Therapists in 19106

Photo of Ella Chrelashvili, Counselor, MA, LPC, NCC
Ella Chrelashvili
Counselor, MA, LPC, NCC
Online Only
Welcome to a space where warmth meets wisdom, and where nothing in you is too much or not enough. I’ll help you explore the deeper roots of suffering and move toward a life that feels more connected, meaningful, and free. This process is not about avoiding challenges but about facing them head-on with courage and grace. I use Acceptance & Commitment Therapy, Functional Analytic Psychotherapy, and Compassion-Focused Therapy to help individuals and couples shift long-standing patterns with clarity and choice. These frameworks help us understand not just what you’re feeling or doing, but why.
Welcome to a space where warmth meets wisdom, and where nothing in you is too much or not enough. I’ll help you explore the deeper roots of suffering and move toward a life that feels more connected, meaningful, and free. This process is not about avoiding challenges but about facing them head-on with courage and grace. I use Acceptance & Commitment Therapy, Functional Analytic Psychotherapy, and Compassion-Focused Therapy to help individuals and couples shift long-standing patterns with clarity and choice. These frameworks help us understand not just what you’re feeling or doing, but why.
(267) 209-8121 View (267) 209-8121
Photo of Emily Sheehan, Licensed Professional Counselor, LPC, MT-BC
Emily Sheehan
Licensed Professional Counselor, LPC, MT-BC
1 Endorsed
Online Only
Not accepting new clients
I believe that each of us deserves to develop a rich, full understanding of ourselves and find deep affirming connection to that self and others. While the process of self-inquiry can be challenging, I hold the space to safely explore aspects of self that might feel uncomfortable, with the goal of building a positive, authentic relationship with yourself and others. As a licensed professional counselor and board-certified music therapist, I collaborate with individuals and couples to cultivate increased self-awareness and self-acceptance while building tools to better cope with life’s challenges.
I believe that each of us deserves to develop a rich, full understanding of ourselves and find deep affirming connection to that self and others. While the process of self-inquiry can be challenging, I hold the space to safely explore aspects of self that might feel uncomfortable, with the goal of building a positive, authentic relationship with yourself and others. As a licensed professional counselor and board-certified music therapist, I collaborate with individuals and couples to cultivate increased self-awareness and self-acceptance while building tools to better cope with life’s challenges.
(215) 607-8172 View (215) 607-8172
Photo of Daniel J Paulus, Psychologist, PhD
Daniel J Paulus
Psychologist, PhD
11 Endorsed
Online Only
I am a health psychologist with expertise in the treatment of chronic fear/anxiety and health conditions (pain, substance use, etc.) I have extensive research experience (95 scientific articles and book chapters; National Institutes of Health funding) which I draw upon to provide innovative and up-to-date psychological care. My practice is rooted in scientific evidence of what works, and I stay informed on the latest treatment advancements. My goal is not for you to be in therapy forever. I want to help you learn tools so that you become your own therapist. You cannot redo your past; you can make changes now for a better future.
I am a health psychologist with expertise in the treatment of chronic fear/anxiety and health conditions (pain, substance use, etc.) I have extensive research experience (95 scientific articles and book chapters; National Institutes of Health funding) which I draw upon to provide innovative and up-to-date psychological care. My practice is rooted in scientific evidence of what works, and I stay informed on the latest treatment advancements. My goal is not for you to be in therapy forever. I want to help you learn tools so that you become your own therapist. You cannot redo your past; you can make changes now for a better future.
(484) 209-1315 View (484) 209-1315
Photo of James R Grassi, Clinical Social Work/Therapist, LCSW
James R Grassi
Clinical Social Work/Therapist, LCSW
Online Only
I’ve been practicing psychotherapy for over twenty years with individuals struggling with issues including trauma histories, military veteran identities, grief, depression, anxiety, and LGBT identities. I graduated with my Master’s degree in Social Work from the University of Pennsylvania School of Social Policy and Practice. With respect, humor, acceptance, and empowerment, I work to increase your understanding and assist you in attaining your needs and hopes. Be assured that I will bring empathy and experience as we work together in a safe space for you to explore and experience self-awareness.
I’ve been practicing psychotherapy for over twenty years with individuals struggling with issues including trauma histories, military veteran identities, grief, depression, anxiety, and LGBT identities. I graduated with my Master’s degree in Social Work from the University of Pennsylvania School of Social Policy and Practice. With respect, humor, acceptance, and empowerment, I work to increase your understanding and assist you in attaining your needs and hopes. Be assured that I will bring empathy and experience as we work together in a safe space for you to explore and experience self-awareness.
(267) 708-6724 View (267) 708-6724
Photo of Dr. Adriana Torres-O'Connor, Psychologist, PsyD, MBA
Dr. Adriana Torres-O'Connor
Psychologist, PsyD, MBA
Online Only
Therapy is your time to take care of yourself. It is the opportunity to explore, problem solve and sort out your thoughts and feelings in a safe and supportive way. With over 25 years of clinical experience, I have successfully worked with clients of all ages and struggles. I partner with you to help you identify and understand your patterns of thoughts, feelings and behaviors that are contributing to your emotions and struggles such as depression, anxiety, frustration, and feeling overwhelmed and/or stuck. We then explore, analyze, and select solutions that work best for you.
Therapy is your time to take care of yourself. It is the opportunity to explore, problem solve and sort out your thoughts and feelings in a safe and supportive way. With over 25 years of clinical experience, I have successfully worked with clients of all ages and struggles. I partner with you to help you identify and understand your patterns of thoughts, feelings and behaviors that are contributing to your emotions and struggles such as depression, anxiety, frustration, and feeling overwhelmed and/or stuck. We then explore, analyze, and select solutions that work best for you.
(267) 682-6692 View (267) 682-6692
Photo of Peter Downes, Clinical Social Work/Therapist, LCSW
Peter Downes
Clinical Social Work/Therapist, LCSW
Online Only
Therapy is not a long-term, drawn-out process. Some individuals may need extensive therapy, but most need help at particular times of crisis or when they realize that they need another perspective on themselves or their relationships with their husband or wife, children, family, co-workers, or friends. My approach begins with the here and now, and I assist clients in developing concrete ways to overcome issues standing in their way. My belief echoes the old saying, "You are not the problem; the problem is the problem.
Therapy is not a long-term, drawn-out process. Some individuals may need extensive therapy, but most need help at particular times of crisis or when they realize that they need another perspective on themselves or their relationships with their husband or wife, children, family, co-workers, or friends. My approach begins with the here and now, and I assist clients in developing concrete ways to overcome issues standing in their way. My belief echoes the old saying, "You are not the problem; the problem is the problem.
(215) 712-8446 View (215) 712-8446
Photo of Kristen Tolbert - Associates in Corporate Psychology, Licensed Professional Counselor, EdD, LPC
Associates in Corporate Psychology
Licensed Professional Counselor, EdD, LPC
Online Only
Leaders carry immense pressure that often goes unseen, navigating high-stakes decisions in isolation. Our psychologists understand the invisible realities because we’ve led through them, studied them deeply, and partnered closely with thousands of executives. Our clients are among the most capable leaders in the world; we treat them that way. Organizations call us when complexity, urgency, and discretion matter. Our approach moves beyond simple therapy and coaching. We recalibrate leaders’ internal architecture to handle real-world pressure—bringing clarity to decisions, emotional command under stress, and sharper, strategic action.
Leaders carry immense pressure that often goes unseen, navigating high-stakes decisions in isolation. Our psychologists understand the invisible realities because we’ve led through them, studied them deeply, and partnered closely with thousands of executives. Our clients are among the most capable leaders in the world; we treat them that way. Organizations call us when complexity, urgency, and discretion matter. Our approach moves beyond simple therapy and coaching. We recalibrate leaders’ internal architecture to handle real-world pressure—bringing clarity to decisions, emotional command under stress, and sharper, strategic action.
(877) 759-0919 View (877) 759-0919
Photo of Michael Sugar, Clinical Social Work/Therapist, LCSW
Michael Sugar
Clinical Social Work/Therapist, LCSW
Online Only
My therapeutic approach utilizes a Narrative perspective while blending Cognitive and Mindfulness models. I use these perspectives to tailor a wellness plan that fits your needs. I emphasize expression and a holistic approach.
My therapeutic approach utilizes a Narrative perspective while blending Cognitive and Mindfulness models. I use these perspectives to tailor a wellness plan that fits your needs. I emphasize expression and a holistic approach.
(215) 458-5680 View (215) 458-5680
Photo of Alayna Wacker, Licensed Professional Counselor, MS, LPC
Alayna Wacker
Licensed Professional Counselor, MS, LPC
1 Endorsed
Philadelphia, PA 19106
Alayna Wacker is a Licensed Professional Counselor in Pennsylvania who has been practicing since 2022. Alayna's goal is to help individuals gain insight into patterns and cycles of everyday life. She offers a safe space for clients to be able to explore all the difficult parts of life, from childhood until now. Alayna brings a developmental background to her work with adults to make connections to current stressors and patterns. She empowers clients to challenge negative thought patterns and behaviors, and to find their strengths.
Alayna Wacker is a Licensed Professional Counselor in Pennsylvania who has been practicing since 2022. Alayna's goal is to help individuals gain insight into patterns and cycles of everyday life. She offers a safe space for clients to be able to explore all the difficult parts of life, from childhood until now. Alayna brings a developmental background to her work with adults to make connections to current stressors and patterns. She empowers clients to challenge negative thought patterns and behaviors, and to find their strengths.
(267) 310-1914 View (267) 310-1914
Photo of Anne Miller-Uueda, Clinical Social Work/Therapist, MSS, LCSW
Anne Miller-Uueda
Clinical Social Work/Therapist, MSS, LCSW
13 Endorsed
Philadelphia, PA 19106
Not accepting new clients
Symptoms from trauma, anxiety, pregnancy, and parenting can be painful. You may have trouble connecting and feeling understood, or feel like “too much.” Healing occurs when there is safety and trust. My goal for our sessions is to connect compassionately to you, so that you can connect with yourself, your emotions, and others. I specialize in working with trauma in adults and adolescents, pregnancy, parenting, and anxiety. My therapeutic style is integrative; I will work with you to find an approach that helps move toward recognizing, understanding, and managing your emotions, and your emotions’ connection to the past and present.
Symptoms from trauma, anxiety, pregnancy, and parenting can be painful. You may have trouble connecting and feeling understood, or feel like “too much.” Healing occurs when there is safety and trust. My goal for our sessions is to connect compassionately to you, so that you can connect with yourself, your emotions, and others. I specialize in working with trauma in adults and adolescents, pregnancy, parenting, and anxiety. My therapeutic style is integrative; I will work with you to find an approach that helps move toward recognizing, understanding, and managing your emotions, and your emotions’ connection to the past and present.
(215) 709-3425 View (215) 709-3425
Photo of Amanda E. White - Therapy for Women, Licensed Professional Counselor, MA, LPC, NCC, BCD
Therapy for Women
Licensed Professional Counselor, MA, LPC, NCC, BCD
6 Endorsed
Philadelphia, PA 19106
Does any of this sound like you? You're exhausted, anxious and stuck. Life feels overwhelming and no matter what you do, you don't feel good enough. It feels like everyone except you has it "together". Maybe you have all you wanted on paper but it you don't feel fulfilled. You beat yourself up, drink too much or are stuck in the cycle of trying the newest Tiktok welllness trend, hoping this will make you feel better. It's not working and you wonder if you will ever feel happy and content. It's time for a change.
Does any of this sound like you? You're exhausted, anxious and stuck. Life feels overwhelming and no matter what you do, you don't feel good enough. It feels like everyone except you has it "together". Maybe you have all you wanted on paper but it you don't feel fulfilled. You beat yourself up, drink too much or are stuck in the cycle of trying the newest Tiktok welllness trend, hoping this will make you feel better. It's not working and you wonder if you will ever feel happy and content. It's time for a change.
(215) 608-3540 View (215) 608-3540
Photo of Lauren Schechter, Pre-Licensed Professional, MSEd, MPhilEd, MBA
Lauren Schechter
Pre-Licensed Professional, MSEd, MPhilEd, MBA
6 Endorsed
Philadelphia, PA 19106
You feel like you could be doing better and you have some areas in your life that you could improve in. You want to learn effective strategies and skills, break the cycles you are in, make deep insights, and improve your life and the relationship you have with yourself and others. We will explore your sense of self, relationships, personal aspirations, life stressors, goals and more. We will uncover your patterns of behavior and create a deeper understanding of who you are and what you value. Let's talk about the therapy process and make sure I set the stage so that you can understand how I can best support you.
You feel like you could be doing better and you have some areas in your life that you could improve in. You want to learn effective strategies and skills, break the cycles you are in, make deep insights, and improve your life and the relationship you have with yourself and others. We will explore your sense of self, relationships, personal aspirations, life stressors, goals and more. We will uncover your patterns of behavior and create a deeper understanding of who you are and what you value. Let's talk about the therapy process and make sure I set the stage so that you can understand how I can best support you.
(267) 435-3928 View (267) 435-3928
Photo of Zach Campo, Clinical Social Work/Therapist, LSW
Zach Campo
Clinical Social Work/Therapist, LSW
Philadelphia, PA 19106
I have experience working with a diverse range of individuals experiencing a variety of challenges such as: anxiety, depression, ADHD, self-esteem issues, and navigating interpersonal relationships. I strive to build strong therapeutic report with my clients and provide an empowering space for them to safely explore their experiences and challenges with curiosity and compassion. I hold the values of community, non-judgment, and self-determination in high regard in my practice with hopes of creating a more resilient, compassionate, and justice oriented world.
I have experience working with a diverse range of individuals experiencing a variety of challenges such as: anxiety, depression, ADHD, self-esteem issues, and navigating interpersonal relationships. I strive to build strong therapeutic report with my clients and provide an empowering space for them to safely explore their experiences and challenges with curiosity and compassion. I hold the values of community, non-judgment, and self-determination in high regard in my practice with hopes of creating a more resilient, compassionate, and justice oriented world.
(267) 833-2646 View (267) 833-2646
Photo of Pamela Guzman-Tirado, Licensed Professional Counselor, LPC
Pamela Guzman-Tirado
Licensed Professional Counselor, LPC
Philadelphia, PA 19106
Pamela Guzman-Tirado is a Licensed Professional Counselor who has been practicing since 2015. She has a Master’s Degree in Clinical Counseling Psychology and a Bachelor’s Degree in Psychology and Mental Health. Pamela is a passionate bilingual mental health clinician committed to fostering a safe, supportive non-judgmental space to cultivate an authentic and collaborative therapeutic relationship. It is her honor to be part of another person’s healing and transformational journey by encouraging the development and achievement of individualized goals.
Pamela Guzman-Tirado is a Licensed Professional Counselor who has been practicing since 2015. She has a Master’s Degree in Clinical Counseling Psychology and a Bachelor’s Degree in Psychology and Mental Health. Pamela is a passionate bilingual mental health clinician committed to fostering a safe, supportive non-judgmental space to cultivate an authentic and collaborative therapeutic relationship. It is her honor to be part of another person’s healing and transformational journey by encouraging the development and achievement of individualized goals.
(267) 489-1768 View (267) 489-1768
Photo of John Machalaba, Psychologist, PsyD
John Machalaba
Psychologist, PsyD
5 Endorsed
Philadelphia, PA 19106
My approach to therapy is one that prioritizes the creation of a relationship that is safe, mutual, and honest. I want my clients to feel empowered and free to explore themselves and grow into the person they wish to become. I am calm, warm, and active. I offer my clients feedback and challenge them in ways that encourage growth, often with some levity and humor. I value knowing my clients as a person and prioritize understanding and appreciating their perspective. I work together with my clients to identify negative patterns in their life and provide the opportunity to create new, healthy experiences.
My approach to therapy is one that prioritizes the creation of a relationship that is safe, mutual, and honest. I want my clients to feel empowered and free to explore themselves and grow into the person they wish to become. I am calm, warm, and active. I offer my clients feedback and challenge them in ways that encourage growth, often with some levity and humor. I value knowing my clients as a person and prioritize understanding and appreciating their perspective. I work together with my clients to identify negative patterns in their life and provide the opportunity to create new, healthy experiences.
(215) 607-7402 View (215) 607-7402
Photo of Maria Reyes - Resilient Mind Works Trauma Counseling, Licensed Professional Counselor, MS, LPC
Resilient Mind Works Trauma Counseling
Licensed Professional Counselor, MS, LPC
Philadelphia, PA 19106
If you’re reading this, you might be feeling the weight of anxiety, depression, or past trauma. Maybe you’re a first responder or healthcare professional, someone who’s always been there for others, even when it takes a toll on you. Or perhaps you’re part of the BIPOC or AAPI community, navigating unique pressures and challenges that aren’t always understood or supported. We know that trauma, anxiety, and depression can make you feel isolated, disconnected, or even out of control. You may be seeking relief—whether from overwhelming memories, constant worry, or feelings of exhaustion and burnout.
If you’re reading this, you might be feeling the weight of anxiety, depression, or past trauma. Maybe you’re a first responder or healthcare professional, someone who’s always been there for others, even when it takes a toll on you. Or perhaps you’re part of the BIPOC or AAPI community, navigating unique pressures and challenges that aren’t always understood or supported. We know that trauma, anxiety, and depression can make you feel isolated, disconnected, or even out of control. You may be seeking relief—whether from overwhelming memories, constant worry, or feelings of exhaustion and burnout.
(267) 651-8120 View (267) 651-8120
Photo of Alandra Russ, Licensed Professional Counselor, MA, LPC
Alandra Russ
Licensed Professional Counselor, MA, LPC
Philadelphia, PA 19106
Have you ever felt like your emotions or behaviors are beyond your control? Or struggled to find clarity in who you truly are? If so, I invite you to explore and understand what’s been weighing on you. In therapy, you’ll have a safe space to reflect, process, and grow at your own pace. Or perhaps you already know who you are but need support in accepting and embracing yourself fully. If that’s the case, we’ll work together to help you integrate your true self into every part of your life with compassion and understanding. I am here for you.
Have you ever felt like your emotions or behaviors are beyond your control? Or struggled to find clarity in who you truly are? If so, I invite you to explore and understand what’s been weighing on you. In therapy, you’ll have a safe space to reflect, process, and grow at your own pace. Or perhaps you already know who you are but need support in accepting and embracing yourself fully. If that’s the case, we’ll work together to help you integrate your true self into every part of your life with compassion and understanding. I am here for you.
(267) 209-6681 View (267) 209-6681
Photo of Jeffrey Faude, Psychologist, PhD
Jeffrey Faude
Psychologist, PhD
1 Endorsed
Online Only
I focus a great deal on helping people expand their awareness of aspects of themselves and their important relationships that they have difficulty paying attention to and feeling. This increased awareness helps people feel more flexible and free to navigate the obstacles and cross-currents they find facing them in their lives, rather than remain stuck in repetitive cycles of suffering.
I focus a great deal on helping people expand their awareness of aspects of themselves and their important relationships that they have difficulty paying attention to and feeling. This increased awareness helps people feel more flexible and free to navigate the obstacles and cross-currents they find facing them in their lives, rather than remain stuck in repetitive cycles of suffering.
(610) 915-8768 View (610) 915-8768
Photo of Margot Troutt Keys, Clinical Social Work/Therapist, LCSW
Margot Troutt Keys
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
A wise man once told me, "Life is like a circle, at different points on the circumference we view the same core." This reminded of therapy. How at different points on the circumference of our lives, different transitions, losses, relationship issues, or medical issues introduce themselves and we view how our core responds. Sometimes depression, anxiety, anger, and fear ensue. We can continue to look away and ignore these responses that interfere with our goals, or we can decide we are going to work with a therapist. Together, we embrace that core strengthening and empowering it so it can meet life's challenges effectively.
A wise man once told me, "Life is like a circle, at different points on the circumference we view the same core." This reminded of therapy. How at different points on the circumference of our lives, different transitions, losses, relationship issues, or medical issues introduce themselves and we view how our core responds. Sometimes depression, anxiety, anger, and fear ensue. We can continue to look away and ignore these responses that interfere with our goals, or we can decide we are going to work with a therapist. Together, we embrace that core strengthening and empowering it so it can meet life's challenges effectively.
(215) 529-8546 View (215) 529-8546
Photo of Abby Baker, Counselor, LPC
Abby Baker
Counselor, LPC
Philadelphia, PA 19106
I work with couples and individuals to overcome personal obstacles to improve their relationships and overall quality of life. Research has identified that unhealthy relationships can cause both emotional and physical stress, whereas healthy relationships can enhance and improve overall well-being. I am a Licensed Professional Counselor and a qualified Counselor Supervisor in the state of PA.
I work with couples and individuals to overcome personal obstacles to improve their relationships and overall quality of life. Research has identified that unhealthy relationships can cause both emotional and physical stress, whereas healthy relationships can enhance and improve overall well-being. I am a Licensed Professional Counselor and a qualified Counselor Supervisor in the state of PA.
(267) 490-4211 View (267) 490-4211

See more therapy options for 19106

How does your Therapist compare?

Number of Therapists in 19106

200+

Average cost per session

$150

Therapists in 19106 who prioritize treating:

92% Anxiety
86% Depression
77% Relationship Issues
74% Self Esteem
73% Trauma and PTSD
67% Stress
62% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

81% Aetna
63% Highmark
49% Cigna and Evernorth

How Therapists in 19106 see their clients

55% In Person and Online
45% Online Only

Gender breakdown

75% Female
20% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 19106?

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.