Therapists in 20108

Photo of Patrick Curley, LCSW
Patrick Curley
Verified Verified
3 Endorsed
Serves Area
Does your teenager have feelings of anxiety, sadness, depression, feeling hopeless, having trouble with motivation, getting out of bed? Or, does your child have difficulty focusing, hyperactivity, won't sit still or listen? As parents, do you feel your at your wits end, tried everything, need help? Whatever mental, emotional and behavioral issues your child is going thru, We are here to help. We can assist those with anxiety, depression, add and everything in between. At Ellie Mental Health, we provide services in a safe, authentic, fun environment that helps our clients overcome their obstacles.
Does your teenager have feelings of anxiety, sadness, depression, feeling hopeless, having trouble with motivation, getting out of bed? Or, does your child have difficulty focusing, hyperactivity, won't sit still or listen? As parents, do you feel your at your wits end, tried everything, need help? Whatever mental, emotional and behavioral issues your child is going thru, We are here to help. We can assist those with anxiety, depression, add and everything in between. At Ellie Mental Health, we provide services in a safe, authentic, fun environment that helps our clients overcome their obstacles.
(703) 215-4145 View (703) 215-4145
Photo of Joan Ellen Russo - Blue Sky Counseling PLLC, Clinical Social Work/Therapist, LCSW
Blue Sky Counseling PLLC
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
I have worked with clients that have severe psychiatric issues, including major depression, anxiety, bipolar disorder and many others disorders in both inpatient and outpatient settings. I enjoy the challenge of working with those that struggle with depression, anxiety issues, panic attacks, lack of self esteem, clients who need help limit setting with others and have difficulty defining themselves rather than others defining them. I also have experience helping clients that are dealing with substance abuse issues in conjunction with an outpatient substance abuse program, providing education, individual/family and group therapy.
I have worked with clients that have severe psychiatric issues, including major depression, anxiety, bipolar disorder and many others disorders in both inpatient and outpatient settings. I enjoy the challenge of working with those that struggle with depression, anxiety issues, panic attacks, lack of self esteem, clients who need help limit setting with others and have difficulty defining themselves rather than others defining them. I also have experience helping clients that are dealing with substance abuse issues in conjunction with an outpatient substance abuse program, providing education, individual/family and group therapy.
(540) 351-9573 View (540) 351-9573
Photo of Stephanie Oulatta - Diverse Expressions Counseling, Clinical Social Work/Therapist, LCSW
Diverse Expressions Counseling
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
Are you feeling overwhelmed? Are you feeling stressed? Are you struggling with thoughts you cannot control? Are you having difficulty communicating with your child or teenager? are you experiencing suicidal thoughts? Are you in need of hope? I can help! I am a DBT trained therapist. I utilize play therapy for children facing issues like ADHD, trauma, and the emotional effects of divorce or adoption, enabling them to heal. For teens and adults dealing with suicidal thoughts, self-harm, anxiety, depression, anger and trauma I utilize Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT) and Internal family system.
Are you feeling overwhelmed? Are you feeling stressed? Are you struggling with thoughts you cannot control? Are you having difficulty communicating with your child or teenager? are you experiencing suicidal thoughts? Are you in need of hope? I can help! I am a DBT trained therapist. I utilize play therapy for children facing issues like ADHD, trauma, and the emotional effects of divorce or adoption, enabling them to heal. For teens and adults dealing with suicidal thoughts, self-harm, anxiety, depression, anger and trauma I utilize Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT) and Internal family system.
(703) 215-2541 View (703) 215-2541
Photo of Theresa Aileen Shuart, Marriage & Family Therapist, LPC, LMFT
Theresa Aileen Shuart
Marriage & Family Therapist, LPC, LMFT
2 Endorsed
Serves Area
Ms. Theresa Shuart is a Clinical Fellow in the American Association of Marriage and Family Therapists with almost 40 years’ experience working with patients in the mental health field, helping people of all ages (age 6 and above), and she specializes in marriage and family therapy and loves working with children. Her clientele is diverse; she works with individuals, couples, and families. Typical treatment issues include anxiety, depression, behavioral problems; blended families; marriage issues, and military family issues.
Ms. Theresa Shuart is a Clinical Fellow in the American Association of Marriage and Family Therapists with almost 40 years’ experience working with patients in the mental health field, helping people of all ages (age 6 and above), and she specializes in marriage and family therapy and loves working with children. Her clientele is diverse; she works with individuals, couples, and families. Typical treatment issues include anxiety, depression, behavioral problems; blended families; marriage issues, and military family issues.
(703) 991-0519 View (703) 991-0519
Photo of Cecilia Bañales Racine, Clinical Social Work/Therapist, LCSW, LICSW, LCSW-C
Cecilia Bañales Racine
Clinical Social Work/Therapist, LCSW, LICSW, LCSW-C
2 Endorsed
Serves Area
I specialize in psychological evaluations for immigration cases. These include extreme hardship waivers, cancellation of removal waivers, as well as asylum, VAWA, and U & T visa cases. My approach is to work closely with clients and their attorneys to provide a thorough evaluation process in a safe and welcoming environment. I offer thorough, professional evaluations and a quick turnaround time. My carefully detailed reports address the biggest, most important questions about your case.
I specialize in psychological evaluations for immigration cases. These include extreme hardship waivers, cancellation of removal waivers, as well as asylum, VAWA, and U & T visa cases. My approach is to work closely with clients and their attorneys to provide a thorough evaluation process in a safe and welcoming environment. I offer thorough, professional evaluations and a quick turnaround time. My carefully detailed reports address the biggest, most important questions about your case.
(703) 783-0238 View (703) 783-0238
Photo of Rhonda Smith, Pre-Licensed Professional
Rhonda Smith
Pre-Licensed Professional
6 Endorsed
Serves Area
I earned my Master of Arts in Clinical Mental Health Counseling from Pentecostal Theological Seminary in Cleveland, TN, in May 2020. I am a Licensed Resident in Counseling (LPC-R) in Virginia with three years of experience supporting clients through challenges such as depression, grief, anxiety, suicidal ideation, self-harm, faith-related conflicts, and low self-esteem. I am deeply passionate about mental health and committed to helping children, adolescents, and adults navigate life’s obstacles with resilience and hope.
I earned my Master of Arts in Clinical Mental Health Counseling from Pentecostal Theological Seminary in Cleveland, TN, in May 2020. I am a Licensed Resident in Counseling (LPC-R) in Virginia with three years of experience supporting clients through challenges such as depression, grief, anxiety, suicidal ideation, self-harm, faith-related conflicts, and low self-esteem. I am deeply passionate about mental health and committed to helping children, adolescents, and adults navigate life’s obstacles with resilience and hope.
(571) 605-2366 View (571) 605-2366
Photo of Denise Whetstone, Pre-Licensed Professional, MA
Denise Whetstone
Pre-Licensed Professional, MA
1 Endorsed
Serves Area
I am a Resident in Counseling, approved by the VA Board of Counseling, working towards licensure. I earned my Master’s in Counseling from Wake Forest University. I have previously worked at a community counseling center on a military base servicing active-duty military, veterans and their dependents, in addition to working in outpatient private practice. My experience includes working with adults, adolescents, and couples to provide individual, couples, and group therapy services. I have a special passion for working with individuals identifying as BIPOC and other marginalized communities.
I am a Resident in Counseling, approved by the VA Board of Counseling, working towards licensure. I earned my Master’s in Counseling from Wake Forest University. I have previously worked at a community counseling center on a military base servicing active-duty military, veterans and their dependents, in addition to working in outpatient private practice. My experience includes working with adults, adolescents, and couples to provide individual, couples, and group therapy services. I have a special passion for working with individuals identifying as BIPOC and other marginalized communities.
(571) 497-4620 View (571) 497-4620
Photo of Stacy Freilich, Clinical Social Work/Therapist, LCSW
Stacy Freilich
Clinical Social Work/Therapist, LCSW
Serves Area
I am in private practice and provide outpatient therapy services to children, adolescents and adults. I use a Cognitive Behavioral Approach as well as a solution focused approach to treatment. I am trained and experienced in treating depression, anxiety, ADHD, OCD, school refusal, family issues, addiction, PTSD, behavioral issues, impusivity, self-esteem, sucidal thoughts and self harm.
I am in private practice and provide outpatient therapy services to children, adolescents and adults. I use a Cognitive Behavioral Approach as well as a solution focused approach to treatment. I am trained and experienced in treating depression, anxiety, ADHD, OCD, school refusal, family issues, addiction, PTSD, behavioral issues, impusivity, self-esteem, sucidal thoughts and self harm.
(571) 248-3959 View (571) 248-3959
Photo of Dr. Dean Leav - Psychological Testing & Evaluations - Dr. Dean, Psychologist, PsyD, QME, Author
Psychological Testing & Evaluations - Dr. Dean
Psychologist, PsyD, QME, Author
Serves Area
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
(540) 787-3006 View (540) 787-3006
Photo of Zynasia Jasper - Breaking Through CCF- Trauma & Anxiety Specialists, Licensed Professional Counselor, MS, NCC, LPC
Breaking Through CCF- Trauma & Anxiety Specialists
Licensed Professional Counselor, MS, NCC, LPC
1 Endorsed
Serves Area
Navigating life right now can be overwhelming—especially if you’ve always been the dependable one. You show up for everyone, but struggle to say no without guilt. You lie awake at night replaying conversations, second-guessing decisions, and bracing for what might go wrong. Maybe you’ve done everything “right” and still feel unfulfilled, stuck in cycles of worry or perfectionism. You’ve beaten the odds before—but now you're exhausted. You want peace, not pressure. You’re ready to feel whole—not just hold it all together. If any of this sounds like you, you’re in the right place.
Navigating life right now can be overwhelming—especially if you’ve always been the dependable one. You show up for everyone, but struggle to say no without guilt. You lie awake at night replaying conversations, second-guessing decisions, and bracing for what might go wrong. Maybe you’ve done everything “right” and still feel unfulfilled, stuck in cycles of worry or perfectionism. You’ve beaten the odds before—but now you're exhausted. You want peace, not pressure. You’re ready to feel whole—not just hold it all together. If any of this sounds like you, you’re in the right place.
(434) 216-0758 View (434) 216-0758
Photo of Douglas R McCracken, Licensed Professional Counselor, LPC, MAATS
Douglas R McCracken
Licensed Professional Counselor, LPC, MAATS
Serves Area
My practice consists of adults and adolescents with mood disorders, grief and life issues. I offer a unique blend of Christian counseling with a cognitive behavorial model. Relationaly motivated to help those that enter my practice.
My practice consists of adults and adolescents with mood disorders, grief and life issues. I offer a unique blend of Christian counseling with a cognitive behavorial model. Relationaly motivated to help those that enter my practice.
(571) 317-2418 View (571) 317-2418
Photo of Logan Clark Taylor, Licensed Professional Counselor, LPC, CSOTP, MA
Logan Clark Taylor
Licensed Professional Counselor, LPC, CSOTP, MA
2 Endorsed
Serves Area
I am proud of the diverse and varied populations and issues I have worked with. I have worked extensively with adolescents and adults on issues such as anxiety, depression, anger management, substance abuse, sexual offending, and suicidal ideation. This experience allows me to be prepared for any issues you may come to session with.
I am proud of the diverse and varied populations and issues I have worked with. I have worked extensively with adolescents and adults on issues such as anxiety, depression, anger management, substance abuse, sexual offending, and suicidal ideation. This experience allows me to be prepared for any issues you may come to session with.
(571) 410-3165 View (571) 410-3165
Photo of Wister Todd Mitchelson, Licensed Professional Counselor, LPC, LSATP
Wister Todd Mitchelson
Licensed Professional Counselor, LPC, LSATP
Serves Area
As a therapist, I have extensive experience working with at risk youth, crisis, mental health and addiction counseling working as a TDT (Therapeutic Day Treatment) Clinician, Program Manager, and Clinician within the county’s mental health and substance abuse treatment system. I enjoy utilizing my training in CBT (Cognitive Behavioral Therapy), MI (Motivational Interviewing) via Eclectic Counselling techniques to produce a structure towards daily wellness. I also am registered with VSAP as a Service Provider and as a Licensed Substance Abuse Practitioner assisting individuals struggling with substance abuse.
As a therapist, I have extensive experience working with at risk youth, crisis, mental health and addiction counseling working as a TDT (Therapeutic Day Treatment) Clinician, Program Manager, and Clinician within the county’s mental health and substance abuse treatment system. I enjoy utilizing my training in CBT (Cognitive Behavioral Therapy), MI (Motivational Interviewing) via Eclectic Counselling techniques to produce a structure towards daily wellness. I also am registered with VSAP as a Service Provider and as a Licensed Substance Abuse Practitioner assisting individuals struggling with substance abuse.
(434) 443-6531 View (434) 443-6531
Photo of Amanda Meffert, Licensed Professional Counselor, MA, LPC
Amanda Meffert
Licensed Professional Counselor, MA, LPC
1 Endorsed
Serves Area
I am a trauma-informed therapist with psychiatric hospital and casework experience. I provide services such as assessments, diagnoses, treatment, and psycho-education. I provide individual, family, and group therapy for children and adults age 3 and up. I am an integrative mental health counselor with a focus on EMDR and Psychodynamic Psychotherapy. I provide services to children, adolescents, and adults.
I am a trauma-informed therapist with psychiatric hospital and casework experience. I provide services such as assessments, diagnoses, treatment, and psycho-education. I provide individual, family, and group therapy for children and adults age 3 and up. I am an integrative mental health counselor with a focus on EMDR and Psychodynamic Psychotherapy. I provide services to children, adolescents, and adults.
View
Photo of Scarlet Lovejoy, Licensed Professional Counselor, LPC
Scarlet Lovejoy
Licensed Professional Counselor, LPC
2 Endorsed
Serves Area
Waitlist for new clients
I provide services to individuals who are looking to explore the vulnerable parts of themselves using a person-centered, humanistic, and trauma-informed approach. I believe in meeting a client wherever they are in the healing process and promoting healing and growth in every aspect of the client’s life.
I provide services to individuals who are looking to explore the vulnerable parts of themselves using a person-centered, humanistic, and trauma-informed approach. I believe in meeting a client wherever they are in the healing process and promoting healing and growth in every aspect of the client’s life.
View
Photo of Kayla Grogg Meador, Clinical Social Work/Therapist, LICSW, LCSW
Kayla Grogg Meador
Clinical Social Work/Therapist, LICSW, LCSW
Serves Area
Waitlist for new clients
Therapy to me is about being seen and supported, not “fixed.” I bring humor, transparency, and humanness into every session, because healing happens in real relationships. I’ve spent nearly a decade helping people move through life like anxiety, depression, trauma, family conflict, and life transitions. I’m also a combat veteran which has shaped both my resilience and my passion for walking alongside others who feel overwhelmed, unseen, or stretched too thin.
Therapy to me is about being seen and supported, not “fixed.” I bring humor, transparency, and humanness into every session, because healing happens in real relationships. I’ve spent nearly a decade helping people move through life like anxiety, depression, trauma, family conflict, and life transitions. I’m also a combat veteran which has shaped both my resilience and my passion for walking alongside others who feel overwhelmed, unseen, or stretched too thin.
(681) 201-3677 View (681) 201-3677
Photo of Erika Ptak - PURE Therapeutic Counseling, PLLC, Licensed Professional Counselor, MEd, LPC
PURE Therapeutic Counseling, PLLC
Licensed Professional Counselor, MEd, LPC
1 Endorsed
Serves Area
Waitlist for new clients
Sometimes, prioritizing your mental health takes a back seat to everything else. Maybe you are overwhelmed, depressed, anxious or feeling alone with nobody you can trust. Perhaps, you are in the midst of a major crisis or have experienced trauma that has changed the way you feel about yourself & the world around you. Whatever you are facing, you don’t have to face it alone. Together, we can prioritize your mental health & focus on making positive changes that will empower you to heal & thrive.
Sometimes, prioritizing your mental health takes a back seat to everything else. Maybe you are overwhelmed, depressed, anxious or feeling alone with nobody you can trust. Perhaps, you are in the midst of a major crisis or have experienced trauma that has changed the way you feel about yourself & the world around you. Whatever you are facing, you don’t have to face it alone. Together, we can prioritize your mental health & focus on making positive changes that will empower you to heal & thrive.
(571) 506-8088 View (571) 506-8088
Photo of Heidi Graybill, Licensed Professional Counselor, LPC, CCTP-II
Heidi Graybill
Licensed Professional Counselor, LPC, CCTP-II
1 Endorsed
Serves Area
Waitlist for new clients
I'm passionate about walking alongside those facing unique personal battles. Without help, it may seem crippling to endure these challenges. I've worked with students, adults, military, first responders, LGBTQ+, families and individuals confronted by anxiety, depression, obsessive behaviors, trauma, PTSD, abuse and more. I have been honored to work with diverse populations, including first responders and military. Additionally, throughout the COVID pandemic adolescent distress has escalated; consequently, I am devoted to offer safe clinical support that encourages self-discovery while recognizing personal value.
I'm passionate about walking alongside those facing unique personal battles. Without help, it may seem crippling to endure these challenges. I've worked with students, adults, military, first responders, LGBTQ+, families and individuals confronted by anxiety, depression, obsessive behaviors, trauma, PTSD, abuse and more. I have been honored to work with diverse populations, including first responders and military. Additionally, throughout the COVID pandemic adolescent distress has escalated; consequently, I am devoted to offer safe clinical support that encourages self-discovery while recognizing personal value.
(571) 470-5470 View (571) 470-5470
Photo of Tiara Webb, Pre-Licensed Professional, MS
Tiara Webb
Pre-Licensed Professional, MS
Online Only
Are you feeling like no matter what you do, things just seem to keep getting harder? Ever find yourself thinking, “How am I going to get through this?” or “I can't talk to anyone – they just won’t understand”? Maybe everything feels like it's crashing down all at once, and you’re left feeling like it's you against the world. Even when you're surrounded by people, it still feels like you're alone. I want you to know, I see you. Hi, I’m Tiara, and I’m here to help you feel supported, empowered, and truly heard as you navigate through life’s challenges.
Are you feeling like no matter what you do, things just seem to keep getting harder? Ever find yourself thinking, “How am I going to get through this?” or “I can't talk to anyone – they just won’t understand”? Maybe everything feels like it's crashing down all at once, and you’re left feeling like it's you against the world. Even when you're surrounded by people, it still feels like you're alone. I want you to know, I see you. Hi, I’m Tiara, and I’m here to help you feel supported, empowered, and truly heard as you navigate through life’s challenges.
(571) 771-2821 View (571) 771-2821
Photo of Nyomi Roth, Licensed Professional Counselor, LPC-S, MEd
Nyomi Roth
Licensed Professional Counselor, LPC-S, MEd
1 Endorsed
Online Only
Waitlist for new clients
I work with clients who are ready to reflect, challenge and better understand themselves. I work with individuals who are experiencing family of origin issues, trauma, anxiety, mood dysregulation, self esteem struggles, work-life balance or difficulty finding life purpose. I have experience working with minority groups including BIPOC, LGBTQ+ populations, non-religious/spiritual clients, therapists or medical professionals, women's related issues, and a number of other populations. My goal is to help clients end sessions with a greater sense of self awareness, insight and greater ability to cope with the ebbs and flows of life.
I work with clients who are ready to reflect, challenge and better understand themselves. I work with individuals who are experiencing family of origin issues, trauma, anxiety, mood dysregulation, self esteem struggles, work-life balance or difficulty finding life purpose. I have experience working with minority groups including BIPOC, LGBTQ+ populations, non-religious/spiritual clients, therapists or medical professionals, women's related issues, and a number of other populations. My goal is to help clients end sessions with a greater sense of self awareness, insight and greater ability to cope with the ebbs and flows of life.
(434) 443-8435 View (434) 443-8435

See more therapy options for 20108

How does your Therapist compare?

Number of Therapists in 20108

30+

Average cost per session

$150

Therapists in 20108 who prioritize treating:

90% Anxiety
85% Depression
69% Trauma and PTSD
69% Self Esteem
67% Relationship Issues
67% Stress
59% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

82% Aetna
82% BlueCross and BlueShield
82% Anthem

How Therapists in 20108 see their clients

51% In Person and Online
49% Online Only

Gender breakdown

73% Female
27% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 20108?

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.