Therapists in Toms River, NJ

Photo of Chiara Barone, Licensed Professional Counselor in Toms River, NJ
Chiara Barone
Licensed Professional Counselor, LPC, LCADC
Verified Verified
5 Endorsed
Toms River, NJ 08753  (Online Only)
I work with families and individuals on various matters including substance use, impulse control, trauma, anxiety, depression, anger management, communication and relationship difficulties.
I work with families and individuals on various matters including substance use, impulse control, trauma, anxiety, depression, anger management, communication and relationship difficulties.
(973) 528-1986 View (973) 528-1986
Photo of Marianne P Romagnoli, Licensed Professional Counselor in Toms River, NJ
Marianne P Romagnoli
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Toms River, NJ 08753
It’s no secret that the world is full of fearful and anxious moments. Whether in our own circle of family and friends or across the world, the effects of such stress is palatable in our lives, We are all seeking support and encouragement and a space where we believe we can be heard. Through the counseling process you can find your strengths, learn and incorporate tools that will help you navigate life and feel better about yourself and your interactions with others in a very holistic way. The integration of body mind and spirit is a hallmark of my approach to counseling.
It’s no secret that the world is full of fearful and anxious moments. Whether in our own circle of family and friends or across the world, the effects of such stress is palatable in our lives, We are all seeking support and encouragement and a space where we believe we can be heard. Through the counseling process you can find your strengths, learn and incorporate tools that will help you navigate life and feel better about yourself and your interactions with others in a very holistic way. The integration of body mind and spirit is a hallmark of my approach to counseling.
(717) 259-2623 View (717) 259-2623
Photo of Nicole Marie Gallipoli, Licensed Professional Counselor in Toms River, NJ
Nicole Marie Gallipoli
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Toms River, NJ 08753
"What's wrong with me?" "Why am I doing the same thing over and over?" "How can I feel better?" You're likely here because you've asked yourself at least one of these questions. Maybe you notice yourself feeling nervous, on edge, causing irritability, isolation, and strained relationships. I can help you break this vicious cycle. I am currently seeing clients via Telehealth (secure video chat). I focus on creating a warm, non-judgmental space while building a trusting, positive, therapeutic relationship. I look forward to helping you get "unstuck" and build the life you deserve.
"What's wrong with me?" "Why am I doing the same thing over and over?" "How can I feel better?" You're likely here because you've asked yourself at least one of these questions. Maybe you notice yourself feeling nervous, on edge, causing irritability, isolation, and strained relationships. I can help you break this vicious cycle. I am currently seeing clients via Telehealth (secure video chat). I focus on creating a warm, non-judgmental space while building a trusting, positive, therapeutic relationship. I look forward to helping you get "unstuck" and build the life you deserve.
(732) 592-2711 View (732) 592-2711
Photo of Thomas McCarthy, Licensed Professional Counselor in Toms River, NJ
Thomas McCarthy
Licensed Professional Counselor, LPC
Verified Verified
Toms River, NJ 08753
Hello, I'm Tom McCarthy, a Licensed Professional Counselor with 25 years of diverse experience across various settings, such as group homes, correctional facilities, and outpatient IOP programs. My specialties include anxiety and OCD, depression, adjustment issues, and anger management. I deeply value the unique bond between a counselor and client. My relaxed demeanor enables me to connect effectively with individuals from diverse backgrounds and facing various mental health challenges. I'm adept at adapting my approach to be serious, challenging, or even humorous when necessary.
Hello, I'm Tom McCarthy, a Licensed Professional Counselor with 25 years of diverse experience across various settings, such as group homes, correctional facilities, and outpatient IOP programs. My specialties include anxiety and OCD, depression, adjustment issues, and anger management. I deeply value the unique bond between a counselor and client. My relaxed demeanor enables me to connect effectively with individuals from diverse backgrounds and facing various mental health challenges. I'm adept at adapting my approach to be serious, challenging, or even humorous when necessary.
(848) 280-7215 x1 View (848) 280-7215 x1
Photo of Casey Smith, Licensed Professional Counselor in Toms River, NJ
Casey Smith
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Toms River, NJ 08753  (Online Only)
NEW clients welcome! Welcome to Calm Shores Counseling. Taking that step to find a therapist can be daunting. Struggling with anxiety, depression, self-esteem, overall mood, etc.? Looking to find someone who will support, understand, and provide challenging insights? Want to do it all in a comforting and welcoming environment? We are here to best support your needs.
NEW clients welcome! Welcome to Calm Shores Counseling. Taking that step to find a therapist can be daunting. Struggling with anxiety, depression, self-esteem, overall mood, etc.? Looking to find someone who will support, understand, and provide challenging insights? Want to do it all in a comforting and welcoming environment? We are here to best support your needs.
(732) 724-4960 View (732) 724-4960
Photo of Alyssa Williams, Counselor in Toms River, NJ
Alyssa Williams
Counselor, MS, LAC
Verified Verified
1 Endorsed
Toms River, NJ 08753  (Online Only)
I believe that every individual no matter what path they have taken to get to where they are now in life deserves to be heard, seen and empowered. I support individuals that are struggling with depression, anxiety, low self-esteem, parenting and life changes. As a mother of three, I know too well how easy it is to take care of others and put personal needs aside. It can almost feel like you become stuck in autopilot just to get through the day while stressors continue to pile up. Having previous experience working with school-aged youth truly fueled my passion and enjoyment of working with children and adults of all ages!
I believe that every individual no matter what path they have taken to get to where they are now in life deserves to be heard, seen and empowered. I support individuals that are struggling with depression, anxiety, low self-esteem, parenting and life changes. As a mother of three, I know too well how easy it is to take care of others and put personal needs aside. It can almost feel like you become stuck in autopilot just to get through the day while stressors continue to pile up. Having previous experience working with school-aged youth truly fueled my passion and enjoyment of working with children and adults of all ages!
(732) 889-7469 View (732) 889-7469
Photo of Toms River Center for Marriage and Family Therapy, Clinical Social Work/Therapist in Toms River, NJ
Toms River Center for Marriage and Family Therapy
Clinical Social Work/Therapist, LCSW, LMFT
Verified Verified
Toms River, NJ 08753
The Center for Marriage and Family Therapy has five offices throughout central New Jersey. Jackie Held, Karen Spiler and Jill Stein founded the Center in 1984. We refer to a large network of affiliated therapists whose specialties include relationship counseling, anxiety, depression, separation and divorce, gay and lesbian issues,grief therapy,stress management, victims of spousal abuse, chronic and terminal illness and dealing with life stage transitions. In addition to Toms River, our offices are in Matawan, Freehold, Piscataway and Princeton. Our network includes licensed professional counselors, licensed clinical social workers and substance abuse specialists.
The Center for Marriage and Family Therapy has five offices throughout central New Jersey. Jackie Held, Karen Spiler and Jill Stein founded the Center in 1984. We refer to a large network of affiliated therapists whose specialties include relationship counseling, anxiety, depression, separation and divorce, gay and lesbian issues,grief therapy,stress management, victims of spousal abuse, chronic and terminal illness and dealing with life stage transitions. In addition to Toms River, our offices are in Matawan, Freehold, Piscataway and Princeton. Our network includes licensed professional counselors, licensed clinical social workers and substance abuse specialists.
(732) 481-1863 x301 View (732) 481-1863 x301
Photo of Alexia Totoro, Clinical Social Work/Therapist in Toms River, NJ
Alexia Totoro
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
Toms River, NJ 08753
Greetings, I'm Alexia Totoro, a Licensed Clinical Social Worker (LCSW) and Licensed Clinical Alcohol and Drug Counselor (LCADC) with over a decade of involvement in mental and behavioral health. Throughout my journey, I've accumulated diverse experiences driven by my passion for empowering individuals to discover their truest selves.
Greetings, I'm Alexia Totoro, a Licensed Clinical Social Worker (LCSW) and Licensed Clinical Alcohol and Drug Counselor (LCADC) with over a decade of involvement in mental and behavioral health. Throughout my journey, I've accumulated diverse experiences driven by my passion for empowering individuals to discover their truest selves.
(848) 216-7301 View (848) 216-7301
Photo of Stephanie Amundson, Licensed Professional Counselor in Toms River, NJ
Stephanie Amundson
Licensed Professional Counselor, LPC
Verified Verified
Toms River, NJ 08753
Stephanie holds licenses as a Licensed Professional Counselor (LPC), Certified Substance Abuse Counselor (CSAC), and a Certified Clinical Trauma Specialist (CCTS-I). Additionally, she is trained in Eye Movement Desensitization and Reprocessing (EMDR) therapy, which she frequently incorporates into her practice. With a profound dedication to aiding others and a commitment to continuous learning, Stephanie earned her Master's degree in Clinical Mental Health Counseling from Adler University in Chicago. She furthered her expertise in trauma treatment through specialized training at the Arizona Trauma Institute.
Stephanie holds licenses as a Licensed Professional Counselor (LPC), Certified Substance Abuse Counselor (CSAC), and a Certified Clinical Trauma Specialist (CCTS-I). Additionally, she is trained in Eye Movement Desensitization and Reprocessing (EMDR) therapy, which she frequently incorporates into her practice. With a profound dedication to aiding others and a commitment to continuous learning, Stephanie earned her Master's degree in Clinical Mental Health Counseling from Adler University in Chicago. She furthered her expertise in trauma treatment through specialized training at the Arizona Trauma Institute.
(848) 285-6342 x1 View (848) 285-6342 x1
Photo of Your Time for Change, Clinical Social Work/Therapist in Toms River, NJ
Your Time for Change
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Toms River, NJ 08753
Waitlist for new clients
Change is hard. For some of us it is simply a need to explore a specific issue, job change, relationship exploration, or a goal for our future. For others, long held negative thoughts/ beliefs, anxiety and depression can paralyze moving forward, leaving us floundering for years. Regardless, change is possible. It is your turn, there is hope.
Change is hard. For some of us it is simply a need to explore a specific issue, job change, relationship exploration, or a goal for our future. For others, long held negative thoughts/ beliefs, anxiety and depression can paralyze moving forward, leaving us floundering for years. Regardless, change is possible. It is your turn, there is hope.
(848) 251-0621 View (848) 251-0621
Photo of Nicole Garamella, Marriage & Family Therapist in Toms River, NJ
Nicole Garamella
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Toms River, NJ 08753  (Online Only)
My predominant focus is with couples and families, with a focus in neurodivergence, difficult life transitions, infidelity recovery, intimacy issues, blended family matters, family planning, and trauma. With individuals, I work with trauma, anxiety, ASD and ADHD, depression, LGBTQIA issues, and self esteem building. My main goal is to meet clients where they are in the moment. The focus of treatment is to create a safe space in which people can explore and understand their internal parts and systems, and disrupt old relational patterns that leave them feeling stuck and unsatisfied.
My predominant focus is with couples and families, with a focus in neurodivergence, difficult life transitions, infidelity recovery, intimacy issues, blended family matters, family planning, and trauma. With individuals, I work with trauma, anxiety, ASD and ADHD, depression, LGBTQIA issues, and self esteem building. My main goal is to meet clients where they are in the moment. The focus of treatment is to create a safe space in which people can explore and understand their internal parts and systems, and disrupt old relational patterns that leave them feeling stuck and unsatisfied.
View
Photo of Andrea McBrearty-Raimann, Clinical Social Work/Therapist in Toms River, NJ
Andrea McBrearty-Raimann
Clinical Social Work/Therapist, MA, MSW, LCSW
Verified Verified
Toms River, NJ 08753
Accepting new clients for daytime appointments only. I would like to thank you for taking the time to read about my experience and qualifications. I hope that after you have read my personal statement that I'm able to assist you and/or someone that you care for very much. I bring 25 plus years of clinical experience in working with adolescents and adults in both an individual and group setting. My energy, enthusiasm and dedication have allowed me to help and empower many people over the years.
Accepting new clients for daytime appointments only. I would like to thank you for taking the time to read about my experience and qualifications. I hope that after you have read my personal statement that I'm able to assist you and/or someone that you care for very much. I bring 25 plus years of clinical experience in working with adolescents and adults in both an individual and group setting. My energy, enthusiasm and dedication have allowed me to help and empower many people over the years.
(732) 481-0413 View (732) 481-0413
Dr. Megan V Ross
Licensed Professional Counselor, PhD,MA, LPC, LCADC, RN-BC, CCM
Verified Verified
Toms River, NJ 08755
Welcome! I congratulate you for seeking help. Today you are one step closer to a new you where you will feel empowered and on a positive path to attain the personal growth and well-being you are striving for. With compassion and understanding, I am an interactive, non-judgmental, solution-focused therapist, and I'm here to help you uncover your true potential to lead a life that is worth celebrating. Call me at 732-784-1810 or send me an e-mail and come visit me in Toms River.
Welcome! I congratulate you for seeking help. Today you are one step closer to a new you where you will feel empowered and on a positive path to attain the personal growth and well-being you are striving for. With compassion and understanding, I am an interactive, non-judgmental, solution-focused therapist, and I'm here to help you uncover your true potential to lead a life that is worth celebrating. Call me at 732-784-1810 or send me an e-mail and come visit me in Toms River.
(732) 784-1810 View (732) 784-1810
Photo of Ana V. Cure, Marriage & Family Therapist Associate in Toms River, NJ
Ana V. Cure
Marriage & Family Therapist Associate, LAMFT, MAFP
Verified Verified
Toms River, NJ 08753
Asking for help can be difficult and discussing personal information can be intimidating. Maintaining healthy relationships and boundaries can often be complicated. While we can't change difficult situations my goal as a therapist is to help you navigate life's challenges in order to achieve and maintain healthy and balanced outcomes. My predominant focus is with couples, families and individuals.
Asking for help can be difficult and discussing personal information can be intimidating. Maintaining healthy relationships and boundaries can often be complicated. While we can't change difficult situations my goal as a therapist is to help you navigate life's challenges in order to achieve and maintain healthy and balanced outcomes. My predominant focus is with couples, families and individuals.
(732) 561-5024 View (732) 561-5024
Photo of Angela Del Russo, Counselor in Toms River, NJ
Angela Del Russo
Counselor, MA, LPC, CCTP
Verified Verified
Toms River, NJ 08753
In my practice I take a collaborative approach with adult clients. Together we seek balance, change and acceptance. These factors contribute to achievement of pleasure and fulfillment in life and relationships. My strength is that I incorporate the theory of cognitive therapy with the concept that past experiences and interactions have an influence on current beliefs and behavioral patterns. Through this approach, I am able to come to a more complete conceptualization and establish trust and rapport with my clients which enables them to engage in the therapeutic process more fully.
In my practice I take a collaborative approach with adult clients. Together we seek balance, change and acceptance. These factors contribute to achievement of pleasure and fulfillment in life and relationships. My strength is that I incorporate the theory of cognitive therapy with the concept that past experiences and interactions have an influence on current beliefs and behavioral patterns. Through this approach, I am able to come to a more complete conceptualization and establish trust and rapport with my clients which enables them to engage in the therapeutic process more fully.
(908) 349-0997 View (908) 349-0997
Photo of Jane Calabrese, Drug & Alcohol Counselor in Toms River, NJ
Jane Calabrese
Drug & Alcohol Counselor, LPC, LCADC, CCS
Verified Verified
1 Endorsed
Toms River, NJ 08753
Waitlist for new clients
Addiction and mental health disorders are often misunderstood. I believe in meeting my clients where they are and empowering awareness and meaningful change. There isn't a one size fits all approach and I use various techniques to meet unique needs of each individual. Successful treatment involves education and support. I have worked in a variety of settings over the past 15 years including hospital based programs, day programs, outpatient programs, and within the criminal justice system.
Addiction and mental health disorders are often misunderstood. I believe in meeting my clients where they are and empowering awareness and meaningful change. There isn't a one size fits all approach and I use various techniques to meet unique needs of each individual. Successful treatment involves education and support. I have worked in a variety of settings over the past 15 years including hospital based programs, day programs, outpatient programs, and within the criminal justice system.
(732) 860-4708 View (732) 860-4708
Photo of Jessica Decker, Clinical Social Work/Therapist in Toms River, NJ
Jessica Decker
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
4 Endorsed
Toms River, NJ 08753
Not accepting new clients
If you're considering exploring more effective ways to cope with life’s stressors and want to make positive changes in your life, let’s talk! I can help you discover the resilience that exists within yourself even if it's difficult to see right now. Nobody knows your experiences better than you do & as a therapist I always respect that. Our work will center on building your natural strengths in a way that'll help you feel empowered & capable. I'm eager to help you manage anxiety, stress & trauma as well as improve your capacity to regulate emotions. Happiness & wellness are possible, and we can move through this process together.
If you're considering exploring more effective ways to cope with life’s stressors and want to make positive changes in your life, let’s talk! I can help you discover the resilience that exists within yourself even if it's difficult to see right now. Nobody knows your experiences better than you do & as a therapist I always respect that. Our work will center on building your natural strengths in a way that'll help you feel empowered & capable. I'm eager to help you manage anxiety, stress & trauma as well as improve your capacity to regulate emotions. Happiness & wellness are possible, and we can move through this process together.
(848) 280-7142 View (848) 280-7142
Photo of Kevin Murphy, Clinical Social Work/Therapist in Toms River, NJ
Kevin Murphy
Clinical Social Work/Therapist, LCSW
Verified Verified
Toms River, NJ 08753
Hello, I'm Kevin Murphy, a Licensed Clinical Social Worker with extensive experience offering psychotherapy across diverse mental health environments. From leading adolescent intensive outpatient groups (IOP) to assisting older adults facing profound physical and cognitive hurdles in long-term care facilities, I've encountered a broad spectrum of challenges. I firmly believe that everyone encounters tough times and can benefit from professional support and guidance. Together, we'll collaborate to devise a treatment plan tailored to your unique strengths, aspirations, and obstacles.
Hello, I'm Kevin Murphy, a Licensed Clinical Social Worker with extensive experience offering psychotherapy across diverse mental health environments. From leading adolescent intensive outpatient groups (IOP) to assisting older adults facing profound physical and cognitive hurdles in long-term care facilities, I've encountered a broad spectrum of challenges. I firmly believe that everyone encounters tough times and can benefit from professional support and guidance. Together, we'll collaborate to devise a treatment plan tailored to your unique strengths, aspirations, and obstacles.
(848) 999-5440 View (848) 999-5440
Photo of Ashley Flewellen, Counselor in Toms River, NJ
Ashley Flewellen
Counselor, LPC
Verified Verified
Toms River, NJ 08753
Hello and welcome! I'm Ashley Flewellen, a licensed Professional Counselor with extensive experience across diverse mental health settings, from in-home therapy to outpatient therapy, intensive outpatient programs, psychiatric emergency rooms, and children's shelters. My approach centers on addressing each individual's unique needs. Together, we'll establish goals and work towards achieving them by utilizing coping techniques that empower you to thrive as your best self. We'll also explore various strategies for practicing self-care and effectively managing your emotions.
Hello and welcome! I'm Ashley Flewellen, a licensed Professional Counselor with extensive experience across diverse mental health settings, from in-home therapy to outpatient therapy, intensive outpatient programs, psychiatric emergency rooms, and children's shelters. My approach centers on addressing each individual's unique needs. Together, we'll establish goals and work towards achieving them by utilizing coping techniques that empower you to thrive as your best self. We'll also explore various strategies for practicing self-care and effectively managing your emotions.
(848) 305-2215 View (848) 305-2215
Photo of Hypnosis for Women in Toms River, NJ
Hypnosis for Women
CH, ACH
Verified Verified
Toms River, NJ 08753
Nationally Certified HypnoCounselor with 19+ years' experience empowering adults, teens, and children to eliminate negative habits, release fear, reduce stress and build confidence, through professional hypnosis and coaching. Overcome challenges and improve your life by tapping into the power of your subconscious mind. Using hypnosis / coaching techniques, reinforcement recordings, and self-hypnosis, most motivated clients see progress in a few sessions. This approach is different than psychotherapy. In-person sessions are held in my Toms River office. Remote sessions are available when appropriate.
Nationally Certified HypnoCounselor with 19+ years' experience empowering adults, teens, and children to eliminate negative habits, release fear, reduce stress and build confidence, through professional hypnosis and coaching. Overcome challenges and improve your life by tapping into the power of your subconscious mind. Using hypnosis / coaching techniques, reinforcement recordings, and self-hypnosis, most motivated clients see progress in a few sessions. This approach is different than psychotherapy. In-person sessions are held in my Toms River office. Remote sessions are available when appropriate.
(848) 251-0779 View (848) 251-0779

How does your Therapist compare?

Number of Therapists in Toms River, NJ

300+

Average cost per session

$150

Therapists in Toms River, NJ who prioritize treating:

96% Anxiety
90% Depression
83% Self Esteem
78% Coping Skills
77% Relationship Issues
76% Stress
68% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

84% Aetna
76% UnitedHealthcare UHC | UBH
73% Horizon Blue Cross and Blue Shield

How Therapists in Toms River, NJ see their clients

73% In Person and Online
27% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Toms River?

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.