Kristin Honsberger
Clinical Social Work/Therapist, LICSW
Verified Verified
Ossipee, NH 03864
Waitlist for new clients
My name is Kris Honsberger.I am a Licensed Clinical Social Worker with a Master's degree from Boston College and a concentration in Children and Families.I have been in the field of mental health for over 30 years and in private practice for 15. I currently hold a National Certification in Anxiety Treatment.
My name is Kris Honsberger.I am a Licensed Clinical Social Worker with a Master's degree from Boston College and a concentration in Children and Families.I have been in the field of mental health for over 30 years and in private practice for 15. I currently hold a National Certification in Anxiety Treatment.
(603) 810-8753 View (603) 810-8753
Photo of Anne Marie Lackey Allwine - PEEPS Psychotherapy LLC, MSW, LICSW, Clinical Social Work/Therapist
PEEPS Psychotherapy LLC
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Serves Area
My name is Anne Marie Allwine LICSW with P.E.E.P.S. Psychotherapy. P.E.E.P.S. stands for: P.eople seeking E.mpathy E.mpowerment P.ersonal growth and S.upport. I have worked in the mental health field for over 30 years in a variety of settings, most recently as the School Counselor for a private high school. I use a supportive strengths-based approach but also will challenge one's thoughts if they are irrational or self- destructive (CBT). I find it is also helpful to assist people to learn coping strategies and build skills that work for them.
My name is Anne Marie Allwine LICSW with P.E.E.P.S. Psychotherapy. P.E.E.P.S. stands for: P.eople seeking E.mpathy E.mpowerment P.ersonal growth and S.upport. I have worked in the mental health field for over 30 years in a variety of settings, most recently as the School Counselor for a private high school. I use a supportive strengths-based approach but also will challenge one's thoughts if they are irrational or self- destructive (CBT). I find it is also helpful to assist people to learn coping strategies and build skills that work for them.
(603) 569-4776 x3 View (603) 569-4776 x3
Photo of Holly Clause, MAET, LCMHC, Counselor
Holly Clause
Counselor, MAET, LCMHC
Verified Verified
Serves Area
Because we are unique and complex people I choose a holistic and individualized counseling approach. I am both a traditional "talk therapist" and an expressive arts therapist specializing in art therapy. I have 20 years of experience in the mental health field working in various treatment setting with teens and adults. I help people gain insight, awareness, emotional release, problem solving and coping skills. I have considerable experience in treating emotional disturbances, trauma, anxiety, depression, mood disorders and anxiety. I am trained in cognitive behavioral therapy, art therapy and psychodynamics; I use both approaches.
Because we are unique and complex people I choose a holistic and individualized counseling approach. I am both a traditional "talk therapist" and an expressive arts therapist specializing in art therapy. I have 20 years of experience in the mental health field working in various treatment setting with teens and adults. I help people gain insight, awareness, emotional release, problem solving and coping skills. I have considerable experience in treating emotional disturbances, trauma, anxiety, depression, mood disorders and anxiety. I am trained in cognitive behavioral therapy, art therapy and psychodynamics; I use both approaches.
(603) 207-8427 View (603) 207-8427
Photo of Christine Ann Laflamme, LCMHC, LCPC, LPC, Counselor
Christine Ann Laflamme
Counselor, LCMHC, LCPC, LPC
Verified Verified
1 Endorsed
Online Only
Are you struggling with depression, anxiety, trauma, and stress? Let me help! I have been in practice since 2008 helping individuals learn ways of coping with the stressors of life, working through traumatic memories and experiences that can hold you back from living your best life. I offer a personalized, compassionate connection in therapy to ensure that you feel comfortable and have trust in the process to wellness and recovery.
Are you struggling with depression, anxiety, trauma, and stress? Let me help! I have been in practice since 2008 helping individuals learn ways of coping with the stressors of life, working through traumatic memories and experiences that can hold you back from living your best life. I offer a personalized, compassionate connection in therapy to ensure that you feel comfortable and have trust in the process to wellness and recovery.
(207) 245-1685 View (207) 245-1685
Photo of Alicia J. Porkka, LICSW, Clinical Social Work/Therapist
Alicia J. Porkka
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Online Only
In our moments of quiet reflection, which are often fleeting in today's fast-paced world, we may find ourselves listening to an inner monologue that is in limbo. Perhaps you feel there is no time to sort through all of your thoughts and feelings, and you're stuck in "go-mode", juggling the day to day but not living your life to the fullest. This stress may manifest as substance misuse, relationship conflict, avoidance, feeling "numb", neglecting one's self-care, work or school problems, parenting challenges, and more. These challenges, if the origins are not understood, can reinforce feelings of failure and self-doubt.
In our moments of quiet reflection, which are often fleeting in today's fast-paced world, we may find ourselves listening to an inner monologue that is in limbo. Perhaps you feel there is no time to sort through all of your thoughts and feelings, and you're stuck in "go-mode", juggling the day to day but not living your life to the fullest. This stress may manifest as substance misuse, relationship conflict, avoidance, feeling "numb", neglecting one's self-care, work or school problems, parenting challenges, and more. These challenges, if the origins are not understood, can reinforce feelings of failure and self-doubt.
(603) 545-9386 View (603) 545-9386
Photo of Michelle Houle, MLADC, LCMHC, Licensed Professional Counselor
Michelle Houle
Licensed Professional Counselor, MLADC, LCMHC
Verified Verified
Online Only
I'm so glad that you took the step to find a therapist to help you in your struggles! Life can be hectic and overwhelming and when you're struggling with issues such as trauma, depression, anxiety, separation/divorce, substances, issues with your children, the overwhelming feelings can feel like too much. I'm here to help you in dealing with these struggles. You don't have to continue to carry these issues alone.
I'm so glad that you took the step to find a therapist to help you in your struggles! Life can be hectic and overwhelming and when you're struggling with issues such as trauma, depression, anxiety, separation/divorce, substances, issues with your children, the overwhelming feelings can feel like too much. I'm here to help you in dealing with these struggles. You don't have to continue to carry these issues alone.
(508) 928-4190 View (508) 928-4190

More Therapists Nearby

Photo of Ashleigh Galiano, MA, MFT, Pre-Licensed Professional
Ashleigh Galiano
Pre-Licensed Professional, MA, MFT
Verified Verified
1 Endorsed
Wolfeboro, NH 03894
Now accepting new Anthem BCBS and self-pay clients! We are not given directions on how to walk the path of this life. The number one thing I believe in is the fact that we do not have to walk it alone. Through therapy, I will strive to help you recognize patterns and obstacles of your past and present to help you gain understanding to create a better future.
Now accepting new Anthem BCBS and self-pay clients! We are not given directions on how to walk the path of this life. The number one thing I believe in is the fact that we do not have to walk it alone. Through therapy, I will strive to help you recognize patterns and obstacles of your past and present to help you gain understanding to create a better future.
(603) 691-2014 View (603) 691-2014
Photo of Juleen Ann Chiaradonna, LCSW, LICSW, Clinical Social Work/Therapist
Juleen Ann Chiaradonna
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Online Only
Hello! If you are reading this and looking for help you are right where you need to be :) I like to think of myself as an "UNshrink" . I believe in helping to de-pathologize you and whatever it is that you are struggling w, and helping you to experience your self, situation, and LIFE in a whole new way. I'm usually a good fit for ppl that aren't into traditional "therapy" for whatever reason: anxiety, skepticism, bad or unsuccessful past experiences, if you think you, your family, everything is/are beyond hope, or if you are interested in something completely "outside the box", bc that is me.
Hello! If you are reading this and looking for help you are right where you need to be :) I like to think of myself as an "UNshrink" . I believe in helping to de-pathologize you and whatever it is that you are struggling w, and helping you to experience your self, situation, and LIFE in a whole new way. I'm usually a good fit for ppl that aren't into traditional "therapy" for whatever reason: anxiety, skepticism, bad or unsuccessful past experiences, if you think you, your family, everything is/are beyond hope, or if you are interested in something completely "outside the box", bc that is me.
(603) 387-4388 View (603) 387-4388
Photo of Dr. Lawrence R Carbonaro Jr, DSL
Dr. Lawrence R Carbonaro Jr
DSL
Verified Verified
1 Endorsed
North Conway, NH 03860
With coaching, you are not alone. My strength-based coaching approach is rooted with a blend of evidence-based methodologies and practical insights garnered through my 20-year career in leadership, Doctorate in Leadership development, and ICF and Gallup Strengths coach certifications. The focus of your guided coaching journey is empowering you to look inward and bring awareness. You are the leader - I am the guide.
With coaching, you are not alone. My strength-based coaching approach is rooted with a blend of evidence-based methodologies and practical insights garnered through my 20-year career in leadership, Doctorate in Leadership development, and ICF and Gallup Strengths coach certifications. The focus of your guided coaching journey is empowering you to look inward and bring awareness. You are the leader - I am the guide.
(833) 206-5157 View (833) 206-5157
Photo of Airi Mooers, LICSW, CTRS/L, Clinical Social Work/Therapist
Airi Mooers
Clinical Social Work/Therapist, LICSW, CTRS/L
Verified Verified
3 Endorsed
Serves Area
Not accepting new clients
I particularly enjoy working with individuals who have struggled with, or are resistant to traditional therapy. Navigating life's challenges can feel overwhelming, and for many, it can be difficult to express these feelings using only words. As an intuitive, I am able to connect with clients' energy and emotions to assist them in growing and healing. I frequently incorporate energy work and experiential activities to support them as they process experiences, discover individual strengths, and develop new skills to move through life with confidence.
I particularly enjoy working with individuals who have struggled with, or are resistant to traditional therapy. Navigating life's challenges can feel overwhelming, and for many, it can be difficult to express these feelings using only words. As an intuitive, I am able to connect with clients' energy and emotions to assist them in growing and healing. I frequently incorporate energy work and experiential activities to support them as they process experiences, discover individual strengths, and develop new skills to move through life with confidence.
(603) 276-3094 View (603) 276-3094
Photo of Annmarie Karayianes - Karayianes Counseling PLLC, LCMHC, Counselor
Karayianes Counseling PLLC
Counselor, LCMHC
Verified Verified
Online Only
Hello! I am Annmarie Karayianes and I am offering telehealth sessions for New Hampshire. My life’s work has been focused on helping people to live their best lives through understanding, perseverance, and empowerment. I have over 15 years of experience assisting and helping people in the mental health and substance use fields. I am a Licensed Mental Health Counselor (LCMHC) in the state of New Hampshire.
Hello! I am Annmarie Karayianes and I am offering telehealth sessions for New Hampshire. My life’s work has been focused on helping people to live their best lives through understanding, perseverance, and empowerment. I have over 15 years of experience assisting and helping people in the mental health and substance use fields. I am a Licensed Mental Health Counselor (LCMHC) in the state of New Hampshire.
(603) 707-8769 View (603) 707-8769
Photo of Jason Merrin, PhD, PsyD, Psychologist
Jason Merrin
Psychologist, PhD, PsyD
Verified Verified
Wolfeboro, NH 03894
I can see any client in Maine and NH via teletherapy but I am not credentialed with insurance companies in Maine, only NH. I help guide my clients to understand how their upbringing, worldview, culture, personality, and view of self affect how they are feeling, behaving, and thinking currently. One goal of mine is to help my clients maximize their wellbeing by better understanding themselves through the use of coping tools like mindfulness to slow and calm themselves enough to be able to assess their own thoughts and emotions in the moment so as to minimize regrets while reducing mood and behavioral symptoms.
I can see any client in Maine and NH via teletherapy but I am not credentialed with insurance companies in Maine, only NH. I help guide my clients to understand how their upbringing, worldview, culture, personality, and view of self affect how they are feeling, behaving, and thinking currently. One goal of mine is to help my clients maximize their wellbeing by better understanding themselves through the use of coping tools like mindfulness to slow and calm themselves enough to be able to assess their own thoughts and emotions in the moment so as to minimize regrets while reducing mood and behavioral symptoms.
(603) 932-5645 View (603) 932-5645
Photo of Elizabeth Cooper, LICSW, Clinical Social Work/Therapist
Elizabeth Cooper
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Wolfeboro, NH 03894
My approach is to meet you with empathy and to create a safe space for you to process emotions/big feels, thoughts, relationships, life change(s), significant events, areas of self-esteem, loss, and/or overwhelming symptoms such as anxiety, depression, and/or panic at a pace that works best for you or your child. Changes whether expected or unexpected, can be difficult and leave us feeling confused, disappointed, anxious, and overwhelmed. I have experienced much change myself and although it often brings discomfort and fear of the unknown, change is inevitable. Change pulls us out of our comfort zone, and it allows us to grow.
My approach is to meet you with empathy and to create a safe space for you to process emotions/big feels, thoughts, relationships, life change(s), significant events, areas of self-esteem, loss, and/or overwhelming symptoms such as anxiety, depression, and/or panic at a pace that works best for you or your child. Changes whether expected or unexpected, can be difficult and leave us feeling confused, disappointed, anxious, and overwhelmed. I have experienced much change myself and although it often brings discomfort and fear of the unknown, change is inevitable. Change pulls us out of our comfort zone, and it allows us to grow.
(866) 440-2103 View (866) 440-2103
Photo of Robert C. McCoul, PsyD, NCC, Counselor
Robert C. McCoul
Counselor, PsyD, NCC
Verified Verified
Gilford, NH 03249
We all experience anger, anxiety, worry & panic at some time in our lives that can feel overwhelming. Struggling with emotional pain does not need to control our lives. Anger, pain, and resentment do not have to keep us from living lives with meaning and purpose. Learn to channel emotions to enhance your life with meaning and vitality. As a therapist, I aim to integrate the language of the heart with the guidance of science. I am particularly focused on helping people who suffer from chronic shame, self-criticism, anger, and anxiety.
We all experience anger, anxiety, worry & panic at some time in our lives that can feel overwhelming. Struggling with emotional pain does not need to control our lives. Anger, pain, and resentment do not have to keep us from living lives with meaning and purpose. Learn to channel emotions to enhance your life with meaning and vitality. As a therapist, I aim to integrate the language of the heart with the guidance of science. I am particularly focused on helping people who suffer from chronic shame, self-criticism, anger, and anxiety.
(603) 527-0868 View (603) 527-0868
Photo of Lorraine Jones, LCMHC, NCC, Counselor
Lorraine Jones
Counselor, LCMHC, NCC
Verified Verified
Plymouth, NH 03264
Every life event can be a learning experience, one that you don't have to go through alone. I am a compassionate, solutions-oriented therapist who is dedicated to providing caring, sensitive therapeutic counseling opportunities for adults, adolescents, and children for a variety of emotional and mental health issues. I have had a record of success working with diverse client populations in individual therapy, process groups, and couples therapy. My training includes CBT, Behavioral, and Reality Therapy. I would welcome the opportunity to assist you on your journey. Please give me a call for a free telephone consultation.
Every life event can be a learning experience, one that you don't have to go through alone. I am a compassionate, solutions-oriented therapist who is dedicated to providing caring, sensitive therapeutic counseling opportunities for adults, adolescents, and children for a variety of emotional and mental health issues. I have had a record of success working with diverse client populations in individual therapy, process groups, and couples therapy. My training includes CBT, Behavioral, and Reality Therapy. I would welcome the opportunity to assist you on your journey. Please give me a call for a free telephone consultation.
(603) 821-9507 View (603) 821-9507
Photo of Ian Sindlinger, MS, LCMHC, Counselor
Ian Sindlinger
Counselor, MS, LCMHC
Verified Verified
Serves Area
Ian's most experience is working with youth & young adults. His work focused on emotional/behavioral regulation, anxiety/depression, loss, life transitions & relationship dynamics. Furthermore, he has worked with families/couples on dynamics of communication, strengthening trust & developing routines to improve day to day function of the home. Through this work he has worked with a diverse clientele, including but not limited to people within the LGBTQIA+ community (& their families), culturally diverse, mood/personality disorders, separated/blended families & Adults preparing/going through significant life transitions.
Ian's most experience is working with youth & young adults. His work focused on emotional/behavioral regulation, anxiety/depression, loss, life transitions & relationship dynamics. Furthermore, he has worked with families/couples on dynamics of communication, strengthening trust & developing routines to improve day to day function of the home. Through this work he has worked with a diverse clientele, including but not limited to people within the LGBTQIA+ community (& their families), culturally diverse, mood/personality disorders, separated/blended families & Adults preparing/going through significant life transitions.
(603) 865-1321 View (603) 865-1321
Photo of Jeanette G Dustin - Jeanette G. Dustin, LMFT, LLC, LMFT, LLC, Marriage & Family Therapist
Jeanette G. Dustin, LMFT, LLC
Marriage & Family Therapist, LMFT, LLC
Verified Verified
4 Endorsed
Serves Area
Are you or someone you know struggling with managing emotions-anxiety or depression, are there sexual concerns for yourself or in your relationship, or are you struggling with adjustments in your life, maybe starting a family or parenting children who struggle with behaviors? If so I would love to hear from you in order to see if I am a good fit to help. I love working with all types of family systems, currently with couples or adult individuals. I believe that part of moving forward towards change is supporting my clients in finding the solutions within themselves.
Are you or someone you know struggling with managing emotions-anxiety or depression, are there sexual concerns for yourself or in your relationship, or are you struggling with adjustments in your life, maybe starting a family or parenting children who struggle with behaviors? If so I would love to hear from you in order to see if I am a good fit to help. I love working with all types of family systems, currently with couples or adult individuals. I believe that part of moving forward towards change is supporting my clients in finding the solutions within themselves.
(603) 716-9366 View (603) 716-9366
Photo of Monica A Nicoll, PhD, LCMHC, Counselor
Monica A Nicoll
Counselor, PhD, LCMHC
Verified Verified
North Conway, NH 03860
Waitlist for new clients
At the Resilience Counseling & Training Center (RCTC), I assist you in enhancing your resilience quotient, RQ, and to build your personal, marital and family resilience enabling the realization of a happier and more fulfilling personal, professional, marital, and/or family life. I provide a variety of resilience focused services including: Counseling & Therapy (Individual, Marital, Family), Parent Education/Parent Coaching, and Relationship Enhancement Workshops.
At the Resilience Counseling & Training Center (RCTC), I assist you in enhancing your resilience quotient, RQ, and to build your personal, marital and family resilience enabling the realization of a happier and more fulfilling personal, professional, marital, and/or family life. I provide a variety of resilience focused services including: Counseling & Therapy (Individual, Marital, Family), Parent Education/Parent Coaching, and Relationship Enhancement Workshops.
(603) 931-3429 View (603) 931-3429
Photo of Issanna Loughman, MSW, Pre-Licensed Professional
Issanna Loughman
Pre-Licensed Professional, MSW
Verified Verified
Wolfeboro, NH 03894
I now see clients at our satellite office in Wakefield (Union) New Hampshire, conveniently located off of route 16 and only 15-minutes from Rochester. The stressors of life can have profound impacts on youth. I provide children and adolescents (ages 3-18) with compassionate integrative care to meet their unique needs; this can include CBT, Play Therapy, Exposure Therapy, Sandtray Therapy, and Expressive Art Therapy. To me, working with youth also means providing support and guidance to their families via separate family and parenting sessions, as needed.
I now see clients at our satellite office in Wakefield (Union) New Hampshire, conveniently located off of route 16 and only 15-minutes from Rochester. The stressors of life can have profound impacts on youth. I provide children and adolescents (ages 3-18) with compassionate integrative care to meet their unique needs; this can include CBT, Play Therapy, Exposure Therapy, Sandtray Therapy, and Expressive Art Therapy. To me, working with youth also means providing support and guidance to their families via separate family and parenting sessions, as needed.
(855) 430-8632 View (855) 430-8632
Photo of Melissa Lanz, MA, LCMHC, Counselor
Melissa Lanz
Counselor, MA, LCMHC
Verified Verified
Serves Area
During these unprecedented times, conditions are ideal for issues to rise and insist on being attended to. Symptoms of depression and anxiety are clues from the body that the existing state is no longer sustainable. I view this as an opportunity rather than a dilemma or tragedy. My role is to assist in navigating this landscape and normalize the emotions that accompany this courageous work. My goal is to assist each client in revealing childhood wiring that is creating difficulties in present time. The intent is to allow authenticity and agency to emerge from unconscious reactions and behavior determined by family patterning.
During these unprecedented times, conditions are ideal for issues to rise and insist on being attended to. Symptoms of depression and anxiety are clues from the body that the existing state is no longer sustainable. I view this as an opportunity rather than a dilemma or tragedy. My role is to assist in navigating this landscape and normalize the emotions that accompany this courageous work. My goal is to assist each client in revealing childhood wiring that is creating difficulties in present time. The intent is to allow authenticity and agency to emerge from unconscious reactions and behavior determined by family patterning.
(844) 611-4245 View (844) 611-4245

See more therapy options for 03864

How does your Therapist compare?

Number of Therapists in 03864

< 10

Therapists in 03864 who prioritize treating:

100% Depression
100% Anxiety
100% Stress
83% Relationship Issues
83% Family Conflict
83% Coping Skills
83% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Cigna and Evernorth
100% Harvard Pilgrim

How Therapists in 03864 see their clients

50% In Person and Online
50% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 03864?

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.