Photo of Precious Browning - Aya Counseling Services, MS, NCC, LPCMH, Licensed Professional Counselor
Aya Counseling Services
Licensed Professional Counselor, MS, NCC, LPCMH
Verified Verified
Wilmington, DE 19805
Precious Morris-Browning is a graduate of the University of Delaware, where she received her BA in sociology. She also received a MS in mental health counseling from Springfield College in 2015. She is also a National Certified Counselor. More recently Precious has worked as a clinical therapist, working with various populations. Precious has worked with adolescents, the substance abuse population, and those with serious and persistent mental health issues such as schizophrenia, PTSD, and depression. Precious is currently working towards obtaining her LPC license in an effort to continue to serve in an even greater capacity.
Precious Morris-Browning is a graduate of the University of Delaware, where she received her BA in sociology. She also received a MS in mental health counseling from Springfield College in 2015. She is also a National Certified Counselor. More recently Precious has worked as a clinical therapist, working with various populations. Precious has worked with adolescents, the substance abuse population, and those with serious and persistent mental health issues such as schizophrenia, PTSD, and depression. Precious is currently working towards obtaining her LPC license in an effort to continue to serve in an even greater capacity.
(302) 202-1301 View (302) 202-1301
Photo of Crysta Harris, LPCMH, Licensed Professional Counselor
Crysta Harris
Licensed Professional Counselor, LPCMH
Verified Verified
1 Endorsed
Wilmington, DE 19805  (Online Only)
I am Currently Accepting New Clients! My focus is on Black and Brown Women. Have you experienced a traumatic event?   Do you feel that you are having challenges with controlling your feelings and behaviors?  Have you been trying to balance the ideas of how you grew up with the person you are attempting to be now? If you answered yes to any of these then you have found the right person (ME). I am not your "traditional therapist," I meet my clients where they are and I combine my psychological expertise with pop culture in my sessions.
I am Currently Accepting New Clients! My focus is on Black and Brown Women. Have you experienced a traumatic event?   Do you feel that you are having challenges with controlling your feelings and behaviors?  Have you been trying to balance the ideas of how you grew up with the person you are attempting to be now? If you answered yes to any of these then you have found the right person (ME). I am not your "traditional therapist," I meet my clients where they are and I combine my psychological expertise with pop culture in my sessions.
(302) 751-6318 View (302) 751-6318
Photo of Michelle C Johnson, LCSW, Clinical Social Work/Therapist
Michelle C Johnson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Wilmington, DE 19805
I have over 12 years working with woman, children, and adolescents in various settings to address experiences with depression, abandonment, attachment issues, or just struggles with coping with their daily stressors.
I have over 12 years working with woman, children, and adolescents in various settings to address experiences with depression, abandonment, attachment issues, or just struggles with coping with their daily stressors.
(302) 231-2894 View (302) 231-2894
Photo of Everett Dickerson, PhD, LPC, LPCMH, LMHC
Everett Dickerson
Mental Health Counselor, PhD, LPC, LPCMH, LMHC
Verified Verified
Wilmington, DE 19805  (Online Only)
Dr. Everett Dickerson is a Psychologist based in Wilmington, Delaware. He holds a license in Delaware, New Jersey, Pennsylvania, Florida, and Massachusetts. He has over 15 years of training and experience and utilizes an eclectic mix of treatment approaches to provide services and consultation to individual, family, and institutional clients in a variety of mental health areas.
Dr. Everett Dickerson is a Psychologist based in Wilmington, Delaware. He holds a license in Delaware, New Jersey, Pennsylvania, Florida, and Massachusetts. He has over 15 years of training and experience and utilizes an eclectic mix of treatment approaches to provide services and consultation to individual, family, and institutional clients in a variety of mental health areas.
(302) 824-7361 View (302) 824-7361
Photo of Kevin London, PhD, Psychologist
Kevin London
Psychologist, PhD
Verified Verified
Wilmington, DE 19805
Hello, I am a Licensed Psychologist in Pennsylvania and Delaware. I earned my Ph.D in Counseling Psychology from the University of Maryland, College Park and have over 20 years of experience providing therapy Directing mental health programs, teaching and consulting. When not helping individuals adjust to the inherent stress that the transition of life bring; I enjoy cooking Asian and Indian inspired foods, golfing, hiking, swimming, or just watching some good-ole t.v.
Hello, I am a Licensed Psychologist in Pennsylvania and Delaware. I earned my Ph.D in Counseling Psychology from the University of Maryland, College Park and have over 20 years of experience providing therapy Directing mental health programs, teaching and consulting. When not helping individuals adjust to the inherent stress that the transition of life bring; I enjoy cooking Asian and Indian inspired foods, golfing, hiking, swimming, or just watching some good-ole t.v.
(302) 405-4123 View (302) 405-4123
Photo of Karla Fleshman - Transitions Delaware LLC, LCSW, MDiv, Clinical Social Work/Therapist
Transitions Delaware LLC
Clinical Social Work/Therapist, LCSW, MDiv
Verified Verified
Wilmington, DE 19805
Transitions Delaware is accepting new clients. Please visit our website to learn more about the team. The practice was created by Rev. Karla Fleshman, LCSW, MDiv, TCYM II; and has a special focus toward serving LGBTQ+ folx, their family and friends. Each therapist has a trauma informed focus with unique specializations. Rev. Karla has been an LCSW for over 30 years (ordained clergy for 25 years) bringing her expertise in supervision and training to this team of skilled therapists. She is a certified EMDR therapist pursuing an advanced certificate in dissociative studies through the Institute for Creative Mindfulness.
Transitions Delaware is accepting new clients. Please visit our website to learn more about the team. The practice was created by Rev. Karla Fleshman, LCSW, MDiv, TCYM II; and has a special focus toward serving LGBTQ+ folx, their family and friends. Each therapist has a trauma informed focus with unique specializations. Rev. Karla has been an LCSW for over 30 years (ordained clergy for 25 years) bringing her expertise in supervision and training to this team of skilled therapists. She is a certified EMDR therapist pursuing an advanced certificate in dissociative studies through the Institute for Creative Mindfulness.
(302) 200-4654 View (302) 200-4654
Photo of Jessica Gola, MA, Counselor
Jessica Gola
Counselor, MA
Verified Verified
Wilmington, DE 19805  (Online Only)
As a therapist, it is always my goal to make the client feel safe, comfortable, and supported. I like to validate that starting the process of therapy and opening up to a stranger can be challenging but is the first step towards change. I have worked with many clients struggling with a wide range of issues, but mostly work with those struggling with anxiety, depression, and eating disorders. In working with clients, I utilize evidence based treatments such as CBT and DBT. I am here to help the client reach their goals by aiding them in learning tools and techniques that help them to cope and make changes.
As a therapist, it is always my goal to make the client feel safe, comfortable, and supported. I like to validate that starting the process of therapy and opening up to a stranger can be challenging but is the first step towards change. I have worked with many clients struggling with a wide range of issues, but mostly work with those struggling with anxiety, depression, and eating disorders. In working with clients, I utilize evidence based treatments such as CBT and DBT. I am here to help the client reach their goals by aiding them in learning tools and techniques that help them to cope and make changes.
(302) 406-3036 View (302) 406-3036
Photo of Connie Fazzio, LMSW, Pre-Licensed Professional
Connie Fazzio
Pre-Licensed Professional, LMSW
Verified Verified
Wilmington, DE 19805
Not accepting new clients
I have deep appreciation and curiosity about how we show up in life—how we live, love, and deal with the inevitable challenges that come with being human. My approach is integrative, bringing in a variety of trainings and influences, adjusting for what works best for each client. My specialized areas of study are attachment, PTSD, developmental and complex trauma, dissociation, receiving an Advanced Certificate in Complex Trauma and Dissociation from the ISSTD. I welcome and enjoy working with a wide variety of people and issues, with additional focus on those who identify as LGBTQIA2S+, neurodiverse, plural.
I have deep appreciation and curiosity about how we show up in life—how we live, love, and deal with the inevitable challenges that come with being human. My approach is integrative, bringing in a variety of trainings and influences, adjusting for what works best for each client. My specialized areas of study are attachment, PTSD, developmental and complex trauma, dissociation, receiving an Advanced Certificate in Complex Trauma and Dissociation from the ISSTD. I welcome and enjoy working with a wide variety of people and issues, with additional focus on those who identify as LGBTQIA2S+, neurodiverse, plural.
(302) 214-5368 View (302) 214-5368
Photo of Rachel Elizabeth Szewczuk-Çil, ATR, Art Therapist
Rachel Elizabeth Szewczuk-Çil
Art Therapist, ATR
Verified Verified
Wilmington, DE 19805  (Online Only)
As an art therapist and Mental Health professional I've worked in various settings. Working with trauma survivors of human traffcking in SE Asia (Thailand, Vietnam, Cambodia, Myanmar, Laos, India and Indonesia). I also worked within schools working with a family systems approach and using expressive art therapy as the backbone. After working in SE Asia I moved to Hawaii and worked in severe psychiatric and shelters around Maui and the Big Island. I also run my own practice working with children and teenagers dealing with developmental delays, depression and more. I have experience with all walks of life, I offer ultimate empathy.
As an art therapist and Mental Health professional I've worked in various settings. Working with trauma survivors of human traffcking in SE Asia (Thailand, Vietnam, Cambodia, Myanmar, Laos, India and Indonesia). I also worked within schools working with a family systems approach and using expressive art therapy as the backbone. After working in SE Asia I moved to Hawaii and worked in severe psychiatric and shelters around Maui and the Big Island. I also run my own practice working with children and teenagers dealing with developmental delays, depression and more. I have experience with all walks of life, I offer ultimate empathy.
(302) 215-2456 View (302) 215-2456
Photo of Regina Vontelaray Ames, LPCMH, MS, NBCC
Regina Vontelaray Ames
LPCMH, MS, NBCC
Verified Verified
Wilmington, DE 19805
I am a LPCMH dedicated to helping people become empowered to make positive change in their lives. Though life can be challenging and overwhelming at times, I believe that change, healing and growth is possible for anyone who is open to exploring their capacity to change from within. As a Licensed counselor, I believe my part is to be present , empathetic , authentic and supportive as you break through the barriers to success and healing. As a potential client, I believe your part is to be willing to put in the work that is necessary to re-write the story of your life and experience the healing and wellness you are seeking.
I am a LPCMH dedicated to helping people become empowered to make positive change in their lives. Though life can be challenging and overwhelming at times, I believe that change, healing and growth is possible for anyone who is open to exploring their capacity to change from within. As a Licensed counselor, I believe my part is to be present , empathetic , authentic and supportive as you break through the barriers to success and healing. As a potential client, I believe your part is to be willing to put in the work that is necessary to re-write the story of your life and experience the healing and wellness you are seeking.
(302) 483-7808 View (302) 483-7808
Photo of Dr. Debra Laino, DHS, MEd, MS, ACS, ABS
Dr. Debra Laino
DHS, MEd, MS, ACS, ABS
Verified Verified
1 Endorsed
Wilmington, DE 19805
My specialty is in Holistic Sex Therapy and Relationship Therapy/Coaching. I have over 20 years of experience working with individuals and couples. I treat a variety of issues from sexual function and dysfunction, relationship issues (communication, sexuality, anger, divorce, touch, and much more) to life coaching. I look at the whole person as humans are depthful and layered beings. I am a member of various professional organizations such as AASECT, ACS, and ABS. I am Board Certified by three professional Boards, The American College of Sexologists and The American Board of Sexologists and AASECT as a Sexuality Educator.
My specialty is in Holistic Sex Therapy and Relationship Therapy/Coaching. I have over 20 years of experience working with individuals and couples. I treat a variety of issues from sexual function and dysfunction, relationship issues (communication, sexuality, anger, divorce, touch, and much more) to life coaching. I look at the whole person as humans are depthful and layered beings. I am a member of various professional organizations such as AASECT, ACS, and ABS. I am Board Certified by three professional Boards, The American College of Sexologists and The American Board of Sexologists and AASECT as a Sexuality Educator.
(302) 751-0990 View (302) 751-0990
Photo of Melissa Lemons - Fruitful Conversations, LPCMH, Licensed Professional Counselor
Fruitful Conversations
Licensed Professional Counselor, LPCMH
Verified Verified
Wilmington, DE 19805
Our lives are lived in relationships and I want to help clients build or rebuild healthy, resilient connections--at home, at work, and wherever you engage people you care about. Relationship issues include parenting education, blended families, sexuality, and spirituality. I work with individuals, couples, and families. Cigna and Aetna clients can learn more here https://headway.co/providers/melissa-lemons?utm_source=pem&utm_medium=direct_link&utm_campaign=60301
Our lives are lived in relationships and I want to help clients build or rebuild healthy, resilient connections--at home, at work, and wherever you engage people you care about. Relationship issues include parenting education, blended families, sexuality, and spirituality. I work with individuals, couples, and families. Cigna and Aetna clients can learn more here https://headway.co/providers/melissa-lemons?utm_source=pem&utm_medium=direct_link&utm_campaign=60301
(302) 246-7462 View (302) 246-7462
Photo of Marlon Riddick - ARETE-E , MA, Psy
ARETE-E
MA, Psy
Verified Verified
Wilmington, DE 19805  (Online Only)
First, before we get into who we are as the ARETE-E Family/Team; it is our pleasure to thank you for honoring us by taking a moment to review our page. Welcome! Second, and most importantly, we would like to say congratulations for taking a major difficult step towards hopefully obtaining the support and peace you are seeking. Considering therapy is no easy task. It takes a lot of courage to mentally consider therapy, not to mention making intentional steps to connect with a therapist. As individuals, it is not meant for us to struggle with the daily social and emotional challenges we are confronted with, alone.
First, before we get into who we are as the ARETE-E Family/Team; it is our pleasure to thank you for honoring us by taking a moment to review our page. Welcome! Second, and most importantly, we would like to say congratulations for taking a major difficult step towards hopefully obtaining the support and peace you are seeking. Considering therapy is no easy task. It takes a lot of courage to mentally consider therapy, not to mention making intentional steps to connect with a therapist. As individuals, it is not meant for us to struggle with the daily social and emotional challenges we are confronted with, alone.
(267) 377-4031 View (267) 377-4031
Photo of Andres Waters, LCSW, Clinical Social Work/Therapist
Andres Waters
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Wilmington, DE 19805
As a licensed clinical social worker, therapist, advocate, and mentor, I have a passion for working with adults, children, teens, and families. My particular passion is for social justice, to which I am committed to work with families in underserved populations, along with families that are in need of support. My Undergraduate and Master's experience at Delaware State University has afforded me the opportunity to work in various clinical and mental health settings as a School Social Worker, Outpatient Therapist, Admissions Counselor in a psychiatric facility, and Mobile Crisis Therapist for ten years.
As a licensed clinical social worker, therapist, advocate, and mentor, I have a passion for working with adults, children, teens, and families. My particular passion is for social justice, to which I am committed to work with families in underserved populations, along with families that are in need of support. My Undergraduate and Master's experience at Delaware State University has afforded me the opportunity to work in various clinical and mental health settings as a School Social Worker, Outpatient Therapist, Admissions Counselor in a psychiatric facility, and Mobile Crisis Therapist for ten years.
(302) 567-4158 View (302) 567-4158
Photo of Stephen M. Homsey, LCSW, Clinical Social Work/Therapist
Stephen M. Homsey
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Wilmington, DE 19805
Starting therapy can scary and uncomfortable but the good news is that I am here to help make it as painless as possible for you. I have worked with many clients experiencing trauma, difficult times and almost everything you can think of.
Starting therapy can scary and uncomfortable but the good news is that I am here to help make it as painless as possible for you. I have worked with many clients experiencing trauma, difficult times and almost everything you can think of.
(347) 579-0735 View (347) 579-0735
Photo of Chelsea Chang, LCSW, LCADC, ICADC, Clinical Social Work/Therapist
Chelsea Chang
Clinical Social Work/Therapist, LCSW, LCADC, ICADC
Verified Verified
Wilmington, DE 19805
I have been a Licensed Clinical Social Worker since 2019, and I have experience supporting young adults and adults with concerns such as addictions, substance use disorders, depression, anxiety, life transitions, relationship/ family issues, and anger management. My ideal client would like to resolve these issues by empowering themselves to learn how to counter negative thoughts, regulate emotions, tolerate moments of distress, communicate effectively, and mindfully stay within the present moment. My ideal client would like to learn these skills in order to manifest their ideal life and be the best version of themselves.
I have been a Licensed Clinical Social Worker since 2019, and I have experience supporting young adults and adults with concerns such as addictions, substance use disorders, depression, anxiety, life transitions, relationship/ family issues, and anger management. My ideal client would like to resolve these issues by empowering themselves to learn how to counter negative thoughts, regulate emotions, tolerate moments of distress, communicate effectively, and mindfully stay within the present moment. My ideal client would like to learn these skills in order to manifest their ideal life and be the best version of themselves.
(609) 795-7179 View (609) 795-7179
Photo of Ben Alfano, PsyD, Psychologist
Ben Alfano
Psychologist, PsyD
Verified Verified
Wilmington, DE 19805
I am a licensed psychologist in Delaware and Pennsylvania and a graduate of Institute of Graduate Clinical Psychology at Widener University. I approach psychotherapy as a collaborative effort to help foster insight, build skills, and promote growth. Therapeutic work begins with the relationship and I strive to create a safe, therapeutic environment where we can begin to identify problematic patterns in your life and work towards change.
I am a licensed psychologist in Delaware and Pennsylvania and a graduate of Institute of Graduate Clinical Psychology at Widener University. I approach psychotherapy as a collaborative effort to help foster insight, build skills, and promote growth. Therapeutic work begins with the relationship and I strive to create a safe, therapeutic environment where we can begin to identify problematic patterns in your life and work towards change.
(302) 566-1077 View (302) 566-1077
Photo of Danielle Stevenson, LPCMH, Licensed Professional Counselor
Danielle Stevenson
Licensed Professional Counselor, LPCMH
Verified Verified
1 Endorsed
Wilmington, DE 19805
Choosing to begin counseling services is a very important decision that can be quite overwhelming. Throughout our lives we face many challenges some of which require extra support. Therapy can help you to improve your quality of life and learn to reconnect with yourself and the world. I work collaboratively with my clients to support their goals for treatment.
Choosing to begin counseling services is a very important decision that can be quite overwhelming. Throughout our lives we face many challenges some of which require extra support. Therapy can help you to improve your quality of life and learn to reconnect with yourself and the world. I work collaboratively with my clients to support their goals for treatment.
(302) 415-3145 View (302) 415-3145
Photo of Jennifer Ewald - The Healing Cottage, Grief, Yoga, Reiki, Massage, Health, Clinical Social Work/Therapist
The Healing Cottage
Clinical Social Work/Therapist, Grief, Yoga, Reiki, Massage, Health
Verified Verified
2 Endorsed
Wilmington, DE 19805
Are you looking for a more holistic and integrated approach to your wellness? Have you found that more traditional methods are not meeting your expectations or satisfying your goals? At The Healing Cottage, we are dedicated to creating a safe, supportive and comfortable environment for you to explore, heal and grow. We strongly believe that the mind + body are inseparable and find it imperative to prioritize the whole person when examining healing modalities. We will work together to help you realize all of the strengths and skills you already possess and explore new self-care practices that enhance those abilities.
Are you looking for a more holistic and integrated approach to your wellness? Have you found that more traditional methods are not meeting your expectations or satisfying your goals? At The Healing Cottage, we are dedicated to creating a safe, supportive and comfortable environment for you to explore, heal and grow. We strongly believe that the mind + body are inseparable and find it imperative to prioritize the whole person when examining healing modalities. We will work together to help you realize all of the strengths and skills you already possess and explore new self-care practices that enhance those abilities.
(302) 505-5866 View (302) 505-5866
Photo of Christopher William Smith, LCSW, Clinical Social Work/Therapist
Christopher William Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Wilmington, DE 19805
I am a Licensed Clinical Social Worker with more than 10 years of experience working in the mental heath field. I have worked with various populations including children and adolescents with mental health/behavior problems, adults with co-occurring disorders and incarcerated juveniles. I am trained in Trauma Focused Cognitive Behavioral Therapy (TF-CBT). I view client's from the Strengths Based and Eco-Systems perspectives. And I am passionate about helping individual and families overcome life's challenges.
I am a Licensed Clinical Social Worker with more than 10 years of experience working in the mental heath field. I have worked with various populations including children and adolescents with mental health/behavior problems, adults with co-occurring disorders and incarcerated juveniles. I am trained in Trauma Focused Cognitive Behavioral Therapy (TF-CBT). I view client's from the Strengths Based and Eco-Systems perspectives. And I am passionate about helping individual and families overcome life's challenges.
(302) 524-0814 View (302) 524-0814
1

How does your Therapist compare?

Number of Therapists in 19805

60+

Average cost per session

$120

Therapists in 19805 who prioritize treating:

91% Anxiety
88% Depression
62% Trauma and PTSD
59% Relationship Issues
59% Coping Skills
58% Grief
58% Self Esteem

Average years in practice

16 Years

Top 3 insurances accepted

86% Aetna
84% BlueCross and BlueShield
83% Cigna and Evernorth

How Therapists in 19805 see their clients

60% In Person and Online
40% Online Only

Gender breakdown

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

How can I find a therapist in 19805?

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.