-3177 View (971) 999-3177
Photo of Gabriel Boyer, Professional Counselor Associate in Portland, OR
Gabriel Boyer
Professional Counselor Associate, MA, MEd
Verified Verified
1 Endorsed
Portland, OR 97214
> > Accepting New Clients < < You want someone who is compassionate and responsive, who is open and respectful, and who isn’t afraid to go with you into difficult places. That's my goal: to be on your side, to be with you, and to be real—so you have the support needed to move through and to flourish. Our work begins by creating a unique space—a safe space—so you can stretch out and explore more fully. We'll connect the dots using parts work, turning towards feeling and body experience, and exploring dynamics in the present—tools that support deeper connections, address root issues, and create meaningful change.
> > Accepting New Clients < < You want someone who is compassionate and responsive, who is open and respectful, and who isn’t afraid to go with you into difficult places. That's my goal: to be on your side, to be with you, and to be real—so you have the support needed to move through and to flourish. Our work begins by creating a unique space—a safe space—so you can stretch out and explore more fully. We'll connect the dots using parts work, turning towards feeling and body experience, and exploring dynamics in the present—tools that support deeper connections, address root issues, and create meaningful change.
(503) 436-6647 View (503) 436-6647
Photo of Suzanne Manser, Psychologist in Portland, OR
Suzanne Manser
Psychologist, PhD
Verified Verified
1 Endorsed
Portland, OR 97213
Waitlist for new clients
I am a licensed psychologist with strong specialties in treating folks with eating disorders and anxiety. I also have extensive experience working with people with depression, bipolar disorder, and relationship concerns. I am a compassionate, direct therapist. I work collaboratively with my patients to set and achieve their goals. These goals often include increased self-acceptance, as well as changes in mood, thought patterns, and behaviors. I am licensed in Oregon and California and welcome patients from both states.
I am a licensed psychologist with strong specialties in treating folks with eating disorders and anxiety. I also have extensive experience working with people with depression, bipolar disorder, and relationship concerns. I am a compassionate, direct therapist. I work collaboratively with my patients to set and achieve their goals. These goals often include increased self-acceptance, as well as changes in mood, thought patterns, and behaviors. I am licensed in Oregon and California and welcome patients from both states.
(503) 236-4343 x5 View (503) 236-4343 x5
Photo of Corinne Allen, Clinical Social Work/Therapist in Portland, OR
Corinne Allen
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97212
Now Accepting New Clients - If you’re reading this, it probably means that something is shifting inside you. You are ready for things to be different. How did you end up here? People have told you you’re smart, destined for success, “so much potential,” and yet you often find yourself feeling down, anxious, moody, overwhelmed, or stuck. You feel immobilized, unable to reach your goals or even to totally know what your goals are anymore. You think - why can’t I just get it together? It all feels so complicated, so opaque that you don’t even know where to start.
Now Accepting New Clients - If you’re reading this, it probably means that something is shifting inside you. You are ready for things to be different. How did you end up here? People have told you you’re smart, destined for success, “so much potential,” and yet you often find yourself feeling down, anxious, moody, overwhelmed, or stuck. You feel immobilized, unable to reach your goals or even to totally know what your goals are anymore. You think - why can’t I just get it together? It all feels so complicated, so opaque that you don’t even know where to start.
(971) 251-2515 View (971) 251-2515
Photo of Korina Jochim, Marriage & Family Therapist in Portland, OR
Korina Jochim
Marriage & Family Therapist, LMFT
Verified Verified
Portland, OR 97214
Relationships are the fundamental building blocks of human experience. We are shaped by and devote many resources to them, and they can be sources of inspiration, support, and consistent love. They can also be harmful and even dangerous, especially when an individual's relationship templates have began as dysfunctional in their families of origin. Many of my clients have been or currently are in relationships with narcissistic/disordered partners, family members, or bosses, or were/are members of high-control groups. Healing is possible after these relationships, and there is hope for choosing healthier people to love.
Relationships are the fundamental building blocks of human experience. We are shaped by and devote many resources to them, and they can be sources of inspiration, support, and consistent love. They can also be harmful and even dangerous, especially when an individual's relationship templates have began as dysfunctional in their families of origin. Many of my clients have been or currently are in relationships with narcissistic/disordered partners, family members, or bosses, or were/are members of high-control groups. Healing is possible after these relationships, and there is hope for choosing healthier people to love.
(503) 212-9888 View (503) 212-9888
Photo of Roxanne Capparelli, Clinical Social Work/Therapist in Portland, OR
Roxanne Capparelli
Clinical Social Work/Therapist, LCSW, CADC-I
Verified Verified
3 Endorsed
Portland, OR 97232
Not accepting new clients
therapy is some real heavy, vulnerable shit and building a strong therapeutic relationship is at the core of creating a safe space for you to enter into the process. with this in mind, my practice is rooted in transparency, honest feedback, and is trauma-informed. i will openly share my process with you & what might be beneficial to try. i will inform you of when i am about to ask questions intended feel “spicy” and/or are likely to illicit strong internal response (which can sometimes get real uncomfortable real quick). for these reasons, i tend to align well with folx who prefer a direct, purposefully challenging approach.
therapy is some real heavy, vulnerable shit and building a strong therapeutic relationship is at the core of creating a safe space for you to enter into the process. with this in mind, my practice is rooted in transparency, honest feedback, and is trauma-informed. i will openly share my process with you & what might be beneficial to try. i will inform you of when i am about to ask questions intended feel “spicy” and/or are likely to illicit strong internal response (which can sometimes get real uncomfortable real quick). for these reasons, i tend to align well with folx who prefer a direct, purposefully challenging approach.
(971) 252-7300 View (971) 252-7300
Photo of Arbor Counseling & Consulting, LLC , Clinical Social Work/Therapist in Portland, OR
Arbor Counseling & Consulting, LLC
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
1 Endorsed
Portland, OR 97217
Have you struggled during pregnancy or postpartum? Do you love parenting but find that anxiety, depression, and/or shame get in the way of truly enjoying your children? Are you struggling to co-parent effectively and peacefully with your co-parent(s)? In the process of becoming a parent and wanting to identify and explore what raising a child means to you? Let's sit down and explore these big things together.
Have you struggled during pregnancy or postpartum? Do you love parenting but find that anxiety, depression, and/or shame get in the way of truly enjoying your children? Are you struggling to co-parent effectively and peacefully with your co-parent(s)? In the process of becoming a parent and wanting to identify and explore what raising a child means to you? Let's sit down and explore these big things together.
(503) 782-9487 View (503) 782-9487
Photo of Mike Revell, Licensed Professional Counselor in Portland, OR
Mike Revell
Licensed Professional Counselor, MA
Verified Verified
Portland, OR 97219  (Online Only)
Not accepting new clients
Therapy is about creating opportunity for different choices. I partner with people so they can find out what’s going on beneath the surface in their lives. When you’re feeling stuck or out of control, and your old ways of coping don't seem to be working, we can create a plan. We can examine why things are the way they are and what it will take to make a different choice. I can’t take away the problem, but I can help you learn a different way of dealing with it. While I primarily use an ACT (Acceptance and Commitment Therapy) framework, no single therapeutic modality is 'correct' so I work to be flexible and blends multiple styles.
Therapy is about creating opportunity for different choices. I partner with people so they can find out what’s going on beneath the surface in their lives. When you’re feeling stuck or out of control, and your old ways of coping don't seem to be working, we can create a plan. We can examine why things are the way they are and what it will take to make a different choice. I can’t take away the problem, but I can help you learn a different way of dealing with it. While I primarily use an ACT (Acceptance and Commitment Therapy) framework, no single therapeutic modality is 'correct' so I work to be flexible and blends multiple styles.
(503) 738-1396 View (503) 738-1396
Photo of Sara Rapaport in Portland, OR
Sara Rapaport
ND, LMT, BCB
Verified Verified
2 Endorsed
Portland, OR 97213
Not accepting new clients
I am a naturopathic doctor and biofeedback provider that specializes in mind-body medicine. I have a passion for working in an integrative mental health care setting with people that are dealing with chronic stress, burnout, anxiety, depression, chronic pain and more. My visits have a counseling focused approach that helps to address the underlying cause of your symptoms to help you obtain greater wellness and vitality in your life. I bring a non-judgmental, trauma-aware lens to my work. My approach is highly relational, focusing on developing understanding through connection and compassion.
I am a naturopathic doctor and biofeedback provider that specializes in mind-body medicine. I have a passion for working in an integrative mental health care setting with people that are dealing with chronic stress, burnout, anxiety, depression, chronic pain and more. My visits have a counseling focused approach that helps to address the underlying cause of your symptoms to help you obtain greater wellness and vitality in your life. I bring a non-judgmental, trauma-aware lens to my work. My approach is highly relational, focusing on developing understanding through connection and compassion.
(503) 782-9513 View (503) 782-9513
Photo of Lydia Blackwell, Clinical Social Work/Therapist in Portland, OR
Lydia Blackwell
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97214  (Online Only)
We're living through a difficult time period, which can compound upon pre-existing traumas, anxieties, stressors, and relational difficulties. I would love to join you alongside your journey to stability, improved quality of life/relationships, and mental health. I will explore with you your past and current experiences and feelings to get to the root of what is causing struggle and assist in locating a path of healing and relief.
We're living through a difficult time period, which can compound upon pre-existing traumas, anxieties, stressors, and relational difficulties. I would love to join you alongside your journey to stability, improved quality of life/relationships, and mental health. I will explore with you your past and current experiences and feelings to get to the root of what is causing struggle and assist in locating a path of healing and relief.
(503) 868-2350 View (503) 868-2350
Photo of Jessica Tolleson, Licensed Professional Counselor in Portland, OR
Jessica Tolleson
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Portland, OR 97205
Are you feeling down? Anxious? Stuck? Maybe negative thoughts or worries are impacting your work or even your relationships? At times it can feel like these patterns will never change and yet therapy provides a safe space to process thoughts, feelings and patterns. I create a safe environment through mutual trust and understanding. This opens a space for self-exploration, growth and development. I believe that, in working collaboratively, we can identify problems and personalize your treatment direction. With the right skills, each individual has the capacity to accomplish their goals.
Are you feeling down? Anxious? Stuck? Maybe negative thoughts or worries are impacting your work or even your relationships? At times it can feel like these patterns will never change and yet therapy provides a safe space to process thoughts, feelings and patterns. I create a safe environment through mutual trust and understanding. This opens a space for self-exploration, growth and development. I believe that, in working collaboratively, we can identify problems and personalize your treatment direction. With the right skills, each individual has the capacity to accomplish their goals.
(503) 536-1225 View (503) 536-1225

How does your Therapist compare?

Number of Therapists in Portland, OR

3,000+

Average cost per session

$160

Therapists in Portland, OR who prioritize treating:

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

Average years in practice

10 Years

Top 3 insurances accepted

55% PacificSource
47% Aetna
38% BlueCross and BlueShield

How Therapists in Portland, OR see their clients

56% In Person and Online
44% Online Only

Gender breakdown

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

How can I find a therapist in Portland?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.