Photo of Brenda Nagle-Packard - Beacon of Hope Therapy and Consultation Services , MSW, LICSW, Clinical Social Work/Therapist
Beacon of Hope Therapy and Consultation Services
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Worcester, MA 01603
Not accepting new clients
I am NOT accepting new clients. My primary focus is working with women aged 30 years and older. If you are ready to make changes in your life, there is help. I specialize in working with woman who are motivated towards healing and wholeness. My primary focus is women, particularly those with a history of trauma. We’ll explore the feelings that arise in your body and notice their links to your thoughts and behaviors. I’ll empower you to choose a more positive narrative, to look at your life through a different lens.
I am NOT accepting new clients. My primary focus is working with women aged 30 years and older. If you are ready to make changes in your life, there is help. I specialize in working with woman who are motivated towards healing and wholeness. My primary focus is women, particularly those with a history of trauma. We’ll explore the feelings that arise in your body and notice their links to your thoughts and behaviors. I’ll empower you to choose a more positive narrative, to look at your life through a different lens.
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Photo of John Richard Casey - J R Casey Counseling & Hypnosis, LICSW, CCH, Clinical Social Work/Therapist
J R Casey Counseling & Hypnosis
Clinical Social Work/Therapist, LICSW, CCH
Verified Verified
Worcester, MA 01603
Know thyself, wrote the Greek scholar. My aim is to assist you toward effective and functional self-understanding so that you might pursue and achieve the life goals of which you, as a unique person, are most worthy. Harry Truman had on his desk, whatever job he held, these 10 words: "Know right from wrong. Do right. Do your best." I shall always use these words in your service.
Know thyself, wrote the Greek scholar. My aim is to assist you toward effective and functional self-understanding so that you might pursue and achieve the life goals of which you, as a unique person, are most worthy. Harry Truman had on his desk, whatever job he held, these 10 words: "Know right from wrong. Do right. Do your best." I shall always use these words in your service.
(774) 221-6116 View (774) 221-6116
Photo of Julie Orozco, LICSW, Clinical Social Work/Therapist
Julie Orozco
Clinical Social Work/Therapist, LICSW
Verified Verified
Worcester, MA 01603
Sometimes, the bravery it takes to step into the life you want for yourself can be shaken by the allure of familiarity- old patterns of behavior and thinking can be both maddening and comforting simultaneously. When the desire to change begins to outweigh the comfort associated with the ways you've always done things, knowing how to show up in the world in new ways is daunting. Helping you decipher the functions of unhelpful behavior patterns, release what is no longer serving you, and enhance the areas of your life that align with your ideal self are core to the work we will do together.
Sometimes, the bravery it takes to step into the life you want for yourself can be shaken by the allure of familiarity- old patterns of behavior and thinking can be both maddening and comforting simultaneously. When the desire to change begins to outweigh the comfort associated with the ways you've always done things, knowing how to show up in the world in new ways is daunting. Helping you decipher the functions of unhelpful behavior patterns, release what is no longer serving you, and enhance the areas of your life that align with your ideal self are core to the work we will do together.
(774) 450-7377 View (774) 450-7377
Photo of Sianeh J Konie, MSW, LICSW , Clinical Social Work/Therapist
Sianeh J Konie
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Worcester, MA 01603
I am a Master’s degree prepared Licensed Independent Clinical Social Worker with experience in the areas of psychiatry, renal disease, long term care and child welfare.  Beyond my clinical role as a therapist, I have a passion for promoting the safety, stability and wellbeing of people, which helps me approach mental health holistically. I have experience with CBT, DBT, Trauma-Focused Therapy, and Solution-Focused Therapy. I believe we are all resilient and have innate abilities to heal and thrive by discovering triggers/traumas, building on strengths and developing healthy coping skills to find balance and lead healthy lives.
I am a Master’s degree prepared Licensed Independent Clinical Social Worker with experience in the areas of psychiatry, renal disease, long term care and child welfare.  Beyond my clinical role as a therapist, I have a passion for promoting the safety, stability and wellbeing of people, which helps me approach mental health holistically. I have experience with CBT, DBT, Trauma-Focused Therapy, and Solution-Focused Therapy. I believe we are all resilient and have innate abilities to heal and thrive by discovering triggers/traumas, building on strengths and developing healthy coping skills to find balance and lead healthy lives.
(508) 796-8135 View (508) 796-8135
Photo of Amber Considine, Pre-Licensed Professional
Amber Considine
Pre-Licensed Professional
Verified Verified
3 Endorsed
Worcester, MA 01603  (Online Only)
Waitlist for new clients
I am a pre-Licensed Mental Health Counselor specializing in relationship and sex therapy. Many people tell me that I am the first person they have ever talked to about "this stuff". I primarily enjoy working with motivated clients who are interested in navigating the complexities of their intimate lives with openness and honesty. I enjoy working with individuals, couples, and multi partner relationships exploring intimacy, sexual functioning, power dynamics, and communication. My passion lies with helping others feel empowered by their sexuality and supporting the creation of sexual authenticity.
I am a pre-Licensed Mental Health Counselor specializing in relationship and sex therapy. Many people tell me that I am the first person they have ever talked to about "this stuff". I primarily enjoy working with motivated clients who are interested in navigating the complexities of their intimate lives with openness and honesty. I enjoy working with individuals, couples, and multi partner relationships exploring intimacy, sexual functioning, power dynamics, and communication. My passion lies with helping others feel empowered by their sexuality and supporting the creation of sexual authenticity.
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Photo of Marissa Williamson-Card, LMHC, Counselor
Marissa Williamson-Card
Counselor, LMHC
Verified Verified
Worcester, MA 01603
Taking that first step is how it all changes. Working together as a team to becoming your ideal self is where change begins. Many express that they are feeling depleted, stressed and stuck in patterns detrimental to their health and overall well-being. They are ready to break free from those dysfunctional patterns and therapy is where we begin.
Taking that first step is how it all changes. Working together as a team to becoming your ideal self is where change begins. Many express that they are feeling depleted, stressed and stuck in patterns detrimental to their health and overall well-being. They are ready to break free from those dysfunctional patterns and therapy is where we begin.
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Photo of Kimberly Rodrigues - Kimberly Rodrigues - The Willow Tree NE, LLC, LICSW, Clinical Social Work/Therapist
Kimberly Rodrigues - The Willow Tree NE, LLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Worcester, MA 01603  (Online Only)
Do you ever think to yourself "this isn't where I thought I would be at this point in my life"? Do you feel stuck, confused, overwhelmed, or doubt your decisions? Feeling like you should be happy because you have everything you want, but you just aren't. You are not alone! When feelings like this start to take over, it may be time to explore professional help. What if you could trust yourself, feel confident, and take on any challenge? Together, you and I can navigate this path.
Do you ever think to yourself "this isn't where I thought I would be at this point in my life"? Do you feel stuck, confused, overwhelmed, or doubt your decisions? Feeling like you should be happy because you have everything you want, but you just aren't. You are not alone! When feelings like this start to take over, it may be time to explore professional help. What if you could trust yourself, feel confident, and take on any challenge? Together, you and I can navigate this path.
(401) 386-8226 View (401) 386-8226
Photo of Michael King, MA, LMHC, Counselor
Michael King
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Worcester, MA 01603  (Online Only)
Waitlist for new clients
I am a Licensed Mental Health Counselor (Massachusetts & Vermont) with extensive experience treating Substance Use, Mood Disorders, and Personality Disorders using evidence-based practices such as Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Motivational Interviewing. Combining these tried and tested therapies with genuine compassion, validation and understanding is how we will help build insight and resilience to find a path toward the living the life you want.
I am a Licensed Mental Health Counselor (Massachusetts & Vermont) with extensive experience treating Substance Use, Mood Disorders, and Personality Disorders using evidence-based practices such as Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Motivational Interviewing. Combining these tried and tested therapies with genuine compassion, validation and understanding is how we will help build insight and resilience to find a path toward the living the life you want.
(774) 344-3304 View (774) 344-3304
Photo of W Rachel Krenis, MA, LMHC, Counselor
W Rachel Krenis
Counselor, MA, LMHC
Verified Verified
Worcester, MA 01603  (Online Only)
Waitlist for new clients
Are you looking for culturally sensitive, creative therapy? I provide culturally sensitive support to individuals seeking virtual counseling for depression, anxiety, transitions, inner peace-finding, and life coaching and planning. I help my clients feel more comfortable within their own bodies and life. I specialize in women's issues, stress and relationship issues. I also support art therapy and helping clients create safe comfortable spaces for everyday living through home design planning. I also provide support to other mental health LMHC professionals who need supervision towards licensure.
Are you looking for culturally sensitive, creative therapy? I provide culturally sensitive support to individuals seeking virtual counseling for depression, anxiety, transitions, inner peace-finding, and life coaching and planning. I help my clients feel more comfortable within their own bodies and life. I specialize in women's issues, stress and relationship issues. I also support art therapy and helping clients create safe comfortable spaces for everyday living through home design planning. I also provide support to other mental health LMHC professionals who need supervision towards licensure.
(774) 479-4199 View (774) 479-4199
Photo of Pamela J Daly Jr, MA, CAGS, LMHC, Counselor
Pamela J Daly Jr
Counselor, MA, CAGS, LMHC
Verified Verified
1 Endorsed
Worcester, MA 01603
In the current environment, it is more important than ever to prioritize your mental health and emotional well-being. When the demand of our lives becomes overwhelming at times we can feel trapped and powerless. Often we will ignore or seek to avoid our emotional pain rather than address it. Regardless of the challenges you are facing in life, positive change is always possible. In my work as an LMHC I help individuals approach their emotional pain and experiences in a way that reduces their suffering and aids in promoting personal well-being through the use of mindfulness-based therapy and Cognitive Behavioral Therapy.
In the current environment, it is more important than ever to prioritize your mental health and emotional well-being. When the demand of our lives becomes overwhelming at times we can feel trapped and powerless. Often we will ignore or seek to avoid our emotional pain rather than address it. Regardless of the challenges you are facing in life, positive change is always possible. In my work as an LMHC I help individuals approach their emotional pain and experiences in a way that reduces their suffering and aids in promoting personal well-being through the use of mindfulness-based therapy and Cognitive Behavioral Therapy.
(774) 208-0597 View (774) 208-0597
Photo of Robyn Quilliam, LMHC, Counselor
Robyn Quilliam
Counselor, LMHC
Verified Verified
Worcester, MA 01603
To be human is to have joy and struggle. That being said, sometimes when people make every effort to do their best in life, they still have hard times for many reasons. Sometimes people seek out a professional counselor for help with mental health issues, substance abuse issues or other aspects of life that are difficult to manage alone. Hopefully, by engaging in counseling you will get help in developing and meeting your individual goals and finding solutions to many facets of life that have been difficult, e.g., mental health, life transitions, grief, etc.
To be human is to have joy and struggle. That being said, sometimes when people make every effort to do their best in life, they still have hard times for many reasons. Sometimes people seek out a professional counselor for help with mental health issues, substance abuse issues or other aspects of life that are difficult to manage alone. Hopefully, by engaging in counseling you will get help in developing and meeting your individual goals and finding solutions to many facets of life that have been difficult, e.g., mental health, life transitions, grief, etc.
(774) 278-5979 View (774) 278-5979
Photo of Bethany D'Amico Hackenson, LMHC, MEd, Counselor
Bethany D'Amico Hackenson
Counselor, LMHC, MEd
Verified Verified
Worcester, MA 01603
Limited availability for appointments on Friday mornings/afternoons only- I work with children, adolescents, and adults in navigating new life experiences and major life transitions.
Limited availability for appointments on Friday mornings/afternoons only- I work with children, adolescents, and adults in navigating new life experiences and major life transitions.
(508) 817-5084 View (508) 817-5084
Photo of Hillary Murphy, LMHC, MA, Counselor
Hillary Murphy
Counselor, LMHC, MA
Verified Verified
4 Endorsed
Worcester, MA 01603
Waitlist for new clients
Currently only accepting clients with OCD and PTSD. My passion is to help others. I specialize in OCD and PTSD treatment and always provide a calm, supportive environment for my clients. I have experience working with people of all ages in both in-person and telehealth settings.
Currently only accepting clients with OCD and PTSD. My passion is to help others. I specialize in OCD and PTSD treatment and always provide a calm, supportive environment for my clients. I have experience working with people of all ages in both in-person and telehealth settings.
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Photo of Pamela Daly - Guided Growth Therapy Collective, MA, CAGS, LMHC, Counselor
Guided Growth Therapy Collective
Counselor, MA, CAGS, LMHC
Verified Verified
Worcester, MA 01603  (Online Only)
Are you struggling with managing life's challenges lately? At Guided Growth Therapy Collective we are dedicated to helping individuals navigate those challenges and cultivate their mental well-being. With a compassionate and client-centered approach, We strive to create a safe and non-judgmental space where you can explore your thoughts, feelings, and behaviors. We believe that each person is unique, and we tailor our therapeutic techniques to meet your specific needs and goals. Whether you are struggling with anxiety, depression, or stress we are here to support you on your journey towards healing and growth.
Are you struggling with managing life's challenges lately? At Guided Growth Therapy Collective we are dedicated to helping individuals navigate those challenges and cultivate their mental well-being. With a compassionate and client-centered approach, We strive to create a safe and non-judgmental space where you can explore your thoughts, feelings, and behaviors. We believe that each person is unique, and we tailor our therapeutic techniques to meet your specific needs and goals. Whether you are struggling with anxiety, depression, or stress we are here to support you on your journey towards healing and growth.
(774) 255-5078 View (774) 255-5078
Photo of Cassandra DeQuevedo, MS, LMHC, Counselor
Cassandra DeQuevedo
Counselor, MS, LMHC
Verified Verified
2 Endorsed
Worcester, MA 01603
You’re good at so many things, but you struggle in relationships, with confidence in who you are, or managing grief. Therapy will help you tap into your natural ability for deep connection, inner strength, and healing. Perhaps in Relationships- you struggle with communication, boundaries, or you keep getting stuck in the same patterns? In Identity- you know your worth, but have trouble with your self-esteem? In Grief- you get overwhelmed, and don’t know where to start to feel better? You're ready to master relationships, heal, and be unapologetically yourself.
You’re good at so many things, but you struggle in relationships, with confidence in who you are, or managing grief. Therapy will help you tap into your natural ability for deep connection, inner strength, and healing. Perhaps in Relationships- you struggle with communication, boundaries, or you keep getting stuck in the same patterns? In Identity- you know your worth, but have trouble with your self-esteem? In Grief- you get overwhelmed, and don’t know where to start to feel better? You're ready to master relationships, heal, and be unapologetically yourself.
(339) 675-1963 View (339) 675-1963
Photo of Danielle Stone - The Life Workshop, MSW, LICSW, PMH-C, Clinical Social Work/Therapist
The Life Workshop
Clinical Social Work/Therapist, MSW, LICSW, PMH-C
Verified Verified
1 Endorsed
Worcester, MA 01603  (Online Only)
Do you find yourself navigating the complexities of parenthood or reproduction? Perhaps you're a new parent wondering if what you're feeling is normal or grappling with feeling guilt and shame for not experiencing the joy you expected. You may be struggling with perinatal complications, feeling isolated and overwhelmed by the emotional rollercoaster. Your needs are multifaceted – deserving understanding, validation, and compassionate support from someone who truly "gets it." We want you to emerge from this experience feeling the best version of yourself and fully equipped to embrace the joys and challenges of this journey.
Do you find yourself navigating the complexities of parenthood or reproduction? Perhaps you're a new parent wondering if what you're feeling is normal or grappling with feeling guilt and shame for not experiencing the joy you expected. You may be struggling with perinatal complications, feeling isolated and overwhelmed by the emotional rollercoaster. Your needs are multifaceted – deserving understanding, validation, and compassionate support from someone who truly "gets it." We want you to emerge from this experience feeling the best version of yourself and fully equipped to embrace the joys and challenges of this journey.
(413) 259-0361 View (413) 259-0361
Photo of Gabriel J Garcia, LMHC, Counselor
Gabriel J Garcia
Counselor, LMHC
Verified Verified
Worcester, MA 01603  (Online Only)
I am looking forward to working with clients who are self-aware or interested in learning how to be more open to building up their self-interest. I'm happy to help clients recognize their struggles and the importance of seeking support. I am seeking clients who are motivated to improve their lives and understand that therapy and a willingness to change can lead to growth and improvement in their mental health. With these foundations in place, we can develop clear goals centered around reducing symptoms of anxiety, depression, trauma, or other mental health issues.
I am looking forward to working with clients who are self-aware or interested in learning how to be more open to building up their self-interest. I'm happy to help clients recognize their struggles and the importance of seeking support. I am seeking clients who are motivated to improve their lives and understand that therapy and a willingness to change can lead to growth and improvement in their mental health. With these foundations in place, we can develop clear goals centered around reducing symptoms of anxiety, depression, trauma, or other mental health issues.
(351) 200-3224 View (351) 200-3224
Photo of Tanieka Gentles - Gentles Counseling Services LLC, MA, LMHC, Counselor
Gentles Counseling Services LLC
Counselor, MA, LMHC
Verified Verified
Worcester, MA 01603
We specialize in treating children, adolescents and couples. Our initial focus is to establish a therapeutic relationship with our patients who we work with as we believe that is the foundation for effective therapy. We currently have evening appointments on a weekday in addition to weekends. We offer empathetic listening and also provide direct but therapeutic feedback and support to the individuals we work with. We strongly believe in meeting our clients where he, she or they are at and facilitating him, her or them in addressing the presenting problems.
We specialize in treating children, adolescents and couples. Our initial focus is to establish a therapeutic relationship with our patients who we work with as we believe that is the foundation for effective therapy. We currently have evening appointments on a weekday in addition to weekends. We offer empathetic listening and also provide direct but therapeutic feedback and support to the individuals we work with. We strongly believe in meeting our clients where he, she or they are at and facilitating him, her or them in addressing the presenting problems.
(774) 241-9600 View (774) 241-9600
Photo of Aleia Mangano, MSW, LMSW, Pre-Licensed Professional
Aleia Mangano
Pre-Licensed Professional, MSW, LMSW
Verified Verified
1 Endorsed
Worcester, MA 01603  (Online Only)
Waitlist for new clients
I am dedicated to providing affirming and trauma-responsive care, rooted in social justice-oriented, anti-oppressive values, and grounded in the belief that each of us has the innate capacity for healing, growth, and meaningful connection. I believe in the transformative power of the client-therapist alliance, emphasizing trust, empathy, and authenticity to build strong therapeutic relationships where clients may feel accepted, validated, and empowered. I offer a collaborative and compassionate approach, integrating a blend of relational, psychodynamic, cognitive, and somatic therapies in my practice.
I am dedicated to providing affirming and trauma-responsive care, rooted in social justice-oriented, anti-oppressive values, and grounded in the belief that each of us has the innate capacity for healing, growth, and meaningful connection. I believe in the transformative power of the client-therapist alliance, emphasizing trust, empathy, and authenticity to build strong therapeutic relationships where clients may feel accepted, validated, and empowered. I offer a collaborative and compassionate approach, integrating a blend of relational, psychodynamic, cognitive, and somatic therapies in my practice.
(508) 570-0740 View (508) 570-0740
Photo of Jenn Luke, LICSW, Clinical Social Work/Therapist
Jenn Luke
Clinical Social Work/Therapist, LICSW
Verified Verified
Worcester, MA 01603
Are you finding life hard to cope with and you need to work through your concerns in a safe and empathetic environment. I can provide that and more. My name is Jenn and I have been in the social work field for 28 years. I have experience working with children, adolescents, adults, couples, families and groups. I specialize in helping clients coping with stress, anxiety, depression, ADHD, relationship issues, parental challenges and grief. The ideal client is coming to therapy motivated to work through their concerns, hear a different perspective and develop strategies to overcome these challenges.
Are you finding life hard to cope with and you need to work through your concerns in a safe and empathetic environment. I can provide that and more. My name is Jenn and I have been in the social work field for 28 years. I have experience working with children, adolescents, adults, couples, families and groups. I specialize in helping clients coping with stress, anxiety, depression, ADHD, relationship issues, parental challenges and grief. The ideal client is coming to therapy motivated to work through their concerns, hear a different perspective and develop strategies to overcome these challenges.
(508) 625-7019 View (508) 625-7019
1

How does your Therapist compare?

Number of Therapists in 01603

50+

Average cost per session

$140

Therapists in 01603 who prioritize treating:

90% Anxiety
82% Depression
70% Coping Skills
68% Stress
64% Self Esteem
60% Grief
60% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
80% UnitedHealthcare UHC | UBH
73% Optum

How Therapists in 01603 see their clients

54% Online Only
46% In Person and Online

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 01603?

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.