Photo of Kathy Bradley, PhD, Psychologist
Kathy Bradley
Psychologist, PhD
Verified Verified
Carlisle, PA 17013
Not accepting new clients
Feeling anxious or depressed? Having trouble in school? Are traumatic experiences continuing to hurt you? I am especially adept at understanding the complexities of problems impacting us and working collaboratively to make things better. I am supportive and non-judgmental but will call you out when I think you’re getting in your own way. Having worked as a director of counseling services/dean in higher education for many years, I have special expertise in working with college students and young adults. I offer virtual services but also maintain a comfortable and private office for those wanting to meet in person.
Feeling anxious or depressed? Having trouble in school? Are traumatic experiences continuing to hurt you? I am especially adept at understanding the complexities of problems impacting us and working collaboratively to make things better. I am supportive and non-judgmental but will call you out when I think you’re getting in your own way. Having worked as a director of counseling services/dean in higher education for many years, I have special expertise in working with college students and young adults. I offer virtual services but also maintain a comfortable and private office for those wanting to meet in person.
(223) 217-5384 View (223) 217-5384
Photo of Paul Anthony Clements, MSW, LCSW, Clinical Social Work/Therapist
Paul Anthony Clements
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Carlisle, PA 17013
Do fears about the future or regrets from the past impact your well-being? Are you longing for more meaningful relationships and deeper connection with others? Do you wish to change certain behaviors having a negative impact on your life? If you answered yes to any of these questions, you are one step closer to making changes and feeling better. For over 20 years, I have helped numerous individuals overcome past hurts, live authentic and joyful lives in the present and feel optimistic about their future.
Do fears about the future or regrets from the past impact your well-being? Are you longing for more meaningful relationships and deeper connection with others? Do you wish to change certain behaviors having a negative impact on your life? If you answered yes to any of these questions, you are one step closer to making changes and feeling better. For over 20 years, I have helped numerous individuals overcome past hurts, live authentic and joyful lives in the present and feel optimistic about their future.
(717) 945-0274 View (717) 945-0274
Photo of Amy Westcott, MA, ATR-BC, Pre-Licensed Professional
Amy Westcott
Pre-Licensed Professional, MA, ATR-BC
Verified Verified
Carlisle, PA 17013
My foremost goal is to provide an open, supportive, and safe environment in which you feel comfortable to share your life experiences. I incorporate art therapy techniques to foster emotional expression and explore your experiences through a different lens. I also utilize CBT techniques, humanistic theory, and attachment theory. I currently work with children, teens, and adults, with a focus on mood disorders, anxiety disorders, autism spectrum disorder, stress, and low self-esteem.
My foremost goal is to provide an open, supportive, and safe environment in which you feel comfortable to share your life experiences. I incorporate art therapy techniques to foster emotional expression and explore your experiences through a different lens. I also utilize CBT techniques, humanistic theory, and attachment theory. I currently work with children, teens, and adults, with a focus on mood disorders, anxiety disorders, autism spectrum disorder, stress, and low self-esteem.
(717) 258-0214 View (717) 258-0214
Photo of David R Mohr, MSW, LCSW, Clinical Social Work/Therapist
David R Mohr
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Carlisle, PA 17013
My goal as a counselor is to create a supportive environment in which the clients can explore their emotional needs and overcome barriers that limit their full potential. I take an open-minded approach to client wellness and consider the client's work life, family traditions, cultural and spiritual beliefs, and sexual identity. I offer counseling sessions for individuals, couples, and families in the following areas; Depression and Sadness, Codependency, Anger Management, Anxiety and Stress Communication issues, Arguments, Trust issues, Loneliness, Emotional intimacy, and Self-esteem issues
My goal as a counselor is to create a supportive environment in which the clients can explore their emotional needs and overcome barriers that limit their full potential. I take an open-minded approach to client wellness and consider the client's work life, family traditions, cultural and spiritual beliefs, and sexual identity. I offer counseling sessions for individuals, couples, and families in the following areas; Depression and Sadness, Codependency, Anger Management, Anxiety and Stress Communication issues, Arguments, Trust issues, Loneliness, Emotional intimacy, and Self-esteem issues
(717) 563-0970 View (717) 563-0970
Photo of Diana Robinson, MS, NCC, Pre-Licensed Professional
Diana Robinson
Pre-Licensed Professional, MS, NCC
Verified Verified
Carlisle, PA 17013
My intention as a therapist is to provide a safe and comfortable space to support your journey of healing and self-discovery. I believe that the therapeutic relationship works best when it is built on a foundation of trust and authenticity, providing an ideal environment to explore emotions, create strategies to manage life's stressors, and to enhance your overall health and wellbeing. I view each individual through a holistic lens, combining mindfulness-based techniques, a person-centered approach, and believe in the mind-body connection. Yoga can also be added to sessions as a way to process emotions and to address self-care.
My intention as a therapist is to provide a safe and comfortable space to support your journey of healing and self-discovery. I believe that the therapeutic relationship works best when it is built on a foundation of trust and authenticity, providing an ideal environment to explore emotions, create strategies to manage life's stressors, and to enhance your overall health and wellbeing. I view each individual through a holistic lens, combining mindfulness-based techniques, a person-centered approach, and believe in the mind-body connection. Yoga can also be added to sessions as a way to process emotions and to address self-care.
(223) 217-3635 View (223) 217-3635
Photo of Eric Bondy, LPC, MSEd, EdM, Licensed Professional Counselor
Eric Bondy
Licensed Professional Counselor, LPC, MSEd, EdM
Verified Verified
4 Endorsed
Carlisle, PA 17013
Many people experience feelings of anxiety about the future, struggle to find the motivation or energy to successfully face current problems, or feel misunderstood by others. Having support in the process of adjusting or changing your patterns of thinking and actions can help you fulfill your aspirations and enjoy greater happiness. I will help you work towards aligning your hopes and goals with productive and healthy ways of thinking and acting. My therapeutic approach allows you to identify and build upon your strengths while developing new skills and strategies that foster hope and help you face life challenges more effectively.
Many people experience feelings of anxiety about the future, struggle to find the motivation or energy to successfully face current problems, or feel misunderstood by others. Having support in the process of adjusting or changing your patterns of thinking and actions can help you fulfill your aspirations and enjoy greater happiness. I will help you work towards aligning your hopes and goals with productive and healthy ways of thinking and acting. My therapeutic approach allows you to identify and build upon your strengths while developing new skills and strategies that foster hope and help you face life challenges more effectively.
(717) 373-1376 View (717) 373-1376
Photo of Kirsten Baehr, LCSW, Clinical Social Work/Therapist
Kirsten Baehr
Clinical Social Work/Therapist, LCSW
Verified Verified
Carlisle, PA 17013
I have had the opportunity to practice in both rural and urban settings doing both community and agency work. Initially, I began working in the field of addiction and trauma. I have also worked with clients in their journey relating to intimate partner violence, mood disorders, anxiety management, and personality disorders. I am a firm believer in finding ways to use community as a source of healing and support, through advocacy, connection, and support.
I have had the opportunity to practice in both rural and urban settings doing both community and agency work. Initially, I began working in the field of addiction and trauma. I have also worked with clients in their journey relating to intimate partner violence, mood disorders, anxiety management, and personality disorders. I am a firm believer in finding ways to use community as a source of healing and support, through advocacy, connection, and support.
(717) 897-5119 View (717) 897-5119
Photo of Donald Domenici, PhD, Psychologist
Donald Domenici
Psychologist, PhD
Verified Verified
1 Endorsed
Carlisle, PA 17013
Not accepting new clients
We all have times in our lives when we’re feeling stuck and our usual ways of dealing with problems aren’t working the way they once did. Maybe you are experiencing symptoms of depression or anxiety for no apparent reason, or feelings that “just don’t make sense”. Perhaps you are questioning your relationships, life decisions, or even core aspects of who you are as a person. My approach to psychotherapy involves establishing a collaborative relationship, in which we will work together to understand your life experiences in the context of your life story, relationships, and cultural background.
We all have times in our lives when we’re feeling stuck and our usual ways of dealing with problems aren’t working the way they once did. Maybe you are experiencing symptoms of depression or anxiety for no apparent reason, or feelings that “just don’t make sense”. Perhaps you are questioning your relationships, life decisions, or even core aspects of who you are as a person. My approach to psychotherapy involves establishing a collaborative relationship, in which we will work together to understand your life experiences in the context of your life story, relationships, and cultural background.
(717) 423-8883 View (717) 423-8883
Photo of Stephanie L Thomas, LCSW
Stephanie L Thomas
LCSW
Verified Verified
1 Endorsed
Carlisle, PA 17013  (Online Only)
Not accepting new clients
Whether you're struggling with past traumas, navigating identity and relationships, or managing overwhelming emotions, I am here to support you. I am a trauma-focused therapist treating teens and adults, with a special focus on the LGBTQ+ and neurodivergent communities. I also treat anxiety, depression, and OCD (obsessive-compulsive disorder). I offer a safe, inclusive space to explore your experiences, better understand your mental health, gain new skills, and find healing.
Whether you're struggling with past traumas, navigating identity and relationships, or managing overwhelming emotions, I am here to support you. I am a trauma-focused therapist treating teens and adults, with a special focus on the LGBTQ+ and neurodivergent communities. I also treat anxiety, depression, and OCD (obsessive-compulsive disorder). I offer a safe, inclusive space to explore your experiences, better understand your mental health, gain new skills, and find healing.
(223) 204-4679 View (223) 204-4679
Photo of Matthew Clugh, MS, LPC, Licensed Professional Counselor
Matthew Clugh
Licensed Professional Counselor, MS, LPC
Verified Verified
Carlisle, PA 17013
Have you been feeling stressed, anxious about the future, or hopeless in life? These feelings can rob us of the joy and peace that we could be enjoying today. Life can be messy and at times seem unforgiving. You’re not alone in this. You may not be able to control what happens to you, but you can control how you face obstacles and how you overcome them. You may have difficulties in your relationships at home or the office. Perhaps you’ve lost a loved one, are concerned about your substance use, or simply feel like you’re struggling to make it through the day. If this describes you, it's time to take a step towards feeling better.
Have you been feeling stressed, anxious about the future, or hopeless in life? These feelings can rob us of the joy and peace that we could be enjoying today. Life can be messy and at times seem unforgiving. You’re not alone in this. You may not be able to control what happens to you, but you can control how you face obstacles and how you overcome them. You may have difficulties in your relationships at home or the office. Perhaps you’ve lost a loved one, are concerned about your substance use, or simply feel like you’re struggling to make it through the day. If this describes you, it's time to take a step towards feeling better.
(717) 373-1893 View (717) 373-1893
Photo of Ashten Carrin Trimble, MFT, LPC, CCTP, Licensed Professional Counselor
Ashten Carrin Trimble
Licensed Professional Counselor, MFT, LPC, CCTP
Verified Verified
1 Endorsed
Carlisle, PA 17013
Waitlist for new clients
I believe that trauma affects all parts of our being- mental, emotional, physical and spiritual. Therefore, the healing process also needs to involve all parts of our being. Attachment wounds, abusive relationships with themselves and others, specific traumatic events, losses that need grieving, generational trauma and high conflict functioning in families affect how we view ourselves and interact with the world. Gabor Mate said it best, “ We may not be responsible for the world that created our minds, but we can take responsibility for the mind with which we create our world.” Look below for the current groups I am offering!
I believe that trauma affects all parts of our being- mental, emotional, physical and spiritual. Therefore, the healing process also needs to involve all parts of our being. Attachment wounds, abusive relationships with themselves and others, specific traumatic events, losses that need grieving, generational trauma and high conflict functioning in families affect how we view ourselves and interact with the world. Gabor Mate said it best, “ We may not be responsible for the world that created our minds, but we can take responsibility for the mind with which we create our world.” Look below for the current groups I am offering!
(717) 484-9057 View (717) 484-9057
Photo of Terry Drew Karanen, LSW, MSW, DD, Clinical Social Work/Therapist
Terry Drew Karanen
Clinical Social Work/Therapist, LSW, MSW, DD
Verified Verified
Carlisle, PA 17013  (Online Only)
I help people make sense of life. My background is in the clinical-health/mental health field, and I'm also an ordained minister. That means my background allows me to assist you right where you are, not by any preconceived ideas of what you should or shouldn't be doing. My primary source of counseling is Cognitive Behavioral Therapy (or CBT). This is a method of discovering together how the decisions you've made in the past, or the circumstances you've lived through, have brought you to where you are. It's not about blame - it's about helping you to empower yourself to have the life worth living you are seeking.
I help people make sense of life. My background is in the clinical-health/mental health field, and I'm also an ordained minister. That means my background allows me to assist you right where you are, not by any preconceived ideas of what you should or shouldn't be doing. My primary source of counseling is Cognitive Behavioral Therapy (or CBT). This is a method of discovering together how the decisions you've made in the past, or the circumstances you've lived through, have brought you to where you are. It's not about blame - it's about helping you to empower yourself to have the life worth living you are seeking.
(223) 400-8244 View (223) 400-8244
Photo of Valerie Domenici, PhD, Psychologist
Valerie Domenici
Psychologist, PhD
Verified Verified
2 Endorsed
Carlisle, PA 17013
Not accepting new clients
Do you have symptoms that "make no sense," or "come out of the blue?" Are you having trouble understanding why you feel the way you do? I specialize in helping people make sense of experiences that are painful, confusing, or "illogical." I start with the assumption that all feelings are messages to you, from you, about you. Together, we will work to understand these messages, using them to guide the process of change.
Do you have symptoms that "make no sense," or "come out of the blue?" Are you having trouble understanding why you feel the way you do? I specialize in helping people make sense of experiences that are painful, confusing, or "illogical." I start with the assumption that all feelings are messages to you, from you, about you. Together, we will work to understand these messages, using them to guide the process of change.
(717) 713-0059 View (717) 713-0059
Photo of Kirsten Baehr, MSW, LCSW, Clinical Social Work/Therapist
Kirsten Baehr
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Carlisle, PA 17013
Hello! My name is Kirsten, and I am a Licensed Clinical Social Worker. I have worked in the fields of mental health and addiction since 2008, and have done everything from community-based care to inpatient; school-based to intensive. Along with my experience with addiction, I also do work in trauma, LGBTQIA+, anxiety management, and self-regulation from a recovery-focused model. I also have experience working with children, adolescents, and adults doing both group and individual therapy. I take a great deal of pride in helping others see their potential, as well as what they can achieve in their growth and healing journey.
Hello! My name is Kirsten, and I am a Licensed Clinical Social Worker. I have worked in the fields of mental health and addiction since 2008, and have done everything from community-based care to inpatient; school-based to intensive. Along with my experience with addiction, I also do work in trauma, LGBTQIA+, anxiety management, and self-regulation from a recovery-focused model. I also have experience working with children, adolescents, and adults doing both group and individual therapy. I take a great deal of pride in helping others see their potential, as well as what they can achieve in their growth and healing journey.
(223) 217-3075 View (223) 217-3075
Photo of Maria DeGaetano - One Eighty Counseling Services, LLC, LCSW, Clinical Social Work/Therapist
One Eighty Counseling Services, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Carlisle, PA 17013
Are you feeling overwhelmed, exhausted, alone, or confused? The life you envisioned for yourself did not look like this. You carry such shame and guilt even over the smallest things. You have been struggling with these thoughts and feelings for quite some time. You know deep down that you want to feel better but don’t know where to start.
Are you feeling overwhelmed, exhausted, alone, or confused? The life you envisioned for yourself did not look like this. You carry such shame and guilt even over the smallest things. You have been struggling with these thoughts and feelings for quite some time. You know deep down that you want to feel better but don’t know where to start.
(223) 332-5123 View (223) 332-5123
Photo of Judd L Kulas, MS, NCC, LPC, Licensed Professional Counselor
Judd L Kulas
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
Carlisle, PA 17013
You probably already know at least some of what you wish were different in your life. Often the things we wish were different we have wanted to change for months, years, or even decades. Counseling often has a balanced focus on helping you learn how to cope with present day symptoms while at times looking back to become free from old patterns of responding. Those old patterns that at one time may have been necessary in order to survive, now may be the very thing limiting your ability to thrive and realize your potential. Click on the "website" button to the left to read more about me, my approach, and my specialties.
You probably already know at least some of what you wish were different in your life. Often the things we wish were different we have wanted to change for months, years, or even decades. Counseling often has a balanced focus on helping you learn how to cope with present day symptoms while at times looking back to become free from old patterns of responding. Those old patterns that at one time may have been necessary in order to survive, now may be the very thing limiting your ability to thrive and realize your potential. Click on the "website" button to the left to read more about me, my approach, and my specialties.
(223) 215-3973 View (223) 215-3973
Photo of Karen Capone, EdD, LPC, BCC, Licensed Professional Counselor
Karen Capone
Licensed Professional Counselor, EdD, LPC, BCC
Verified Verified
3 Endorsed
Carlisle, PA 17013
I am a licensed professional counselor in the state of Pennsylvania. My work is primarily with adults who are experiencing normal life stressors such as work problems, relational issues, trauma and grief and loss. I really enjoy working with people to gain personal insight and weigh out options for difficult decisions. Additionally, I have experience with most mental health diagnosis and continue to work with most anxiety and mood disorders.
I am a licensed professional counselor in the state of Pennsylvania. My work is primarily with adults who are experiencing normal life stressors such as work problems, relational issues, trauma and grief and loss. I really enjoy working with people to gain personal insight and weigh out options for difficult decisions. Additionally, I have experience with most mental health diagnosis and continue to work with most anxiety and mood disorders.
(717) 993-4012 View (717) 993-4012
Photo of Emily Fenner, LCSW, Clinical Social Work/Therapist
Emily Fenner
Clinical Social Work/Therapist, LCSW
Verified Verified
Carlisle, PA 17013
Life stops for no one, under no circumstance. Sometimes it feels like you're standing still while the world moves around you. Maybe you are going through a phase of life you thought would bring joy, such as expanding your family or retiring from a job. But instead, you've found this change to be stressful and disappointing. Or maybe you're faced with one of life's challenges such as dealing with a new health condition or grieving the loss of a loved one. You're now questioning how to get through this time of your life.
Life stops for no one, under no circumstance. Sometimes it feels like you're standing still while the world moves around you. Maybe you are going through a phase of life you thought would bring joy, such as expanding your family or retiring from a job. But instead, you've found this change to be stressful and disappointing. Or maybe you're faced with one of life's challenges such as dealing with a new health condition or grieving the loss of a loved one. You're now questioning how to get through this time of your life.
(223) 218-4391 View (223) 218-4391
Photo of Tiffany Landis, LPC, ATR-BC, CCTP, CATP, CDBT, Art Therapist
Tiffany Landis
Art Therapist, LPC, ATR-BC, CCTP, CATP, CDBT
Verified Verified
Carlisle, PA 17013
Waitlist for new clients
"The Art of Healing" My mission is to support healing from traumatic events for individuals and their loved ones. I am passionate about growing awareness through trauma- informed practice, communication and education. I utilize Trauma Focused Cognitive Behavioral Therapy coupled with Art Therapy as a modality to further enhance the healing process. I want all my clients to experience safety in therapy that can translate to all their environments, creating confidence in their own abilities to move through post- traumatic growth.
"The Art of Healing" My mission is to support healing from traumatic events for individuals and their loved ones. I am passionate about growing awareness through trauma- informed practice, communication and education. I utilize Trauma Focused Cognitive Behavioral Therapy coupled with Art Therapy as a modality to further enhance the healing process. I want all my clients to experience safety in therapy that can translate to all their environments, creating confidence in their own abilities to move through post- traumatic growth.
(717) 470-8108 View (717) 470-8108
Photo of Bernadette Cachara - Cachara and Associates LLC, PsyD, Psychologist
Cachara and Associates LLC
Psychologist, PsyD
Verified Verified
2 Endorsed
Carlisle, PA 17013
We are a small, private psychological practice providing services in both the Carlisle and Chambersburg areas. We are passionate about our work. We view our therapeutic relationship as the medium in which change happens, allowing your time spent in therapy to be beneficial and worthwhile for you and/or your child. We work with a variety of presenting problems including anxiety, depression, situational stress, childhood trauma, grief/loss, behavioral disorders, ADHD, autism spectrum disorders as well as perinatal health.
We are a small, private psychological practice providing services in both the Carlisle and Chambersburg areas. We are passionate about our work. We view our therapeutic relationship as the medium in which change happens, allowing your time spent in therapy to be beneficial and worthwhile for you and/or your child. We work with a variety of presenting problems including anxiety, depression, situational stress, childhood trauma, grief/loss, behavioral disorders, ADHD, autism spectrum disorders as well as perinatal health.
(717) 978-0129 View (717) 978-0129
1

See more therapy options for 17013

How does your Therapist compare?

Number of Therapists in 17013

50+

Average cost per session

$142

Therapists in 17013 who prioritize treating:

93% Anxiety
91% Depression
78% Self Esteem
76% Stress
74% Trauma and PTSD
72% Relationship Issues
71% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

78% Aetna
75% Highmark
69% BlueCross and BlueShield

How Therapists in 17013 see their clients

78% In Person and Online
22% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 17013?

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.