Photo of Sally J Griswold - Step Ahead Therapeutic Services,PLLC, Clinical Social Work/Therapist, LCSW-R, PLLC
Step Ahead Therapeutic Services,PLLC
Clinical Social Work/Therapist, LCSW-R, PLLC
Verified Verified
Serves Area
Step Ahead is a small strength-based group practice set up in a home like atmosphere. We work with all ages and include couples and family therapy. Our therapist are experienced in many evidenced-based practices including CBT, DBT, Motivational Interviewing as well as Trauma based therapy. However, we believe our most valuable asset is to make others feel comfortable,safe, and welcome.
Step Ahead is a small strength-based group practice set up in a home like atmosphere. We work with all ages and include couples and family therapy. Our therapist are experienced in many evidenced-based practices including CBT, DBT, Motivational Interviewing as well as Trauma based therapy. However, we believe our most valuable asset is to make others feel comfortable,safe, and welcome.
(315) 640-4196 View (315) 640-4196
Photo of Stephanie Agosh, Clinical Social Work/Therapist
Stephanie Agosh
Clinical Social Work/Therapist
Verified Verified
Serves Area
Do you feel stuck, overwhelmed, overworked, or unfulfilled? Do you struggle with people pleasing? Feeling the weight of perfectionism, anxiety, work/school stress, or relationship challenges? You are NOT alone! The pressures of life can feel like too much, especially when trying to maintain relationships and show up for others how you would like to. Or to be able to tell others how you need them to show up for you. Life's challenges can leave us feeling uncertain, disconnected and burned out. It is easy to overlook how we are feeling. Therapy provides the opportunity to be your authentic self and work towards positive change.
Do you feel stuck, overwhelmed, overworked, or unfulfilled? Do you struggle with people pleasing? Feeling the weight of perfectionism, anxiety, work/school stress, or relationship challenges? You are NOT alone! The pressures of life can feel like too much, especially when trying to maintain relationships and show up for others how you would like to. Or to be able to tell others how you need them to show up for you. Life's challenges can leave us feeling uncertain, disconnected and burned out. It is easy to overlook how we are feeling. Therapy provides the opportunity to be your authentic self and work towards positive change.
(315) 309-0470 View (315) 309-0470
Photo of Ellen Ross, Licensed Psychoanalyst, PsyD, LP, NCPsyA
Ellen Ross
Licensed Psychoanalyst, PsyD, LP, NCPsyA
Verified Verified
Serves Area
When I think of therapy, I see it as a chance to study one's life and patterns non-judgmentally, with the opportunity to modify things that do not help to live a life satisfactorily. It is a self-educational experience where all thoughts and feelings and the obstacles which interfere with living are cooperatively addressed. Progressive talking takes place to work through anxiety, depression, relationships, workplace stress and parenting, as well as the whole scope of emotional challenges, mild to serious. It is a form of maturation occurring at a pace amenable to the individual. Please call for more information.
When I think of therapy, I see it as a chance to study one's life and patterns non-judgmentally, with the opportunity to modify things that do not help to live a life satisfactorily. It is a self-educational experience where all thoughts and feelings and the obstacles which interfere with living are cooperatively addressed. Progressive talking takes place to work through anxiety, depression, relationships, workplace stress and parenting, as well as the whole scope of emotional challenges, mild to serious. It is a form of maturation occurring at a pace amenable to the individual. Please call for more information.
(315) 231-6067 View (315) 231-6067

More Therapists Nearby

Photo of Zavia Thompson, MS, MHC-P
Zavia Thompson
MS, MHC-P
Verified Verified
1 Endorsed
Baldwinsville, NY 13027
Welcome. Managing stressors like anxiety, depression, ADHD, and intrusive thoughts can be challenging; however, cultivating self-awareness and developing effective coping strategies are essential for enjoying a fulfilling life. Don't let your struggle become your identity. "Your direction is more important than your speed." You're the expert on your own life, and I'm here to support you in a safe and non-judgmental environment. You are worth everything it takes, however long it takes. Treat your mind with kindness, and it will reward you with peace.
Welcome. Managing stressors like anxiety, depression, ADHD, and intrusive thoughts can be challenging; however, cultivating self-awareness and developing effective coping strategies are essential for enjoying a fulfilling life. Don't let your struggle become your identity. "Your direction is more important than your speed." You're the expert on your own life, and I'm here to support you in a safe and non-judgmental environment. You are worth everything it takes, however long it takes. Treat your mind with kindness, and it will reward you with peace.
(315) 809-3805 View (315) 809-3805
Photo of Melissa Seeley Cardone, Creative Arts Therapist, LCAT, LCPC, ATR-BC
Melissa Seeley Cardone
Creative Arts Therapist, LCAT, LCPC, ATR-BC
Verified Verified
Fulton, NY 13069
Licensed in counseling and art therapy, I help adults who are feeling stuck and are desiring change. I believe we all are capable of leading a fulfilling life with the right support and tools. I specialize in helping individuals who struggle with depression, anxiety, work/life stressors, life transitions, relationships, and creative blocks. Together we will work to reduce your symptoms, identify and replace defective patterns, strengthen your inner resilience, and improve your quality of life.
Licensed in counseling and art therapy, I help adults who are feeling stuck and are desiring change. I believe we all are capable of leading a fulfilling life with the right support and tools. I specialize in helping individuals who struggle with depression, anxiety, work/life stressors, life transitions, relationships, and creative blocks. Together we will work to reduce your symptoms, identify and replace defective patterns, strengthen your inner resilience, and improve your quality of life.
(315) 284-8150 View (315) 284-8150
Photo of Melissa Button, Counselor, LMHC-D, NCC
Melissa Button
Counselor, LMHC-D, NCC
Verified Verified
1 Endorsed
Online Only
I graduated from Syracuse University in 2010 with my Master's Degree in Clinical Mental Health and have worked in a variety of outpatient clinics and community-based treatment. I value the community experiences that I have with providing treatment for people's mental health while acknowledging and recognizing the environment and the role it plays in healing. My treatment style is focused on meeting people where they are and helping them make connections; intrapersonally, in the community etc. to help them reach their goals.
I graduated from Syracuse University in 2010 with my Master's Degree in Clinical Mental Health and have worked in a variety of outpatient clinics and community-based treatment. I value the community experiences that I have with providing treatment for people's mental health while acknowledging and recognizing the environment and the role it plays in healing. My treatment style is focused on meeting people where they are and helping them make connections; intrapersonally, in the community etc. to help them reach their goals.
(315) 313-5170 View (315) 313-5170
Photo of Jennifer Hawkins, Counselor, LMHC, CCTP
Jennifer Hawkins
Counselor, LMHC, CCTP
Verified Verified
Hannibal, NY 13074
Serving Hannibal, NY; starting May 2024! I provide counseling for individuals to promote mental wellness, personal empowerment, and inner strength. Sometimes life can be difficult and it can leave you feeling lonely, overwhelmed, anxious, or depressed. I want you to know that you are not alone. My goal is to offer supportive, strength-based counseling to help you be the best version of you. I believe that everyone has the ability to persevere through the challenging times, find the determination to change, and build inner strength to achieve a fulfilling and satisfying life.
Serving Hannibal, NY; starting May 2024! I provide counseling for individuals to promote mental wellness, personal empowerment, and inner strength. Sometimes life can be difficult and it can leave you feeling lonely, overwhelmed, anxious, or depressed. I want you to know that you are not alone. My goal is to offer supportive, strength-based counseling to help you be the best version of you. I believe that everyone has the ability to persevere through the challenging times, find the determination to change, and build inner strength to achieve a fulfilling and satisfying life.
(315) 776-2580 View (315) 776-2580
Photo of Matthew Scheuer, Clinical Social Work/Therapist, LCSW
Matthew Scheuer
Clinical Social Work/Therapist, LCSW
Verified Verified
North Syracuse, NY 13212
I work with trauma, anxiety, depression with children and adults, and couples counseling. I welcome clients who are ready to engage in their journey just as they are, from wherever they stand. Ideal clients are those open to the experience of therapy and eager to collaboratively delve into their challenges within a nurturing and cooperative environment. I offer both in-office and telehealth counseling to individuals from diverse backgrounds facing a range of challenges.
I work with trauma, anxiety, depression with children and adults, and couples counseling. I welcome clients who are ready to engage in their journey just as they are, from wherever they stand. Ideal clients are those open to the experience of therapy and eager to collaboratively delve into their challenges within a nurturing and cooperative environment. I offer both in-office and telehealth counseling to individuals from diverse backgrounds facing a range of challenges.
(680) 208-2350 View (680) 208-2350
Photo of Edward Currier, Counselor, MS, LMHC
Edward Currier
Counselor, MS, LMHC
Verified Verified
Online Only
My primary focus of therapeutic services is to provide a conducive, safe, and confidential format that will ensure personal growth. Enabling the individual to regain functional capabilities which is the ultimate goal. In order to regain functionality and growth individuals in therapeutic settings may have to discuss pleasant/unpleasant aspects of their lives and may experience uncomfortable feelings such as anxiety, fear, shame, guilt, hatred, anger, and frustration. However, through counseling, clients learn how to appreciate themselves, make better decisions and become more open about themselves and the world they live in.
My primary focus of therapeutic services is to provide a conducive, safe, and confidential format that will ensure personal growth. Enabling the individual to regain functional capabilities which is the ultimate goal. In order to regain functionality and growth individuals in therapeutic settings may have to discuss pleasant/unpleasant aspects of their lives and may experience uncomfortable feelings such as anxiety, fear, shame, guilt, hatred, anger, and frustration. However, through counseling, clients learn how to appreciate themselves, make better decisions and become more open about themselves and the world they live in.
(315) 805-4581 View (315) 805-4581
Photo of Lee Phillips, Clinical Social Work/Therapist, EdD, LICSW, LCSW-C, LCSW, CST
Lee Phillips
Clinical Social Work/Therapist, EdD, LICSW, LCSW-C, LCSW, CST
Verified Verified
3 Endorsed
Serves Area
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? No more than ever, people feel anxious, overwhelmed, and uncertain about managing their relationships, careers, and lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. It shouldn't be so hard to live a better life. I can help you live a better life. Please get in touch with me to discuss fees for services.
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? No more than ever, people feel anxious, overwhelmed, and uncertain about managing their relationships, careers, and lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. It shouldn't be so hard to live a better life. I can help you live a better life. Please get in touch with me to discuss fees for services.
(757) 582-3233 View (757) 582-3233
Photo of Logan Lewis, Marriage & Family Therapist, LMFT, LCSW
Logan Lewis
Marriage & Family Therapist, LMFT, LCSW
Verified Verified
Online Only
I strive to provide a safe and comfortable space that will help you share your experiences and explore your needs and struggles. I focus on helping client build skills to cope with their problems in everyday life situations. I utilize holistic, spiritual, and mindfulness-based approaches to help you achieve a calmer state of mind and achieve your life goals.
I strive to provide a safe and comfortable space that will help you share your experiences and explore your needs and struggles. I focus on helping client build skills to cope with their problems in everyday life situations. I utilize holistic, spiritual, and mindfulness-based approaches to help you achieve a calmer state of mind and achieve your life goals.
(315) 535-6782 View (315) 535-6782
Photo of Annette Kim, Clinical Social Work/Therapist, SIFI, LCSW
Annette Kim
Clinical Social Work/Therapist, SIFI, LCSW
Verified Verified
Online Only
In today’s fast-paced and stress-filled world, it is a privilege to work with individuals who are ready to take meaningful steps toward improving their mental health. Whether you have a clear vision of the changes you’d like to make or need guidance in setting those goals, we can collaborate to create a plan tailored to your needs. Together, we’ll start by exploring the most significant aspects of your life, including your personal history and key relationships, to build a comprehensive understanding of who you are. Recognizing that every individual is unique, I strive to provide treatment that is fully personalized.
In today’s fast-paced and stress-filled world, it is a privilege to work with individuals who are ready to take meaningful steps toward improving their mental health. Whether you have a clear vision of the changes you’d like to make or need guidance in setting those goals, we can collaborate to create a plan tailored to your needs. Together, we’ll start by exploring the most significant aspects of your life, including your personal history and key relationships, to build a comprehensive understanding of who you are. Recognizing that every individual is unique, I strive to provide treatment that is fully personalized.
(929) 470-7119 View (929) 470-7119
Photo of Audrey Van Voolen, Psychologist, PhD
Audrey Van Voolen
Psychologist, PhD
Verified Verified
1 Endorsed
Skaneateles, NY 13152
Clients come to my practice looking to better their lives. They often come with a presenting problem that has brought them in at this specific point in time and they are seeking resolution and relief from that situation. However, in addition to more short-term, symptom relief, many clients come to us hoping to attain a better understanding of themselves from the inside out — from their thoughts to their behaviors. In short, they are trying to increase their awareness and understanding of themselves in an attempt to improve the quality of their relationships and the their lives.
Clients come to my practice looking to better their lives. They often come with a presenting problem that has brought them in at this specific point in time and they are seeking resolution and relief from that situation. However, in addition to more short-term, symptom relief, many clients come to us hoping to attain a better understanding of themselves from the inside out — from their thoughts to their behaviors. In short, they are trying to increase their awareness and understanding of themselves in an attempt to improve the quality of their relationships and the their lives.
(315) 819-3025 x1 View (315) 819-3025 x1
Photo of Carrie Corby, Clinical Social Work/Therapist, LCSW
Carrie Corby
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
East Syracuse, NY 13057
Not accepting new clients
Living our best life authentically with our values and principles is possible yet difficult at times. There are challenges in our own potential and sometimes we carry that into relationships we have with ourselves, parents, children, significant others, friends, teachers and/or coworkers. The therapeutic relationship is the foundation to personal growth. The focus in my practice is psychotherapy for children, adolescents, and adults. I work in developing a trusting, safe, supportive environment so you are able to develop strategies to improve your overall quality of life through various therapeutic modalities.
Living our best life authentically with our values and principles is possible yet difficult at times. There are challenges in our own potential and sometimes we carry that into relationships we have with ourselves, parents, children, significant others, friends, teachers and/or coworkers. The therapeutic relationship is the foundation to personal growth. The focus in my practice is psychotherapy for children, adolescents, and adults. I work in developing a trusting, safe, supportive environment so you are able to develop strategies to improve your overall quality of life through various therapeutic modalities.
(315) 302-1473 View (315) 302-1473
Photo of Lorna Boyer Chase, Marriage & Family Therapist, MA, LMFT
Lorna Boyer Chase
Marriage & Family Therapist, MA, LMFT
Not Verified Not Verified
Serves Area
I strongly believe in the inherent wholeness of every individual. I work with individuals and couples who are seeking to reclaim their joy, sense of peace, creativity, greater health, and move towards the life that they envision. My clients include professionals, college students, and other therapists who want to work on concerns such as anxiety, depression, relationship discord, trauma and Post Traumatic Stress Disorder, parenting issues, workplace difficulties, chronic illness, and loss. My approach is compassionate, collaborative, strength-focused, and integrative.
I strongly believe in the inherent wholeness of every individual. I work with individuals and couples who are seeking to reclaim their joy, sense of peace, creativity, greater health, and move towards the life that they envision. My clients include professionals, college students, and other therapists who want to work on concerns such as anxiety, depression, relationship discord, trauma and Post Traumatic Stress Disorder, parenting issues, workplace difficulties, chronic illness, and loss. My approach is compassionate, collaborative, strength-focused, and integrative.
(315) 737-6746 View (315) 737-6746
Photo of Taralee Lashway, Marriage & Family Therapist, LMFT, MAC, CASAC
Taralee Lashway
Marriage & Family Therapist, LMFT, MAC, CASAC
Verified Verified
Online Only
Book with me now by clicking on my website. Congratulations! I know deciding to come to therapy is not an easy step, but I want to applaud you for making the decision to make your life better. My name is Taralee and I have been New York State Licensed Marriage and Family Therapist for 12 years working with individuals, couples, families, children, and military. No two experiences are ever the same and I believe that YOU are the expert of you. Understanding that you are in control, you deserve to be treated in a way that helps you to feel respected, heard, comforted and hopeful. You deserve to live your best life.
Book with me now by clicking on my website. Congratulations! I know deciding to come to therapy is not an easy step, but I want to applaud you for making the decision to make your life better. My name is Taralee and I have been New York State Licensed Marriage and Family Therapist for 12 years working with individuals, couples, families, children, and military. No two experiences are ever the same and I believe that YOU are the expert of you. Understanding that you are in control, you deserve to be treated in a way that helps you to feel respected, heard, comforted and hopeful. You deserve to live your best life.
(315) 367-3034 View (315) 367-3034
Photo of Elizabeth Figueroa, Clinical Social Work/Therapist, DSW, LCSW
Elizabeth Figueroa
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
Online Only
Hello, I am glad that you are here. I have been a psychotherapist for over 25 years. My commitment to you is to be a good listener, nonjudgmental, and to provide you with a safe space. We can join together to help you to master your best approach to a balanced life. My particular style is person centered, focused on healing and is holistic; I work with the whole being that is you. As your therapist, I will work with you to provide you with skills to cope and successfully manage and treat the distress.
Hello, I am glad that you are here. I have been a psychotherapist for over 25 years. My commitment to you is to be a good listener, nonjudgmental, and to provide you with a safe space. We can join together to help you to master your best approach to a balanced life. My particular style is person centered, focused on healing and is holistic; I work with the whole being that is you. As your therapist, I will work with you to provide you with skills to cope and successfully manage and treat the distress.
View
Photo of Kara Kenderish, Psychologist, PsyD
Kara Kenderish
Psychologist, PsyD
Verified Verified
2 Endorsed
Online Only
Not accepting new clients
Sometimes life throws us obstacles that leave us feeling overwhelmed, stuck, and maybe even unheard or misunderstood by those in our lives. This can be extremely frustrating. As a psychologist, I help people feel heard during difficult times and find ways to get unstuck. Together we will explore the traps that keep you stuck and discover how your internal critic contributes to or exacerbates your challenges. Distress is a normal part of life that affects everyone to varying degrees. I will work collaboratively with you to help you learn to live a fulfilling life despite the challenges you might be facing.
Sometimes life throws us obstacles that leave us feeling overwhelmed, stuck, and maybe even unheard or misunderstood by those in our lives. This can be extremely frustrating. As a psychologist, I help people feel heard during difficult times and find ways to get unstuck. Together we will explore the traps that keep you stuck and discover how your internal critic contributes to or exacerbates your challenges. Distress is a normal part of life that affects everyone to varying degrees. I will work collaboratively with you to help you learn to live a fulfilling life despite the challenges you might be facing.
(607) 871-7953 View (607) 871-7953
Photo of Melissa Mendez, Clinical Social Work/Therapist, LMSW
Melissa Mendez
Clinical Social Work/Therapist, LMSW
Verified Verified
Online Only
Do you struggle with being “enough”? Does past trauma, worry, sadness, and/or anger prevent you from living fully in the present? If you are here, chances are you answered yes to one or all of the above. Life can be challenging; traumas and fears come in all forms and one is not more important than the next. People that connect with me are diverse and so are their reasons for seeking therapy. Everything is connected; mind, body, and spirit. We must take care of all to be right with one. Our therapeutic relationship will help you understand your struggles and connect all aspects of your life to find resolution.
Do you struggle with being “enough”? Does past trauma, worry, sadness, and/or anger prevent you from living fully in the present? If you are here, chances are you answered yes to one or all of the above. Life can be challenging; traumas and fears come in all forms and one is not more important than the next. People that connect with me are diverse and so are their reasons for seeking therapy. Everything is connected; mind, body, and spirit. We must take care of all to be right with one. Our therapeutic relationship will help you understand your struggles and connect all aspects of your life to find resolution.
(646) 685-4422 View (646) 685-4422
Photo of Kya Grey, Counselor, LMHC
Kya Grey
Counselor, LMHC
Verified Verified
Online Only
If you’re feeling lost, not in control of your own life, or like the world around you isn’t safe – let’s talk about finally feeling good about yourself. I am a passionate advocate for my clients and help them take up more space in their own lives. My style of therapy is focused on growth through raising awareness and understanding, finding and strengthening the skills we already have, and shifting how we see ourselves and our world so that we can make our life make more sense.
If you’re feeling lost, not in control of your own life, or like the world around you isn’t safe – let’s talk about finally feeling good about yourself. I am a passionate advocate for my clients and help them take up more space in their own lives. My style of therapy is focused on growth through raising awareness and understanding, finding and strengthening the skills we already have, and shifting how we see ourselves and our world so that we can make our life make more sense.
(914) 635-1147 View (914) 635-1147

See more therapy options for 13022

How does your Therapist compare?

Number of Therapists in 13022

< 10

Therapists in 13022 who prioritize treating:

100% Depression
100% Anxiety
67% Relationship Issues
67% ADHD
67% Anger Management
67% Bipolar Disorder
67% Self Esteem

Average years in practice

20 Years

Top 3 insurances accepted

100% Aetna
100% The Alliance
100% BHS | Behavioral Health Systems

How Therapists in 13022 see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 13022?

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.