Therapists in 06824

Photo of Cindy Keefe, Psychologist, PsyD
Cindy Keefe
Psychologist, PsyD
Fairfield, CT 06824
I am a Licensed Clinical Psychologist and Certified Parent-Child Interaction (PCIT) therapist and work with children, adolescents, young adults, and their families. By offering my clients acceptance and understanding, I provide a safe and nurturing environment where goals can be set, direction can be established, and success can be achieved. I utilize a variety of therapeutic approaches including CBT, DBT, Mindfulness, Family Systems, and Parent-Child Coaching and tailor them to fit your needs. Whatever challenges you are facing, I am here to work collaboratively with you to generate meaningful change.
I am a Licensed Clinical Psychologist and Certified Parent-Child Interaction (PCIT) therapist and work with children, adolescents, young adults, and their families. By offering my clients acceptance and understanding, I provide a safe and nurturing environment where goals can be set, direction can be established, and success can be achieved. I utilize a variety of therapeutic approaches including CBT, DBT, Mindfulness, Family Systems, and Parent-Child Coaching and tailor them to fit your needs. Whatever challenges you are facing, I am here to work collaboratively with you to generate meaningful change.
(475) 291-4367 View (475) 291-4367
Photo of Madison Sparago, Clinical Social Work/Therapist, LCSW
Madison Sparago
Clinical Social Work/Therapist, LCSW
4 Endorsed
Online Only
Feeling stuck, overwhelmed, or not quite like yourself lately? You’re not alone—and you don’t have to figure it out by yourself. Therapy can be a place to breathe, reflect, and find your footing again. I’m Madison, a therapist who’s passionate about helping people make meaningful, lasting changes in their lives. What inspires me most is the chance to truly connect—to listen, support, and walk alongside you as you navigate challenges and discover what’s possible for you.
Feeling stuck, overwhelmed, or not quite like yourself lately? You’re not alone—and you don’t have to figure it out by yourself. Therapy can be a place to breathe, reflect, and find your footing again. I’m Madison, a therapist who’s passionate about helping people make meaningful, lasting changes in their lives. What inspires me most is the chance to truly connect—to listen, support, and walk alongside you as you navigate challenges and discover what’s possible for you.
(203) 295-3287 View (203) 295-3287
Photo of McKenzie Marianne Tavella, Licensed Professional Counselor, MA, NCC, LPC
McKenzie Marianne Tavella
Licensed Professional Counselor, MA, NCC, LPC
Fairfield, CT 06824
Since beginning my counseling career, I have worked chiefly with children, adolescents, teenagers, and their families, to help people become more aware of their strengths, as well as their limitations - both individually and as a unit. I teach new techniques to incorporate into one's daily life, to help manage these inevitable obstacles. Growth and healing aren't linear, though it would be nice if they were. With a teamwork approach, we can start this process! We all have strengths within us - the fact that you are viewing this page right now tells me that.
Since beginning my counseling career, I have worked chiefly with children, adolescents, teenagers, and their families, to help people become more aware of their strengths, as well as their limitations - both individually and as a unit. I teach new techniques to incorporate into one's daily life, to help manage these inevitable obstacles. Growth and healing aren't linear, though it would be nice if they were. With a teamwork approach, we can start this process! We all have strengths within us - the fact that you are viewing this page right now tells me that.
View
Photo of Christina Bierwirth, Licensed Professional Counselor, MA, NCC, LPC
Christina Bierwirth
Licensed Professional Counselor, MA, NCC, LPC
6 Endorsed
Fairfield, CT 06824
Together we can identify and achieve your goals for personal growth. You can find balance and direction needed to begin making positive changes in your life. Not sure where to start? I can help you get there! As a therapist, I take a person centered approach, meeting my client where they are ready to start. I believe in tailoring my therapeutic approach to each individual client's needs, your journey is unique and your therapy should be too.
Together we can identify and achieve your goals for personal growth. You can find balance and direction needed to begin making positive changes in your life. Not sure where to start? I can help you get there! As a therapist, I take a person centered approach, meeting my client where they are ready to start. I believe in tailoring my therapeutic approach to each individual client's needs, your journey is unique and your therapy should be too.
(203) 680-3273 View (203) 680-3273
Photo of Erica Massimino, Clinical Social Work/Therapist, LCSW
Erica Massimino
Clinical Social Work/Therapist, LCSW
1 Endorsed
Fairfield, CT 06824
I have been practicing as a clinical social worker since 2015. I earned my Bachelors in Psychology at the University of Connecticut and then obtained my Master of Social Work and Master of Human Sexuality Education at Widener University. I have predominately worked in outpatient mental health with special interest in adults ranging from young to older adult populations.
I have been practicing as a clinical social worker since 2015. I earned my Bachelors in Psychology at the University of Connecticut and then obtained my Master of Social Work and Master of Human Sexuality Education at Widener University. I have predominately worked in outpatient mental health with special interest in adults ranging from young to older adult populations.
(203) 654-3488 View (203) 654-3488
Photo of Elizabeth Madeo, Clinical Social Work/Therapist, LCSW
Elizabeth Madeo
Clinical Social Work/Therapist, LCSW
Fairfield, CT 06824
By coming here, you have taken the first step toward finding support. I am offering both telehealth and in-person sessions. In my decade of experience, I have helped individuals and their families work through anxiety, depression and life transitions. I work with teens and young adults suffering from a range of issues including: anxiety, OCD, depression. I also work with women and couples experiencing fertility issues as well as peri- and postpartum anxiety or challenges as they enter into parenthood. My aim is to empower clients to speak their truth, reflect, and tap into their strengths to find relief and joy in daily living.
By coming here, you have taken the first step toward finding support. I am offering both telehealth and in-person sessions. In my decade of experience, I have helped individuals and their families work through anxiety, depression and life transitions. I work with teens and young adults suffering from a range of issues including: anxiety, OCD, depression. I also work with women and couples experiencing fertility issues as well as peri- and postpartum anxiety or challenges as they enter into parenthood. My aim is to empower clients to speak their truth, reflect, and tap into their strengths to find relief and joy in daily living.
(475) 271-1391 View (475) 271-1391
Photo of Amanda Capela, Marriage & Family Therapist, MA, LMFT
Amanda Capela
Marriage & Family Therapist, MA, LMFT
5 Endorsed
Fairfield, CT 06824
As a therapist, I believe in fostering a compassionate and non-judgmental environment where clients can explore their thoughts, feelings, and experiences. My approach is rooted in evidence-based techniques tailored to each individual's unique needs and goals. Whether you're facing challenges such as anxiety, depression, relationship issues, or life transitions, I'm here to support you on your journey towards personal growth and empowerment. Together, we'll work collaboratively to identify patterns, develop coping strategies, and cultivate resilience. My goal is to help you gain insight, build con
As a therapist, I believe in fostering a compassionate and non-judgmental environment where clients can explore their thoughts, feelings, and experiences. My approach is rooted in evidence-based techniques tailored to each individual's unique needs and goals. Whether you're facing challenges such as anxiety, depression, relationship issues, or life transitions, I'm here to support you on your journey towards personal growth and empowerment. Together, we'll work collaboratively to identify patterns, develop coping strategies, and cultivate resilience. My goal is to help you gain insight, build con
(475) 889-7147 View (475) 889-7147
Photo of Terri Dierkes, Clinical Social Work/Therapist, MSW, LMSW
Terri Dierkes
Clinical Social Work/Therapist, MSW, LMSW
Fairfield, CT 06824
If your teen has tried therapy with little progress, don’t lose hope. I specialize in building trust with adolescents who are reluctant to engage—often identifying patterns of ADHD or other forms of neurodivergence that may have gone unrecognized. I create a structured, compassionate process that draws parents in as active partners, fostering new understanding, stronger communication, and a shared path forward. Together, we equip teens with skills and confidence while helping families grow more connected and resilient.
If your teen has tried therapy with little progress, don’t lose hope. I specialize in building trust with adolescents who are reluctant to engage—often identifying patterns of ADHD or other forms of neurodivergence that may have gone unrecognized. I create a structured, compassionate process that draws parents in as active partners, fostering new understanding, stronger communication, and a shared path forward. Together, we equip teens with skills and confidence while helping families grow more connected and resilient.
(203) 601-6873 View (203) 601-6873
Photo of Jillian Ference, Licensed Professional Counselor, MA, LPC
Jillian Ference
Licensed Professional Counselor, MA, LPC
Fairfield, CT 06824
You want a change, but you’re not sure where to begin. Maybe you wake up with no motivation, muddle through the day, and find yourself doom-scrolling late into the night. Then you find yourself spending a lot of time worrying, self-criticizing, being in your head. Is all that worry, dread, self-doubt feeling like it's interfering with your ability to engage in relationships, and balance work, school, and life in general? That’s a good sign you’ll benefit from the non -judgmental, safe and empathetic space offered in therapy.
You want a change, but you’re not sure where to begin. Maybe you wake up with no motivation, muddle through the day, and find yourself doom-scrolling late into the night. Then you find yourself spending a lot of time worrying, self-criticizing, being in your head. Is all that worry, dread, self-doubt feeling like it's interfering with your ability to engage in relationships, and balance work, school, and life in general? That’s a good sign you’ll benefit from the non -judgmental, safe and empathetic space offered in therapy.
(203) 563-8190 View (203) 563-8190
Photo of Loredana Trandu - Transcend Mind Body Counseling Center, Licensed Professional Counselor, LPC, EMDR, CPT-NAS, MY, FNS
Transcend Mind Body Counseling Center
Licensed Professional Counselor, LPC, EMDR, CPT-NAS, MY, FNS
Fairfield, CT 06824
Transcend Counseling brings an important evolutionary step to traditional therapy by incorporating fitness, and meditation into psychotherapy. This powerful combination is very efficient in removing obstacles to the clients' optimal functioning as well strengthening their ability to heal themselves, attain balance and reach their highest and unique potential. Research on anxiety, depression and exercise shows that the psychological and physical benefits of exercise can also help reduce anxiety and improve mood. Meditation is now commonly used to treat mental health disorders, addiction, and everyday stress, as well as to heal physical ailments and promote better sleep.
Transcend Counseling brings an important evolutionary step to traditional therapy by incorporating fitness, and meditation into psychotherapy. This powerful combination is very efficient in removing obstacles to the clients' optimal functioning as well strengthening their ability to heal themselves, attain balance and reach their highest and unique potential. Research on anxiety, depression and exercise shows that the psychological and physical benefits of exercise can also help reduce anxiety and improve mood. Meditation is now commonly used to treat mental health disorders, addiction, and everyday stress, as well as to heal physical ailments and promote better sleep.
(203) 490-4749 View (203) 490-4749
Photo of Meitta L Young - Fortified Therapy, Drug & Alcohol Counselor, LADC, LMFTA
Fortified Therapy
Drug & Alcohol Counselor, LADC, LMFTA
2 Endorsed
Fairfield, CT 06824
Growing up in the inner city surrounded by people struggling with MH, co-occurring disorders, dysfunctional families, substance abuse, lack of guidance, insufficient tools to progress to the next life cycle, not having the ability to get oneself out of situations in an environment that lacked the resources to assist this demographic of people made me want to help! I immersed myself in the MH field to learn how I can be of assistance. I have honed my skills and collaborate with clients assisting them in managing depression, anxiety, substance abuse, traumas, improving relationships, etc empowering them to create change!
Growing up in the inner city surrounded by people struggling with MH, co-occurring disorders, dysfunctional families, substance abuse, lack of guidance, insufficient tools to progress to the next life cycle, not having the ability to get oneself out of situations in an environment that lacked the resources to assist this demographic of people made me want to help! I immersed myself in the MH field to learn how I can be of assistance. I have honed my skills and collaborate with clients assisting them in managing depression, anxiety, substance abuse, traumas, improving relationships, etc empowering them to create change!
(475) 447-1958 View (475) 447-1958
Photo of Meg Rosenau, Clinical Social Work/Therapist, LCSW
Meg Rosenau
Clinical Social Work/Therapist, LCSW
1 Endorsed
Fairfield, CT 06824
You may have experienced a stressful event and you notice it’s been hard to bounce back, or waves of anxiety, sadness or lack of motivation that have become part of daily life… time for new strategies to cope. I help adolescents and adults work through problems, overcome fears and anxiety, and adapt to changes in life. Supporting skill development to effectively cope with anxiety, life transitions, enhance self-esteem, social skills, increased problem-solving and self-advocacy in an environment of acceptance and non-judgement. I support growth and forward focused outcomes, while you navigate next steps with confidence.
You may have experienced a stressful event and you notice it’s been hard to bounce back, or waves of anxiety, sadness or lack of motivation that have become part of daily life… time for new strategies to cope. I help adolescents and adults work through problems, overcome fears and anxiety, and adapt to changes in life. Supporting skill development to effectively cope with anxiety, life transitions, enhance self-esteem, social skills, increased problem-solving and self-advocacy in an environment of acceptance and non-judgement. I support growth and forward focused outcomes, while you navigate next steps with confidence.
(203) 433-6906 View (203) 433-6906
Photo of Scott Waltman, Psychologist, PsyD, ABPP
Scott Waltman
Psychologist, PsyD, ABPP
Fairfield, CT 06824
Dr. Waltman is a master clinician at the forefront of modern Cognitive Behavioral Therapy (CBT). With a wealth of experience as a clinician, international trainer, bestselling author, and researcher who develops the very therapy itself, he brings a unique blend of expertise, insight, and compassion to his work. Specializing in case-conceptualization driven therapy, he tailors his interventions to meet the unique needs of each client and is known for his extensive knowledge of therapy tools and cutting-edge strategies. By creating holistic, individualized treatment plans, he helps clients overcome barriers and achieve lasting change.
Dr. Waltman is a master clinician at the forefront of modern Cognitive Behavioral Therapy (CBT). With a wealth of experience as a clinician, international trainer, bestselling author, and researcher who develops the very therapy itself, he brings a unique blend of expertise, insight, and compassion to his work. Specializing in case-conceptualization driven therapy, he tailors his interventions to meet the unique needs of each client and is known for his extensive knowledge of therapy tools and cutting-edge strategies. By creating holistic, individualized treatment plans, he helps clients overcome barriers and achieve lasting change.
View
Photo of Pandora Johnson, Clinical Social Work/Therapist, LCSW, CLC, CLPC
Pandora Johnson
Clinical Social Work/Therapist, LCSW, CLC, CLPC
Fairfield, CT 06824
Are you struggling? I work with you to create a compelling vision of who you want to be. I help you to overcome any beliefs or fears that block you from moving forward. Together, we develop a strategic plan and break it down into manageable steps, to get you where you want to go. I support you, and hold you accountable for tangible results, so you can live your best life. If you are ready to gain a new perspective, learn new coping skills, change your life style or relationships, my focused, purposeful approach will provide tools for making decisions in line with your unique gifts, talents, preferences and values.
Are you struggling? I work with you to create a compelling vision of who you want to be. I help you to overcome any beliefs or fears that block you from moving forward. Together, we develop a strategic plan and break it down into manageable steps, to get you where you want to go. I support you, and hold you accountable for tangible results, so you can live your best life. If you are ready to gain a new perspective, learn new coping skills, change your life style or relationships, my focused, purposeful approach will provide tools for making decisions in line with your unique gifts, talents, preferences and values.
(203) 463-4631 View (203) 463-4631
Photo of Nicole Daniela Commercio, Clinical Social Work/Therapist, MSW, LCSW
Nicole Daniela Commercio
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Fairfield, CT 06824
I offer short-term, solution focused therapy as well as long term, in-depth therapy. With over 25 years of post Masters and Psychoanalytic training experience, I also bring my personality to my work. I am sincere, warm, easy to connect with, open-minded and I will not judge you. I am supportive and straightforward. I will guide and accompany you on your journey to improve your life, while providing you with the tools to arrive at your own determined destination. I am sensitive to racial, ethnic, cultural, religious, gender and sexual orientation difference, and I welcome and appreciate diversity. I am committed to your whole person.
I offer short-term, solution focused therapy as well as long term, in-depth therapy. With over 25 years of post Masters and Psychoanalytic training experience, I also bring my personality to my work. I am sincere, warm, easy to connect with, open-minded and I will not judge you. I am supportive and straightforward. I will guide and accompany you on your journey to improve your life, while providing you with the tools to arrive at your own determined destination. I am sensitive to racial, ethnic, cultural, religious, gender and sexual orientation difference, and I welcome and appreciate diversity. I am committed to your whole person.
(917) 613-2271 View (917) 613-2271
Photo of Cindy Poster, Psychologist, PhD
Cindy Poster
Psychologist, PhD
Online Only
As an experienced clinical psychologist, I take a holistic approach to my practice. I build a relationship with each individual, and selectively use cognitive behavior therapy (CBT), dialectical behavior therapy (DBT), and integrate other methods and modalities when needed. If I believe there are other physiological factors at play, I sometimes may refer people to other practitioners to help with or rule out such factors. I provide a warm and safe environment to help my clients work through whatever brings them to me.
As an experienced clinical psychologist, I take a holistic approach to my practice. I build a relationship with each individual, and selectively use cognitive behavior therapy (CBT), dialectical behavior therapy (DBT), and integrate other methods and modalities when needed. If I believe there are other physiological factors at play, I sometimes may refer people to other practitioners to help with or rule out such factors. I provide a warm and safe environment to help my clients work through whatever brings them to me.
View
Photo of Christine Peters, Clinical Social Work/Therapist, LCSW
Christine Peters
Clinical Social Work/Therapist, LCSW
Fairfield, CT 06824
Christine has over 10 years of therapy experience, utilizing Cognitive Behavior Therapy, Dialectical Behavior Therapy, and other approaches. She received her degree from New York University and is also a Board Certified Behavior Analyst. She has experience working with children, adolescents, and adults for a variety of issues. These include depression, Obsessive-compulsive disorder (OCD), anxiety, phobias, panic, anger, stress, insomnia, ADHD, autism, developmental delays, and work/home/school issues.
Christine has over 10 years of therapy experience, utilizing Cognitive Behavior Therapy, Dialectical Behavior Therapy, and other approaches. She received her degree from New York University and is also a Board Certified Behavior Analyst. She has experience working with children, adolescents, and adults for a variety of issues. These include depression, Obsessive-compulsive disorder (OCD), anxiety, phobias, panic, anger, stress, insomnia, ADHD, autism, developmental delays, and work/home/school issues.
View
Photo of Holly Heaven - Another Way Counseling, Licensed Professional Counselor, MS, LPC
Another Way Counseling
Licensed Professional Counselor, MS, LPC
Fairfield, CT 06824
Asking for help takes courage. In these unprecedented times sadness, fear, anxiety and isolation are natural responses. You may have asked friends and family for advice or searched for answers online but you still feel stuck and in pain. You don't have to manage these overwhelming feelings alone.
Asking for help takes courage. In these unprecedented times sadness, fear, anxiety and isolation are natural responses. You may have asked friends and family for advice or searched for answers online but you still feel stuck and in pain. You don't have to manage these overwhelming feelings alone.
(203) 244-7281 View (203) 244-7281
Photo of Deborah D Price - Deborah D Price, MSW, LCSW, Clinical Social Work/Therapist, MSW, LCSW
Deborah D Price, MSW, LCSW
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Fairfield, CT 06824
Together, we can achieve relief from the discomfort or immobilization caused by depression, anxiety, stress, relationship issues, and/or parenting issues. We can work together to overcome these obstacles, helping you enjoy a more satisfying, productive life as quickly as possible! I also specialize in trauma and PTSD, with advanced training in EMDR.
Together, we can achieve relief from the discomfort or immobilization caused by depression, anxiety, stress, relationship issues, and/or parenting issues. We can work together to overcome these obstacles, helping you enjoy a more satisfying, productive life as quickly as possible! I also specialize in trauma and PTSD, with advanced training in EMDR.
(203) 212-9113 View (203) 212-9113
Photo of Lauren Dobbs, Psychologist, PsyD
Lauren Dobbs
Psychologist, PsyD
1 Endorsed
Fairfield, CT 06824
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
View

See more therapy options for 06824

How does your Therapist compare?

Number of Therapists in 06824

500+

Average cost per session

$175

Therapists in 06824 who prioritize treating:

94% Anxiety
88% Depression
77% Self Esteem
75% Relationship Issues
74% Coping Skills
72% Stress
63% Life Transitions

Average years in practice

13 Years

Top 3 insurances accepted

80% Aetna
73% Cigna and Evernorth
72% UnitedHealthcare UHC | UBH

How Therapists in 06824 see their clients

63% In Person and Online
37% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 06824?

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.