Photo of Theresa Gachuna, Clinical Social Work/Therapist in 01609, MA
Theresa Gachuna
Clinical Social Work/Therapist, LICSW
Verified Verified
Worcester, MA 01609
Do you find yourself struggling with loss or life changes and find it difficult to cope? Are you having symptoms of anxiety, depression, addictive or unhealthy behaviors? When many think of loss and grief, one may assume they have lost a loved one. At times this is the case, but there are so many kinds of losses we are faced with in our lives; loss of self, loss of roles in life, loss of relationship, chronic illness and many more. Losses can cause us to question our lives and who we are, and can even bring up past hurts or negative ways of coping that are not helping us achieve our best selves.
Do you find yourself struggling with loss or life changes and find it difficult to cope? Are you having symptoms of anxiety, depression, addictive or unhealthy behaviors? When many think of loss and grief, one may assume they have lost a loved one. At times this is the case, but there are so many kinds of losses we are faced with in our lives; loss of self, loss of roles in life, loss of relationship, chronic illness and many more. Losses can cause us to question our lives and who we are, and can even bring up past hurts or negative ways of coping that are not helping us achieve our best selves.
(774) 670-5280 View (774) 670-5280
Photo of Johanna S Spencer, Counselor in 01609, MA
Johanna S Spencer
Counselor, MA, LMHC
Verified Verified
Worcester, MA 01609  (Online Only)
I have over 25 years working with adults, families, couples and groups to release current stress and old issues to build happier, smoother more satisfying lives. My work includes anxiety, depression, parenting, trauma, substance use and compulsive behaviors including food and relationship addictions. I work with most ages and combinations of people depending upon the issues at hand.
I have over 25 years working with adults, families, couples and groups to release current stress and old issues to build happier, smoother more satisfying lives. My work includes anxiety, depression, parenting, trauma, substance use and compulsive behaviors including food and relationship addictions. I work with most ages and combinations of people depending upon the issues at hand.
(774) 217-7535 View (774) 217-7535
Photo of Karen Spinks, Counselor in 01609, MA
Karen Spinks
Counselor, LMHC
Verified Verified
1 Endorsed
Worcester, MA 01609
I counsel both individuals and couples coping with stress, anxiety and a history of trauma. LGBTQ community welcome. Stress can trigger anger and irritability or perhaps generally feeling lost, empty, isolated or disconnected. My goal for my clients is to begin by feeling less isolated and then generally more able to navigate life’s inevitable ups and downs. We will work together to improve your communication, strengthen (and heal where necessary) interpersonal relationships and devise some coping skills that will be useful moving forward. Contemplating change takes courage but all things are possible.
I counsel both individuals and couples coping with stress, anxiety and a history of trauma. LGBTQ community welcome. Stress can trigger anger and irritability or perhaps generally feeling lost, empty, isolated or disconnected. My goal for my clients is to begin by feeling less isolated and then generally more able to navigate life’s inevitable ups and downs. We will work together to improve your communication, strengthen (and heal where necessary) interpersonal relationships and devise some coping skills that will be useful moving forward. Contemplating change takes courage but all things are possible.
(781) 336-0091 View (781) 336-0091
Photo of Dr. Jennifer James, Psychologist in 01609, MA
Dr. Jennifer James
Psychologist, PsyD
Verified Verified
Worcester, MA 01609
Life can often times make us feel like a crab without a shell, being thrown around by the waves into the rocks of the jetty. For many of us, there was never a "before" period - rather, the struggle has been all one has known. Individuals born into dysfunctional family systems often find that vulnerabilities from childhood not only fail to leave us as we become adults, but often make frequent and unwelcome appearances in the form of insecurity, shame, misplaced guilt and difficulty in relationships, to name a few.
Life can often times make us feel like a crab without a shell, being thrown around by the waves into the rocks of the jetty. For many of us, there was never a "before" period - rather, the struggle has been all one has known. Individuals born into dysfunctional family systems often find that vulnerabilities from childhood not only fail to leave us as we become adults, but often make frequent and unwelcome appearances in the form of insecurity, shame, misplaced guilt and difficulty in relationships, to name a few.
(508) 456-9370 View (508) 456-9370
Mary McLoughlin Breault
Clinical Social Work/Therapist, LICSW
Verified Verified
Worcester, MA 01609
I believe that successful treatment of children, youth, adults, and families occurs when the treatment approach is client-centered, family-focused, culturally competent, and reliant on evidenced-based treatment modalities. For over 25 years as an LICSW I have worked with a wide range of mental health issues including trauma, PTSD, depression, anxiety, and attachment disorders and how they impact the overall functioning of the client and the family. I have extensive clinical experience working with children and families in a variety of settings including home and school, outpatient clinics, and inpatient adolescent treatment program.
I believe that successful treatment of children, youth, adults, and families occurs when the treatment approach is client-centered, family-focused, culturally competent, and reliant on evidenced-based treatment modalities. For over 25 years as an LICSW I have worked with a wide range of mental health issues including trauma, PTSD, depression, anxiety, and attachment disorders and how they impact the overall functioning of the client and the family. I have extensive clinical experience working with children and families in a variety of settings including home and school, outpatient clinics, and inpatient adolescent treatment program.
(508) 556-2913 View (508) 556-2913
Photo of James J Butrym, Clinical Social Work/Therapist in 01609, MA
James J Butrym
Clinical Social Work/Therapist, MSc, MSW, LICSW
Verified Verified
Worcester, MA 01609
Specializing in individual & couples counseling (e.g. those struggling with infidelity, addiction, high levels of conflict, dissatisfaction, inability to communicate or "stage of life" changes). My clients are typically professionals, first responders (fire, police, EMT, hospital staff), couples, trauma survivors, those in addiction recovery & those struggling with grief and loss. For over three decades, I have worked effectively with individuals & families of all types and persuasions. I employ both evidence-based & observation-based practices but believe a therapist's life-long experience is always the best predictor of success.
Specializing in individual & couples counseling (e.g. those struggling with infidelity, addiction, high levels of conflict, dissatisfaction, inability to communicate or "stage of life" changes). My clients are typically professionals, first responders (fire, police, EMT, hospital staff), couples, trauma survivors, those in addiction recovery & those struggling with grief and loss. For over three decades, I have worked effectively with individuals & families of all types and persuasions. I employ both evidence-based & observation-based practices but believe a therapist's life-long experience is always the best predictor of success.
(978) 543-5616 View (978) 543-5616
Photo of Ashley L Wheeler in 01609, MA
Ashley L Wheeler
MA, EdS, LEP
Verified Verified
1 Endorsed
Worcester, MA 01609  (Online Only)
Adolescence and young adulthood are a complex seasons to navigate. It can be difficult to manage the many social, academic, and societal expectations, while also grappling with and discovering who you are and who you want to become. As a counselor and coach, I walk alongside teenagers, college-aged women and young professionals, serving as a guide and a support, as they explore what it means to live an authentic life. Together we work toward developing the skills they need to lean into and embrace a life filled with joy, contentment, and deep meaningful connection.
Adolescence and young adulthood are a complex seasons to navigate. It can be difficult to manage the many social, academic, and societal expectations, while also grappling with and discovering who you are and who you want to become. As a counselor and coach, I walk alongside teenagers, college-aged women and young professionals, serving as a guide and a support, as they explore what it means to live an authentic life. Together we work toward developing the skills they need to lean into and embrace a life filled with joy, contentment, and deep meaningful connection.
(508) 556-0564 View (508) 556-0564
Photo of Silver ADHD Coaching in 01609, MA
Silver ADHD Coaching
MSW
Verified Verified
Worcester, MA 01609  (Online Only)
You decide what’s important for you to work on. Each client is unique and I come to sessions with curiosity and appreciation for you. The most valuable coaching is about who you are. We meet where you are now with an eye towards who you want to become and what you want to create for yourself.
You decide what’s important for you to work on. Each client is unique and I come to sessions with curiosity and appreciation for you. The most valuable coaching is about who you are. We meet where you are now with an eye towards who you want to become and what you want to create for yourself.
(774) 316-7028 View (774) 316-7028
Photo of Alesia Walker, Counselor in 01609, MA
Alesia Walker
Counselor, LMHC, LADC 1, CCTP
Verified Verified
1 Endorsed
Worcester, MA 01609  (Online Only)
Sometimes life can become overwhelming; when the life you imagined does not resemble the life you live. There is often a sense of frustration that comes when you’re trying to find meaning in your experiences. Loneliness, fear, depression, guilt, shame, toxic relationships, trauma, and anxiety may stand between you and your purpose. I would be honored to help you work to learn skills, recognize resilience, find meaning in the chaos, and begin the journey of becoming a little better every day. I am a LMHC with over 14 years of experience in the mental health field and I also offer a faith based- approach with Christian clients.
Sometimes life can become overwhelming; when the life you imagined does not resemble the life you live. There is often a sense of frustration that comes when you’re trying to find meaning in your experiences. Loneliness, fear, depression, guilt, shame, toxic relationships, trauma, and anxiety may stand between you and your purpose. I would be honored to help you work to learn skills, recognize resilience, find meaning in the chaos, and begin the journey of becoming a little better every day. I am a LMHC with over 14 years of experience in the mental health field and I also offer a faith based- approach with Christian clients.
(774) 535-7407 View (774) 535-7407
Photo of John 'Jack' Bonina, Clinical Social Work/Therapist in 01609, MA
John 'Jack' Bonina
Clinical Social Work/Therapist, MS, MSW, LICSW
Verified Verified
Worcester, MA 01609
My approach with clients recognizes that most people are looking for tangible help, don't have a lot of time between work and family, and want to feel like they are moving toward a better understanding of solutions to address their difficulties. My work with clients acknowledges these issues. I take a very active role in counseling to explore the options with my clients, provide new knowlege of issues where relevant, and help an individual to reach their potential. Issues related to marital/partner, parenting/child, family,work,school,stress, anxiety, depression, and substance abuse are all areas I work with.
My approach with clients recognizes that most people are looking for tangible help, don't have a lot of time between work and family, and want to feel like they are moving toward a better understanding of solutions to address their difficulties. My work with clients acknowledges these issues. I take a very active role in counseling to explore the options with my clients, provide new knowlege of issues where relevant, and help an individual to reach their potential. Issues related to marital/partner, parenting/child, family,work,school,stress, anxiety, depression, and substance abuse are all areas I work with.
(508) 534-8209 View (508) 534-8209
Photo of Abide Intergratives, Clinical Social Work/Therapist in 01609, MA
Abide Intergratives
Clinical Social Work/Therapist, LICSW, LCSW
Not Verified Not Verified
1 Endorsed
Worcester, MA 01609  (Online Only)
My clients are whose who are seeking to make peace with their past, maximize their present, and themselves so they can take back their lives and live abundantly.
My clients are whose who are seeking to make peace with their past, maximize their present, and themselves so they can take back their lives and live abundantly.
(774) 252-9047 View (774) 252-9047
Photo of Brittany Ford Petty, Clinical Social Work/Therapist in 01609, MA
Brittany Ford Petty
Clinical Social Work/Therapist, LICSW, E-RYT, IINHC
Verified Verified
Worcester, MA 01609
Waitlist for new clients
It is with gratitude that I hold space for you. The therapeutic relationship is an important tool used to build a solid and trusting relationship with yourself, the world around you, and the people within it. I work with humans who may be struggling to cope with life's unpredictable and impermanent nature, with life transitions, anxiety, grief, trauma, and other forms of emotional pain. I provide a safe, non-judgmental space to explore patterns of thinking and living that have hindered your growth and prevented you from engaging wholeheartedly in your life.
It is with gratitude that I hold space for you. The therapeutic relationship is an important tool used to build a solid and trusting relationship with yourself, the world around you, and the people within it. I work with humans who may be struggling to cope with life's unpredictable and impermanent nature, with life transitions, anxiety, grief, trauma, and other forms of emotional pain. I provide a safe, non-judgmental space to explore patterns of thinking and living that have hindered your growth and prevented you from engaging wholeheartedly in your life.
(508) 978-6170 View (508) 978-6170
Photo of Institute for Trauma and Healing, Counselor in 01609, MA
Institute for Trauma and Healing
Counselor, LMHC, LRC
Verified Verified
Worcester, MA 01609
A short-term treatment model providing long-lasting results. Particularly effective with those who have difficulty talking about their traumatic experience. Clients should have experienced single incident or repetive trauma that have been resistent to traditional talk therapy.
A short-term treatment model providing long-lasting results. Particularly effective with those who have difficulty talking about their traumatic experience. Clients should have experienced single incident or repetive trauma that have been resistent to traditional talk therapy.
(508) 556-6547 View (508) 556-6547
Photo of Mary Ludy, LMHC, LMFT, Marriage & Family Therapist in 01609, MA
Mary Ludy, LMHC, LMFT
Marriage & Family Therapist, LMHC, LMFT
Verified Verified
Worcester, MA 01609  (Online Only)
I am a senior, experienced and ethical psychotherapist who works with adults, couples and families within the context of individual, group and couples therapy. My work with you is strength-based and solution-focused and will help you with coping and self-help strategies, communication and conflict resolution skills, resolve emotional conflicts, and increase satisfaction with your life and functioning. I treat all mood illnesses and adjustment disorders, such as life stages, transitions, and negative stressors. I'm experienced with extensive and diverse populations and cultures, and have knowledge with illness and disabilities.
I am a senior, experienced and ethical psychotherapist who works with adults, couples and families within the context of individual, group and couples therapy. My work with you is strength-based and solution-focused and will help you with coping and self-help strategies, communication and conflict resolution skills, resolve emotional conflicts, and increase satisfaction with your life and functioning. I treat all mood illnesses and adjustment disorders, such as life stages, transitions, and negative stressors. I'm experienced with extensive and diverse populations and cultures, and have knowledge with illness and disabilities.
(508) 709-6109 x242 View (508) 709-6109 x242
Photo of Deborah V. DeAngelo, Clinical Social Work/Therapist in 01609, MA
Deborah V. DeAngelo
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Worcester, MA 01609  (Online Only)
Waitlist for new clients
I work collaboratively with clients in facing challenges related to life transitions, relational issues, anxiety and depression. I am committed to supporting clients in gaining greater insight and self awareness about feelings, thoughts and internal conflicts that may impact your living a more satisfied life. My approach to therapy is compassionate, ethical and non-judgmental with a focus on encouraging self-compassion/acceptance, identifying strengths and changing non-adaptive patterns. I believe that we all possess the capacity to change and with the right support and guidance, make changes we may have not thought possible.
I work collaboratively with clients in facing challenges related to life transitions, relational issues, anxiety and depression. I am committed to supporting clients in gaining greater insight and self awareness about feelings, thoughts and internal conflicts that may impact your living a more satisfied life. My approach to therapy is compassionate, ethical and non-judgmental with a focus on encouraging self-compassion/acceptance, identifying strengths and changing non-adaptive patterns. I believe that we all possess the capacity to change and with the right support and guidance, make changes we may have not thought possible.
(508) 715-9255 View (508) 715-9255
Photo of Will Davidson, Counselor in 01609, MA
Will Davidson
Counselor, LMHC
Verified Verified
Worcester, MA 01609  (Online Only)
I offer evidence-based, client centered, treatments delivered with compassion, humor and intelligence. My job satisfaction comes from seeing large changes in my clients over a short period of time. I specialize in Cognitive Behavioral Therapy and include elements of Dialectical Behavior Therapy and Art Therapy. Cognitive behavioral therapy is a psychosocial intervention that is the most widely used evidence-based practice for improving mental health. Guided by empirical research, CBT focuses on the development of personal coping strategies that target solving current problems and changing unhelpful patterns in cognitions (e.g. thoughts, beliefs, and attitudes), behaviors, and emotional regulation.
I offer evidence-based, client centered, treatments delivered with compassion, humor and intelligence. My job satisfaction comes from seeing large changes in my clients over a short period of time. I specialize in Cognitive Behavioral Therapy and include elements of Dialectical Behavior Therapy and Art Therapy. Cognitive behavioral therapy is a psychosocial intervention that is the most widely used evidence-based practice for improving mental health. Guided by empirical research, CBT focuses on the development of personal coping strategies that target solving current problems and changing unhelpful patterns in cognitions (e.g. thoughts, beliefs, and attitudes), behaviors, and emotional regulation.
(508) 603-0139 View (508) 603-0139
Photo of Sarah Carr, Clinical Social Work/Therapist in 01609, MA
Sarah Carr
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Worcester, MA 01609
Not accepting new clients
I believe everyone has the potential for healing and growth that is personally meaningful to them, and therapy is partnership between client and therapist on a journey of transformation. I utilize a grounded, collaborative, and strengths-based approach to support you in gaining insight and resolution to achieve the change you want within yourself and your life. I am a gender and neurodivergent affirming therapist with a focus in working with adults to address needs including LGBTQ+ issues, neurodiversity, life transitions, women’s issues, emerging adulthood, family/relationship dynamics, and mental health disorders.
I believe everyone has the potential for healing and growth that is personally meaningful to them, and therapy is partnership between client and therapist on a journey of transformation. I utilize a grounded, collaborative, and strengths-based approach to support you in gaining insight and resolution to achieve the change you want within yourself and your life. I am a gender and neurodivergent affirming therapist with a focus in working with adults to address needs including LGBTQ+ issues, neurodiversity, life transitions, women’s issues, emerging adulthood, family/relationship dynamics, and mental health disorders.
(508) 761-1405 View (508) 761-1405
Photo of Jalessa A Townsend, Clinical Social Work/Therapist in 01609, MA
Jalessa A Townsend
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Worcester, MA 01609  (Online Only)
Are you struggling to keep up the appearance of having everything under control? Do others label you as "successful" or reliable? Are you the friend or family member people commend as "strong"? Do you often prioritize others at the expense of your own needs, feeling like you give more than you receive in relationships? Does it frustrate you when your efforts and energy aren't reciprocated? If you long for peace, clarity, and deeper fulfillment, it's time to prioritize yourself. I specialize in helping individuals like you. Contact me for a free consultation where I can answer any questions you have & to see if we'd make a good team.
Are you struggling to keep up the appearance of having everything under control? Do others label you as "successful" or reliable? Are you the friend or family member people commend as "strong"? Do you often prioritize others at the expense of your own needs, feeling like you give more than you receive in relationships? Does it frustrate you when your efforts and energy aren't reciprocated? If you long for peace, clarity, and deeper fulfillment, it's time to prioritize yourself. I specialize in helping individuals like you. Contact me for a free consultation where I can answer any questions you have & to see if we'd make a good team.
(351) 200-7741 View (351) 200-7741
Photo of Richard R Breault, Clinical Social Work/Therapist in 01609, MA
Richard R Breault
Clinical Social Work/Therapist, LICSW
Verified Verified
Worcester, MA 01609
Throughout my career as a clinical social worker, I have worked with teenagers and families. I love young people: their enthusiasm and their passion for life, even their confusion and their uncertainties. As for the parents of those teenagers, I can only empathize with you. Even experienced clinicians struggle parenting teens when they're your own. And the toll parenting a teenager can take on a marriage: it is undoubtedly why most of the couples I have worked with, sought marriage therapy during the time their children were teenagers or young adults. I understand their pain and want to help relieve it.
Throughout my career as a clinical social worker, I have worked with teenagers and families. I love young people: their enthusiasm and their passion for life, even their confusion and their uncertainties. As for the parents of those teenagers, I can only empathize with you. Even experienced clinicians struggle parenting teens when they're your own. And the toll parenting a teenager can take on a marriage: it is undoubtedly why most of the couples I have worked with, sought marriage therapy during the time their children were teenagers or young adults. I understand their pain and want to help relieve it.
(508) 342-5954 View (508) 342-5954
Photo of Caroline Flowers Tomekowou, Counselor in 01609, MA
Caroline Flowers Tomekowou
Counselor, LMHC, PMH-C
Verified Verified
1 Endorsed
Worcester, MA 01609  (Online Only)
As your therapist, my primary goal is what's best for YOU, based on YOUR goals, and Your needs. I work primarily with individuals and couples struggling with infertility, pregnancy loss, pregnancy, and post-partum complications. If you have been struggling to conceive, feeling anxious while pregnant, worried about your pending delivery/birth, had a difficult experience in the hospital or recovering from birth related injuries, or possibly looking to increase intimacy after a baby or a loss. I utilize different clinical approaches to support all clients on their path to wellness.
As your therapist, my primary goal is what's best for YOU, based on YOUR goals, and Your needs. I work primarily with individuals and couples struggling with infertility, pregnancy loss, pregnancy, and post-partum complications. If you have been struggling to conceive, feeling anxious while pregnant, worried about your pending delivery/birth, had a difficult experience in the hospital or recovering from birth related injuries, or possibly looking to increase intimacy after a baby or a loss. I utilize different clinical approaches to support all clients on their path to wellness.
(508) 503-6244 View (508) 503-6244

How does your Therapist compare?

Number of Therapists in 01609

80+

Average cost per session

$150

Therapists in 01609 who prioritize treating:

88% Anxiety
87% Depression
70% Trauma and PTSD
69% Self Esteem
65% Relationship Issues
64% Coping Skills
56% Stress

Average years in practice

14 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
68% UnitedHealthcare UHC | UBH
64% Harvard Pilgrim

How Therapists in 01609 see their clients

60% In Person and Online
40% Online Only

Gender breakdown

70% Female
28% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 01609?

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.