Therapists in Washington, DC

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Photo of Ashley Acosta, Counselor in Washington, DC
Ashley Acosta
Counselor, MA, LGPC
Verified Verified
1 Endorsed
Washington, DC 20005
As your therapist, I take an investigative and collaborative approach to what you are experiencing. I provide an open and safe space for us to explore why you feel the way you do, past experiences that may be contributing to your present, and how you can move forward. We will consider all angles of your lived experience in making sense of the issues you’re facing. Angles like your relationships to others, your childhood experiences, instincts and gut reactions, and societal systems. I welcome adults of all identities.
As your therapist, I take an investigative and collaborative approach to what you are experiencing. I provide an open and safe space for us to explore why you feel the way you do, past experiences that may be contributing to your present, and how you can move forward. We will consider all angles of your lived experience in making sense of the issues you’re facing. Angles like your relationships to others, your childhood experiences, instincts and gut reactions, and societal systems. I welcome adults of all identities.
(844) 699-3368 View (844) 699-3368
Photo of David Kiwanuka Lubega, Clinical Social Work/Therapist in Washington, DC
David Kiwanuka Lubega
Clinical Social Work/Therapist, LCSW
Verified Verified
Washington, DC 20007  (Online Only)
I am Mr. David E. Kiwanuka Lubega, LCSW, is a Clinical Social Worker specialist in Washington, District of Columbia and in the state of Maryland. I graduated in 1991, having over 30 years of diverse experience, especially in Clinical Social Worker, Management and as a therapist. I work with individuals and couples with Anxiety, Depression, ADHD, Marriage and Relationship issues, PTSD, Substance Abuse and Employment issues. My passion is to work with you as you walk that journey towards healing. I will be your guide through the troubled sea.
I am Mr. David E. Kiwanuka Lubega, LCSW, is a Clinical Social Worker specialist in Washington, District of Columbia and in the state of Maryland. I graduated in 1991, having over 30 years of diverse experience, especially in Clinical Social Worker, Management and as a therapist. I work with individuals and couples with Anxiety, Depression, ADHD, Marriage and Relationship issues, PTSD, Substance Abuse and Employment issues. My passion is to work with you as you walk that journey towards healing. I will be your guide through the troubled sea.
(202) 968-1685 View (202) 968-1685
Photo of Phyllis Kaye, Clinical Social Work/Therapist in Washington, DC
Phyllis Kaye
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Washington, DC 20006  (Online Only)
I have been providing individual and couples therapy for 30 years. I have been told that my style is direct, compassionate and non-judgemental.
I have been providing individual and couples therapy for 30 years. I have been told that my style is direct, compassionate and non-judgemental.
(202) 656-8970 View (202) 656-8970
Photo of Shonda J Pertilla, Licensed Professional Counselor in Washington, DC
Shonda J Pertilla
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Washington, DC 20006  (Online Only)
We all carry within us a dream, a purpose, a strength that flows, like water through our veins and every part of our being. It even flows through fear, pain, disappointment and all sorts of perceived failure. It gives meaning to life. It heals. It inspires. DreamWell LLC was born out of my dream to facilitate healing and to positively impact the lives of others. I hope to empower and support you in addressing the issues that have interrupted the flow of your personal and professional life and dreams.
We all carry within us a dream, a purpose, a strength that flows, like water through our veins and every part of our being. It even flows through fear, pain, disappointment and all sorts of perceived failure. It gives meaning to life. It heals. It inspires. DreamWell LLC was born out of my dream to facilitate healing and to positively impact the lives of others. I hope to empower and support you in addressing the issues that have interrupted the flow of your personal and professional life and dreams.
(202) 510-9742 View (202) 510-9742
Photo of Cynthia G Crockett, Licensed Professional Counselor in Washington, DC
Cynthia G Crockett
Licensed Professional Counselor, MA, LPC, Coach
Verified Verified
Washington, DC 20017  (Online Only)
I take a Christian and strength based approach to counseling and coaching to assist professional women and men who desire to improve their relationships with God, themselves, and others. I am also a Certified Aromatherapist and offer the opportunity to use essential therapeutic oils to assist in clearing emotional stuck places / hurdles.
I take a Christian and strength based approach to counseling and coaching to assist professional women and men who desire to improve their relationships with God, themselves, and others. I am also a Certified Aromatherapist and offer the opportunity to use essential therapeutic oils to assist in clearing emotional stuck places / hurdles.
(202) 851-2803 View (202) 851-2803
Photo of Itselda Shand, Licensed Professional Counselor in Washington, DC
Itselda Shand
Licensed Professional Counselor, LPC, LCPC
Verified Verified
Washington, DC 20006
I have been a psychotherapist for over ten years working with diverse clients on an individual, group and couples basis. I am adept at working with persons who have intra- and interpersonal concerns. I assist clients with developing strategies and healthier coping skills to address the challenges of life. The theories, strategies and techniques I use in sessions are based solely on the needs of the client. My theoretical tool box can range from specific approaches such as Cognitive Behavioral Therapy and Psychodynamic to more Eclectic Approach.
I have been a psychotherapist for over ten years working with diverse clients on an individual, group and couples basis. I am adept at working with persons who have intra- and interpersonal concerns. I assist clients with developing strategies and healthier coping skills to address the challenges of life. The theories, strategies and techniques I use in sessions are based solely on the needs of the client. My theoretical tool box can range from specific approaches such as Cognitive Behavioral Therapy and Psychodynamic to more Eclectic Approach.
(202) 509-9399 View (202) 509-9399
Photo of Dr. Myla D Adams, Licensed Professional Counselor in Washington, DC
Dr. Myla D Adams
Licensed Professional Counselor, EdD
Verified Verified
Washington, DC 20003  (Online Only)
Are you experiencing symptoms of depression, anxiety or just stress from everyday life? I specialize in therapeutic intervention and treatment that address these symptoms and other factors complimentary of everyday stressors. Whether its vicarious trauma via news, grief, politics, parenting, work, depression, anxiety or trauma, I welcome anyone to join talk therapy. The goal is to work through, understand and navigate whatever may be disrupting your persona and/or quality of life. Please don't hesitate to reach out to begin the journey of healing.
Are you experiencing symptoms of depression, anxiety or just stress from everyday life? I specialize in therapeutic intervention and treatment that address these symptoms and other factors complimentary of everyday stressors. Whether its vicarious trauma via news, grief, politics, parenting, work, depression, anxiety or trauma, I welcome anyone to join talk therapy. The goal is to work through, understand and navigate whatever may be disrupting your persona and/or quality of life. Please don't hesitate to reach out to begin the journey of healing.
(202) 804-1380 View (202) 804-1380
Photo of Washington Anxiety Center of Capitol Hill, Psychologist in Washington, DC
Washington Anxiety Center of Capitol Hill
Psychologist, PhD
Verified Verified
Washington, DC 20003
** ACCEPTING NEW PATIENTS (TELEHEALTH AND IN-PERSON) We work with AGES 4-99 (CHILDREN AND ADULTS) with anxiety disorders (e.g., Obsessive-Compulsive Disorder, Panic Disorder, Social Anxiety Disorder, Separation Anxiety Disorder, Specific Phobia, and Generalized Anxiety Disorder), School Refusal, "Failure to Launch" syndrome, Obsessive-Compulsive Spectrum Disorders (e.g., Skin Picking, Trichotillomania), and depression. We work with those exhibiting behavioral problems (e.g., ADHD, toileting issues). Our ideal client is interested in a collaborative friendly relationship, where we work hard towards achieving therapy goals.
** ACCEPTING NEW PATIENTS (TELEHEALTH AND IN-PERSON) We work with AGES 4-99 (CHILDREN AND ADULTS) with anxiety disorders (e.g., Obsessive-Compulsive Disorder, Panic Disorder, Social Anxiety Disorder, Separation Anxiety Disorder, Specific Phobia, and Generalized Anxiety Disorder), School Refusal, "Failure to Launch" syndrome, Obsessive-Compulsive Spectrum Disorders (e.g., Skin Picking, Trichotillomania), and depression. We work with those exhibiting behavioral problems (e.g., ADHD, toileting issues). Our ideal client is interested in a collaborative friendly relationship, where we work hard towards achieving therapy goals.
(202) 751-3595 View (202) 751-3595
Photo of Celina Daniela Ticoll-Ramirez in Washington, DC
Celina Daniela Ticoll-Ramirez
MA, NCC, LGPC
Verified Verified
1 Endorsed
Washington, DC 20009  (Online Only)
Are you seeking a space to be seen and heard? Are there parts of you that are feeling lost, stuck, or overwhelmed? Are the big emotions feeling particularly heavy? Your story is important and is what makes you uniquely you. I believe that we are shaped by our past experiences, relationships, and environments. Our stories rarely unfold in the way we expect. Oftentimes, to move forward we need to heal from things in our past. Together in therapy, we will explore all parts of your story – from the chapters already concluded to those not yet written.
Are you seeking a space to be seen and heard? Are there parts of you that are feeling lost, stuck, or overwhelmed? Are the big emotions feeling particularly heavy? Your story is important and is what makes you uniquely you. I believe that we are shaped by our past experiences, relationships, and environments. Our stories rarely unfold in the way we expect. Oftentimes, to move forward we need to heal from things in our past. Together in therapy, we will explore all parts of your story – from the chapters already concluded to those not yet written.
(833) 366-4584 View (833) 366-4584
Photo of Avi Margolies, Psychologist in Washington, DC
Avi Margolies
Psychologist, PsyD
Verified Verified
14 Endorsed
Washington, DC 20036
Many people suffer under the weight of their sadness, fear, anger, and pain; others struggle to feel anything at all. Our self-esteem, relationships, or work can suffer as old cognitive, emotional, and behavioral paradigms are applied to new situations, often outside of our awareness. While it may seem daunting, exploring your thoughts, feelings, and experiences within the context of a safe therapeutic relationship can increase your access to, your awareness of, and your sense of control over your internal world. Through this process, you will find your strength, resilience, agency, and, ultimately, your freedom to more effectively shape your external world.
Many people suffer under the weight of their sadness, fear, anger, and pain; others struggle to feel anything at all. Our self-esteem, relationships, or work can suffer as old cognitive, emotional, and behavioral paradigms are applied to new situations, often outside of our awareness. While it may seem daunting, exploring your thoughts, feelings, and experiences within the context of a safe therapeutic relationship can increase your access to, your awareness of, and your sense of control over your internal world. Through this process, you will find your strength, resilience, agency, and, ultimately, your freedom to more effectively shape your external world.
(202) 765-3806 View (202) 765-3806
Photo of Rachel Painter, Counselor in Washington, DC
Rachel Painter
Counselor, MA, LPCC, LGPC
Verified Verified
Washington, DC 20036
I've worked with a wide range of individuals who have been deeply impacted by trauma due to family conflict, instability, and hardship. I have specialized experience working with trauma-related mental illness and attempt to create a brave space for clients to process their most vulnerable experiences. I enjoy being creative and collaborative with my clients while acknowledging each individual's intrinsic value and worth. I strive to provide an inclusive environment for my clients, giving empathy, acceptance, and empowerment to help them overcome shame and the overwhelming way their trauma impacts their lives.
I've worked with a wide range of individuals who have been deeply impacted by trauma due to family conflict, instability, and hardship. I have specialized experience working with trauma-related mental illness and attempt to create a brave space for clients to process their most vulnerable experiences. I enjoy being creative and collaborative with my clients while acknowledging each individual's intrinsic value and worth. I strive to provide an inclusive environment for my clients, giving empathy, acceptance, and empowerment to help them overcome shame and the overwhelming way their trauma impacts their lives.
(202) 915-5627 View (202) 915-5627
Photo of Dr. Evelyn Iraheta, Licensed Professional Counselor in Washington, DC
Dr. Evelyn Iraheta
Licensed Professional Counselor, NCC, LPC-DC, LPC-VA, LCPC-MD
Verified Verified
Washington, DC 20011  (Online Only)
Perhaps you're down or anxious - maybe you're unsure about the future of a relationship, or just feel that you aren't living the life you were meant to lead. Whatever your needs may be, I am here to offer support. Psychotherapy is a process of growth and self-discovery, and in my sessions I promote behavioral transformation by encouraging a positive outlook and the adoption of new attitudes and reactions. I have the tools and professional experience to help you get back on track.
Perhaps you're down or anxious - maybe you're unsure about the future of a relationship, or just feel that you aren't living the life you were meant to lead. Whatever your needs may be, I am here to offer support. Psychotherapy is a process of growth and self-discovery, and in my sessions I promote behavioral transformation by encouraging a positive outlook and the adoption of new attitudes and reactions. I have the tools and professional experience to help you get back on track.
(202) 952-2567 View (202) 952-2567
Photo of Sherry M. White, Clinical Social Work/Therapist in Washington, DC
Sherry M. White
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20006  (Online Only)
Has anyone ever mentioned that you're stronger than you think? Let's be real, sometimes being resilient feels like you're running a never-ending marathon. Each time you conquer one obstacle, another one pops up out of nowhere. Or maybe you've been wrestling with the same issues for what feels like forever, with no sign of relief in sight. It's only natural to wonder, "When will things start looking up for me?" and "Will I ever start feeling better? " Trust me, I get it! I am not merely the therapist sitting across the screen from you - truth be told, I have been you.
Has anyone ever mentioned that you're stronger than you think? Let's be real, sometimes being resilient feels like you're running a never-ending marathon. Each time you conquer one obstacle, another one pops up out of nowhere. Or maybe you've been wrestling with the same issues for what feels like forever, with no sign of relief in sight. It's only natural to wonder, "When will things start looking up for me?" and "Will I ever start feeling better? " Trust me, I get it! I am not merely the therapist sitting across the screen from you - truth be told, I have been you.
(202) 804-2402 View (202) 804-2402
The Bowen Center
Licensed Professional Counselor
Verified Verified
Washington, DC 20007
The Bowen Center for the Study of the Family Clinic is a non-profit organization that has been offering the community affordable psychotherapy to individuals and families for over 35 years. Our experienced clinicians help the client devote his or her best thinking and energy to working on self in the broader context of important relationships.
The Bowen Center for the Study of the Family Clinic is a non-profit organization that has been offering the community affordable psychotherapy to individuals and families for over 35 years. Our experienced clinicians help the client devote his or her best thinking and energy to working on self in the broader context of important relationships.
(202) 601-3485 View (202) 601-3485
Photo of Stephanie O'Brien, Clinical Social Work/Therapist in Washington, DC
Stephanie O'Brien
Clinical Social Work/Therapist, MSW, LGSW, LMSW
Verified Verified
Washington, DC 20009
Loss is the universal human condition. At times, all of us move with a sense of "lostness" - be it around a death, a relationship, our sense of safety, hopes for the future. Yet as a culture, we have a hard time being with loss and accompanying grief. I believe that loss and grief deserve attention. You may know exactly why you are seeking therapy, or you may something may just feel off. My role is to help you learn about yourself and your losses. I hold special interest and skill supporting people with experiences of infertility/pregnancy loss, relationship loss, trauma, illness and death and dying.
Loss is the universal human condition. At times, all of us move with a sense of "lostness" - be it around a death, a relationship, our sense of safety, hopes for the future. Yet as a culture, we have a hard time being with loss and accompanying grief. I believe that loss and grief deserve attention. You may know exactly why you are seeking therapy, or you may something may just feel off. My role is to help you learn about yourself and your losses. I hold special interest and skill supporting people with experiences of infertility/pregnancy loss, relationship loss, trauma, illness and death and dying.
(202) 804-9592 View (202) 804-9592
Photo of Sammi Rosenfeld, Licensed Professional Counselor in Washington, DC
Sammi Rosenfeld
Licensed Professional Counselor, NCC, DC LPC, MD LCPC, MSEd, CCTP
Verified Verified
Washington, DC 20008
Waitlist for new clients
I am a mental health and school counselor passionate about supporting the growth of children and young adults. I am experienced with both school-age children, young adults, and adults. I have also spent a lifetime in the world of professional dance and the creative arts. My experience in dance and the body highly influences my therapeutic lens. I view integration of body and mind through multi-sensory modalities as integral to client growth. I take an integrative approach to my work; in one session we may talk, play, draw, explore the sand tray, or move. Some moments may be more directive and some may be client-led.
I am a mental health and school counselor passionate about supporting the growth of children and young adults. I am experienced with both school-age children, young adults, and adults. I have also spent a lifetime in the world of professional dance and the creative arts. My experience in dance and the body highly influences my therapeutic lens. I view integration of body and mind through multi-sensory modalities as integral to client growth. I take an integrative approach to my work; in one session we may talk, play, draw, explore the sand tray, or move. Some moments may be more directive and some may be client-led.
(202) 935-7358 View (202) 935-7358
Photo of Bryce W Phillips, Psychologist in Washington, DC
Bryce W Phillips
Psychologist, PsyD
Verified Verified
Washington, DC 20036
I realize that for an individual to take the first steps toward looking inward at various psychological conflicts may be an anxiety-provoking process in and of itself, may even be a sense of relief, or a combination of the two. Through my professional training and experience in various treatment settings, I have had the honor to work with individuals and provide them the respect, privacy, and confidentiality that I believe every human being deserves. I focus on providing a safe, trusting, and confidential environment in which one may gain insight and understanding and ultimately grow through this therapeutic relationship.
I realize that for an individual to take the first steps toward looking inward at various psychological conflicts may be an anxiety-provoking process in and of itself, may even be a sense of relief, or a combination of the two. Through my professional training and experience in various treatment settings, I have had the honor to work with individuals and provide them the respect, privacy, and confidentiality that I believe every human being deserves. I focus on providing a safe, trusting, and confidential environment in which one may gain insight and understanding and ultimately grow through this therapeutic relationship.
(202) 455-6915 View (202) 455-6915
Photo of Samantha Knox, Licensed Professional Counselor in Washington, DC
Samantha Knox
Licensed Professional Counselor, LPC, LCPC, NCC
Verified Verified
Washington, DC 20009  (Online Only)
Do you find yourself feeling hopeless or depressed? Are you tired of being in the same old rut, day in and day out? Relationship issues have you feeling down? Are you trying to make sense of your own spiritual path? As a therapist, my goal is to support and empower you to meet your full potential. I like to use Adlerian and Cognitive Behavioral Techniques to support you in identifying and working through those irrational thoughts that often keep us stagnant. The goal is for us to identify the underlying cause, and stop if from continuing to wreak havoc in your emotional life.
Do you find yourself feeling hopeless or depressed? Are you tired of being in the same old rut, day in and day out? Relationship issues have you feeling down? Are you trying to make sense of your own spiritual path? As a therapist, my goal is to support and empower you to meet your full potential. I like to use Adlerian and Cognitive Behavioral Techniques to support you in identifying and working through those irrational thoughts that often keep us stagnant. The goal is for us to identify the underlying cause, and stop if from continuing to wreak havoc in your emotional life.
(202) 335-4299 View (202) 335-4299
Photo of Restoration 1:99, Licensed Professional Counselor in Washington, DC
Restoration 1:99
Licensed Professional Counselor, LPC, CDBT, NCC
Verified Verified
Washington, DC 20005
Seen. Heard. Treasured. Our specialty is helping survivors of complex trauma whether it is sexual, military, domestic violence, or bullying. Because we know that trauma lodges itself somewhere in the body, R1:99 offers sensorimotor and expressive therapies such as art, music, drama, and movement in addition to psychotherapy.
Seen. Heard. Treasured. Our specialty is helping survivors of complex trauma whether it is sexual, military, domestic violence, or bullying. Because we know that trauma lodges itself somewhere in the body, R1:99 offers sensorimotor and expressive therapies such as art, music, drama, and movement in addition to psychotherapy.
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Photo of Laura Golojuch, Marriage & Family Therapist in Washington, DC
Laura Golojuch
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Washington, DC 20002
Not accepting new clients
My goal in therapy is to allow my clients to create more space in their lives and build healthier patterns. Our relationships are a large part of what make us who we are, yet our relationships can also be a great source of frustration, coupled with the stresses of daily life. I use a strengths-based, integrative approach in therapy, working with individuals, couples, and families. I find that the ideal time for a client to enter therapy is when one feels stuck or notices negative patterns, and is ready to create a positive change.
My goal in therapy is to allow my clients to create more space in their lives and build healthier patterns. Our relationships are a large part of what make us who we are, yet our relationships can also be a great source of frustration, coupled with the stresses of daily life. I use a strengths-based, integrative approach in therapy, working with individuals, couples, and families. I find that the ideal time for a client to enter therapy is when one feels stuck or notices negative patterns, and is ready to create a positive change.
(202) 816-6305 View (202) 816-6305

How does your Therapist compare?

Number of Therapists in Washington, DC

2,000+

Average cost per session

$180

Therapists in Washington, DC who prioritize treating:

93% Anxiety
89% Depression
81% Relationship Issues
77% Self Esteem
68% Trauma and PTSD
68% Stress
65% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

62% BlueCross and BlueShield
57% CareFirst
53% Cigna and Evernorth

How Therapists in Washington, DC see their clients

55% In Person and Online
45% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Washington?

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.