Photo of Jill K Sosiewicz, LMHC, Counselor
Jill K Sosiewicz
Counselor, LMHC
Verified Verified
Rhinebeck, NY 12572
Discussing the challenges you've been through is a vulnerable place, but also one that can be full of growth and clarity. I work with children, teens, and adults dealing with some of life's big transitions. I utilize an integrative approach to create a safe, trauma informed space to build regulation skills, communication skills, and process trauma. I have a background in working with adult survivors of domestic violence and sexual assault, college students, and children in foster care birth to 21. Trauma and transitions are each taxing in their own profound ways, but each can lead to change. I'm here to hold that space with you.
Discussing the challenges you've been through is a vulnerable place, but also one that can be full of growth and clarity. I work with children, teens, and adults dealing with some of life's big transitions. I utilize an integrative approach to create a safe, trauma informed space to build regulation skills, communication skills, and process trauma. I have a background in working with adult survivors of domestic violence and sexual assault, college students, and children in foster care birth to 21. Trauma and transitions are each taxing in their own profound ways, but each can lead to change. I'm here to hold that space with you.
(845) 516-6424 View (845) 516-6424
Photo of Jennifer Axinn-Weiss, SEP, MA, CHT, MFA
Jennifer Axinn-Weiss
SEP, MA, CHT, MFA
Verified Verified
Rhinebeck, NY 12572
I help others connect to a bigger perspective while unpacking unproductive, out dated coping strategies and beliefs. My practice offers a space of compassion for others to access and develop inner guidance, while completing unexpressed impulses held in the body. I support caretakers, empaths, creatives, those suffering from PTSD, ADHD anxiety, depression, phobias, addiction, sleep issues and lack of direction.
I help others connect to a bigger perspective while unpacking unproductive, out dated coping strategies and beliefs. My practice offers a space of compassion for others to access and develop inner guidance, while completing unexpressed impulses held in the body. I support caretakers, empaths, creatives, those suffering from PTSD, ADHD anxiety, depression, phobias, addiction, sleep issues and lack of direction.
(845) 415-4121 View (845) 415-4121
Photo of Elizabeth Wade, PsyD, Psychologist
Elizabeth Wade
Psychologist, PsyD
Verified Verified
3 Endorsed
Rhinebeck, NY 12572
Not accepting new clients
I am a licensed clinical psychologist specializing in working with adults from a mindfulness based perspective. I believe that therapy can help you make meaning of pain, struggle and confusion in order to let go of suffering and find purpose in all the phases of life. Every moment of pain presents an opportunity for growth into deeper self-awareness, enhanced relationship intimacy and life fulfillment. I integrate concepts from psychodynamic, internal family systems, cognitive behavioral therapy and the major meditative traditions to address your individual needs.
I am a licensed clinical psychologist specializing in working with adults from a mindfulness based perspective. I believe that therapy can help you make meaning of pain, struggle and confusion in order to let go of suffering and find purpose in all the phases of life. Every moment of pain presents an opportunity for growth into deeper self-awareness, enhanced relationship intimacy and life fulfillment. I integrate concepts from psychodynamic, internal family systems, cognitive behavioral therapy and the major meditative traditions to address your individual needs.
(646) 663-5710 View (646) 663-5710
Photo of Michele Hochberg, LMHC, Counselor
Michele Hochberg
Counselor, LMHC
Verified Verified
Rhinebeck, NY 12572  (Online Only)
Welcome! I am a New York State licensed mental health counselor with decades of experience in providing therapeutic services to diverse populations. My main area of expertise is relationship issues including, but not limited to; family, romantic partnerships, friendships, and co-workers. Psychodynamic Interpersonal Therapy (PIT) is a type of therapy proven to help people with emotional and relational issues. The focus is on improving the quality of interpersonal relationships & reducing overall distress. When a person can manage relationship problems more effectively, symptoms associated with depression and anxiety often improve.
Welcome! I am a New York State licensed mental health counselor with decades of experience in providing therapeutic services to diverse populations. My main area of expertise is relationship issues including, but not limited to; family, romantic partnerships, friendships, and co-workers. Psychodynamic Interpersonal Therapy (PIT) is a type of therapy proven to help people with emotional and relational issues. The focus is on improving the quality of interpersonal relationships & reducing overall distress. When a person can manage relationship problems more effectively, symptoms associated with depression and anxiety often improve.
(845) 245-6157 View (845) 245-6157
Photo of Stephen C Fay, Clinical Social Work/Therapist
Stephen C Fay
Clinical Social Work/Therapist
Verified Verified
Rhinebeck, NY 12572  (Online Only)
Psychotherapy should be collaborative, and able to adapt to the individual seeking treatment rather than demanding that the person fit some Procrustean bed of preconceived theory. My approach emphasizes individually tailored solutions that build on a person's strengths and makes creative use of their so-called weaknesses, i.e. it is competency based rather than pathology oriented. There is a strong effort to integrate mind, body, and spirit and to utilize both conscious and unconscious resources.
Psychotherapy should be collaborative, and able to adapt to the individual seeking treatment rather than demanding that the person fit some Procrustean bed of preconceived theory. My approach emphasizes individually tailored solutions that build on a person's strengths and makes creative use of their so-called weaknesses, i.e. it is competency based rather than pathology oriented. There is a strong effort to integrate mind, body, and spirit and to utilize both conscious and unconscious resources.
(845) 207-8109 View (845) 207-8109
Photo of Skip Paynter, LMSW
Skip Paynter
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Rhinebeck, NY 12572
I'm a psychotherapist at Izlind Integrative Wellness Center in Rhinebeck, NY. I have significant expertise and experience addressing depression, identity issues, life transitions, and self-esteem in college students, adults, older adults, and adolescents. I incorporate an integrative approach to therapy that includes interpersonal, humanistic, energy medicine (e.g., EFT/tapping, reiki), and mindfulness meditation to address the personal needs of each individual. As a former executive in the corporate world, I also integrate pragmatic approaches to behavioral change.
I'm a psychotherapist at Izlind Integrative Wellness Center in Rhinebeck, NY. I have significant expertise and experience addressing depression, identity issues, life transitions, and self-esteem in college students, adults, older adults, and adolescents. I incorporate an integrative approach to therapy that includes interpersonal, humanistic, energy medicine (e.g., EFT/tapping, reiki), and mindfulness meditation to address the personal needs of each individual. As a former executive in the corporate world, I also integrate pragmatic approaches to behavioral change.
(917) 562-3027 View (917) 562-3027
Photo of Dr. Laura Soden, PhD, Psychologist
Dr. Laura Soden
Psychologist, PhD
Verified Verified
Rhinebeck, NY 12572  (Online Only)
As an experienced psychotherapist, I've witnessed the transformative power of therapy in people's lives. Patients have made peace with the past, enriched relationships, found joy. But it's hard work. It needs a loving witness, partner, guide; I have been that. I specialize in serving adult patients seeking introspection and exploration; couples harboring resentments, needing communication and listening skills; and parents interested in learning effective methods of parenting.
As an experienced psychotherapist, I've witnessed the transformative power of therapy in people's lives. Patients have made peace with the past, enriched relationships, found joy. But it's hard work. It needs a loving witness, partner, guide; I have been that. I specialize in serving adult patients seeking introspection and exploration; couples harboring resentments, needing communication and listening skills; and parents interested in learning effective methods of parenting.
(518) 254-8266 View (518) 254-8266
Photo of Mallory Leitner, MA, LMFT, RYT, Marriage & Family Therapist
Mallory Leitner
Marriage & Family Therapist, MA, LMFT, RYT
Verified Verified
4 Endorsed
Rhinebeck, NY 12572
Is your past controlling you in the present in ways that aren't serving you? Our experiences shape the way we live, love and make sense of the world. When we are controlled by past traumatic experiences we lose the ability to "choose" how we want to respond to ourselves and others; instead becoming reactive. This affects how we feel physically and emotionally; which can make us feel depressed, anxious, a shameful. I help people become more mindful as they face the unknown, and begin to integrate new aspects of the self that supports wellbeing. Most people come to me for deep change, which takes time and hard work.
Is your past controlling you in the present in ways that aren't serving you? Our experiences shape the way we live, love and make sense of the world. When we are controlled by past traumatic experiences we lose the ability to "choose" how we want to respond to ourselves and others; instead becoming reactive. This affects how we feel physically and emotionally; which can make us feel depressed, anxious, a shameful. I help people become more mindful as they face the unknown, and begin to integrate new aspects of the self that supports wellbeing. Most people come to me for deep change, which takes time and hard work.
(838) 384-3317 View (838) 384-3317
Photo of Sarah Elizabeth McDonald, EdS, LMHC, Counselor
Sarah Elizabeth McDonald
Counselor, EdS, LMHC
Verified Verified
Rhinebeck, NY 12572
I have practiced as a licensed therapist for 33 years. In addition to private practice, I have worked for mental health clinics and hospitals in Virginia, Indiana and Florida. Counseling/therapy is not easily described in general statements. It varies depending on the counselor, the client and the particular problems you are experiencing. Most persons seek counseling because they are experiencing problems which are causing pain or difficulties in their lives. It is an important decision to begin counseling. Counseling calls for the therapist's active efforts to understand the client's needs and the training to help.
I have practiced as a licensed therapist for 33 years. In addition to private practice, I have worked for mental health clinics and hospitals in Virginia, Indiana and Florida. Counseling/therapy is not easily described in general statements. It varies depending on the counselor, the client and the particular problems you are experiencing. Most persons seek counseling because they are experiencing problems which are causing pain or difficulties in their lives. It is an important decision to begin counseling. Counseling calls for the therapist's active efforts to understand the client's needs and the training to help.
(845) 250-5122 View (845) 250-5122
Photo of Sienna Chu, MSEd, LMHC, Counselor
Sienna Chu
Counselor, MSEd, LMHC
Verified Verified
Rhinebeck, NY 12572
Whatever it is that brings you to therapy, I stand by the commitment, “I’m here with you.” I believe that each of our stories are equally sacred as they are unique and see therapy as an opportunity to cultivate curiosity for ourselves and to let go of self-judgement. Taking a Psychodynamic approach, I aim to help my clients unravel, experience, and understand themselves more deeply, through building awareness, flexibility, and the capacity to make change. Humor, authenticity, and the willingness to experiment is foundational to my approach.
Whatever it is that brings you to therapy, I stand by the commitment, “I’m here with you.” I believe that each of our stories are equally sacred as they are unique and see therapy as an opportunity to cultivate curiosity for ourselves and to let go of self-judgement. Taking a Psychodynamic approach, I aim to help my clients unravel, experience, and understand themselves more deeply, through building awareness, flexibility, and the capacity to make change. Humor, authenticity, and the willingness to experiment is foundational to my approach.
(646) 846-9014 View (646) 846-9014
Photo of Dr. Peter Kaplan, PsyD, Psychologist
Dr. Peter Kaplan
Psychologist, PsyD
Verified Verified
1 Endorsed
Rhinebeck, NY 12572
I am a highly skilled and well regarded psychologist with over thirty years of experience. Most importantly, I’m a warm, kind, relatable and compassionate human being. If you choose to work with me you will be in good hands. For decades I have been assisting people in achieving emotional health, vitality, and well being. My clients are typically successful and educated, but might be struggling to break free of self defeating behaviors or beliefs, or seeking help with family, career, or relationship issues, or depression and anxiety.
I am a highly skilled and well regarded psychologist with over thirty years of experience. Most importantly, I’m a warm, kind, relatable and compassionate human being. If you choose to work with me you will be in good hands. For decades I have been assisting people in achieving emotional health, vitality, and well being. My clients are typically successful and educated, but might be struggling to break free of self defeating behaviors or beliefs, or seeking help with family, career, or relationship issues, or depression and anxiety.
(845) 335-3959 View (845) 335-3959
Mark David Moreland
Psychologist, PsyD
Verified Verified
Rhinebeck, NY 12572
Research has shown that the primary factors involved in change in a therapeutic setting are the clients' internal strengths. The second most important factor is the relationship between the client and the therapist. At the very core, therapy is about a healing relationship. This is what a prospective client should ask regarding a therapist when entering therapy: is it a relationship that is conducive to your growth, whatever your goals?
Research has shown that the primary factors involved in change in a therapeutic setting are the clients' internal strengths. The second most important factor is the relationship between the client and the therapist. At the very core, therapy is about a healing relationship. This is what a prospective client should ask regarding a therapist when entering therapy: is it a relationship that is conducive to your growth, whatever your goals?
(850) 930-7681 View (850) 930-7681
Photo of Kristin A Woods, LMHC, Counselor
Kristin A Woods
Counselor, LMHC
Verified Verified
2 Endorsed
Rhinebeck, NY 12572  (Online Only)
I believe that therapy is the ultimate form of self-care and it should not feel like a chore. I am a New York Licensed Mental Health Counselor. I have experience in coaching clients in using skills to manage stress, cope with anxiety, navigate life changes, and communicate effectively. Sometimes you may just need a space to vent and share your story without judgement. Other times, you may be looking for structured goal setting and behavior change. I aim to meet you where you're at and help you to identify your specific needs and support you in getting those needs met as you work to build a life worth living.
I believe that therapy is the ultimate form of self-care and it should not feel like a chore. I am a New York Licensed Mental Health Counselor. I have experience in coaching clients in using skills to manage stress, cope with anxiety, navigate life changes, and communicate effectively. Sometimes you may just need a space to vent and share your story without judgement. Other times, you may be looking for structured goal setting and behavior change. I aim to meet you where you're at and help you to identify your specific needs and support you in getting those needs met as you work to build a life worth living.
(845) 769-0821 View (845) 769-0821
Photo of Tony Stiker, LCSW, Clinical Social Work/Therapist
Tony Stiker
Clinical Social Work/Therapist, LCSW
Verified Verified
Rhinebeck, NY 12572
In working with clients in psychotherapy, I find it useful first to sort out what's working in their lives from what's not. Then we look at what's not working; be it depression, anxiety, obsessive thinking, compulsive & addictive behavior, and extreme emotional reactions. All of these things can all serve as clues to help us identify and address hidden and unexpressed emotions and experiences. (In addition to treating adults, couples, and adolescents with the more standard therapy issues, I have extensive experience working with the full gamut of sexual topics.)
In working with clients in psychotherapy, I find it useful first to sort out what's working in their lives from what's not. Then we look at what's not working; be it depression, anxiety, obsessive thinking, compulsive & addictive behavior, and extreme emotional reactions. All of these things can all serve as clues to help us identify and address hidden and unexpressed emotions and experiences. (In addition to treating adults, couples, and adolescents with the more standard therapy issues, I have extensive experience working with the full gamut of sexual topics.)
(833) 578-0721 View (833) 578-0721
Photo of Rachel Ravin, LCSW-R, Clinical Social Work/Therapist
Rachel Ravin
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Rhinebeck, NY 12572
Welcome. This time of global change and uncertainty makes it more crucial than ever that we have supportive connection and compassion, and we choose to love ourselves. It's my honor to work with people who want to be their authentic selves in the world (rather than who their history tells them they should be), and recognize their right to find meaning, satisfaction, and joy in living. With our relationship as a support, I'll invite you to expand your awareness, uncover childhood messages that may be limiting your life choices, explore your identity and existing roles, and guide yourself toward the self-love that is life-sustaining.
Welcome. This time of global change and uncertainty makes it more crucial than ever that we have supportive connection and compassion, and we choose to love ourselves. It's my honor to work with people who want to be their authentic selves in the world (rather than who their history tells them they should be), and recognize their right to find meaning, satisfaction, and joy in living. With our relationship as a support, I'll invite you to expand your awareness, uncover childhood messages that may be limiting your life choices, explore your identity and existing roles, and guide yourself toward the self-love that is life-sustaining.
(646) 678-0245 View (646) 678-0245
Photo of Jamie O'Neil, LCSW-R, Clinical Social Work/Therapist
Jamie O'Neil
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Rhinebeck, NY 12572  (Online Only)
I will assist you in identifying your inner resources and strengths, and to develop them so you can experience more fulfillment, meaning, purpose, and joy in your life. My approach to psychotherapy is proactive and flexible, drawing on a variety of frameworks. It will be tailored to your individual interests and needs, circumstances, and life challenges. We will identify your goals, and I will assist you with working towards them. We will work together creatively and collaboratively in developing personalized solutions. If you'd like, your therapy can include out of session reading or exercises, and may be short or long term.
I will assist you in identifying your inner resources and strengths, and to develop them so you can experience more fulfillment, meaning, purpose, and joy in your life. My approach to psychotherapy is proactive and flexible, drawing on a variety of frameworks. It will be tailored to your individual interests and needs, circumstances, and life challenges. We will identify your goals, and I will assist you with working towards them. We will work together creatively and collaboratively in developing personalized solutions. If you'd like, your therapy can include out of session reading or exercises, and may be short or long term.
(845) 876-7600 View (845) 876-7600
Photo of Peter J Rosan, PhD, Psychologist
Peter J Rosan
Psychologist, PhD
Verified Verified
Rhinebeck, NY 12572  (Online Only)
My approach to psychotherapy is based on both my education and more than 30 years of experience as a clinical psychologist, including research, teaching, writing, and supervision. Psychotherapy is a path defined by both therapist and client. Each individual client brings unique resources, strengths, weaknesses, problems, hopes, and expectations to therapy as well as their own idiom, their way of expressing themselves. Together, we will search for what gives meaning to your life and what may be interfering in its realization. Successful psychotherapy depends on the quality of the relationship between client and therapist.
My approach to psychotherapy is based on both my education and more than 30 years of experience as a clinical psychologist, including research, teaching, writing, and supervision. Psychotherapy is a path defined by both therapist and client. Each individual client brings unique resources, strengths, weaknesses, problems, hopes, and expectations to therapy as well as their own idiom, their way of expressing themselves. Together, we will search for what gives meaning to your life and what may be interfering in its realization. Successful psychotherapy depends on the quality of the relationship between client and therapist.
(845) 576-8157 View (845) 576-8157
Photo of Dr. Beth Gershuny, PhD, Psychologist
Dr. Beth Gershuny
Psychologist, PhD
Verified Verified
Rhinebeck, NY 12572  (Online Only)
Waitlist for new clients
I am the founder of Izlind Integrative Health (Izlind.com). As a clinical psychologist specializing in stress reduction & the treatment of anxiety, I incorporate & individually tailor an integrative, collaborative, & compassionate approach that combines cognitive-behavioral therapies, interpersonal therapies, & mindfulness meditation. Prior to creating Izlind & in addition to being a clinical psychologist since 2001, I held faculty positions at Harvard Medical School, Skidmore College, & Bard College (tenured); & I held treatment & supervisory positions at Harvard Medical School's Massachusetts General Hospital & McLean Hospital.
I am the founder of Izlind Integrative Health (Izlind.com). As a clinical psychologist specializing in stress reduction & the treatment of anxiety, I incorporate & individually tailor an integrative, collaborative, & compassionate approach that combines cognitive-behavioral therapies, interpersonal therapies, & mindfulness meditation. Prior to creating Izlind & in addition to being a clinical psychologist since 2001, I held faculty positions at Harvard Medical School, Skidmore College, & Bard College (tenured); & I held treatment & supervisory positions at Harvard Medical School's Massachusetts General Hospital & McLean Hospital.
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Photo of Russell Brian Shelkowitz, LCSW-R, Clinical Social Work/Therapist
Russell Brian Shelkowitz
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Rhinebeck, NY 12572
Russell Shelkowitz, LCSW-R has extensive experience working with adolescents (12+), adults (individuals & couples), and families, and has provided compassionate and effective care in diverse settings, including hospitals, private practices, and outpatient clinics.
Russell Shelkowitz, LCSW-R has extensive experience working with adolescents (12+), adults (individuals & couples), and families, and has provided compassionate and effective care in diverse settings, including hospitals, private practices, and outpatient clinics.
(838) 221-5937 View (838) 221-5937
Photo of John Duch, LCSW, Clinical Social Work/Therapist
John Duch
Clinical Social Work/Therapist, LCSW
Verified Verified
Rhinebeck, NY 12572
I have been working with adolescents, adults and families for the past 23 years. I am proficient in crisis situations, family conflicts, peer conflicts and academic needs. I am available to speak with medical doctors, teachers and other specialty outside providers. I am available for IEP and other academic meetings. I work with clients who struggle with anxiety, depression, mood disorders, substance use and self harming behaviors.
I have been working with adolescents, adults and families for the past 23 years. I am proficient in crisis situations, family conflicts, peer conflicts and academic needs. I am available to speak with medical doctors, teachers and other specialty outside providers. I am available for IEP and other academic meetings. I work with clients who struggle with anxiety, depression, mood disorders, substance use and self harming behaviors.
(845) 834-9002 View (845) 834-9002
1

How does your Therapist compare?

Number of Therapists in 12572

100+

Average cost per session

$150

Therapists in 12572 who prioritize treating:

94% Anxiety
85% Depression
77% Relationship Issues
75% Self Esteem
69% Trauma and PTSD
68% Grief
65% Coping Skills

Average years in practice

17 Years

Top 3 insurances accepted

57% Aetna
39% Other
37% UnitedHealthcare UHC | UBH

How Therapists in 12572 see their clients

77% In Person and Online
23% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 12572?

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.