Therapists in Silver Spring, MD

Photo of Adam Angel, Clinical Social Work/Therapist in Silver Spring, MD
Adam Angel
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
5 Endorsed
Silver Spring, MD 20902  (Online Only)
The people I work with want to change the way they are feeling or relating to others. Whether acute trauma, relationship issues or emotional challenges, I work with clients to process physical and emotional symptoms that feel stuck. Building on your strengths, we will work together towards an outcome of added joy, aliveness and connection to self and others. My experience includes over 10 years working with youth, adults and families. My training to date has led me to NARM. Here is a bit about the model: https://www.thecandidly.com/2019/everything-you-should-know-about-narm-the-newest-form-of-trauma-therapy
The people I work with want to change the way they are feeling or relating to others. Whether acute trauma, relationship issues or emotional challenges, I work with clients to process physical and emotional symptoms that feel stuck. Building on your strengths, we will work together towards an outcome of added joy, aliveness and connection to self and others. My experience includes over 10 years working with youth, adults and families. My training to date has led me to NARM. Here is a bit about the model: https://www.thecandidly.com/2019/everything-you-should-know-about-narm-the-newest-form-of-trauma-therapy
(410) 216-0747 View (410) 216-0747
Photo of Jamila Mckinney, Licensed Professional Counselor Associate in Silver Spring, MD
Jamila Mckinney
Licensed Professional Counselor Associate, MA, LGPC
Verified Verified
1 Endorsed
Silver Spring, MD 20910  (Online Only)
Adding to what you already have, our time will be spent doing what I call “adjusting the lens”: adding more depth—more clarity to whatever has been difficult to identify. Through the use of further psycho-educational knowledge, developing and practicing new coping skills, while having a safe non-judgmental space to process and grow. Your experiences, your story matters.
Adding to what you already have, our time will be spent doing what I call “adjusting the lens”: adding more depth—more clarity to whatever has been difficult to identify. Through the use of further psycho-educational knowledge, developing and practicing new coping skills, while having a safe non-judgmental space to process and grow. Your experiences, your story matters.
(301) 298-8355 View (301) 298-8355
Photo of Dr. Maura Mulloy, Psychologist in Silver Spring, MD
Dr. Maura Mulloy
Psychologist, PhD
Verified Verified
Silver Spring, MD 20904  (Online Only)
You are already taking an important step towards feeling better, just by reaching out for support. You might be struggling to manage anxiety or depression, feeling burnt-out by the demands of work and family life, and/or coping with a neurodivergent brain in a neurotypical world. You yearn to feel understood and appreciated for who you are, and to feel release from the self-judgment that weighs heavily in your mind and heart. You may be hoping for more resilient ways of handling stress, a better ability to set boundaries to protect your energy, or help with strengthening your motivation for positive change.
You are already taking an important step towards feeling better, just by reaching out for support. You might be struggling to manage anxiety or depression, feeling burnt-out by the demands of work and family life, and/or coping with a neurodivergent brain in a neurotypical world. You yearn to feel understood and appreciated for who you are, and to feel release from the self-judgment that weighs heavily in your mind and heart. You may be hoping for more resilient ways of handling stress, a better ability to set boundaries to protect your energy, or help with strengthening your motivation for positive change.
(301) 786-3994 View (301) 786-3994
Photo of Amphora Psychotherapy , Counselor in Silver Spring, MD
Amphora Psychotherapy
Counselor, MS, LCPC, NCC, CCTP
Verified Verified
Silver Spring, MD 20902  (Online Only)
Hello, and welcome! What a big step you've taken by looking for help; we know it wasn't easy, but you made it! Amphora Psychotherapy was created out of our passion for supporting people on their journey to finding themselves. Along the way, our top priority is to hold compassionate space for all of you - all of your joy and sorrow, your fear and anger, your old wounds and new. We specialize in working with adults struggling with numbness, anger, depression, anxiety, codependency, or low self-esteem due to trauma related to relationships, family, or adverse experiences.
Hello, and welcome! What a big step you've taken by looking for help; we know it wasn't easy, but you made it! Amphora Psychotherapy was created out of our passion for supporting people on their journey to finding themselves. Along the way, our top priority is to hold compassionate space for all of you - all of your joy and sorrow, your fear and anger, your old wounds and new. We specialize in working with adults struggling with numbness, anger, depression, anxiety, codependency, or low self-esteem due to trauma related to relationships, family, or adverse experiences.
(301) 381-3491 View (301) 381-3491
Photo of Elizabeth Perwin, Clinical Social Work/Therapist in Silver Spring, MD
Elizabeth Perwin
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Silver Spring, MD 20910
I connect deeply and empathically with my clients, and challenge them towards greater self-awareness that leads to happiness and peace of mind internally and within relationships. Individuals and couples inevitably reach periods of frustration and conflict that signal the need for change. Whether these problems are grounded in past loss or current misfortune, outside intervention can offer immediate relief. I specialize in treating mood disorders, couples in gridlock, and adult children with a legacy of trauma, neglect or codependency. Working with adults and couples, I approach difficulties compassionately and non-pathologically. Psychotherapy helps restore emotional balance and well-being.
I connect deeply and empathically with my clients, and challenge them towards greater self-awareness that leads to happiness and peace of mind internally and within relationships. Individuals and couples inevitably reach periods of frustration and conflict that signal the need for change. Whether these problems are grounded in past loss or current misfortune, outside intervention can offer immediate relief. I specialize in treating mood disorders, couples in gridlock, and adult children with a legacy of trauma, neglect or codependency. Working with adults and couples, I approach difficulties compassionately and non-pathologically. Psychotherapy helps restore emotional balance and well-being.
(301) 852-6000 View (301) 852-6000
Photo of Courtney Brown, Counselor in Silver Spring, MD
Courtney Brown
Counselor, LCPC, NCC
Verified Verified
Silver Spring, MD 20910  (Online Only)
Waitlist for new clients
Are you struggling with anxious feelings? Facing difficult times, need coping skills, transitioning, and need additional support because you feel no one understands. Look no further, as I may be the therapist for you! I believe in practicing holistically: "We must understand Part A before we can heal Part B." I hope to be a great passenger on your journey to your wellness goals.
Are you struggling with anxious feelings? Facing difficult times, need coping skills, transitioning, and need additional support because you feel no one understands. Look no further, as I may be the therapist for you! I believe in practicing holistically: "We must understand Part A before we can heal Part B." I hope to be a great passenger on your journey to your wellness goals.
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Photo of Misty Wilson, Clinical Social Work/Therapist in Silver Spring, MD
Misty Wilson
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Silver Spring, MD 20910  (Online Only)
Waitlist for new clients
Life is really hard sometimes. I can imagine that you are here because you are ready to get rid of the barriers standing in the way of you being your best self. Maybe you have found yourself in a funk that feels hard to get out of or have lost motivation to do things you once enjoyed. It may be that you feel you can't get out of your head or overwhelmed by everything going on in your life or in the world. Maybe you feel isolated or misunderstood. Perhaps you feel scattered or are having trouble focusing on what's important. I am glad you are here, and I believe I can help.
Life is really hard sometimes. I can imagine that you are here because you are ready to get rid of the barriers standing in the way of you being your best self. Maybe you have found yourself in a funk that feels hard to get out of or have lost motivation to do things you once enjoyed. It may be that you feel you can't get out of your head or overwhelmed by everything going on in your life or in the world. Maybe you feel isolated or misunderstood. Perhaps you feel scattered or are having trouble focusing on what's important. I am glad you are here, and I believe I can help.
(301) 761-4182 View (301) 761-4182
Living and Growing, LLC
Verified Verified
Silver Spring, MD 20910
I am a Psychiatric Nurse Practitioner committed to mental health treatment promotion and prevention. With a psychodynamic foundation, I integrate Internal family systems(IFS) and attachment theories to my treatment approach. This approach is successful with clients seeking help with adulting, relationships, families, and parenting as well as individual therapy. As an open and affirming Psychiatric Nurse Practitioner I've learned that the integration of these talk modalities are helpful for navigating life processes. Talk therapy undergirds the treatment relationship and when necessary may be complemented with medication management.
I am a Psychiatric Nurse Practitioner committed to mental health treatment promotion and prevention. With a psychodynamic foundation, I integrate Internal family systems(IFS) and attachment theories to my treatment approach. This approach is successful with clients seeking help with adulting, relationships, families, and parenting as well as individual therapy. As an open and affirming Psychiatric Nurse Practitioner I've learned that the integration of these talk modalities are helpful for navigating life processes. Talk therapy undergirds the treatment relationship and when necessary may be complemented with medication management.
(301) 960-5477 View (301) 960-5477
Photo of Andrew Dauler, Marriage & Family Therapist in Silver Spring, MD
Andrew Dauler
Marriage & Family Therapist, LCMFT
Verified Verified
1 Endorsed
Silver Spring, MD 20904
Not accepting new clients
Whether you're currently feeling overwhelmed or striving to reach your full potential, I help guide people on their path to feeling truly satisfied. I help clarify the patterns that leave people feeling "stuck" and help to illuminate the way towards resolution. I work on empowering people with the knowledge, skills and confidence to become their best selves.
Whether you're currently feeling overwhelmed or striving to reach your full potential, I help guide people on their path to feeling truly satisfied. I help clarify the patterns that leave people feeling "stuck" and help to illuminate the way towards resolution. I work on empowering people with the knowledge, skills and confidence to become their best selves.
(301) 900-5528 View (301) 900-5528
Photo of Restore Tranquility, LLC, Licensed Clinical Professional Counselor in Silver Spring, MD
Restore Tranquility, LLC
Licensed Clinical Professional Counselor
Verified Verified
2 Endorsed
Silver Spring, MD 20910
I work with people who are overwhelmed with life, worried about the future and stretched thin. Many tend to feel stuck in their careers or personal relationships at a time when they should be enjoying the life they have built. There are so many things that can interfere with our ability to live the happy, healthy, meaningful lives we most want to live. Do you struggle to make sustainable changes in your life?
I work with people who are overwhelmed with life, worried about the future and stretched thin. Many tend to feel stuck in their careers or personal relationships at a time when they should be enjoying the life they have built. There are so many things that can interfere with our ability to live the happy, healthy, meaningful lives we most want to live. Do you struggle to make sustainable changes in your life?
(301) 605-9135 View (301) 605-9135
Photo of Purpose Driven Wellness LLC, Licensed Master Social Worker in Silver Spring, MD
Purpose Driven Wellness LLC
Licensed Master Social Worker, LMSW
Verified Verified
Silver Spring, MD 20910  (Online Only)
Are you struggling with anxiety, depression, imposter syndrome, or negative self talk? Let me encourage you, that you are not alone. The path to self discovery and self love begins with acknowledgement and accountability.
Are you struggling with anxiety, depression, imposter syndrome, or negative self talk? Let me encourage you, that you are not alone. The path to self discovery and self love begins with acknowledgement and accountability.
(240) 623-2346 View (240) 623-2346
Photo of Alyssa Duda, Clinical Social Work/Therapist in Silver Spring, MD
Alyssa Duda
Clinical Social Work/Therapist, LCSW-C, RYT-200
Verified Verified
4 Endorsed
Silver Spring, MD 20902  (Online Only)
Waitlist for new clients
The people I work with want to change the way they are feeling and relating to others. They struggle to cope with triggers, emotions or experiences day to day, and tend to judge themselves for this and its impact on their lives. Whether acute or chronic trauma, relationship issues or emotional challenges, I work with clients to process physical, emotional and mental symptoms that cause them to feel stuck, isolated and unworthy of healthy connections. Building on your strengths, we will work together towards an outcome of added joy, aliveness and connection to self and others.
The people I work with want to change the way they are feeling and relating to others. They struggle to cope with triggers, emotions or experiences day to day, and tend to judge themselves for this and its impact on their lives. Whether acute or chronic trauma, relationship issues or emotional challenges, I work with clients to process physical, emotional and mental symptoms that cause them to feel stuck, isolated and unworthy of healthy connections. Building on your strengths, we will work together towards an outcome of added joy, aliveness and connection to self and others.
(301) 246-8699 View (301) 246-8699
Photo of Martina E. Efodzi, Counselor in Silver Spring, MD
Martina E. Efodzi
Counselor, MDiv, MA, ATR-BC, LCPAT, LCPC
Verified Verified
5 Endorsed
Silver Spring, MD 20910  (Online Only)
Are you feeling overwhelmed by life's challenges? Are your emotions, or a complicated relationship, weighing you down? Are you interested in finding creative solutions to your problems? If so, then perhaps counseling, art therapy, or some combination of the two, might be right for you! I offer a supportive and non-judgmental space where you will learn how to take charge of your thoughts, emotions and actions while practicing better self-care and improving insight. My areas of expertise include: trauma, HIV/AIDS, diabetes, depression, anxiety, multicultural and LGBTQ+ concerns, existential dilemmas, spirituality and grief and loss.
Are you feeling overwhelmed by life's challenges? Are your emotions, or a complicated relationship, weighing you down? Are you interested in finding creative solutions to your problems? If so, then perhaps counseling, art therapy, or some combination of the two, might be right for you! I offer a supportive and non-judgmental space where you will learn how to take charge of your thoughts, emotions and actions while practicing better self-care and improving insight. My areas of expertise include: trauma, HIV/AIDS, diabetes, depression, anxiety, multicultural and LGBTQ+ concerns, existential dilemmas, spirituality and grief and loss.
(202) 759-2328 View (202) 759-2328
Photo of Jon Mossberg, Clinical Social Work/Therapist in Silver Spring, MD
Jon Mossberg
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Silver Spring, MD 20901
Do you feel stuck? Trapped? Afraid to live your best life? We all feel emotions like grief, hopelessness, anger, anxiety, shame, aimlessness or isolation at some point - that's real life. But if how you deal with your feelings hurts more than it helps, then maybe it’s time to try something new. I work with adults and teens to explore why they’re stuck and what changes to make so they can break free. Therapy can provide new ways of thinking and new strategies to deal with stress. Change can be hard and scary. But if we do it right, you won't just feel better - you'll actually BE better. Imagine that!
Do you feel stuck? Trapped? Afraid to live your best life? We all feel emotions like grief, hopelessness, anger, anxiety, shame, aimlessness or isolation at some point - that's real life. But if how you deal with your feelings hurts more than it helps, then maybe it’s time to try something new. I work with adults and teens to explore why they’re stuck and what changes to make so they can break free. Therapy can provide new ways of thinking and new strategies to deal with stress. Change can be hard and scary. But if we do it right, you won't just feel better - you'll actually BE better. Imagine that!
(682) 204-7356 View (682) 204-7356
Photo of Cara Miller, Psychologist in Silver Spring, MD
Cara Miller
Psychologist, PhD, SEP
Verified Verified
Silver Spring, MD 20910  (Online Only)
I believe every person has the ability to grow and transform. I believe that we can best do so when accompanied compassionately along our journeys. Through increasing self-awareness, cultivating our inner and external resources, and understanding the interconnected influences of mind and body in our daily lives, we can transform through painful times and arrive into greater and deeper capacity for relationships to ourselves and with others. I specialize in working with adults through trauma healing, grief and loss (including that of beloved animals), LGBTQIA+ identities and relationships, depression/anxiety, and life transitions.
I believe every person has the ability to grow and transform. I believe that we can best do so when accompanied compassionately along our journeys. Through increasing self-awareness, cultivating our inner and external resources, and understanding the interconnected influences of mind and body in our daily lives, we can transform through painful times and arrive into greater and deeper capacity for relationships to ourselves and with others. I specialize in working with adults through trauma healing, grief and loss (including that of beloved animals), LGBTQIA+ identities and relationships, depression/anxiety, and life transitions.
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Photo of Allison Hoke, Counselor in Silver Spring, MD
Allison Hoke
Counselor, LGPC
Verified Verified
1 Endorsed
Silver Spring, MD 20910  (Online Only)
Waitlist for new clients
Have you reached a point where your past experiences and beliefs about yourself are impacting your life now? Are you wanting to live as your most authentic self, but having a hard time doing so? Do you want to improve your relationship with your partner(s), but think a guide would be helpful? Then I'm glad you're here! Through exploration and skills-building, I can help you develop greater resilience, and a deeper connection with yourself and your community. I (they/them) am a trans and queer therapist who enjoys working with LGBTQIA+ individuals, couples, & polyamorous folks.
Have you reached a point where your past experiences and beliefs about yourself are impacting your life now? Are you wanting to live as your most authentic self, but having a hard time doing so? Do you want to improve your relationship with your partner(s), but think a guide would be helpful? Then I'm glad you're here! Through exploration and skills-building, I can help you develop greater resilience, and a deeper connection with yourself and your community. I (they/them) am a trans and queer therapist who enjoys working with LGBTQIA+ individuals, couples, & polyamorous folks.
(202) 851-7308 View (202) 851-7308
Photo of ADHD Coping Skills & Solutions, Clinical Social Work/Therapist in Silver Spring, MD
ADHD Coping Skills & Solutions
Clinical Social Work/Therapist, LCSWC
Verified Verified
Silver Spring, MD 20910  (Online Only)
I’ve provided coping skills and solutions to hundreds of adults with ADHD: procrastination, difficulty staying focused, difficulty completing tasks. We can make your life better.
I’ve provided coping skills and solutions to hundreds of adults with ADHD: procrastination, difficulty staying focused, difficulty completing tasks. We can make your life better.
(240) 332-0649 View (240) 332-0649
Photo of Stephanie Spicer Parkhurst, Psychologist in Silver Spring, MD
Stephanie Spicer Parkhurst
Psychologist, PhD, LLC
Verified Verified
Silver Spring, MD 20905
Living with purpose, meaning and happiness calls for self-compassion as you work to heal and grow. I believe we each have the innate ability for personal development that is enhanced when we are in a safe and supportive relationship. It can be hard to ask for help so I work to establish a strong, trusting relationship where needs, experiences and goals can be explored and worked on without fear of being judged. I work with adults experiencing a broad range of concerns including anxiety, depression, stress, trauma, relationship issues, attention/concentration issues, and changing life circumstances.
Living with purpose, meaning and happiness calls for self-compassion as you work to heal and grow. I believe we each have the innate ability for personal development that is enhanced when we are in a safe and supportive relationship. It can be hard to ask for help so I work to establish a strong, trusting relationship where needs, experiences and goals can be explored and worked on without fear of being judged. I work with adults experiencing a broad range of concerns including anxiety, depression, stress, trauma, relationship issues, attention/concentration issues, and changing life circumstances.
(240) 801-6998 View (240) 801-6998
Photo of Lissa Mantell, Clinical Social Work/Therapist in Silver Spring, MD
Lissa Mantell
Clinical Social Work/Therapist, MSW, LCSW-C, LICSW
Verified Verified
8 Endorsed
Silver Spring, MD 20910
It's time to help you connect to your best self. My goal is for you to feel heard, supported and able to look at your challenges and successes. I'm warm, kind and welcoming as a therapist. Together we'll create a safe space for you to look at where the problem(s) may lie, and come up with solutions that will work in your everyday life. Let's talk about how I can help you feel more satisfied and at peace in your life.
It's time to help you connect to your best self. My goal is for you to feel heard, supported and able to look at your challenges and successes. I'm warm, kind and welcoming as a therapist. Together we'll create a safe space for you to look at where the problem(s) may lie, and come up with solutions that will work in your everyday life. Let's talk about how I can help you feel more satisfied and at peace in your life.
(301) 760-2195 View (301) 760-2195
Photo of Mairead Burke, Clinical Social Work/Therapist in Silver Spring, MD
Mairead Burke
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Silver Spring, MD 20910  (Online Only)
I specialize in supporting burned-out adults who feel overwhelmed and disconnected. I support you in defining what matters to you, reclaiming your self, and rediscovering joy. Whether you're wrestling with perfectionism, navigating people-pleasing, or feeling the strain of balancing parenthood with the rest of your life, I provide compassionate support tailored to your unique journey. Through a personalized approach, I empower you to navigate self-criticism, live authentically, and find fulfillment amidst life's challenges.
I specialize in supporting burned-out adults who feel overwhelmed and disconnected. I support you in defining what matters to you, reclaiming your self, and rediscovering joy. Whether you're wrestling with perfectionism, navigating people-pleasing, or feeling the strain of balancing parenthood with the rest of your life, I provide compassionate support tailored to your unique journey. Through a personalized approach, I empower you to navigate self-criticism, live authentically, and find fulfillment amidst life's challenges.
(240) 734-3143 View (240) 734-3143

See more therapy options for Silver Spring

How does your Therapist compare?

Number of Therapists in Silver Spring, MD

900+

Average cost per session

$160

Therapists in Silver Spring, MD who prioritize treating:

93% Anxiety
88% Depression
78% Relationship Issues
76% Self Esteem
69% Coping Skills
67% Trauma and PTSD
65% Stress

Average years in practice

13 Years

Top 3 insurances accepted

74% CareFirst
72% BlueCross and BlueShield
63% Cigna and Evernorth

How Therapists in Silver Spring, MD see their clients

54% In Person and Online
46% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Silver Spring?

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.