Photo of Jenna Scanga - Jenna Scanga - NOCD, LMHC, Counselor
Jenna Scanga - NOCD
Counselor, LMHC
Verified Verified
Augusta, ME 04330  (Online Only)
When I was younger, I always wanted to help and be there for others as much as I could. I want to help people who are struggling. I love supporting others in making huge changes in their lives and being one of their biggest cheerleaders in success. At NOCD, my team and I specialize in providing evidence-based treatment for people with OCD. Our deep understanding of the nuances and intricacies of OCD enables us to properly diagnose and treat it. Additionally, we have received intensive training in Exposure Response and Prevention Therapy (ERP)—the gold standard treatment for OCD.
When I was younger, I always wanted to help and be there for others as much as I could. I want to help people who are struggling. I love supporting others in making huge changes in their lives and being one of their biggest cheerleaders in success. At NOCD, my team and I specialize in providing evidence-based treatment for people with OCD. Our deep understanding of the nuances and intricacies of OCD enables us to properly diagnose and treat it. Additionally, we have received intensive training in Exposure Response and Prevention Therapy (ERP)—the gold standard treatment for OCD.
(207) 492-7332 View (207) 492-7332
Photo of Colin M Routh - Colin Routh, LCSW, LCSW, Clinical Social Work/Therapist
Colin Routh, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Augusta, ME 04330
Waitlist for new clients
Greetings, and thank you for looking into my practice. I know it is often hard to decide to seek therapy and find a good match between client and provider. I feel that the foundation of therapeutic work is relationship and rapport. Establishing this allows for trust, honesty and growth. I truly believe that, no matter the circumstance, we are in it together. I have worked with youth, adolescents, adults and families. I accept Aetna Anthem, Elevance BHS, Behavioral Health Systems Blue Cross Blue Shield BlueCross and BlueShield Cigna and Evernorth Harvard Pilgrim Optum UnitedHealthcare UHC, and UBH.
Greetings, and thank you for looking into my practice. I know it is often hard to decide to seek therapy and find a good match between client and provider. I feel that the foundation of therapeutic work is relationship and rapport. Establishing this allows for trust, honesty and growth. I truly believe that, no matter the circumstance, we are in it together. I have worked with youth, adolescents, adults and families. I accept Aetna Anthem, Elevance BHS, Behavioral Health Systems Blue Cross Blue Shield BlueCross and BlueShield Cigna and Evernorth Harvard Pilgrim Optum UnitedHealthcare UHC, and UBH.
View
Photo of Todd MacFarlane - Todd MacFarlane, LCPC, MEd, LCPC, Counselor
Todd MacFarlane, LCPC
Counselor, MEd, LCPC
Verified Verified
Augusta, ME 04330
My clients should expect that the majority of their "work" will be outside of the office through homework, exposure and task completion. My clients will benefit from initial sessions that are focused on insight development and understanding the "why" of their current emotional dysregulation . Unmet needs, patterns of behavior and most importantly patterns of thought will be identified. Clients will then spend time utilizing Cognitive Behavioral Therapy (CBT) strategies and interventions. Clients will experience therapy that will prioritize and embrace behavioral activation as the vehicle of change. Expect feedback and support!
My clients should expect that the majority of their "work" will be outside of the office through homework, exposure and task completion. My clients will benefit from initial sessions that are focused on insight development and understanding the "why" of their current emotional dysregulation . Unmet needs, patterns of behavior and most importantly patterns of thought will be identified. Clients will then spend time utilizing Cognitive Behavioral Therapy (CBT) strategies and interventions. Clients will experience therapy that will prioritize and embrace behavioral activation as the vehicle of change. Expect feedback and support!
(207) 389-7091 View (207) 389-7091
Photo of Michelle R Beers, LMSW-CC, CLC, Clinical Social Work/Therapist
Michelle R Beers
Clinical Social Work/Therapist, LMSW-CC, CLC
Verified Verified
1 Endorsed
Augusta, ME 04330  (Online Only)
As a therapist, I endeavor to meet clients in the threshold moments of their lives - the in between of what was and what is to come. I have a particular interest in life span development and believe that we are all capable of growth and learning at every stage of life. I come to this work as a full-spectrum doula and hospice social worker. The combination of those roles gives me particular appreciation for how birth and death, light and dark, good and bad, old and young are often very entangled and caught up in each other. I'm here to hold the space of this tension in your life and help you walk through it to the other side.
As a therapist, I endeavor to meet clients in the threshold moments of their lives - the in between of what was and what is to come. I have a particular interest in life span development and believe that we are all capable of growth and learning at every stage of life. I come to this work as a full-spectrum doula and hospice social worker. The combination of those roles gives me particular appreciation for how birth and death, light and dark, good and bad, old and young are often very entangled and caught up in each other. I'm here to hold the space of this tension in your life and help you walk through it to the other side.
View
Photo of Michael Mitchell, LCSW, Clinical Social Work/Therapist
Michael Mitchell
Clinical Social Work/Therapist, LCSW
Verified Verified
Augusta, ME 04330
Life is full of challenges that sometimes can be overwhelming. I bring over 3 decades of experience in helping people find the solutions to those challenges. My role as a therapist is to bring understanding and perspective to help individuals, couples and families improve their quality of life. I bring extensive experience in a wide range of mental health and substance use concerns across all ages.
Life is full of challenges that sometimes can be overwhelming. I bring over 3 decades of experience in helping people find the solutions to those challenges. My role as a therapist is to bring understanding and perspective to help individuals, couples and families improve their quality of life. I bring extensive experience in a wide range of mental health and substance use concerns across all ages.
(207) 407-9513 View (207) 407-9513
Photo of Colleen M Smith, LMHC, NCC, Counselor
Colleen M Smith
Counselor, LMHC, NCC
Verified Verified
Augusta, ME 04330
I specialize in helping Christian women integrate their faith into clinical practice and solutions. I am here to support and empower women who have lost their sense of self. There are many obstacles we encounter in life and sometimes it takes someone sitting with us and exploring what is making the mountain seem immovable. I specialize in helping set up goals and develop a path to achieve them. I enjoy working with married couples, to help them develop healthy ways to handle conflict, and also those trying to blend a family. I also do premarital counseling for engaged couples. I offer evening sessions as well. Email works best!
I specialize in helping Christian women integrate their faith into clinical practice and solutions. I am here to support and empower women who have lost their sense of self. There are many obstacles we encounter in life and sometimes it takes someone sitting with us and exploring what is making the mountain seem immovable. I specialize in helping set up goals and develop a path to achieve them. I enjoy working with married couples, to help them develop healthy ways to handle conflict, and also those trying to blend a family. I also do premarital counseling for engaged couples. I offer evening sessions as well. Email works best!
(207) 672-1079 View (207) 672-1079
Photo of Carolyn A Stiman - Carolyn A. Stiman, LCSW, LCSW-R, ACHT, Clinical Social Work/Therapist
Carolyn A. Stiman, LCSW
Clinical Social Work/Therapist, LCSW-R, ACHT
Verified Verified
Augusta, ME 04330  (Online Only)
As a clinical social worker for over 20 years I utilize a variety of methods to treat the whole person. While working together you can expect a supportive and collaborative treatment relationship. We clarify the issues getting in your way, and set you on a healthy path that will result in you feeling better. One of my specialties is working with women of all ages who are experiencing anxiety and/or depression because of pressures of work, family and transitional issues. Women who have been the one everyone has gone to for all their needs and now need someone to go to.
As a clinical social worker for over 20 years I utilize a variety of methods to treat the whole person. While working together you can expect a supportive and collaborative treatment relationship. We clarify the issues getting in your way, and set you on a healthy path that will result in you feeling better. One of my specialties is working with women of all ages who are experiencing anxiety and/or depression because of pressures of work, family and transitional issues. Women who have been the one everyone has gone to for all their needs and now need someone to go to.
(845) 379-0060 View (845) 379-0060
Photo of Heather Lynn Johnson, LCPC, Counselor
Heather Lynn Johnson
Counselor, LCPC
Verified Verified
Augusta, ME 04330
I have been working in the mental health field for 10 years. My goal is to create a safe place for client's to work through interpersonal, family, or relationship challenges. I work from the perspective that you are the expert in your life and my role is to foster an emotional compass in navigating personal struggles. I specialize in complex trauma and developing affect regulation. What we know today is that one's ability to regulate our moods, emotions, and behaviors is key in life-long success and our quality of life. I believe that compassion and empathy are vital in facilitating change and helping one become their best self.
I have been working in the mental health field for 10 years. My goal is to create a safe place for client's to work through interpersonal, family, or relationship challenges. I work from the perspective that you are the expert in your life and my role is to foster an emotional compass in navigating personal struggles. I specialize in complex trauma and developing affect regulation. What we know today is that one's ability to regulate our moods, emotions, and behaviors is key in life-long success and our quality of life. I believe that compassion and empathy are vital in facilitating change and helping one become their best self.
(505) 393-6865 View (505) 393-6865
Photo of Bruce Trost, LCSW, LADC, CCS, Clinical Social Work/Therapist
Bruce Trost
Clinical Social Work/Therapist, LCSW, LADC, CCS
Verified Verified
2 Endorsed
Augusta, ME 04330
I don't really have an ideal client as I am open to working with anyone who is willing to work with me. I have a wide variety of experiences and enjoy working with people. I do like working with people who are engaged and ready to work on issues.
I don't really have an ideal client as I am open to working with anyone who is willing to work with me. I have a wide variety of experiences and enjoy working with people. I do like working with people who are engaged and ready to work on issues.
(207) 630-2515 x173 View (207) 630-2515 x173
Photo of Brett D Adell, LCSW, Clinical Social Work/Therapist
Brett D Adell
Clinical Social Work/Therapist, LCSW
Verified Verified
Augusta, ME 04330
Waitlist for new clients
All of us face challenges every day. Some are large in nature and require a lot of assistance to get through, others are smaller and require minimal help. Therapy starts with identifying these challenges and then developing the skills to reduce and ideally resolve them. Some therapy focuses on gaining insight into the origin of the issue which helps to reduce and resolve it, other therapy is focused on solving a specific issue. Some therapy spans years while others can be as short as a few months. I believe in the inherent healing capacity of the individual.
All of us face challenges every day. Some are large in nature and require a lot of assistance to get through, others are smaller and require minimal help. Therapy starts with identifying these challenges and then developing the skills to reduce and ideally resolve them. Some therapy focuses on gaining insight into the origin of the issue which helps to reduce and resolve it, other therapy is focused on solving a specific issue. Some therapy spans years while others can be as short as a few months. I believe in the inherent healing capacity of the individual.
(207) 613-5011 View (207) 613-5011
Photo of Mary Crawford Petrini, LCPC, Counselor
Mary Crawford Petrini
Counselor, LCPC
Verified Verified
1 Endorsed
Augusta, ME 04330
I believe in the uniqueness of each human being and that all people have inherent strengths. I know when a person seeks counseling it is because he/she is feeling overwhelmed or stuck. In the safety of a professional helping relationship you will address those areas as well as recognize and utilize your own strengths so you can move forward to resolve your problems. I work with people on a variety of difficult life issues and I meet each person where they are at. In addition to helping individual adults, I work with parents, families and children ages 7-18.
I believe in the uniqueness of each human being and that all people have inherent strengths. I know when a person seeks counseling it is because he/she is feeling overwhelmed or stuck. In the safety of a professional helping relationship you will address those areas as well as recognize and utilize your own strengths so you can move forward to resolve your problems. I work with people on a variety of difficult life issues and I meet each person where they are at. In addition to helping individual adults, I work with parents, families and children ages 7-18.
(207) 518-7656 View (207) 518-7656
Photo of Dr. Emily Stultz - Dr. Emily Stultz - Kennebec Counseling Services, DSW, LCSW, CADC, Clinical Social Work/Therapist
Dr. Emily Stultz - Kennebec Counseling Services
Clinical Social Work/Therapist, DSW, LCSW, CADC
Verified Verified
Augusta, ME 04330  (Online Only)
Whether you are new to therapy or returning, my goal is to provide a safe space and a balanced therapeutic alliance that will promote healing and personal growth. I believe you are the expert on you, and I will support you as you work towards your goals. I view the therapeutic process as a person-centered collaboration in which clients gain new insights, build inner strength, and create desired life changes.
Whether you are new to therapy or returning, my goal is to provide a safe space and a balanced therapeutic alliance that will promote healing and personal growth. I believe you are the expert on you, and I will support you as you work towards your goals. I view the therapeutic process as a person-centered collaboration in which clients gain new insights, build inner strength, and create desired life changes.
(207) 521-9488 View (207) 521-9488
Photo of Laurie A Spataro, LMHC, LCPC, LADC, CCS, Counselor
Laurie A Spataro
Counselor, LMHC, LCPC, LADC, CCS
Verified Verified
2 Endorsed
Augusta, ME 04330  (Online Only)
Not accepting new clients
Invest in yourself today by setting up a time to take care of you. I am sincere in my goal of empowering clients to help themselves. Please feel free to schedule through my private practice for all private/cash pay services. Newly accepting MaineCare! Please contact me through ESM to set up services at 207-622-5946.
Invest in yourself today by setting up a time to take care of you. I am sincere in my goal of empowering clients to help themselves. Please feel free to schedule through my private practice for all private/cash pay services. Newly accepting MaineCare! Please contact me through ESM to set up services at 207-622-5946.
(207) 855-0256 View (207) 855-0256
Photo of Tessa Vellani, MSEd, LCPC-C, Counselor
Tessa Vellani
Counselor, MSEd, LCPC-C
Verified Verified
3 Endorsed
Augusta, ME 04330
I believe one of the bravest things you can do is begin to understand your own story. Whether you are struggling with feelings of low self-esteem and self-blame or overwhelm and worry, it is painful to be stuck in a never-ending loop of negativity and uncertainty. These beliefs impact all aspect of our lives from our relationships with our loved ones and friends to our careers and education. Often, we get stuck continuing the same patterns because we don’t know what else to do and we can feel at a loss. The good news is, you have already taken the first step in changing the cycle just by being here and for that, I congratulate you!
I believe one of the bravest things you can do is begin to understand your own story. Whether you are struggling with feelings of low self-esteem and self-blame or overwhelm and worry, it is painful to be stuck in a never-ending loop of negativity and uncertainty. These beliefs impact all aspect of our lives from our relationships with our loved ones and friends to our careers and education. Often, we get stuck continuing the same patterns because we don’t know what else to do and we can feel at a loss. The good news is, you have already taken the first step in changing the cycle just by being here and for that, I congratulate you!
(207) 843-3173 View (207) 843-3173
Photo of Derrick Hyatt Hypnotherapist, CHT
Derrick Hyatt Hypnotherapist
CHT
Verified Verified
Augusta, ME 04330
As a certified hypnotherapist, I use hypnosis to help clients eliminate unwanted habits and help them produce positive changes in their lives. Hypnosis can help clients overcome challenges with anxiety, weight management and smoking cessation. Hypnotherapy can help to achieve fitness goals, and much ,much more.
As a certified hypnotherapist, I use hypnosis to help clients eliminate unwanted habits and help them produce positive changes in their lives. Hypnosis can help clients overcome challenges with anxiety, weight management and smoking cessation. Hypnotherapy can help to achieve fitness goals, and much ,much more.
(207) 994-8862 View (207) 994-8862
Photo of Michael Scheib, LCSW, C-DBT, MS Ed, Clinical Social Work/Therapist
Michael Scheib
Clinical Social Work/Therapist, LCSW, C-DBT, MS Ed
Verified Verified
Augusta, ME 04330  (Online Only)
Waitlist for new clients
Hello! I am glad you have taken a step to better your mental health! I am primarily working with Adults at this time, but will work with children 14+. I use goal-oriented therapy that involves the individual in every step of the process. The modalities of therapy I use, are evidence-based (CBT, ACT, DBT, etc.), which aim to decrease interfering thoughts, feelings, and behaviors, as well as increase happiness and success in life. We will also work together in a holistic manner to insure we are addressing all aspects of your life that could affect mental health!
Hello! I am glad you have taken a step to better your mental health! I am primarily working with Adults at this time, but will work with children 14+. I use goal-oriented therapy that involves the individual in every step of the process. The modalities of therapy I use, are evidence-based (CBT, ACT, DBT, etc.), which aim to decrease interfering thoughts, feelings, and behaviors, as well as increase happiness and success in life. We will also work together in a holistic manner to insure we are addressing all aspects of your life that could affect mental health!
(207) 501-3392 View (207) 501-3392
Photo of Lanie Howes, LCPC, Counselor
Lanie Howes
Counselor, LCPC
Verified Verified
Augusta, ME 04330
Have you ever experienced issues around your sex life, sexuality, or gender? These issues can feel awkward, lonely, and uncomfortable. Sexuality, sex, and gender are integral aspects of life that on the whole are ignored and misunderstood by society. Perhaps you want to learn about the desire difference between you and your partner, or you want to process through trauma that you have experienced in the past, or you would like to explore the world of BDSM and kink but have been too nervous to have a conversation with any of your friends. Regardless of your situation, your sexuality and gender needs are valid.
Have you ever experienced issues around your sex life, sexuality, or gender? These issues can feel awkward, lonely, and uncomfortable. Sexuality, sex, and gender are integral aspects of life that on the whole are ignored and misunderstood by society. Perhaps you want to learn about the desire difference between you and your partner, or you want to process through trauma that you have experienced in the past, or you would like to explore the world of BDSM and kink but have been too nervous to have a conversation with any of your friends. Regardless of your situation, your sexuality and gender needs are valid.
(207) 548-5451 View (207) 548-5451
Photo of Jennifer Shafi - Jennifer Shafi - NOCD, LPC
Jennifer Shafi - NOCD
Licensed Clinical Professional Counselor, LPC
Verified Verified
Augusta, ME 04330  (Online Only)
My approach to treating OCD is warm but direct; my goal is to help you become your own therapist. Creating art—especially ceramics and painting—and skiing are my big passions in life. I became a therapist, first and foremost, to help people who are struggling. When I was younger, I went through a very difficult time with my health. That led me to pause my life and examine how I was coping with stress and anxiety. It was part of a life-changing journey that inspired me to become a mental health counselor and art therapist. At NOCD, my team and I specialize in providing evidence-based treatment for people with OCD.
My approach to treating OCD is warm but direct; my goal is to help you become your own therapist. Creating art—especially ceramics and painting—and skiing are my big passions in life. I became a therapist, first and foremost, to help people who are struggling. When I was younger, I went through a very difficult time with my health. That led me to pause my life and examine how I was coping with stress and anxiety. It was part of a life-changing journey that inspired me to become a mental health counselor and art therapist. At NOCD, my team and I specialize in providing evidence-based treatment for people with OCD.
(207) 803-5569 View (207) 803-5569
Photo of Casey-Lyn Knight - Casey-Lyn Knight - NOCD, MSW, LCSW, Clinical Social Work/Therapist
Casey-Lyn Knight - NOCD
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Augusta, ME 04330  (Online Only)
My journey to becoming a therapist started with my own struggles at a young age. Over time, I found success in life through learning from failure. I ran away, literally and figuratively, until I discovered that the thing I kept running from wasn't external but internal discontent. Choosing to become a therapist was a gift to myself—to help myself and others like me who struggle with mental health. At NOCD, my team and I specialize in providing evidence-based treatment for OCD. Our understanding of its nuances helps us to accurately diagnose and treat it. We have received intensive training in ERP—the gold standard treatment for OCD.
My journey to becoming a therapist started with my own struggles at a young age. Over time, I found success in life through learning from failure. I ran away, literally and figuratively, until I discovered that the thing I kept running from wasn't external but internal discontent. Choosing to become a therapist was a gift to myself—to help myself and others like me who struggle with mental health. At NOCD, my team and I specialize in providing evidence-based treatment for OCD. Our understanding of its nuances helps us to accurately diagnose and treat it. We have received intensive training in ERP—the gold standard treatment for OCD.
(844) 426-3687 View (844) 426-3687
Photo of John Paul Carroll
John Paul Carroll
Licensed Clinical Professional Counselor
Verified Verified
2 Endorsed
Augusta, ME 04330
Since 1982, I have enjoyed working with adults, children, and couples in private practice and community organizations. I am currently focused on working with adults who are building resilient and satisfying lives after experiencing trauma, anxiety, depression, or substance use. Most recently I have been privileged to work with adults who are on probation and who are re-entering the community after incarceration. I bring light-hearted humor into this serious and difficult work. I have experience working with adults with co-occurring disorders of substance use and mental illness.
Since 1982, I have enjoyed working with adults, children, and couples in private practice and community organizations. I am currently focused on working with adults who are building resilient and satisfying lives after experiencing trauma, anxiety, depression, or substance use. Most recently I have been privileged to work with adults who are on probation and who are re-entering the community after incarceration. I bring light-hearted humor into this serious and difficult work. I have experience working with adults with co-occurring disorders of substance use and mental illness.
(207) 679-0901 x410 View (207) 679-0901 x410
1

See more therapy options for 04330

How does your Therapist compare?

Number of Therapists in 04330

90+

Average cost per session

$120

Therapists in 04330 who prioritize treating:

89% Anxiety
80% Depression
76% Trauma and PTSD
68% Coping Skills
63% Self Esteem
60% Relationship Issues
60% Grief

Average years in practice

11 Years

Top 3 insurances accepted

62% BlueCross and BlueShield
56% Aetna
53% Anthem | Elevance

How Therapists in 04330 see their clients

54% In Person and Online
46% Online Only

Gender breakdown

68% Female
31% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 04330?

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.