Therapists in Shenandoah, TX

Photo of Jessica Preston, LPC Associate in Shenandoah, TX
Jessica Preston
LPC Associate, MEd
Verified Verified
Shenandoah, TX 77385
Teens want to be heard and understood. They are facing an abundance of obstacles that they need help navigating. I’m here to do just that. I use an empathetic, non-judgmental approach to connect with my clients and determine the best methods to use to help them reach their therapeutic goals. I have found that including the family in this process has not only been beneficial for the client but the entire family as a whole.
Teens want to be heard and understood. They are facing an abundance of obstacles that they need help navigating. I’m here to do just that. I use an empathetic, non-judgmental approach to connect with my clients and determine the best methods to use to help them reach their therapeutic goals. I have found that including the family in this process has not only been beneficial for the client but the entire family as a whole.
(281) 688-9155 View (281) 688-9155
Photo of Eva Marcuschamer, Marriage & Family Therapist in Shenandoah, TX
Eva Marcuschamer
Marriage & Family Therapist, PhD
Not Verified Not Verified
Shenandoah, TX 77381
I am a warm, sensitive, and empathic person who has dedicated her life to helping others. I have 30 years of experience working as a psychotherapist, psychologist, psychoanalyst, teacher, vocational counselor and life coach. I am also a mother and a wife with great deal of practical life experience. I have lived in the US and Mexico, which has given me a deep understanding of both cultures. My personal experiences of loss have also given me expertise and a particular degree of empathy for helping people who are suffering from grief and loss.
I am a warm, sensitive, and empathic person who has dedicated her life to helping others. I have 30 years of experience working as a psychotherapist, psychologist, psychoanalyst, teacher, vocational counselor and life coach. I am also a mother and a wife with great deal of practical life experience. I have lived in the US and Mexico, which has given me a deep understanding of both cultures. My personal experiences of loss have also given me expertise and a particular degree of empathy for helping people who are suffering from grief and loss.
(936) 213-6034 View (936) 213-6034
Photo of Paige Ingersoll LPC-Associate , Licensed Professional Counselor Associate in Shenandoah, TX
Paige Ingersoll LPC-Associate
Licensed Professional Counselor Associate, MA
Verified Verified
1 Endorsed
Shenandoah, TX 77384
If you’ve ever thought, “I’m just not sure what to do anymore. I’m overwhelmed, and I think I could use some help, " I believe this is one of the most powerful realizations we can have. And to act on that realization takes courage and strength. From my own experiences of grief, losses, and various changes throughout my life, I am familiar with how challenging it can be to reach out to others when in need. That is why, as a counselor, I am honored to walk with each client. I received my Master’s degree in Clinical Mental Health Counseling in 2023. I'm an LPC - Associate supervised by Cortnee Wright, M.A., LPC-S.
If you’ve ever thought, “I’m just not sure what to do anymore. I’m overwhelmed, and I think I could use some help, " I believe this is one of the most powerful realizations we can have. And to act on that realization takes courage and strength. From my own experiences of grief, losses, and various changes throughout my life, I am familiar with how challenging it can be to reach out to others when in need. That is why, as a counselor, I am honored to walk with each client. I received my Master’s degree in Clinical Mental Health Counseling in 2023. I'm an LPC - Associate supervised by Cortnee Wright, M.A., LPC-S.
(713) 597-6506 View (713) 597-6506
Photo of Emily Felenczak, Marriage & Family Therapist in Shenandoah, TX
Emily Felenczak
Marriage & Family Therapist, LMFT
Verified Verified
Shenandoah, TX 77385
Are you experiencing challenges in life and struggling to make sense of it all? Are you wanting a neutral space to express your thoughts and emotions freely? Therapy is often sought out because of something causing us pain or discomfort. Sometimes our experiences can leave us feeling stressed, overwhelmed, or stuck. Whether you are seeking immediate tools to manage your experiences or seeking personal growth, I am here to help! Click the “Email Me” button for direct contact and to schedule an appointment.
Are you experiencing challenges in life and struggling to make sense of it all? Are you wanting a neutral space to express your thoughts and emotions freely? Therapy is often sought out because of something causing us pain or discomfort. Sometimes our experiences can leave us feeling stressed, overwhelmed, or stuck. Whether you are seeking immediate tools to manage your experiences or seeking personal growth, I am here to help! Click the “Email Me” button for direct contact and to schedule an appointment.
(281) 957-3767 View (281) 957-3767
Photo of Heather Kaminski, LPC Associate in Shenandoah, TX
Heather Kaminski
LPC Associate, MEd, LPC-A
Verified Verified
2 Endorsed
Shenandoah, TX 77384
Waitlist for new clients
EMDR Trained - Certified Trauma Professional: Hello! Welcome to my page! It's my firm belief that developing an authentic and trusting relationship with your therapist is foundational to healing. As a former educator, I also believe it's important to the healing process to develop an understanding of what it is that makes you tick, and to help you get to the root of the issues you are struggling with. I specialize in working with adult trauma survivors experiencing PTSD, and survivors of childhood trauma. Along with EMDR, I also have training in ACT, DBT, EFT (tapping), NLP, Religious Trauma, Grief, and Ecotherapy.
EMDR Trained - Certified Trauma Professional: Hello! Welcome to my page! It's my firm belief that developing an authentic and trusting relationship with your therapist is foundational to healing. As a former educator, I also believe it's important to the healing process to develop an understanding of what it is that makes you tick, and to help you get to the root of the issues you are struggling with. I specialize in working with adult trauma survivors experiencing PTSD, and survivors of childhood trauma. Along with EMDR, I also have training in ACT, DBT, EFT (tapping), NLP, Religious Trauma, Grief, and Ecotherapy.
(936) 226-3498 View (936) 226-3498
Photo of Lorretta Roberts, Licensed Professional Counselor Associate in Shenandoah, TX
Lorretta Roberts
Licensed Professional Counselor Associate, LPC-A
Verified Verified
Shenandoah, TX 77384
My journey in counseling has been shaped by a profound understanding of the complexities of human behavior and emotions. I specialize in working with children, families, and individuals facing various mental health challenges. My goal is to empower both couples and individuals to overcome obstacles and enhance their overall well-being. I understand that each person's journey is unique, and I tailor my approach to meet the specific needs of my clients. I am committed to creating a safe and nurturing environment where exploration, healing, and growth can flourish.
My journey in counseling has been shaped by a profound understanding of the complexities of human behavior and emotions. I specialize in working with children, families, and individuals facing various mental health challenges. My goal is to empower both couples and individuals to overcome obstacles and enhance their overall well-being. I understand that each person's journey is unique, and I tailor my approach to meet the specific needs of my clients. I am committed to creating a safe and nurturing environment where exploration, healing, and growth can flourish.
(936) 237-3694 View (936) 237-3694
Photo of Jennifer Solis, Licensed Professional Counselor in Shenandoah, TX
Jennifer Solis
Licensed Professional Counselor, LPC, LMHC, CRMT
Verified Verified
Shenandoah, TX 77385
I work with adults and teens and provide individual counseling. I offer both online and in person session. No matter where you are in this healing process; first time seeing a therapist or seasoned client who has already done a lot of the inner work, my door is open for you. I specifically tailor each session to what your specific needs are as my client, I do not operate from a cookie cutter model. Our work will have a balance and a flow to it meaning not every session will be the same, some sessions will have break throughs and other times we may keep it light and have a few laughs.
I work with adults and teens and provide individual counseling. I offer both online and in person session. No matter where you are in this healing process; first time seeing a therapist or seasoned client who has already done a lot of the inner work, my door is open for you. I specifically tailor each session to what your specific needs are as my client, I do not operate from a cookie cutter model. Our work will have a balance and a flow to it meaning not every session will be the same, some sessions will have break throughs and other times we may keep it light and have a few laughs.
(832) 219-7217 View (832) 219-7217
Photo of Daniel Heath Ferguson, Licensed Professional Counselor in Shenandoah, TX
Daniel Heath Ferguson
Licensed Professional Counselor, MA, LPC
Verified Verified
Shenandoah, TX 77381  (Online Only)
Are you going through difficult times in your personal or professional life? Do you struggle with stress, anxiety, depression, self-esteem, relationship, or divorce issues? You are not alone. Many people face these challenges and they can affect your happiness, health, and productivity. But there is hope. You can overcome them and live a fulfilling life.
Are you going through difficult times in your personal or professional life? Do you struggle with stress, anxiety, depression, self-esteem, relationship, or divorce issues? You are not alone. Many people face these challenges and they can affect your happiness, health, and productivity. But there is hope. You can overcome them and live a fulfilling life.
(713) 766-5538 View (713) 766-5538
Photo of Enobong J Inyang, Licensed Professional Counselor in Shenandoah, TX
Enobong J Inyang
Licensed Professional Counselor, PhD, LPC-S, NCC
Verified Verified
Shenandoah, TX 77385
I believe, from personal experiences, years of practice & teaching, that anyone can be empowered to face life challenges. Empowered individuals are resilient & able to bounce back from adversities. My main focus is to empower you & your loved ones to overcome challenges. As a professor for 8 years, I have trained & supervised hundreds of graduate students on evidence-based practices, positive psychology, Strength-based approaches, CBT, Trauma Focused CBT, DBT, & integration of music & spirituality into counseling. CBT & Adlerian are my overarching modalities upon which I integrate other interventions tailored to clients' needs.
I believe, from personal experiences, years of practice & teaching, that anyone can be empowered to face life challenges. Empowered individuals are resilient & able to bounce back from adversities. My main focus is to empower you & your loved ones to overcome challenges. As a professor for 8 years, I have trained & supervised hundreds of graduate students on evidence-based practices, positive psychology, Strength-based approaches, CBT, Trauma Focused CBT, DBT, & integration of music & spirituality into counseling. CBT & Adlerian are my overarching modalities upon which I integrate other interventions tailored to clients' needs.
(936) 251-0619 View (936) 251-0619
Photo of Kevin Houston, Licensed Professional Counselor in Shenandoah, TX
Kevin Houston
Licensed Professional Counselor, MA, LPC
Verified Verified
Shenandoah, TX 77384
I provide support for adolescents, adults and adult partnerships experiencing disturbance due to excessive or uncontrolled worry, anger, irritability, sadness etc. I offer guidance and support to the client on their journey to improve their mental health wellness by developing their ability to process experiences and thoughts.
I provide support for adolescents, adults and adult partnerships experiencing disturbance due to excessive or uncontrolled worry, anger, irritability, sadness etc. I offer guidance and support to the client on their journey to improve their mental health wellness by developing their ability to process experiences and thoughts.
(936) 312-3386 View (936) 312-3386
Photo of Shelby Doyle, Clinical Social Work/Therapist in Shenandoah, TX
Shelby Doyle
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Shenandoah, TX 77384
Are you feeling overwhelmed? Are you having difficulty coping with life stressors? Do you want to be more intentional about how you take care of yourself? Are you struggling to find meaning or joy in your daily life? As a counselor, I’m passionate about creating positive therapeutic relationships that allow clients to draw upon their own strengths to develop coping skills that fit their lifestyle, set healthy boundaries, and increase their overall wellness and quality of life. I want my clients to feel seen, heard and understood to live their happiest and healthiest lives.
Are you feeling overwhelmed? Are you having difficulty coping with life stressors? Do you want to be more intentional about how you take care of yourself? Are you struggling to find meaning or joy in your daily life? As a counselor, I’m passionate about creating positive therapeutic relationships that allow clients to draw upon their own strengths to develop coping skills that fit their lifestyle, set healthy boundaries, and increase their overall wellness and quality of life. I want my clients to feel seen, heard and understood to live their happiest and healthiest lives.
(936) 215-8113 View (936) 215-8113
Photo of Ciera Harris, Licensed Professional Counselor in Shenandoah, TX
Ciera Harris
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Shenandoah, TX 77385
Not accepting new clients
It is my belief that who we are today is a product of our experiences throughout our lives. Oftentimes, the roots of our challenges run deep into our childhoods, our families, and our cultures. Our childhood survival skills shape our worldview and sense of security. Yet, some of these patterns can hinder our ability to form deep connections with ourselves and others. Psychotherapy helps us discern what legacy we want to continue. While exploring the past, we inevitably alter the present. Progress is a process and you don’t have to do it alone! I look forward to supporting you on your journey toward mental health and wellness.
It is my belief that who we are today is a product of our experiences throughout our lives. Oftentimes, the roots of our challenges run deep into our childhoods, our families, and our cultures. Our childhood survival skills shape our worldview and sense of security. Yet, some of these patterns can hinder our ability to form deep connections with ourselves and others. Psychotherapy helps us discern what legacy we want to continue. While exploring the past, we inevitably alter the present. Progress is a process and you don’t have to do it alone! I look forward to supporting you on your journey toward mental health and wellness.
(936) 209-7406 View (936) 209-7406
Photo of Amanda Schramm, Licensed Professional Counselor in Shenandoah, TX
Amanda Schramm
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Shenandoah, TX 77384
Hi! My name is Amanda (Mandy) Schramm. I've been working in the mental health field since 2015, but practicing counseling since 2020. My experience mainly has been working with adolescents in residential settings struggling with mental health and behavioral issues. My work with adolescents in long term programs has afforded me the opportunity to see how different environments and family systems shape youth growth and needs. I have also worked with adults struggling with mental health, ineffective coping skills, poor social supports, and substance use.
Hi! My name is Amanda (Mandy) Schramm. I've been working in the mental health field since 2015, but practicing counseling since 2020. My experience mainly has been working with adolescents in residential settings struggling with mental health and behavioral issues. My work with adolescents in long term programs has afforded me the opportunity to see how different environments and family systems shape youth growth and needs. I have also worked with adults struggling with mental health, ineffective coping skills, poor social supports, and substance use.
(936) 220-3725 View (936) 220-3725
Photo of Sheri Dunn, Clinical Social Work/Therapist in Shenandoah, TX
Sheri Dunn
Clinical Social Work/Therapist, MEd, LPC
Verified Verified
Shenandoah, TX 77384
My strongest belief as a therapist is that there must be a connection between therapist and client, one of trust and respect. Not all therapists are a right fit for you, you have to find the therapist you connect with. I have worked with individuals and their families to gain skills for coping with and managing issues surrounding depression, anxiety, bipolar disorder, PTSD, and behavioral struggles along with relational and personal issues. I have worked with adolescents in hospital outpatient settings as well as private practice. I have experience working with children, adult individuals, couples, and families.
My strongest belief as a therapist is that there must be a connection between therapist and client, one of trust and respect. Not all therapists are a right fit for you, you have to find the therapist you connect with. I have worked with individuals and their families to gain skills for coping with and managing issues surrounding depression, anxiety, bipolar disorder, PTSD, and behavioral struggles along with relational and personal issues. I have worked with adolescents in hospital outpatient settings as well as private practice. I have experience working with children, adult individuals, couples, and families.
(936) 237-7915 View (936) 237-7915
Photo of Brooke Johnson, Licensed Professional Counselor Associate in Shenandoah, TX
Brooke Johnson
Licensed Professional Counselor Associate, MMFT, LPC-A
Verified Verified
1 Endorsed
Shenandoah, TX 77384
Waitlist for new clients
I am passionate about working with people who want to find their most authentic selves. I work to meet people where they are and to help them learn tools to reach the goals they set for themselves. I work with individuals, adults and adolescents, as well as couples. I am an eclectic therapist and individualize therapy to what the clients needs. I have extensive training in addictions and is excited about the opportunity to work with clients to help them envision the life they want. The best part of my job is when I get to see progress a client makes. Supervised by Leigh Rainwater, LPC-S.
I am passionate about working with people who want to find their most authentic selves. I work to meet people where they are and to help them learn tools to reach the goals they set for themselves. I work with individuals, adults and adolescents, as well as couples. I am an eclectic therapist and individualize therapy to what the clients needs. I have extensive training in addictions and is excited about the opportunity to work with clients to help them envision the life they want. The best part of my job is when I get to see progress a client makes. Supervised by Leigh Rainwater, LPC-S.
(281) 519-6769 View (281) 519-6769
Photo of Lady Joana Martinez, Licensed Professional Counselor in Shenandoah, TX
Lady Joana Martinez
Licensed Professional Counselor, MEd, LPC
Verified Verified
Shenandoah, TX 77385
I am a Licensed Professional Counselor in Texas with private practice and school counseling experience. I am a first-generation immigrant that values the importance of the cultural values to guide my clients to a path of self healing. I enjoy working with adolescents and adults who struggle with life challenges like trauma, anxiety, depression, and grief. I assist and guide individuals to gain the skills using the tools that best fits their lifestyle to thrive in society.
I am a Licensed Professional Counselor in Texas with private practice and school counseling experience. I am a first-generation immigrant that values the importance of the cultural values to guide my clients to a path of self healing. I enjoy working with adolescents and adults who struggle with life challenges like trauma, anxiety, depression, and grief. I assist and guide individuals to gain the skills using the tools that best fits their lifestyle to thrive in society.
(832) 900-3855 View (832) 900-3855
Photo of Suzanna Adelizi, Marriage & Family Therapist in Shenandoah, TX
Suzanna Adelizi
Marriage & Family Therapist, MS, JD, LMFT
Verified Verified
2 Endorsed
Shenandoah, TX 77385
I offer individual, couple and family counseling. My approach is strengths-based, collaborative, and outcome-informed. You are the expert on your own life. Whether your goal is to resolve relationship conflict, recover from trauma or loss, receive parenting support, explore issues of identity and spirituality, optimize your career, or learn how to decrease anxiety or depression, my goal is to walk with you and provide a place where you can express yourself freely without being judged. I believe that just as relationships can be the source of hurt, we also heal through community in safe relationships.
I offer individual, couple and family counseling. My approach is strengths-based, collaborative, and outcome-informed. You are the expert on your own life. Whether your goal is to resolve relationship conflict, recover from trauma or loss, receive parenting support, explore issues of identity and spirituality, optimize your career, or learn how to decrease anxiety or depression, my goal is to walk with you and provide a place where you can express yourself freely without being judged. I believe that just as relationships can be the source of hurt, we also heal through community in safe relationships.
(832) 510-5611 View (832) 510-5611
Photo of Krista Bassani, Licensed Professional Counselor Associate in Shenandoah, TX
Krista Bassani
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
1 Endorsed
Shenandoah, TX 77384
Hello! My name is Krista Bassani and I am a Licensed Professional Counselor-Associate.
Hello! My name is Krista Bassani and I am a Licensed Professional Counselor-Associate.
(936) 246-3226 View (936) 246-3226
Photo of Rhonda Bullard, Licensed Professional Counselor in Shenandoah, TX
Rhonda Bullard
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Shenandoah, TX 77385
Connect with a counselor when you have reached your capacity to cope with the complexities of life. Many who experience behavioral health challenges or developmental disabilities may feel disconnected, lonely, empty, overwhelmed, or moved to avoid pain in unhealthy ways. I help clients develop healthy decision-making skills to move along their path to healing and wellness. I provide treatment and support to children, adolescents, adults, and families. In therapy we work together to develop practical skills to connect to what is meaningful and purposeful for the client.
Connect with a counselor when you have reached your capacity to cope with the complexities of life. Many who experience behavioral health challenges or developmental disabilities may feel disconnected, lonely, empty, overwhelmed, or moved to avoid pain in unhealthy ways. I help clients develop healthy decision-making skills to move along their path to healing and wellness. I provide treatment and support to children, adolescents, adults, and families. In therapy we work together to develop practical skills to connect to what is meaningful and purposeful for the client.
(832) 979-2695 View (832) 979-2695
Photo of Katie Biggs, Psychological Associate in Shenandoah, TX
Katie Biggs
Psychological Associate, MA, LPA
Verified Verified
Shenandoah, TX 77384
Are you feeling overwhelmed? Having trouble coping with life stressors or finding your identity? Ready to take the first step of finding support on your journey to mental wellbeing? As a clinician, I am passionate about meeting clients where they are and helping them discover their most authentic selves. While prioritizing a positive therapeutic relationship, I use an eclectic approach to tailor treatment to each client's unique needs. I want clients to feel understood and valued as they develop the tools needed to cope with their challenges, set healthy boundaries, and increase their quality of life.
Are you feeling overwhelmed? Having trouble coping with life stressors or finding your identity? Ready to take the first step of finding support on your journey to mental wellbeing? As a clinician, I am passionate about meeting clients where they are and helping them discover their most authentic selves. While prioritizing a positive therapeutic relationship, I use an eclectic approach to tailor treatment to each client's unique needs. I want clients to feel understood and valued as they develop the tools needed to cope with their challenges, set healthy boundaries, and increase their quality of life.
(936) 289-3113 View (936) 289-3113

How does your Therapist compare?

Number of Therapists in Shenandoah, TX

90+

Average cost per session

$125

Therapists in Shenandoah, TX who prioritize treating:

94% Anxiety
89% Depression
71% Self Esteem
68% Coping Skills
67% Trauma and PTSD
60% Grief
48% Stress

Average years in practice

6 Years

Top 3 insurances accepted

95% UnitedHealthcare UHC | UBH
93% Cigna and Evernorth
92% Aetna

How Therapists in Shenandoah, TX see their clients

53% In Person and Online
47% Online Only

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Shenandoah?

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.