Therapists in Bethesda, MD

Photo of Maggie Meyer, Counselor in Bethesda, MD
Maggie Meyer
Counselor, LCPC, RPT
Verified Verified
1 Endorsed
Bethesda, MD 20814
Reaching out for support can be extremely difficult...trust me, I have been there myself! It really is the first step towards unlocking all of life's possibilities and potential to heal and grow. Therapy is a gift and allowing me the ability to experience this transformative journey with you is a gift to me. My goal is to provide a collaborative, safe, and comfortable space where you feel seen, supported, and connected. I believe therapy is nourishment for social, emotional, spiritual, and physical well-being. I use my dietetic background for a holistic approach. Together, we will find a path that works best for you!
Reaching out for support can be extremely difficult...trust me, I have been there myself! It really is the first step towards unlocking all of life's possibilities and potential to heal and grow. Therapy is a gift and allowing me the ability to experience this transformative journey with you is a gift to me. My goal is to provide a collaborative, safe, and comfortable space where you feel seen, supported, and connected. I believe therapy is nourishment for social, emotional, spiritual, and physical well-being. I use my dietetic background for a holistic approach. Together, we will find a path that works best for you!
(301) 900-8361 View (301) 900-8361
Photo of Veronica Suleiman, Clinical Social Work/Therapist in Bethesda, MD
Veronica Suleiman
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Bethesda, MD 20814
I see adolescents and their families, young adults, and adults. I began my career in mental health as a Psychiatric Social Worker in the Emergency Room at Children’s National Hospital, and then worked with middle and high school students in the Montgomery County public school system. I have experience working with clients struggling with a wide range of challenges, including anxiety, depression, trauma, ADHD, adjustment issues, identity formation, self-esteem, disordered eating, self-injurious behavior, relationship concerns, and parenting difficulties. I am fluent in Spanish and I have a background in the performing arts.
I see adolescents and their families, young adults, and adults. I began my career in mental health as a Psychiatric Social Worker in the Emergency Room at Children’s National Hospital, and then worked with middle and high school students in the Montgomery County public school system. I have experience working with clients struggling with a wide range of challenges, including anxiety, depression, trauma, ADHD, adjustment issues, identity formation, self-esteem, disordered eating, self-injurious behavior, relationship concerns, and parenting difficulties. I am fluent in Spanish and I have a background in the performing arts.
(240) 488-3593 View (240) 488-3593
Photo of Lopez Counseling Services, LLC, Counselor in Bethesda, MD
Lopez Counseling Services, LLC
Counselor, MA, LGPC
Verified Verified
Bethesda, MD 20817  (Online Only)
You are someone that maybe confused as to what's next. You maybe burnt out and unsure how to find support and move forward in your life. Life may have you in a transition and adapting can be hard. I see clients that struggle with anxiety, depression, grief, spirituality, self-esteem, autism, and the latina first-gen experience. If you need someone to show up for you authentically open, honest, and steps to get you to where you want to go-that's what I offer.
You are someone that maybe confused as to what's next. You maybe burnt out and unsure how to find support and move forward in your life. Life may have you in a transition and adapting can be hard. I see clients that struggle with anxiety, depression, grief, spirituality, self-esteem, autism, and the latina first-gen experience. If you need someone to show up for you authentically open, honest, and steps to get you to where you want to go-that's what I offer.
(301) 939-0277 View (301) 939-0277
Photo of Robin S. Smith, Marriage & Family Therapist in Bethesda, MD
Robin S. Smith
Marriage & Family Therapist, MS, LCMFT
Verified Verified
10 Endorsed
Bethesda, MD 20814
Did you know that the quality of the relationship you have with your therapist is strongly linked to successful therapeutic outcomes? This is why my goal is to provide every person I see with an emotionally safe space, free of judgment. You want somebody who genuinely cares, who is curious and hopeful. I encourage people to explore new ways of thinking about their experiences and different ways of expressing themselves. I aim for the people I work with to leave each session feeling more empowered, with a sense of agency, and able to learn what they're capable of doing.
Did you know that the quality of the relationship you have with your therapist is strongly linked to successful therapeutic outcomes? This is why my goal is to provide every person I see with an emotionally safe space, free of judgment. You want somebody who genuinely cares, who is curious and hopeful. I encourage people to explore new ways of thinking about their experiences and different ways of expressing themselves. I aim for the people I work with to leave each session feeling more empowered, with a sense of agency, and able to learn what they're capable of doing.
(240) 398-3365 View (240) 398-3365
Photo of Steven Alexander, Psychologist in Bethesda, MD
Steven Alexander
Psychologist, PhD
Verified Verified
2 Endorsed
Bethesda, MD 20814
Selecting the right therapist is an important, personal decision. You deserve to work with someone who is compassionate and highly skilled in helping to bring about desired changes in your life. In nearly thirty years of clinical experience, I have helped people attain more satisfying personal and family relationships, cope with symptoms of anxiety or depression, and learn to better manage the stress of daily life.
Selecting the right therapist is an important, personal decision. You deserve to work with someone who is compassionate and highly skilled in helping to bring about desired changes in your life. In nearly thirty years of clinical experience, I have helped people attain more satisfying personal and family relationships, cope with symptoms of anxiety or depression, and learn to better manage the stress of daily life.
(301) 979-7856 View (301) 979-7856
Photo of Daniel Turetsky, Psychologist in Bethesda, MD
Daniel Turetsky
Psychologist, PsyD
Verified Verified
Bethesda, MD 20814  (Online Only)
Waitlist for new clients
I have been helping individuals and couples work through difficult issues in order to have a more fulfilling life for over fifteen years. Having been trained to work with people across the lifespan has enabled me to integrate an understanding of the origins, development and resolution of behavior and relationship patterns which are presently holding the client back from important accomplishments or feelings of well-being in their lives, even though these patterns may very well have historically originated out of a functional need.
I have been helping individuals and couples work through difficult issues in order to have a more fulfilling life for over fifteen years. Having been trained to work with people across the lifespan has enabled me to integrate an understanding of the origins, development and resolution of behavior and relationship patterns which are presently holding the client back from important accomplishments or feelings of well-being in their lives, even though these patterns may very well have historically originated out of a functional need.
(301) 852-6236 View (301) 852-6236
Photo of Dereka Ross, Counselor in Bethesda, MD
Dereka Ross
Counselor, LCPC
Verified Verified
Bethesda, MD 20814  (Online Only)
This is a place where you can find safety. This is a place where you will be greeted with compassion and understanding. Most importantly, this is a place where you can be who you are without apology. It is through nonjudgement, understanding the past, feeling our experiences, and embarking on the journey of becoming our best selves is where meaning emerges.
This is a place where you can find safety. This is a place where you will be greeted with compassion and understanding. Most importantly, this is a place where you can be who you are without apology. It is through nonjudgement, understanding the past, feeling our experiences, and embarking on the journey of becoming our best selves is where meaning emerges.
(240) 868-6385 View (240) 868-6385
Photo of September Lauren Stahly, Marriage & Family Therapist in Bethesda, MD
September Lauren Stahly
Marriage & Family Therapist, LGMFT
Verified Verified
Bethesda, MD 20814
I specialize in helping families, couples, and individuals address issues around communication, identity, grief, anger, anxiety, and depression. I particularly enjoy working with teens and their families. My style is warm and genuine, inviting you to explore new ways of being. I am honest about what I see and will share my insights into how problems are maintained within the dynamics of your family, couple, or environment. I strive to understand your world so I can assist you in uncovering new solutions that actually work!
I specialize in helping families, couples, and individuals address issues around communication, identity, grief, anger, anxiety, and depression. I particularly enjoy working with teens and their families. My style is warm and genuine, inviting you to explore new ways of being. I am honest about what I see and will share my insights into how problems are maintained within the dynamics of your family, couple, or environment. I strive to understand your world so I can assist you in uncovering new solutions that actually work!
(240) 209-9564 View (240) 209-9564
Photo of Coleia Simpson, Clinical Social Work/Therapist in Bethesda, MD
Coleia Simpson
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Bethesda, MD 20814  (Online Only)
Hi, I am Coleia, and I am so pleased that you are here! Are you looking for a safe, humorous space to be affirmed and heard? If so, read on! As a licensed clinical social worker in the state of Maryland and Washington D.C., I practice with a client-centered focal point, where the client leads the sessions while I provide support and guidance throughout. I believe in full autonomy and self-determination of my clients because change comes through the work of us together, with you as the pilot. Think of yourself as the athlete and me as your coach!
Hi, I am Coleia, and I am so pleased that you are here! Are you looking for a safe, humorous space to be affirmed and heard? If so, read on! As a licensed clinical social worker in the state of Maryland and Washington D.C., I practice with a client-centered focal point, where the client leads the sessions while I provide support and guidance throughout. I believe in full autonomy and self-determination of my clients because change comes through the work of us together, with you as the pilot. Think of yourself as the athlete and me as your coach!
(240) 670-1808 View (240) 670-1808
Photo of James Zazanis, Clinical Social Work/Therapist in Bethesda, MD
James Zazanis
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Bethesda, MD 20814  (Online Only)
Waitlist for new clients
At its core, disconnection from ourselves, our family, or even our community is the root cause of many of our challenges. Whether you're experiencing anxiety, depression, relationship dissatisfaction, or triggers from past traumas, we'll work together to repair your emotional and attachment wounds. Ultimately, my goal is to work collaboratively to help you cultivate balance and the skills that you need so that your mental health challenges no longer prevent you from achieving your goals.
At its core, disconnection from ourselves, our family, or even our community is the root cause of many of our challenges. Whether you're experiencing anxiety, depression, relationship dissatisfaction, or triggers from past traumas, we'll work together to repair your emotional and attachment wounds. Ultimately, my goal is to work collaboratively to help you cultivate balance and the skills that you need so that your mental health challenges no longer prevent you from achieving your goals.
(240) 410-1677 View (240) 410-1677
Photo of Kathleen M McNulty, Clinical Social Work/Therapist in Bethesda, MD
Kathleen M McNulty
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Bethesda, MD 20814
Do you worry that you are not a good enough parent, partner or friend? Do you have trouble getting to sleep when you are overloaded with thoughts about mistakes you've made? Do you wake up most mornings feeling depressed or anxious? Are your moods swinging- you have a short fuse- or are you shutting down? If yes, you could be suffering from depression & anxiety. The cause could be chemical-due to a family history or it could be situational-due to a loss or traumatic event. Traumatic events include becoming a caregiver to a family member with mental illness.
Do you worry that you are not a good enough parent, partner or friend? Do you have trouble getting to sleep when you are overloaded with thoughts about mistakes you've made? Do you wake up most mornings feeling depressed or anxious? Are your moods swinging- you have a short fuse- or are you shutting down? If yes, you could be suffering from depression & anxiety. The cause could be chemical-due to a family history or it could be situational-due to a loss or traumatic event. Traumatic events include becoming a caregiver to a family member with mental illness.
(301) 825-8805 View (301) 825-8805
Photo of Kelcei Kelly, Clinical Social Work/Therapist in Bethesda, MD
Kelcei Kelly
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Bethesda, MD 20817  (Online Only)
I offer a non-judgmental space with cultural, religious, and ethnic humility. I am open-minded, honest, and empathetic with my individuals and families, challenging them to meet their potential. I believe in using evidence-based research and strength-based methodologies to address needs. Together we can work to reduce symptoms that interfere with daily functioning and quality of life. I believe that a trusting therapeutic partnership is the foundation to meeting your treatment goals!
I offer a non-judgmental space with cultural, religious, and ethnic humility. I am open-minded, honest, and empathetic with my individuals and families, challenging them to meet their potential. I believe in using evidence-based research and strength-based methodologies to address needs. Together we can work to reduce symptoms that interfere with daily functioning and quality of life. I believe that a trusting therapeutic partnership is the foundation to meeting your treatment goals!
(240) 599-5225 View (240) 599-5225
Photo of Lauren Waikart, Counselor in Bethesda, MD
Lauren Waikart
Counselor, MA, NCC, LCPC
Verified Verified
3 Endorsed
Bethesda, MD 20817  (Online Only)
From the outside, it would appear that you have it all figured out. School? Aced it. Prestigious job? Grabbed it. Life that others would drool over? Nailed it. You've got it all! But then, why do you still feel miserable all the time? It's like your brain is in perpetual crisis mode. "What's wrong with me?!" you internally scream at yourself. Your friends and family offer reassurance, but you can't shake this feeling that at any moment, this life that you've worked so hard for is about to come crashing down. You keep a smile plastered on your face, but inside you're on the verge of imploding. You can't keep this up for much longer.
From the outside, it would appear that you have it all figured out. School? Aced it. Prestigious job? Grabbed it. Life that others would drool over? Nailed it. You've got it all! But then, why do you still feel miserable all the time? It's like your brain is in perpetual crisis mode. "What's wrong with me?!" you internally scream at yourself. Your friends and family offer reassurance, but you can't shake this feeling that at any moment, this life that you've worked so hard for is about to come crashing down. You keep a smile plastered on your face, but inside you're on the verge of imploding. You can't keep this up for much longer.
(240) 201-9476 View (240) 201-9476
Photo of Joel Gunzburg, Clinical Social Work/Therapist in Bethesda, MD
Joel Gunzburg
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Bethesda, MD 20814
My practice is primarily focused in helping children, adolescents and families address family life difficulties and assisting children and adolescents who are being bullied, experiencing depression, diagnosed with ADHD, having difficulty adjusting to social changes, and coping with grief and loss.
My practice is primarily focused in helping children, adolescents and families address family life difficulties and assisting children and adolescents who are being bullied, experiencing depression, diagnosed with ADHD, having difficulty adjusting to social changes, and coping with grief and loss.
(240) 392-1707 View (240) 392-1707
Photo of Cira Canelas, Counselor in Bethesda, MD
Cira Canelas
Counselor, MA, LCPC
Verified Verified
Bethesda, MD 20814
You feel confused, disoriented and in need of guidance. You have feelings of anxiety, a sense of emptiness and deep sadness. You reach out to friends and family members but there is still this deep need inside of you to find a way out of your confusion, your feelings of sadness and emptiness, your anxiety. Maybe you feel you've had enough with unsatisfying relationships. You want to find a way out of your loneliness, of your traumatic past. It is time for professional help. Let me help you.
You feel confused, disoriented and in need of guidance. You have feelings of anxiety, a sense of emptiness and deep sadness. You reach out to friends and family members but there is still this deep need inside of you to find a way out of your confusion, your feelings of sadness and emptiness, your anxiety. Maybe you feel you've had enough with unsatisfying relationships. You want to find a way out of your loneliness, of your traumatic past. It is time for professional help. Let me help you.
(240) 759-2686 View (240) 759-2686
Photo of Melissa Murphy, Clinical Social Work/Therapist in Bethesda, MD
Melissa Murphy
Clinical Social Work/Therapist, MSW, LCSW-C, LICSW, LCSW, C-DBT
Verified Verified
3 Endorsed
Bethesda, MD 20814  (Online Only)
Now accepting NEW clients — Feelings of anxiety, depression, and grief are totally normal responses in these difficult times. My goal as a therapist is to guide clients through whatever is keeping them from living their happiest lives — whether the issue is more recent/due to COVID, or a deeper issue that has been draining someone’s energy for years (or a lifetime). I operate from a collaborative, strengths-based perspective to help clients understand their thoughts, feelings, and behaviors. I help clients develop strategies to mitigate OCD, anxiety, depression, ADHD, and trauma/PTSD symptoms that interfere with their well-being.
Now accepting NEW clients — Feelings of anxiety, depression, and grief are totally normal responses in these difficult times. My goal as a therapist is to guide clients through whatever is keeping them from living their happiest lives — whether the issue is more recent/due to COVID, or a deeper issue that has been draining someone’s energy for years (or a lifetime). I operate from a collaborative, strengths-based perspective to help clients understand their thoughts, feelings, and behaviors. I help clients develop strategies to mitigate OCD, anxiety, depression, ADHD, and trauma/PTSD symptoms that interfere with their well-being.
(301) 900-3284 View (301) 900-3284
Photo of Syd Brown, Psychologist in Bethesda, MD
Syd Brown
Psychologist, PhD, ABN, ABPP
Verified Verified
Bethesda, MD 20814
I am Board Certified in both Clinical and Neuropsychology, and my practice has evolved over the years to a primary focus on evaluations. Psychoeducational evaluations focus on academic skills and functioning, with ADD/ADHD, Learning Disabilities, and Autism Spectrum Disorders being of particular concern. These evaluations often lead to accommodations in schools and colleges and on standardized admissions tests. Neuropsychological evaluations examine the impact of psychiatric and neurological disorders on cognitive and emotional functioning. Cogscreen--AE evaluations are conducted to screen pilots and air traffic controllers.
I am Board Certified in both Clinical and Neuropsychology, and my practice has evolved over the years to a primary focus on evaluations. Psychoeducational evaluations focus on academic skills and functioning, with ADD/ADHD, Learning Disabilities, and Autism Spectrum Disorders being of particular concern. These evaluations often lead to accommodations in schools and colleges and on standardized admissions tests. Neuropsychological evaluations examine the impact of psychiatric and neurological disorders on cognitive and emotional functioning. Cogscreen--AE evaluations are conducted to screen pilots and air traffic controllers.
(301) 685-0681 View (301) 685-0681
Photo of Kristin G Sweeney, Clinical Social Work/Therapist in Bethesda, MD
Kristin G Sweeney
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Bethesda, MD 20816
I am licensed to see clients in Maryland, Virginia, & DC both in person or over telehealth. My clients describe me as warm, friendly, down to earth, and kind. I believe in forming a caring, secure, and trusting relationship with all my clients as the basis for our work together. In my humanness, I like to help clients see that they are not alone and they will be accepted and not judged by me. I consider my clients as the experts on their lives and my job is to support them in achieving their goals and caring for them during this process. I offer guidance, understanding, & wisdom based on experience and knowledge. I truly care.
I am licensed to see clients in Maryland, Virginia, & DC both in person or over telehealth. My clients describe me as warm, friendly, down to earth, and kind. I believe in forming a caring, secure, and trusting relationship with all my clients as the basis for our work together. In my humanness, I like to help clients see that they are not alone and they will be accepted and not judged by me. I consider my clients as the experts on their lives and my job is to support them in achieving their goals and caring for them during this process. I offer guidance, understanding, & wisdom based on experience and knowledge. I truly care.
(240) 213-9604 View (240) 213-9604
Photo of Alayna Berkowitz, Psychologist in Bethesda, MD
Alayna Berkowitz
Psychologist, PhD
Verified Verified
9 Endorsed
Bethesda, MD 20814
Thank you for visiting. I can imagine that you might be facing a challenge, adjusting to a new opportunity, experiencing uncertainty, or perhaps a combination of all three. When you need extra support to move forward, finding the right therapist can make all of the difference. I work with folks to forge meaningful relationships with themselves and others while I also attend to identity. I seek to work with clients on better understanding themselves, and who they are in relationships with in order to meet their needs.
Thank you for visiting. I can imagine that you might be facing a challenge, adjusting to a new opportunity, experiencing uncertainty, or perhaps a combination of all three. When you need extra support to move forward, finding the right therapist can make all of the difference. I work with folks to forge meaningful relationships with themselves and others while I also attend to identity. I seek to work with clients on better understanding themselves, and who they are in relationships with in order to meet their needs.
(240) 221-5274 View (240) 221-5274
Photo of Dr. Roslyn Sanchez, Psychologist in Bethesda, MD
Dr. Roslyn Sanchez
Psychologist, PhD
Verified Verified
Bethesda, MD 20814  (Online Only)
Are you seeking a deeper understanding of your emotions for healing and effective stress management? Do you aspire to self-improve and strengthen your connectivity with others through self-reflection, goal-setting, and self-discovery? Are you a couple aiming to enhance communication, emotional connectedness, and gain a better understanding of the unique dynamics of your relationship? Drawing from over 20 years of clinical and supervisory expertise, I am confident that we can collectively advance towards your goals. My services encompass individual, couples, and group tele-therapy as well as personalized, in-person wellness retreats.
Are you seeking a deeper understanding of your emotions for healing and effective stress management? Do you aspire to self-improve and strengthen your connectivity with others through self-reflection, goal-setting, and self-discovery? Are you a couple aiming to enhance communication, emotional connectedness, and gain a better understanding of the unique dynamics of your relationship? Drawing from over 20 years of clinical and supervisory expertise, I am confident that we can collectively advance towards your goals. My services encompass individual, couples, and group tele-therapy as well as personalized, in-person wellness retreats.
(301) 215-3439 View (301) 215-3439

How does your Therapist compare?

Number of Therapists in Bethesda, MD

1,000+

Average cost per session

$180

Therapists in Bethesda, MD who prioritize treating:

94% Anxiety
90% Depression
78% Relationship Issues
74% Self Esteem
66% Coping Skills
64% Trauma and PTSD
61% Grief

Average years in practice

13 Years

Top 3 insurances accepted

64% BlueCross and BlueShield
63% CareFirst
57% Cigna and Evernorth

How Therapists in Bethesda, MD see their clients

60% In Person and Online
40% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Bethesda?

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.