Therapists in 14260

Photo of Monroe Schostal, Licensed Psychoanalyst
Monroe Schostal
Licensed Psychoanalyst
Serves Area
I welcome work with people of all kinds who are experiencing malaise of different sorts: anxiety, depression, relationship & family issues, learning & school difficulties—the list goes on. As a psychoanalyst, I understand the challenges of adulthood and childhood as interwoven, both in the context of one's current family and across the different moments of one's own psychic life & personal past. Though my approach shifts in response to the person (or people) I'm working with, my focus tends to fall on listening and finding language for whatever it is that those who see me are trying to express through means other than words.
I welcome work with people of all kinds who are experiencing malaise of different sorts: anxiety, depression, relationship & family issues, learning & school difficulties—the list goes on. As a psychoanalyst, I understand the challenges of adulthood and childhood as interwoven, both in the context of one's current family and across the different moments of one's own psychic life & personal past. Though my approach shifts in response to the person (or people) I'm working with, my focus tends to fall on listening and finding language for whatever it is that those who see me are trying to express through means other than words.
(929) 556-6546 View (929) 556-6546
Photo of Timothy S Crumley - CommonSense Wellness Network, IPA, LLC, Licensed Mental Health Counselor
CommonSense Wellness Network, IPA, LLC
Licensed Mental Health Counselor
3 Endorsed
Serves Area
Establishing yourself, and your identity, is a lifelong process. You are not alone when you face questions including: Who am I? What is my purpose? Who do I want in my life? What do I stand for? Why am I here? When we consider these questions, along with countless others branching from these, you might find yourself overwhelmed, anxious, depressed, or frustrated. Attempting to navigate this process, you may face societal expectations, dysfunctional family dynamics, economic challenges or other stressors operating against you. While desire to be stable, authentic, and true to self is shared, your story will always be unique.
Establishing yourself, and your identity, is a lifelong process. You are not alone when you face questions including: Who am I? What is my purpose? Who do I want in my life? What do I stand for? Why am I here? When we consider these questions, along with countless others branching from these, you might find yourself overwhelmed, anxious, depressed, or frustrated. Attempting to navigate this process, you may face societal expectations, dysfunctional family dynamics, economic challenges or other stressors operating against you. While desire to be stable, authentic, and true to self is shared, your story will always be unique.
(518) 430-5726 View (518) 430-5726
Photo of Dr. Eva Pastalkova, Psychologist, PhD
Dr. Eva Pastalkova
Psychologist, PhD
1 Endorsed
Serves Area
I am licensed to work with patients who live in NY, CO, and VA. My therapeutic approach involves delving into the root causes of a person's struggles and issues rather than just trying to swiftly alleviate the symptoms. Through careful exploration, we gain insights into the origins of these challenges, which then serve as a roadmap for addressing them effectively. I practice Jungian and Psychoanalytic psychotherapy, where we explore your emotions, the dynamics of your close relationships and friendships, the dynamics between you and me, your family history, and also pay attention to your daydreams, fantasies, and dreams.
I am licensed to work with patients who live in NY, CO, and VA. My therapeutic approach involves delving into the root causes of a person's struggles and issues rather than just trying to swiftly alleviate the symptoms. Through careful exploration, we gain insights into the origins of these challenges, which then serve as a roadmap for addressing them effectively. I practice Jungian and Psychoanalytic psychotherapy, where we explore your emotions, the dynamics of your close relationships and friendships, the dynamics between you and me, your family history, and also pay attention to your daydreams, fantasies, and dreams.
(970) 296-5668 View (970) 296-5668
Photo of Joe Tristan, Clinical Social Work/Therapist, LCSW
Joe Tristan
Clinical Social Work/Therapist, LCSW
3 Endorsed
Serves Area
I believe one of the bravest things you can do is begin to understand your own story. It is often hard for us to accept help due to society’s belief that we should “handle it” on our own. These unhelpful thinking patterns impact how we interact in our relationships, as well as how we process things as they are happening. I strive to work with clients through the hard times while making the process as enjoyable as possible. We can get caught in bad relationships, trauma cycles, grudges, and anger.
I believe one of the bravest things you can do is begin to understand your own story. It is often hard for us to accept help due to society’s belief that we should “handle it” on our own. These unhelpful thinking patterns impact how we interact in our relationships, as well as how we process things as they are happening. I strive to work with clients through the hard times while making the process as enjoyable as possible. We can get caught in bad relationships, trauma cycles, grudges, and anger.
(607) 275-4488 View (607) 275-4488
Photo of Madeline Kolesar, Counselor, LMHC
Madeline Kolesar
Counselor, LMHC
1 Endorsed
Serves Area
Waitlist for new clients
I believe that at any age, any person can benefit from having an intentional space to reflect on their goals and challenges in life in order to heal and grow into a more self-compassionate and authentic version of themselves. I am passionate about creating a space where clients feel validated and empowered to meet their goals. I use a collaborative approach where the client and I both contribute to the nature and direction of our sessions, going at the client’s pace and figuring out what challenges or concerns that take priority each session.
I believe that at any age, any person can benefit from having an intentional space to reflect on their goals and challenges in life in order to heal and grow into a more self-compassionate and authentic version of themselves. I am passionate about creating a space where clients feel validated and empowered to meet their goals. I use a collaborative approach where the client and I both contribute to the nature and direction of our sessions, going at the client’s pace and figuring out what challenges or concerns that take priority each session.
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Photo of Allison Piekara, Counselor
Allison Piekara
Counselor
Online Only
In my sessions, you can expect to lead the way while we explore your current concerns. While I will certainly redirect when appropriate, I also make sure that my sessions are a safe space to explore any and every issue. I will provide various tools and activities to help move you toward your goals.
In my sessions, you can expect to lead the way while we explore your current concerns. While I will certainly redirect when appropriate, I also make sure that my sessions are a safe space to explore any and every issue. I will provide various tools and activities to help move you toward your goals.
(518) 516-5421 View (518) 516-5421
Photo of Jim Graziano, Clinical Social Work/Therapist, LCSW-R
Jim Graziano
Clinical Social Work/Therapist, LCSW-R
Online Only
I am a New York Licensed Clinical Social Worker with over 30 years of experience helping individuals and couples navigate through challenging periods in their life. Also, I have assisted others who feel life is going well, but feel a bit stuck, and want to work on making positive movement towards specific goals. I believe each one of us can benefit from talking in a caring, warm and non-judgmental setting.
I am a New York Licensed Clinical Social Worker with over 30 years of experience helping individuals and couples navigate through challenging periods in their life. Also, I have assisted others who feel life is going well, but feel a bit stuck, and want to work on making positive movement towards specific goals. I believe each one of us can benefit from talking in a caring, warm and non-judgmental setting.
(934) 200-1801 View (934) 200-1801
Photo of Bonnie Parkot, Clinical Social Work/Therapist, LCSW
Bonnie Parkot
Clinical Social Work/Therapist, LCSW
3 Endorsed
Online Only
f you feel stuck in cycles of anxiety, panic, or overthinking, you’re not alone. I work with adults struggling with anxiety, panic attacks, and depression who want practical tools to feel calmer and more in control. Using cognitive behavioral therapy (CBT), we’ll identify patterns that keep you feeling overwhelmed and develop strategies to respond differently to stress, fear, and self-doubt. Therapy with me is supportive, collaborative, and focused on real change. Whether you’re managing everyday anxiety or recovering from emotionally harmful relationships, you don’t have to do this alone.
f you feel stuck in cycles of anxiety, panic, or overthinking, you’re not alone. I work with adults struggling with anxiety, panic attacks, and depression who want practical tools to feel calmer and more in control. Using cognitive behavioral therapy (CBT), we’ll identify patterns that keep you feeling overwhelmed and develop strategies to respond differently to stress, fear, and self-doubt. Therapy with me is supportive, collaborative, and focused on real change. Whether you’re managing everyday anxiety or recovering from emotionally harmful relationships, you don’t have to do this alone.
(716) 670-4091 View (716) 670-4091
Photo of Emma Novick, Clinical Social Work/Therapist, LCSW
Emma Novick
Clinical Social Work/Therapist, LCSW
Online Only
Living with a chronic illness, recovering from a procedure, or facing a health crisis can be incredibly challenging. You may feel scared, lonely, angry, confused, or disappointed. Life no longer looks like you imagined, and adjusting to this new reality can feel disorienting. You might struggle to express how deeply health-related trauma has affected you. Accepting limitations and asking for support isn’t easy. You’re searching for ways to cope, connect, and offer yourself some much-needed compassion. You’re hoping to find a therapist who gets it—and meets you with care and understanding.
Living with a chronic illness, recovering from a procedure, or facing a health crisis can be incredibly challenging. You may feel scared, lonely, angry, confused, or disappointed. Life no longer looks like you imagined, and adjusting to this new reality can feel disorienting. You might struggle to express how deeply health-related trauma has affected you. Accepting limitations and asking for support isn’t easy. You’re searching for ways to cope, connect, and offer yourself some much-needed compassion. You’re hoping to find a therapist who gets it—and meets you with care and understanding.
(646) 762-5348 View (646) 762-5348
Photo of Laura M Anderson, Psychologist, PhD, HSP
Laura M Anderson
Psychologist, PhD, HSP
Online Only
My clients come to me for a number of reasons, but one common theme throughout is a need for self-care and self-love. My job is to facilitate self-care and coping in a way that brings a client contentment and joy. I want clients to look forward to their sessions with me as a time to attend to their own emotional needs, learn, grow, and develop. They want a safe space with unconditional support to work through and - importantly - find feasible solutions to their unique problems. I am known for my blend of personalized, positive/strengths-based, creative, and feasible cognitive behavior therapies. (Check out my photos!)
My clients come to me for a number of reasons, but one common theme throughout is a need for self-care and self-love. My job is to facilitate self-care and coping in a way that brings a client contentment and joy. I want clients to look forward to their sessions with me as a time to attend to their own emotional needs, learn, grow, and develop. They want a safe space with unconditional support to work through and - importantly - find feasible solutions to their unique problems. I am known for my blend of personalized, positive/strengths-based, creative, and feasible cognitive behavior therapies. (Check out my photos!)
(716) 222-1950 View (716) 222-1950
Photo of Thomas Chacko, Psychologist, PhD, MA, LP
Thomas Chacko
Psychologist, PhD, MA, LP
1 Endorsed
Online Only
Warm• Integrative• Trauma-Informed• Evidence-Based• Many people come to therapy when life stops feeling manageable—stress builds, emotions feel heavy, relationships strain, or old wounds resurface. You don’t have to face and navigate these moments alone. Therapy offers a steady, supportive space to make sense of what you’re experiencing and move toward healing. My approach is grounded in a safe, trusting relationship. Clients often feel heard, understood, & genuinely supported. I draw from psychodynamic therapy, CBT, trauma-focused care, EMDR, and mind–body strategies tailored to your needs. You deserve care, clarity, and support.
Warm• Integrative• Trauma-Informed• Evidence-Based• Many people come to therapy when life stops feeling manageable—stress builds, emotions feel heavy, relationships strain, or old wounds resurface. You don’t have to face and navigate these moments alone. Therapy offers a steady, supportive space to make sense of what you’re experiencing and move toward healing. My approach is grounded in a safe, trusting relationship. Clients often feel heard, understood, & genuinely supported. I draw from psychodynamic therapy, CBT, trauma-focused care, EMDR, and mind–body strategies tailored to your needs. You deserve care, clarity, and support.
(207) 208-8367 View (207) 208-8367
Photo of Lauren Kuhnel, Clinical Social Work/Therapist, LCSW
Lauren Kuhnel
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
If you’re constantly overthinking, feeling burned out, or unable to fully relax, life can start to feel exhausting. I provide virtual therapy for adults and young adults navigating anxiety, emotional burnout, intrusive thoughts, and a sense of being “stuck.” I offer a supportive, nonjudgmental space where you don’t have to hold it all together. My work is informed by experience in community mental health and dual-diagnosis treatment, and I take a strengths-based, client-centered approach focused on safety, emotional regulation, and helping you feel more grounded and confident.
If you’re constantly overthinking, feeling burned out, or unable to fully relax, life can start to feel exhausting. I provide virtual therapy for adults and young adults navigating anxiety, emotional burnout, intrusive thoughts, and a sense of being “stuck.” I offer a supportive, nonjudgmental space where you don’t have to hold it all together. My work is informed by experience in community mental health and dual-diagnosis treatment, and I take a strengths-based, client-centered approach focused on safety, emotional regulation, and helping you feel more grounded and confident.
(646) 760-1497 View (646) 760-1497

More Therapists Nearby

Photo of Jenna Eisen, Psychologist, PhD, MSEd
Jenna Eisen
Psychologist, PhD, MSEd
2 Endorsed
Serves Area
Stress and anxiety are increasingly common challenges we face as humans, for individuals and families alike. These concerns may arise from a variety of sources, including relational difficulties, societal pressures, and behavior challenges in children and teens. Having a space to focus on strengths, improve communication, identify tools for coping, and reflect on values, can be integral for not only healing but thriving. Through a warm, collaborative, curious stance, I utilize evidence-based treatments to create improvements in functioning and quality of life.
Stress and anxiety are increasingly common challenges we face as humans, for individuals and families alike. These concerns may arise from a variety of sources, including relational difficulties, societal pressures, and behavior challenges in children and teens. Having a space to focus on strengths, improve communication, identify tools for coping, and reflect on values, can be integral for not only healing but thriving. Through a warm, collaborative, curious stance, I utilize evidence-based treatments to create improvements in functioning and quality of life.
(585) 888-5631 View (585) 888-5631
Photo of Nesya Daniels, Clinical Social Work/Therapist, LCSW
Nesya Daniels
Clinical Social Work/Therapist, LCSW
Kenmore, NY 14217
You’ve probably heard of attachment styles and know you want to work on yours, but you aren’t sure where to start. Instead, you feel stuck in endless cycles of people-pleasing, disconnection, poor communication styles, fatigue, hypervigilance, harsh self-criticism, and low self-esteem. I am a therapist specializing in trauma, depression, anxiety, and insecure attachment styles. If you grew up feeling invalidated, misunderstood, or mistreated by your family of origin, you might struggle with your relationships and mental health as an adult.
You’ve probably heard of attachment styles and know you want to work on yours, but you aren’t sure where to start. Instead, you feel stuck in endless cycles of people-pleasing, disconnection, poor communication styles, fatigue, hypervigilance, harsh self-criticism, and low self-esteem. I am a therapist specializing in trauma, depression, anxiety, and insecure attachment styles. If you grew up feeling invalidated, misunderstood, or mistreated by your family of origin, you might struggle with your relationships and mental health as an adult.
(716) 703-9350 View (716) 703-9350
Photo of Mary W Beiter, Clinical Social Work/Therapist, LCSW-R
Mary W Beiter
Clinical Social Work/Therapist, LCSW-R
3 Endorsed
East Aurora, NY 14052
At any age, for any reason, we can stuck in situations beyond our control. Through a warm, accepting and goal-oriented process, I can help you on your journey towards more acceptance of life's situations and of finding your unique solutions.
At any age, for any reason, we can stuck in situations beyond our control. Through a warm, accepting and goal-oriented process, I can help you on your journey towards more acceptance of life's situations and of finding your unique solutions.
(716) 451-2733 View (716) 451-2733
Photo of Jade Zagorski, Clinical Social Work/Therapist, LCSW
Jade Zagorski
Clinical Social Work/Therapist, LCSW
Serves Area
I am a Licensed Clinical Social Worker with over a decade of experience supporting children, teens, adults, and families. I have worked in nonprofit and child welfare settings since 2010, walking alongside individuals and families through complex life challenges. I specialize in working with older adolescents (16+), adults, and families navigating interpersonal relationship challenges, family dynamics, trauma, and experiences of loss. I understand that these experiences can feel overwhelming and deeply personal, and I strive to create a therapeutic space that feels safe, supportive, and collaborative.
I am a Licensed Clinical Social Worker with over a decade of experience supporting children, teens, adults, and families. I have worked in nonprofit and child welfare settings since 2010, walking alongside individuals and families through complex life challenges. I specialize in working with older adolescents (16+), adults, and families navigating interpersonal relationship challenges, family dynamics, trauma, and experiences of loss. I understand that these experiences can feel overwhelming and deeply personal, and I strive to create a therapeutic space that feels safe, supportive, and collaborative.
(838) 384-8033 View (838) 384-8033
Photo of Karan Ann Turnquist - Mindful State Therapy Services PLLC, Clinical Social Work/Therapist, LCSW, RPT-S, LMHC
Mindful State Therapy Services PLLC
Clinical Social Work/Therapist, LCSW, RPT-S, LMHC
Serves Area
At Mindful State Therapy Services, PLLC, we believe that healing happens in the context of a safe, supportive, and authentic relationship. Our team integrates evidence-based practices with trauma-informed, somatic, and expressive approaches for clients of all ages. We honor each person’s unique story, helping individuals move beyond coping toward genuine transformation—restoring balance, connection, and emotional well-being through compassionate, person-centered care.
At Mindful State Therapy Services, PLLC, we believe that healing happens in the context of a safe, supportive, and authentic relationship. Our team integrates evidence-based practices with trauma-informed, somatic, and expressive approaches for clients of all ages. We honor each person’s unique story, helping individuals move beyond coping toward genuine transformation—restoring balance, connection, and emotional well-being through compassionate, person-centered care.
(716) 272-0487 View (716) 272-0487
Photo of Reginald J Roberts, Psychologist, PhD
Reginald J Roberts
Psychologist, PhD
Amherst, NY 14226
I am a licensed psychologist with over 20 years of experience with teens and adults. I have worked with patients to be more focused and efficient and unlock more of their minds' potential. At times, this has included diagnosis of ADHD. Some of my patients avoided others due to social anxiety, or struggled with free-floating anxious thoughts of any type. A majority of these patients found ways to live and interact with others in ways they had only dreamed of. Through mindful acceptance, patients have been able to recruit their own power for self-healing and enjoy a life based on gratitude and being of help to others.
I am a licensed psychologist with over 20 years of experience with teens and adults. I have worked with patients to be more focused and efficient and unlock more of their minds' potential. At times, this has included diagnosis of ADHD. Some of my patients avoided others due to social anxiety, or struggled with free-floating anxious thoughts of any type. A majority of these patients found ways to live and interact with others in ways they had only dreamed of. Through mindful acceptance, patients have been able to recruit their own power for self-healing and enjoy a life based on gratitude and being of help to others.
(716) 687-0642 View (716) 687-0642
Photo of Lynda M Battaglia, Clinical Social Work/Therapist, LCSW
Lynda M Battaglia
Clinical Social Work/Therapist, LCSW
1 Endorsed
Hamburg, NY 14075
If you’re a frontline worker or spouse of a frontline worker and are (Law Enforcement, Corrections, EMS, Paramedic, medical provider, crisis worker, mental health providers, funeral directors, and/or firefighter) struggling with anxiety and/or depression due to the situations you are exposed to on a daily basis, it's time to talk about it. I am culturally sensitive and competent regarding these careers. I would like to be able to help those that help others in a culturally sensitive and trauma-informed way. Additionally, I am also committed to helping adults (18+) who experience anxiety and/or depression.
If you’re a frontline worker or spouse of a frontline worker and are (Law Enforcement, Corrections, EMS, Paramedic, medical provider, crisis worker, mental health providers, funeral directors, and/or firefighter) struggling with anxiety and/or depression due to the situations you are exposed to on a daily basis, it's time to talk about it. I am culturally sensitive and competent regarding these careers. I would like to be able to help those that help others in a culturally sensitive and trauma-informed way. Additionally, I am also committed to helping adults (18+) who experience anxiety and/or depression.
(716) 638-2196 x108 View (716) 638-2196 x108
Photo of Skyler Full, Clinical Social Work/Therapist, LCSW
Skyler Full
Clinical Social Work/Therapist, LCSW
2 Endorsed
Williamsville, NY 14221
Accepting AM clients only at this time! Beginning therapy can be both an incredibly challenging and rewarding experience. It takes a tremendous amount of courage to seek out services and I commend you for making it this far! By starting therapy, you are choosing to address, reflect, and learn ways to challenge unhelpful patterns that no longer serve you in living your most fulfilling life. Together, we can work to increase awareness of current stressors, learn how your past experiences have shaped who you are today, and to more efficiently cope with the emotions, thoughts, and behaviors that often contribute to feeling distress.
Accepting AM clients only at this time! Beginning therapy can be both an incredibly challenging and rewarding experience. It takes a tremendous amount of courage to seek out services and I commend you for making it this far! By starting therapy, you are choosing to address, reflect, and learn ways to challenge unhelpful patterns that no longer serve you in living your most fulfilling life. Together, we can work to increase awareness of current stressors, learn how your past experiences have shaped who you are today, and to more efficiently cope with the emotions, thoughts, and behaviors that often contribute to feeling distress.
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How does your Therapist compare?

Number of Therapists in 14260

10+

Average cost per session

$185

Therapists in 14260 who prioritize treating:

92% Anxiety
83% Relationship Issues
83% Depression
83% Stress
75% Trauma and PTSD
75% Self Esteem
75% Body Image

Average years in practice

10 Years

Top 3 insurances accepted

92% Aetna
75% Cigna and Evernorth
58% UnitedHealthcare UHC | UBH

How Therapists in 14260 see their clients

58% Online Only
42% In Person and Online

Gender breakdown

58% Female
42% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 14260?

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.