Photo of Alyssa Drake, Pre-Licensed Professional
Alyssa Drake
Pre-Licensed Professional
Verified Verified
1 Endorsed
Mechanicsburg, PA 17055
Alyssa Drake is passionate about working with the child, adolescent, teen, & young adult population. She is dedicated to making her client's therapeutic experience a positive one. Alyssa works with clients to navigate through difficulties, explore and explain developmental processes, establish/enhance behavior management, adjust both socially and emotionally, and develop coping skills. She understands the importance of working with the family of the client as well, and she welcomes a collaborative approach to give clients and their families a sense of security and support. She ensures each client will feel seen, heard & accepted.
Alyssa Drake is passionate about working with the child, adolescent, teen, & young adult population. She is dedicated to making her client's therapeutic experience a positive one. Alyssa works with clients to navigate through difficulties, explore and explain developmental processes, establish/enhance behavior management, adjust both socially and emotionally, and develop coping skills. She understands the importance of working with the family of the client as well, and she welcomes a collaborative approach to give clients and their families a sense of security and support. She ensures each client will feel seen, heard & accepted.
(717) 930-2881 View (717) 930-2881
Photo of Stephanie Stathas, LPC, Licensed Professional Counselor
Stephanie Stathas
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Mechanicsburg, PA 17055  (Online Only)
Not accepting new clients
Stephanie Stathas is a Licensed Professional Counselor in the state of Pennsylvania who has over 10 years of experience providing therapeutic care to a wide variety of populations and individuals seeking help for symptoms of anxiety, Post Traumatic Stress Disorder (PTSD), depression, grief and loss, depression, and other psychiatric disorders. She received her Maser’s of Science Degree in Mental Health Counseling from Walden University and has over 2 years of experience using Eye Movement Desensitization and Reprocessing (EMDR) with clients.
Stephanie Stathas is a Licensed Professional Counselor in the state of Pennsylvania who has over 10 years of experience providing therapeutic care to a wide variety of populations and individuals seeking help for symptoms of anxiety, Post Traumatic Stress Disorder (PTSD), depression, grief and loss, depression, and other psychiatric disorders. She received her Maser’s of Science Degree in Mental Health Counseling from Walden University and has over 2 years of experience using Eye Movement Desensitization and Reprocessing (EMDR) with clients.
(717) 229-0079 View (717) 229-0079
Photo of Brooke Serina, MA, LPC, NCC, CCATP, Licensed Professional Counselor
Brooke Serina
Licensed Professional Counselor, MA, LPC, NCC, CCATP
Verified Verified
1 Endorsed
Mechanicsburg, PA 17055
Brooke specializes in working with the adolescent, teen/teenager & young adult population. She enjoys building positive & empathetic relationships with her clients & supporting them in their own growth. Brooke offers a holistic, non-judgmental approach to therapy, focusing on each client's unique needs & goals. She meets clients where they are & collaborates with them to determine the most effective therapy for their individual journey. Through a client-center & strengths-based approach, individuals have the opportunity to tap into their potential, resilience, & sense of self-worth.
Brooke specializes in working with the adolescent, teen/teenager & young adult population. She enjoys building positive & empathetic relationships with her clients & supporting them in their own growth. Brooke offers a holistic, non-judgmental approach to therapy, focusing on each client's unique needs & goals. She meets clients where they are & collaborates with them to determine the most effective therapy for their individual journey. Through a client-center & strengths-based approach, individuals have the opportunity to tap into their potential, resilience, & sense of self-worth.
(717) 613-6304 View (717) 613-6304
Photo of Dr. Shawn Geraty, DMin, MA, Pastoral Counselor
Dr. Shawn Geraty
Pastoral Counselor, DMin, MA
Verified Verified
Mechanicsburg, PA 17055
Feeling worn down by constant overwhelm, stress, depression, or anxiety? It's frustrating when efforts for change don't stick, and negative thoughts persist. Certain situations keep triggering you, stealing your peace. You're left with emptiness and worry, feeling like life's slipping away. But here's the thing: it's time for a new journey. It takes courage to reach out again, to push past hopelessness. And guess what? There's hope, beyond the struggles and pain. Let's take this step together.
Feeling worn down by constant overwhelm, stress, depression, or anxiety? It's frustrating when efforts for change don't stick, and negative thoughts persist. Certain situations keep triggering you, stealing your peace. You're left with emptiness and worry, feeling like life's slipping away. But here's the thing: it's time for a new journey. It takes courage to reach out again, to push past hopelessness. And guess what? There's hope, beyond the struggles and pain. Let's take this step together.
(717) 931-7645 View (717) 931-7645
Photo of Delyara Della Becker, LCSW, CCTP, C-DBT, Clinical Social Work/Therapist
Delyara Della Becker
Clinical Social Work/Therapist, LCSW, CCTP, C-DBT
Verified Verified
Mechanicsburg, PA 17055
Does it feel like a vague, lonely experience that is difficult to describe --let alone understand--even though you are experiencing this "internal discomfort" of inexpressible feelings and moods? Perhaps, you fit the general description of the "average, well-adjusted" adult; however, on the inside, it feels as if you are emotionally or mentally "stuck" somewhere in your past? If this resonates with you, please know that there is hope and that this "internal discomfort" stems from a very valid inner emotional space.
Does it feel like a vague, lonely experience that is difficult to describe --let alone understand--even though you are experiencing this "internal discomfort" of inexpressible feelings and moods? Perhaps, you fit the general description of the "average, well-adjusted" adult; however, on the inside, it feels as if you are emotionally or mentally "stuck" somewhere in your past? If this resonates with you, please know that there is hope and that this "internal discomfort" stems from a very valid inner emotional space.
(717) 670-6027 View (717) 670-6027
Photo of Cheryl E Miller, LCSW, Clinical Social Work/Therapist
Cheryl E Miller
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Mechanicsburg, PA 17055
Waitlist for new clients
We all have experienced the challenges of life whether we are dealing with something now or from our past. Maybe you are dealing with trauma, anxiety, depression, sleep issues or come from a past experience of abuse or dysfunctional parenting. You want to really see change happen and are longing to make changes in your life but don't know quite how or where to start. You don't want to waste time rehashing things over and over and not see any difference. If you have to go back to the past, lets learn from that experience, heal and move forward, leaving it behind in treatment, once and for all.
We all have experienced the challenges of life whether we are dealing with something now or from our past. Maybe you are dealing with trauma, anxiety, depression, sleep issues or come from a past experience of abuse or dysfunctional parenting. You want to really see change happen and are longing to make changes in your life but don't know quite how or where to start. You don't want to waste time rehashing things over and over and not see any difference. If you have to go back to the past, lets learn from that experience, heal and move forward, leaving it behind in treatment, once and for all.
(717) 923-5804 View (717) 923-5804
Photo of Patricia Surubaru - Olive Grove Wellness Counseling, MA, CSC
Olive Grove Wellness Counseling
MA, CSC
Verified Verified
Mechanicsburg, PA 17055
Live a life that is fulfilling, balanced, and purposeful... Daily life can be challenging. My goal is to help individuals and families find peace and healing in difficult situations. I strive to provide you with support, education, and empowerment, so you can live a life that is fulfilling, balanced, and purposeful.
Live a life that is fulfilling, balanced, and purposeful... Daily life can be challenging. My goal is to help individuals and families find peace and healing in difficult situations. I strive to provide you with support, education, and empowerment, so you can live a life that is fulfilling, balanced, and purposeful.
(717) 897-6229 View (717) 897-6229
Photo of Stacy L Masshardt, LMFT, Marriage & Family Therapist
Stacy L Masshardt
Marriage & Family Therapist, LMFT
Verified Verified
Mechanicsburg, PA 17055
Availability: Limited openings. I will help you identify what resources, strengths, and resiliency you already have - or can foster - to help you find the solutions you are looking for. I also value helping teenagers, and adults form a new relationship to their emotions in order to find ways to cope with extremes. When working with couples and families, I help individuals express themselves in a safe environment in order to find healing. If you are struggling with finding the light in the darkness, know that there is hope.
Availability: Limited openings. I will help you identify what resources, strengths, and resiliency you already have - or can foster - to help you find the solutions you are looking for. I also value helping teenagers, and adults form a new relationship to their emotions in order to find ways to cope with extremes. When working with couples and families, I help individuals express themselves in a safe environment in order to find healing. If you are struggling with finding the light in the darkness, know that there is hope.
(717) 585-6284 View (717) 585-6284
Photo of Margie Melder, LMFT, MTS, Marriage & Family Therapist
Margie Melder
Marriage & Family Therapist, LMFT, MTS
Verified Verified
1 Endorsed
Mechanicsburg, PA 17055  (Online Only)
Life is complicated. It's full of twists and turns and sometimes we lose our way. My passion is to support you along this path and honor your courage to start a process of self-discovery. I can assist you in emerging from a life perspective where you feel stuck into an understanding of your choices that will help you heal, explore emotional patterns, and have more fulfilling relationships. My life experiences have taught me a lesson: that it's hard to be human and as such, my clients will always deserve all my empathy and attention.
Life is complicated. It's full of twists and turns and sometimes we lose our way. My passion is to support you along this path and honor your courage to start a process of self-discovery. I can assist you in emerging from a life perspective where you feel stuck into an understanding of your choices that will help you heal, explore emotional patterns, and have more fulfilling relationships. My life experiences have taught me a lesson: that it's hard to be human and as such, my clients will always deserve all my empathy and attention.
(717) 229-0338 View (717) 229-0338
Photo of Chris Givler, LMFT, MDiv, Marriage & Family Therapist
Chris Givler
Marriage & Family Therapist, LMFT, MDiv
Verified Verified
1 Endorsed
Mechanicsburg, PA 17055
If you are a couple looking for help, or if you are an adult struggling with ADHD, then I can help. I work with couples to help them move from feeling unloved, unimportant, lonely, and unheard to connecting and feeling loved, wanted, and heard. I help those with ADHD identify what causes stress and keeps them stuck. Then we work together to find ways to move forward and to address symptoms that get in the way of success and accomplishment. I work with premarital couples to help them identify potential problems and to gain skills to have strong, connected marriages. I am a certified facilitator of the Prepare/Enrich Program.
If you are a couple looking for help, or if you are an adult struggling with ADHD, then I can help. I work with couples to help them move from feeling unloved, unimportant, lonely, and unheard to connecting and feeling loved, wanted, and heard. I help those with ADHD identify what causes stress and keeps them stuck. Then we work together to find ways to move forward and to address symptoms that get in the way of success and accomplishment. I work with premarital couples to help them identify potential problems and to gain skills to have strong, connected marriages. I am a certified facilitator of the Prepare/Enrich Program.
(717) 925-2885 View (717) 925-2885
Photo of John King - Emerge Counseling Ministries PA, PhD, LPC, NCC, MDiv, Licensed Professional Counselor
Emerge Counseling Ministries PA
Licensed Professional Counselor, PhD, LPC, NCC, MDiv
Verified Verified
Mechanicsburg, PA 17055
Emerge Counseling Ministries PA accepts clients 8 yrs and older. We help those in need of marriage, couples, families or individual counseling. We help clients deal with many different mental health conditions from relationship and school-related issues to more specialized mental health issues. Our group is trained and skilled in the treatment of depression and anxiety-related disorders and multiple other mental health or life issues. We take most insurances. Please call us at (330)-867-5603 with any questions or send us an email.
Emerge Counseling Ministries PA accepts clients 8 yrs and older. We help those in need of marriage, couples, families or individual counseling. We help clients deal with many different mental health conditions from relationship and school-related issues to more specialized mental health issues. Our group is trained and skilled in the treatment of depression and anxiety-related disorders and multiple other mental health or life issues. We take most insurances. Please call us at (330)-867-5603 with any questions or send us an email.
(717) 219-5181 View (717) 219-5181
Photo of Nicki Decker, LPC, Licensed Professional Counselor
Nicki Decker
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Mechanicsburg, PA 17055
Our lives are filled with challenges that impact us and those around us. It could be issues with work, school or family relationships that strain our mental health and have you feeling stressed, overwhelmed or anxious. No matter your issues, I believe that every client has the ability to make positive changes in their life. Together we can find a way to overcome them and live the life you desire.
Our lives are filled with challenges that impact us and those around us. It could be issues with work, school or family relationships that strain our mental health and have you feeling stressed, overwhelmed or anxious. No matter your issues, I believe that every client has the ability to make positive changes in their life. Together we can find a way to overcome them and live the life you desire.
(717) 899-9573 View (717) 899-9573
Photo of Valley Counseling Center - Valley Counseling Center, LMFT, Marriage & Family Therapist
Valley Counseling Center
Marriage & Family Therapist, LMFT
Verified Verified
6 Endorsed
Mechanicsburg, PA 17055
Life can be difficult. As a parent, you want your children to be happy and healthy so seeing them struggle can be difficult. Teenagers and young adults are faced with new challenges every day. Families can struggle to communicate and can feel disconnected. We strive to reduce the stress and stigma associated with mental health issues by creating a positive and up-beat learning environment where we can focus on one’s strengths to develop strategies to deal with challenges that you face. Through therapy, you’ll be able to find happiness in yourself, in relationships, and in your family to be empowered towards a bright future.
Life can be difficult. As a parent, you want your children to be happy and healthy so seeing them struggle can be difficult. Teenagers and young adults are faced with new challenges every day. Families can struggle to communicate and can feel disconnected. We strive to reduce the stress and stigma associated with mental health issues by creating a positive and up-beat learning environment where we can focus on one’s strengths to develop strategies to deal with challenges that you face. Through therapy, you’ll be able to find happiness in yourself, in relationships, and in your family to be empowered towards a bright future.
(717) 546-9541 View (717) 546-9541
Photo of Tori Garber, LSW, Clinical Social Work/Therapist
Tori Garber
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Mechanicsburg, PA 17055
I love helping children, teens and families from all walks of life with whatever issues they face. I utilize a strength-based and person-centered approach in a supportive manner to help you work through your challenges. My goal is to create a comfortable space to safely process, without judgement, and nurtures the courage to be imperfect. I work with clients experiencing a wide range of challenges including anxiety, depression, behavior concerns, trauma, co-parenting and more.
I love helping children, teens and families from all walks of life with whatever issues they face. I utilize a strength-based and person-centered approach in a supportive manner to help you work through your challenges. My goal is to create a comfortable space to safely process, without judgement, and nurtures the courage to be imperfect. I work with clients experiencing a wide range of challenges including anxiety, depression, behavior concerns, trauma, co-parenting and more.
(717) 229-0293 View (717) 229-0293
Photo of Kelly Bishop, LPC, LCPC, Counselor
Kelly Bishop
Counselor, LPC, LCPC
Verified Verified
3 Endorsed
Mechanicsburg, PA 17055
Now Accepting New Patients for In Person ONLY in PA. The journey through life is full of ups and downs and sometimes those downs can create barriers that make us feel stuck and can impact our ability to enjoy the ups. Though it might not feel like it, you have the power and strength to overcome those struggles; it just might take a little help, and hey, we ALL can use a little help navigating the curveballs of life! My mission is to provide that guidance to help unlock the answers within you to create that change you’ve been wishing for.
Now Accepting New Patients for In Person ONLY in PA. The journey through life is full of ups and downs and sometimes those downs can create barriers that make us feel stuck and can impact our ability to enjoy the ups. Though it might not feel like it, you have the power and strength to overcome those struggles; it just might take a little help, and hey, we ALL can use a little help navigating the curveballs of life! My mission is to provide that guidance to help unlock the answers within you to create that change you’ve been wishing for.
(717) 357-8230 View (717) 357-8230
Photo of Amanda Fenstermacher, LPC, Licensed Professional Counselor
Amanda Fenstermacher
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Mechanicsburg, PA 17055
Life brings new challenges everyday. Work, family, school, and relationships may have you feeling anxious, stressed, and overwhelmed. You might be feeling depressed or have been through a traumatic experience that has left you not feeling like yourself. Collaboratively, I'll help you to identify the root cause of your struggles and learn skills that can help you overcome these issues and live the life you want.
Life brings new challenges everyday. Work, family, school, and relationships may have you feeling anxious, stressed, and overwhelmed. You might be feeling depressed or have been through a traumatic experience that has left you not feeling like yourself. Collaboratively, I'll help you to identify the root cause of your struggles and learn skills that can help you overcome these issues and live the life you want.
(717) 444-8989 View (717) 444-8989
Photo of Shaunaca James, MS, LPC, NCC, BSC, Licensed Professional Counselor
Shaunaca James
Licensed Professional Counselor, MS, LPC, NCC, BSC
Verified Verified
2 Endorsed
Mechanicsburg, PA 17055
Hello! My name is Shaunaca. (Pronounced like Hanukkah but with the "sh" sound) I graduated with a master's degree in Clinical Mental Health Counseling from Shippensburg University. I am nationally certified by the NBCC, as well as, licensed as a Behavior Specialist by the State Board of Medicine. I have worked in many different environments such as, schools, residential facilities, and outpatient clinics with all sorts of people and personalities. I enjoy working with teens and adults.
Hello! My name is Shaunaca. (Pronounced like Hanukkah but with the "sh" sound) I graduated with a master's degree in Clinical Mental Health Counseling from Shippensburg University. I am nationally certified by the NBCC, as well as, licensed as a Behavior Specialist by the State Board of Medicine. I have worked in many different environments such as, schools, residential facilities, and outpatient clinics with all sorts of people and personalities. I enjoy working with teens and adults.
(717) 316-0918 View (717) 316-0918
Photo of Michael Phillips - Alcove Counseling Services, LCSW, LSW
Alcove Counseling Services
LCSW, LSW
Verified Verified
Mechanicsburg, PA 17055
Thanks for considering Alcove Counseling Services. We are a group of caring and competent professionals. Our desire is to use our knowledge base and skills to help you get through the various transitions involved in life. Most of our backgrounds are in Cognitive Behavioral Therapy. But we all have an eclectic approach based on your needs and interests. We hope to provide a safe nurturing environment where you will feel comfortable. Your health and well being are of primary concern to all of us, and we are eager to help you in your journey.
Thanks for considering Alcove Counseling Services. We are a group of caring and competent professionals. Our desire is to use our knowledge base and skills to help you get through the various transitions involved in life. Most of our backgrounds are in Cognitive Behavioral Therapy. But we all have an eclectic approach based on your needs and interests. We hope to provide a safe nurturing environment where you will feel comfortable. Your health and well being are of primary concern to all of us, and we are eager to help you in your journey.
(717) 691-1090 View (717) 691-1090
Photo of Chad Briggs, LSW, Clinical Social Work/Therapist
Chad Briggs
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Mechanicsburg, PA 17055
Kids and teenagers encounter new challenges every day. School, sports, activities, and family dynamics can lead to anxiety, stress, and even depression. They may feel overwhelmed and struggle to talk about what is going on. They may be scared, feel embarrassed, or feel unsure of who to talk about what they are feeling. You may have noticed changes in their behavior or mood as a result. I work with kids, teenagers, and families to identify and gain understanding of what has led to their struggles and collaboratively work on how to move forward. I bring a different energy to therapy.
Kids and teenagers encounter new challenges every day. School, sports, activities, and family dynamics can lead to anxiety, stress, and even depression. They may feel overwhelmed and struggle to talk about what is going on. They may be scared, feel embarrassed, or feel unsure of who to talk about what they are feeling. You may have noticed changes in their behavior or mood as a result. I work with kids, teenagers, and families to identify and gain understanding of what has led to their struggles and collaboratively work on how to move forward. I bring a different energy to therapy.
(717) 229-0564 View (717) 229-0564
Photo of Rosemarie Holland, MA, LPC, NCC, CCMHC, BCPC, Licensed Professional Counselor
Rosemarie Holland
Licensed Professional Counselor, MA, LPC, NCC, CCMHC, BCPC
Verified Verified
Mechanicsburg, PA 17055
Are you overwhelmed with your life? Feeling like life is too much for you to handle?Do you feel helpless and alone with no where to turn? I'm here to help you overcome anxiety and depression using mindfulness based cognitive therapy and focusing on the whole person. Let me show you how to build on your strengths and manage life more successfully by removing the blocks that are preventing you from living the life you were meant to live! I'll show you how to make those shifts in a very private, confidential setting along the Yellow Breeches Creek.
Are you overwhelmed with your life? Feeling like life is too much for you to handle?Do you feel helpless and alone with no where to turn? I'm here to help you overcome anxiety and depression using mindfulness based cognitive therapy and focusing on the whole person. Let me show you how to build on your strengths and manage life more successfully by removing the blocks that are preventing you from living the life you were meant to live! I'll show you how to make those shifts in a very private, confidential setting along the Yellow Breeches Creek.
(717) 253-9792 View (717) 253-9792

See more therapy options for 17055

How does your Therapist compare?

Number of Therapists in 17055

70+

Average cost per session

$125

Therapists in 17055 who prioritize treating:

96% Anxiety
92% Depression
81% Coping Skills
79% Relationship Issues
78% Self Esteem
74% Trauma and PTSD
73% Stress

Average years in practice

10 Years

Top 3 insurances accepted

89% Highmark
80% Optum
72% Aetna

How Therapists in 17055 see their clients

81% In Person and Online
19% Online Only

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 17055?

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.