Photo of Kumi Pledger - Kumi Pledger, Counselor, LCPC
Kumi Pledger
Counselor, LCPC
Verified Verified
2 Endorsed
Online Only
Kumi Pledger, LCPC, strives to help clients sleep better, worry less and enjoy life more! She works with children, adolescents, couples, Lesbian, Gay, Bisexual, Transgender and Questioning (LGBTQ) Clients, families and adults for various issues including, relationship challenges, supporting new and expectant mothers, eating disorders, adjustment problems, trauma, grief and loss. She uses personal insight and professional experience to provide clients with a safe place to be heard, free fears, reduce anxieties, eliminate unwanted behaviors, grow, improve and conquer insomnia. I am bilingual (Japanese) and also multicultural.
Kumi Pledger, LCPC, strives to help clients sleep better, worry less and enjoy life more! She works with children, adolescents, couples, Lesbian, Gay, Bisexual, Transgender and Questioning (LGBTQ) Clients, families and adults for various issues including, relationship challenges, supporting new and expectant mothers, eating disorders, adjustment problems, trauma, grief and loss. She uses personal insight and professional experience to provide clients with a safe place to be heard, free fears, reduce anxieties, eliminate unwanted behaviors, grow, improve and conquer insomnia. I am bilingual (Japanese) and also multicultural.
(410) 936-5533 View (410) 936-5533
Photo of McCrady Magwood, Clinical Social Work/Therapist, LMSW
McCrady Magwood
Clinical Social Work/Therapist, LMSW
Verified Verified
Serves Area
Mac excels in providing support to individuals from diverse backgrounds and experiences. His expertise extends to those dealing with developmental disabilities, substance abuse challenges, addictions, severe mental health conditions, and members of the LGBTQ+ communities. With a deep commitment to treating everyone with respect and a genuine understanding of their unique needs, Mac creates a safe and inclusive environment for all, including troubled youth.
Mac excels in providing support to individuals from diverse backgrounds and experiences. His expertise extends to those dealing with developmental disabilities, substance abuse challenges, addictions, severe mental health conditions, and members of the LGBTQ+ communities. With a deep commitment to treating everyone with respect and a genuine understanding of their unique needs, Mac creates a safe and inclusive environment for all, including troubled youth.
(301) 678-1498 View (301) 678-1498

More Therapists Nearby

Photo of Vicki Ilundain, Clinical Social Work/Therapist, LCSW-C
Vicki Ilundain
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Online Only
Hi I'm Vicki Ilundian, LCSW-C. I'm a clinical social worker with client-centric approach to therapy that allows you to use awareness of your mind and body to identify the best methods to address challenging stressors in your life. I have been trained in multiple models of therapy including Cognitive Behavioral Therapy, Somatic Therapy, Psychodynamic Therapy, Acceptance and Commitment Therapy, Dialectical Behavioral Therapy, Solution-Oriented /Short Term Therapy, Humanistic Therapy, and Motivational Interviewing. I can work with you to identify the best approaches, and I often blend models to best match your individual needs.
Hi I'm Vicki Ilundian, LCSW-C. I'm a clinical social worker with client-centric approach to therapy that allows you to use awareness of your mind and body to identify the best methods to address challenging stressors in your life. I have been trained in multiple models of therapy including Cognitive Behavioral Therapy, Somatic Therapy, Psychodynamic Therapy, Acceptance and Commitment Therapy, Dialectical Behavioral Therapy, Solution-Oriented /Short Term Therapy, Humanistic Therapy, and Motivational Interviewing. I can work with you to identify the best approaches, and I often blend models to best match your individual needs.
(667) 288-0724 View (667) 288-0724
Photo of Julia Fitzpatrick, Clinical Social Work/Therapist, LCSW-C
Julia Fitzpatrick
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Online Only
If you feel disconnected from yourself and others, or unfulfilled by the way your life story is unfolding, I am here to support you on the path to more joy and self-acceptance. I have had the honor of providing therapy to people across the lifespan, and I am especially passionate about working with individuals who strive to free themselves from the bonds of intergenerational cycles of trauma, as well as those struggling with stressors and identity shifts related to parenthood. I work well with people of all ages who feel “stuck” and want support gaining the clarity and confidence needed to make changes in their lives.
If you feel disconnected from yourself and others, or unfulfilled by the way your life story is unfolding, I am here to support you on the path to more joy and self-acceptance. I have had the honor of providing therapy to people across the lifespan, and I am especially passionate about working with individuals who strive to free themselves from the bonds of intergenerational cycles of trauma, as well as those struggling with stressors and identity shifts related to parenthood. I work well with people of all ages who feel “stuck” and want support gaining the clarity and confidence needed to make changes in their lives.
(240) 985-8397 View (240) 985-8397
Photo of Danielle Cayard, Clinical Social Work/Therapist, LCSW-C
Danielle Cayard
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Online Only
I am a licensed clinical social worker with over 4 years of direct therapy experience. Cultural competence, active and empathic listening, and sharing clinical knowledge are paramount to offering exceptional service and are standards of excellence that I uphold. I am a solution-focused therapist and have also utilized trauma-informed therapy, attachment-based therapy, EFT, CBT, DBT, and psychotherapy
I am a licensed clinical social worker with over 4 years of direct therapy experience. Cultural competence, active and empathic listening, and sharing clinical knowledge are paramount to offering exceptional service and are standards of excellence that I uphold. I am a solution-focused therapist and have also utilized trauma-informed therapy, attachment-based therapy, EFT, CBT, DBT, and psychotherapy
(240) 335-3225 View (240) 335-3225
Photo of Demarest Crawl, Clinical Social Work/Therapist, LCSW-C, LICSW
Demarest Crawl
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
4 Endorsed
Online Only
Not accepting new clients
Congratulations on being brave enough to start this journey! I get it, you may be nervous about coming to therapy, and that’s 100% normal. You don't want to be "psyched" or "shrinked" and the good news is- I don’t do that. I’m committed to making the process of therapy as easy as possible. What you’re dealing with may be difficult but our process won’t be. I’m passionate about helping you reach your goals and seeing you thrive.
Congratulations on being brave enough to start this journey! I get it, you may be nervous about coming to therapy, and that’s 100% normal. You don't want to be "psyched" or "shrinked" and the good news is- I don’t do that. I’m committed to making the process of therapy as easy as possible. What you’re dealing with may be difficult but our process won’t be. I’m passionate about helping you reach your goals and seeing you thrive.
(410) 656-6068 View (410) 656-6068
Photo of Christopher Barr, Psychologist, PhD
Christopher Barr
Psychologist, PhD
Verified Verified
Bethesda, MD 20814
Are you struggling with stress, anxiety, depression, or relationship difficulties? Perhaps you are facing trauma, grief/loss, or questions about a new direction to pursue/life transition. Each of these circumstances can begin to feel overwhelming for many people, and it can sometimes feel very hard to make a change. In these situations, having someone to support and help guide you through difficult periods in life can be of great benefit. In taking this first step, I want to assure you that I'll do everything I can to help you feel comfortable and understood, should you decide to begin your healing journey with me.
Are you struggling with stress, anxiety, depression, or relationship difficulties? Perhaps you are facing trauma, grief/loss, or questions about a new direction to pursue/life transition. Each of these circumstances can begin to feel overwhelming for many people, and it can sometimes feel very hard to make a change. In these situations, having someone to support and help guide you through difficult periods in life can be of great benefit. In taking this first step, I want to assure you that I'll do everything I can to help you feel comfortable and understood, should you decide to begin your healing journey with me.
(240) 326-2857 View (240) 326-2857
Photo of Paulinejo Adia - Begin Healing from Your Past Pain!, Clinical Social Work/Therapist, LCPC
Begin Healing from Your Past Pain!
Clinical Social Work/Therapist, LCPC
Verified Verified
Online Only
Have you experienced trauma and are struggling with the lingering effects—whether through flashbacks, emotional numbness, or difficulty feeling safe and connected in relationships? Do you feel stuck, burdened by painful memories or a sense of powerlessness? Do you want to process your trauma, regain a sense of safety, and rebuild your self-worth and trust in yourself? Are you ready to move beyond mere survival and work toward a more fulfilling, connected life?
Have you experienced trauma and are struggling with the lingering effects—whether through flashbacks, emotional numbness, or difficulty feeling safe and connected in relationships? Do you feel stuck, burdened by painful memories or a sense of powerlessness? Do you want to process your trauma, regain a sense of safety, and rebuild your self-worth and trust in yourself? Are you ready to move beyond mere survival and work toward a more fulfilling, connected life?
(240) 317-3886 View (240) 317-3886
Photo of Katie Hrozencik, Counselor, LGPC, NCC
Katie Hrozencik
Counselor, LGPC, NCC
Verified Verified
1 Endorsed
Serves Area
You might be here because life feels overwhelming right now—whether you’re dealing with heightened anxiety, depression, or navigating big changes that leave you feeling uncertain. I’m here to help you find peace and direction during this challenging time. I specialize in working with individuals who are facing anxiety, depression, life transitions, grief and loss, and those exploring identity and intimacy. Together, we’ll explore your unique situation and work toward clarity and healing, at your own pace.
You might be here because life feels overwhelming right now—whether you’re dealing with heightened anxiety, depression, or navigating big changes that leave you feeling uncertain. I’m here to help you find peace and direction during this challenging time. I specialize in working with individuals who are facing anxiety, depression, life transitions, grief and loss, and those exploring identity and intimacy. Together, we’ll explore your unique situation and work toward clarity and healing, at your own pace.
(240) 301-8575 View (240) 301-8575
Photo of Maria Athekame, Clinical Social Work/Therapist, LGSW, LMSW
Maria Athekame
Clinical Social Work/Therapist, LGSW, LMSW
Verified Verified
2 Endorsed
Online Only
My priority is to provide you with a safe place to bring your truth. Together we will work to create strategies and interventions to ease the challenges you face. I believe that you are the most important person in the room, and should feel heard, felt, and affirmed. For many people long term illness or sudden changes in physical abilities can leave you with a sudden shock of where to go from here? There is the physical work to grow and rebuild, but also the emotional component of grief. Reflecting on past abilities, friendships, romantic relationships, and the anxieties of what the future may hold as you learn a new everyday.
My priority is to provide you with a safe place to bring your truth. Together we will work to create strategies and interventions to ease the challenges you face. I believe that you are the most important person in the room, and should feel heard, felt, and affirmed. For many people long term illness or sudden changes in physical abilities can leave you with a sudden shock of where to go from here? There is the physical work to grow and rebuild, but also the emotional component of grief. Reflecting on past abilities, friendships, romantic relationships, and the anxieties of what the future may hold as you learn a new everyday.
(202) 946-4822 View (202) 946-4822
Photo of Ellen Leigh Iscoe, Psychologist, PhD, SEP
Ellen Leigh Iscoe
Psychologist, PhD, SEP
Verified Verified
College Park, MD 20740
Hello, welcome! I hope to help you find a sense of comfort with who you are, identify what kind of life you seek, and help you navigate a path to get there. Maybe you struggle because of you how you present to the world, how you process information, or a trauma you experienced. Maybe you feel stuck and aren't sure why. Whatever brings you to therapy, I will meet you with compassion for your experience, respect for how you got to your current situation, and a certainty that together we can help you make changes, feel better, and create the sort of life you want.
Hello, welcome! I hope to help you find a sense of comfort with who you are, identify what kind of life you seek, and help you navigate a path to get there. Maybe you struggle because of you how you present to the world, how you process information, or a trauma you experienced. Maybe you feel stuck and aren't sure why. Whatever brings you to therapy, I will meet you with compassion for your experience, respect for how you got to your current situation, and a certainty that together we can help you make changes, feel better, and create the sort of life you want.
(240) 623-5353 View (240) 623-5353
Photo of Michelle Lee, Clinical Social Work/Therapist, LCSW-C, MSW
Michelle Lee
Clinical Social Work/Therapist, LCSW-C, MSW
Verified Verified
Online Only
Hello, my name is Michelle. I believe therapy is a time to examine internalized experiences that shape our perspectives and behaviors. Engaging in introspective work together can challenge us to reframe maladaptive thoughts. I aim to assist clients with managing emotional dysregulation and symptoms associated with depression, anxiety, and trauma in a safe, nonjudgmental space. I hope to foster growth and strengthen coping skills during difficult transitional points in a person’s life.
Hello, my name is Michelle. I believe therapy is a time to examine internalized experiences that shape our perspectives and behaviors. Engaging in introspective work together can challenge us to reframe maladaptive thoughts. I aim to assist clients with managing emotional dysregulation and symptoms associated with depression, anxiety, and trauma in a safe, nonjudgmental space. I hope to foster growth and strengthen coping skills during difficult transitional points in a person’s life.
(240) 679-8412 View (240) 679-8412
Photo of Carla Sterling, Psychologist, LCP
Carla Sterling
Psychologist, LCP
Verified Verified
Online Only
Hello, I’m Dr. Carla Sterling, and I’m a licensed clinical psychologist (Psy.D.). I’m currently licensed in Maryland and the District of Columbia and have worked with individuals, families, groups, and couples. I use an integrative approach to therapy and my primary areas of focus include trauma and other stress-related disorders; mood and anxiety disorders; grief; serious mental illness/thought disorders; and health promotion and disease prevention. I also provide psychodiagnostic testing that helps with diagnostic clarification and treatment recommendations.
Hello, I’m Dr. Carla Sterling, and I’m a licensed clinical psychologist (Psy.D.). I’m currently licensed in Maryland and the District of Columbia and have worked with individuals, families, groups, and couples. I use an integrative approach to therapy and my primary areas of focus include trauma and other stress-related disorders; mood and anxiety disorders; grief; serious mental illness/thought disorders; and health promotion and disease prevention. I also provide psychodiagnostic testing that helps with diagnostic clarification and treatment recommendations.
(443) 383-4466 View (443) 383-4466
Photo of Bonnie Fisher, Psychologist, PhD
Bonnie Fisher
Psychologist, PhD
Verified Verified
Online Only
I am a Licensed Clinical Psychologist (Temple University, Ph.D.) with more than 40 years of experience in a variety of clinical settings including independent private practice, College Counseling, and Community/Military Mental Health.
I am a Licensed Clinical Psychologist (Temple University, Ph.D.) with more than 40 years of experience in a variety of clinical settings including independent private practice, College Counseling, and Community/Military Mental Health.
(667) 230-5845 View (667) 230-5845
Photo of Amanda Wiggins, Marriage & Family Therapist, MS, LCMFT
Amanda Wiggins
Marriage & Family Therapist, MS, LCMFT
Verified Verified
4 Endorsed
Bethesda, MD 20817
I work with children, teens, adults, and families facing challenges including life transitions, anxiety, depression, trauma, separation and divorce, blended families, parent-child relationships, and self esteem concerns. I also work with folks and kids with ADHD and autism, looking for a neurodiversity affirming space to work through challenges and strengths. I take a strengths-based approach to all therapy, believing that every client has the inherent strengths they need to succeed. My role is to serve as a guide and support, helping you tap into those strengths and use therapy as a tool to move forward on your journey.
I work with children, teens, adults, and families facing challenges including life transitions, anxiety, depression, trauma, separation and divorce, blended families, parent-child relationships, and self esteem concerns. I also work with folks and kids with ADHD and autism, looking for a neurodiversity affirming space to work through challenges and strengths. I take a strengths-based approach to all therapy, believing that every client has the inherent strengths they need to succeed. My role is to serve as a guide and support, helping you tap into those strengths and use therapy as a tool to move forward on your journey.
(301) 720-1706 View (301) 720-1706
Photo of Jenna Rodjenski, Clinical Social Work/Therapist, LCSW, CCTP
Jenna Rodjenski
Clinical Social Work/Therapist, LCSW, CCTP
Verified Verified
3 Endorsed
Online Only
Life can be messy, unpredictable, and downright overwhelming—but you don’t have to figure it all out alone. Whether you're healing from past trauma or navigating a big life transition, I’m here to help you make sense of the chaos and move forward in a way that feels right for you. Therapy doesn’t have to be stiff or intimidating—we’ll create a space that’s supportive, approachable, and maybe even a little fun. If you're ready to step into a more aligned and fulfilling life, let’s connect and start this journey together!
Life can be messy, unpredictable, and downright overwhelming—but you don’t have to figure it all out alone. Whether you're healing from past trauma or navigating a big life transition, I’m here to help you make sense of the chaos and move forward in a way that feels right for you. Therapy doesn’t have to be stiff or intimidating—we’ll create a space that’s supportive, approachable, and maybe even a little fun. If you're ready to step into a more aligned and fulfilling life, let’s connect and start this journey together!
(215) 795-5348 View (215) 795-5348
Photo of Jean Matteson, Clinical Social Work/Therapist, LCSW, LCSW-C
Jean Matteson
Clinical Social Work/Therapist, LCSW, LCSW-C
Verified Verified
Serves Area
I am a Licensed Clinical Social Worker in Virginia and Maryland with over 25 years of experience working with individuals and couples dealing with anxiety, stress, depression, grief, occupational concerns and other mental health concerns. I have extensive expertise in treating substance and addiction related issues. I am a certified Department of Transportation Substance Abuse Professional (SAP) and can provide DOT regulated assessments. I enjoy working with clients to identify life goals and develop a treatment plan to reach those goals.
I am a Licensed Clinical Social Worker in Virginia and Maryland with over 25 years of experience working with individuals and couples dealing with anxiety, stress, depression, grief, occupational concerns and other mental health concerns. I have extensive expertise in treating substance and addiction related issues. I am a certified Department of Transportation Substance Abuse Professional (SAP) and can provide DOT regulated assessments. I enjoy working with clients to identify life goals and develop a treatment plan to reach those goals.
(540) 516-3500 View (540) 516-3500
Photo of Lisa T Schlesinger, Clinical Social Work/Therapist, psychoa, lcswc, MSW
Lisa T Schlesinger
Clinical Social Work/Therapist, psychoa, lcswc, MSW
Verified Verified
Bethesda, MD 20814
Most people would change what is making them unhappy, if they could. I feel my job is to help you become aware of the parts of yourself that are negatively impacting you.I help you look at the patterns that are making you feel stuck. We work together to understand what prevents you from attaining a better relationship with yourself and your loved ones. I believe that all humans desire to understand and to be understood. I create an environment where you can just simply be yourself.
Most people would change what is making them unhappy, if they could. I feel my job is to help you become aware of the parts of yourself that are negatively impacting you.I help you look at the patterns that are making you feel stuck. We work together to understand what prevents you from attaining a better relationship with yourself and your loved ones. I believe that all humans desire to understand and to be understood. I create an environment where you can just simply be yourself.
(301) 852-6885 View (301) 852-6885
Photo of Jolie Golomb, Clinical Social Work/Therapist, LCSW-C, LICSW
Jolie Golomb
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
1 Endorsed
Bethesda, MD 20814
I believe in creating a safe, supportive space to understand oneself more deeply. As connection and trust evolve between myself and the client, a frank discussion about their identity, wishes, feelings, conflicts can be facilitated and understood. This can enable them make informed decisions regarding how to better navigate their lives. When a patient comes in crisis, I am also available as support, to help them return to a previous level of functioning. We try to learn the significance of this event, so as to use it as an opportunity to enrich the client's life.
I believe in creating a safe, supportive space to understand oneself more deeply. As connection and trust evolve between myself and the client, a frank discussion about their identity, wishes, feelings, conflicts can be facilitated and understood. This can enable them make informed decisions regarding how to better navigate their lives. When a patient comes in crisis, I am also available as support, to help them return to a previous level of functioning. We try to learn the significance of this event, so as to use it as an opportunity to enrich the client's life.
(301) 685-0908 View (301) 685-0908
Photo of JoLynn Bitler, Licensed Clinical Professional Counselor, LCPC
JoLynn Bitler
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Online Only
LPCMH, LCPC JoLynn, “Jo” brings over a decade of counseling experience. She obtained a Master’s degree in Marriage and Family Therapy at Liberty University. Her training encompasses families, couples, men and women, children, and adolescents from various walks of life. JoLynn is comfortable helping diverse populations and personalities. JoLynn is confident in her skill set to address stigmatized mental health concerns such as clinical depression, adjustment and anxiety disorders, bipolar, anger, trauma, and attachment issues from childhood.
LPCMH, LCPC JoLynn, “Jo” brings over a decade of counseling experience. She obtained a Master’s degree in Marriage and Family Therapy at Liberty University. Her training encompasses families, couples, men and women, children, and adolescents from various walks of life. JoLynn is comfortable helping diverse populations and personalities. JoLynn is confident in her skill set to address stigmatized mental health concerns such as clinical depression, adjustment and anxiety disorders, bipolar, anger, trauma, and attachment issues from childhood.
(410) 538-1916 View (410) 538-1916

See more therapy options for 20640

How does your Therapist compare?

Number of Therapists in 20640

< 10

Therapists in 20640 who prioritize treating:

50% Relationship Issues
50% Depression
50% Anxiety
50% Child
50% Grief
50% Parenting
50% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

50% Aetna
50% BlueCross and BlueShield
50% Cigna and Evernorth

How Therapists in 20640 see their clients

50% In Person and Online
50% Online Only

Gender breakdown

50% Female
50% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 20640?

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.