Therapists in 21078

Photo of Lisa Marie Wainwright - DIY Wellness, LLC, LCSW-C
DIY Wellness, LLC
Verified Verified
Havre De Grace, MD 21078
Some days you can handle it. The intrusive thoughts, the incessant worry, the crippling fear, the relentless anxiety, the mental anguish, and the sadness that leaves you feeling alone. Some days you make do; put your needs to the side, and you simply keep going. You are a warrior, relying on nothing but strength. But where's the balance in that? Are you ready... to make room for you, to heal, and to bring more balance to your life by adding an arsenal of new tools, skills and elevated thinking? We will work together to identify and address root causes of mental stress and develop strategies to promote holistic healing and balance.
Some days you can handle it. The intrusive thoughts, the incessant worry, the crippling fear, the relentless anxiety, the mental anguish, and the sadness that leaves you feeling alone. Some days you make do; put your needs to the side, and you simply keep going. You are a warrior, relying on nothing but strength. But where's the balance in that? Are you ready... to make room for you, to heal, and to bring more balance to your life by adding an arsenal of new tools, skills and elevated thinking? We will work together to identify and address root causes of mental stress and develop strategies to promote holistic healing and balance.
(443) 565-6097 View (443) 565-6097
Photo of Ethel Bakke, Licensed Clinical Professional Counselor, MA, NCC, LPC, LMHC, LCPC
Ethel Bakke
Licensed Clinical Professional Counselor, MA, NCC, LPC, LMHC, LCPC
Havre De Grace, MD 21078
Your feelings are real and you have a right to express yourself and have those feelings validated. Now what you do with those feelings is often the next challenge. Sometimes it is necessary to explore where those feelings come from, what is at the root, and what to do with them. Other times, just accepting them and moving on works better. Another alternative is neurofeedback, which is training in self-regulation. Together we will explore and create a plan that works for you. Everyone is unique and accepting you where you are unconditionally, without judgment, is an effective place to start.
Your feelings are real and you have a right to express yourself and have those feelings validated. Now what you do with those feelings is often the next challenge. Sometimes it is necessary to explore where those feelings come from, what is at the root, and what to do with them. Other times, just accepting them and moving on works better. Another alternative is neurofeedback, which is training in self-regulation. Together we will explore and create a plan that works for you. Everyone is unique and accepting you where you are unconditionally, without judgment, is an effective place to start.
(321) 594-6758 View (321) 594-6758
Photo of Julie A Mizak, Clinical Social Work/Therapist, LCSW-C, ACE CPT, CF L2, Pn1
Julie A Mizak
Clinical Social Work/Therapist, LCSW-C, ACE CPT, CF L2, Pn1
Havre De Grace, MD 21078
Are you looking for a different approach toward helping yourself? Have you been struggling and not sure what to do next? Do want a little different approach than staring at each other for 1 hour? Do want to start to feel better? If yes, let's connect! I want to help you through your struggles while getting fit too! I am able to meet the client where they are and be able to help them manage the stressors that they have face in everyday life. If you just want to sit and chat, we can do that too! The time for you in now!
Are you looking for a different approach toward helping yourself? Have you been struggling and not sure what to do next? Do want a little different approach than staring at each other for 1 hour? Do want to start to feel better? If yes, let's connect! I want to help you through your struggles while getting fit too! I am able to meet the client where they are and be able to help them manage the stressors that they have face in everyday life. If you just want to sit and chat, we can do that too! The time for you in now!
(410) 438-8897 View (410) 438-8897
Photo of Sarah E Dziwanowski, Clinical Social Work/Therapist, MSW, LCSW-C
Sarah E Dziwanowski
Clinical Social Work/Therapist, MSW, LCSW-C
2 Endorsed
Havre De Grace, MD 21078
Are you someone who has been struggling with feeling stuck or unfulfilled for a while and have been thinking about making a change? Maybe you’ve recently experienced something painful or traumatic and need help navigating the aftermath of that experience. I work with people in a collaborative way so that they can develop a deeper understanding of themselves, in a non-judgmental way, while learning healthy coping strategies. I provide direct, honest feedback and have been described as compassionate and relatable.
Are you someone who has been struggling with feeling stuck or unfulfilled for a while and have been thinking about making a change? Maybe you’ve recently experienced something painful or traumatic and need help navigating the aftermath of that experience. I work with people in a collaborative way so that they can develop a deeper understanding of themselves, in a non-judgmental way, while learning healthy coping strategies. I provide direct, honest feedback and have been described as compassionate and relatable.
(410) 237-0167 View (410) 237-0167
Photo of Jessica Lynn Lefler, Clinical Social Work/Therapist, LCSW-C
Jessica Lynn Lefler
Clinical Social Work/Therapist, LCSW-C
Serves Area
Specializing in adolescent and young adult life transitions, collaborative family therapy, gender dysphoria, OCD, ADHD, anxiety and depression. Solution focused treatment utilizing Cognitive Behavioral Therapy and other eclectic approaches. I believe wellness is rooted in vulnerability, connection, acceptance and movement. It's more than just therapy. Insurance accepted via Superbill only.
Specializing in adolescent and young adult life transitions, collaborative family therapy, gender dysphoria, OCD, ADHD, anxiety and depression. Solution focused treatment utilizing Cognitive Behavioral Therapy and other eclectic approaches. I believe wellness is rooted in vulnerability, connection, acceptance and movement. It's more than just therapy. Insurance accepted via Superbill only.
(443) 233-0188 View (443) 233-0188
Photo of Matthew Richardson, Counselor, MS, LCPC
Matthew Richardson
Counselor, MS, LCPC
2 Endorsed
Serves Area
Maybe you are feeling stuck, hopeless, or like your life has lost meaning. Maybe the isolation that you felt during COVID still hasn't lifted. Maybe your anxiety is preventing you from moving forward. Would you like someone who can walk alongside you to help you find a better sense of meaning and purpose in your life? I will work with you to identify the areas where you feel stuck, and help you eliminate the barriers that are holding you back.
Maybe you are feeling stuck, hopeless, or like your life has lost meaning. Maybe the isolation that you felt during COVID still hasn't lifted. Maybe your anxiety is preventing you from moving forward. Would you like someone who can walk alongside you to help you find a better sense of meaning and purpose in your life? I will work with you to identify the areas where you feel stuck, and help you eliminate the barriers that are holding you back.
(443) 419-6998 View (443) 419-6998
Photo of Molly Maisel, Counselor, MS, LGPC, NCC
Molly Maisel
Counselor, MS, LGPC, NCC
7 Endorsed
Serves Area
Therapy offers a space where you don’t have to have everything figured out before you arrive. You can come in with questions, tangled thoughts, or emotions that feel hard to name. Many people who reach out are carrying anxiety beneath the surface, navigating complicated relationships, or feeling worn down from always being the steady one for others. I often work with people moving through grief, trauma, and long-standing relational or personality patterns that feel painful to untangle. Together we can slow things down, make sense of what you’ve been carrying, and create space for healing and a steadier connection with yourself.
Therapy offers a space where you don’t have to have everything figured out before you arrive. You can come in with questions, tangled thoughts, or emotions that feel hard to name. Many people who reach out are carrying anxiety beneath the surface, navigating complicated relationships, or feeling worn down from always being the steady one for others. I often work with people moving through grief, trauma, and long-standing relational or personality patterns that feel painful to untangle. Together we can slow things down, make sense of what you’ve been carrying, and create space for healing and a steadier connection with yourself.
(443) 470-9333 View (443) 470-9333
Photo of Mark D Mathews, Counselor, MA, LGPC, NCC
Mark D Mathews
Counselor, MA, LGPC, NCC
Serves Area
If you're feeling overwhelmed, confused, or that life is chaotic, I am here to help. I understand that the journey to mental well-being can be challenging for all ages. And because you’re reading this, I know that you or someone very special to you is hurting. If you can no longer make sense of what is happening, then reach out to me today. Flourish Counseling is a dedicated mental health counseling practice focused on providing compassionate and specialized support to both you and your child as you navigate life’s complexities.
If you're feeling overwhelmed, confused, or that life is chaotic, I am here to help. I understand that the journey to mental well-being can be challenging for all ages. And because you’re reading this, I know that you or someone very special to you is hurting. If you can no longer make sense of what is happening, then reach out to me today. Flourish Counseling is a dedicated mental health counseling practice focused on providing compassionate and specialized support to both you and your child as you navigate life’s complexities.
(410) 469-7414 View (410) 469-7414
Photo of Lanika Wilson - Premier Wellness Healthcare, Clinical Social Work/Therapist, PsyD, LCSW-C, LMSW, PMHNP
Premier Wellness Healthcare
Clinical Social Work/Therapist, PsyD, LCSW-C, LMSW, PMHNP
3 Endorsed
Serves Area
We offer individual therapy and medication management appointments. Premier Wellness Healthcare has been dedicated to supporting patients since 2017, guiding hundreds through challenges including anxiety, depression, PTSD, ADHD/ADD, life transitions, postpartum depression, and menopause. Our compassionate team—featuring licensed Social Workers, Psychiatric Nurse Practitioners, and Family Nurse Practitioners—works together to provide integrated, patient-centered mental health care. We’re here for you Monday through Friday, and scheduling is easy. Simply visit our website to book an appointment.
We offer individual therapy and medication management appointments. Premier Wellness Healthcare has been dedicated to supporting patients since 2017, guiding hundreds through challenges including anxiety, depression, PTSD, ADHD/ADD, life transitions, postpartum depression, and menopause. Our compassionate team—featuring licensed Social Workers, Psychiatric Nurse Practitioners, and Family Nurse Practitioners—works together to provide integrated, patient-centered mental health care. We’re here for you Monday through Friday, and scheduling is easy. Simply visit our website to book an appointment.
(888) 333-1345 View (888) 333-1345
Photo of Tim D Gough Jr, Clinical Social Work/Therapist, LCSW-C
Tim D Gough Jr
Clinical Social Work/Therapist, LCSW-C
Serves Area
Are you struggling with the stress of daily life, feeling overwhelmed and unsure what to do? Is your past continuing to taunt you, and unsure why? Are you looking to become self-aware of your internal struggles but may feel overwhelmed by your emotions and thought patterns. Please don't hesitate to reach out to me promptly, and we can have an introductory session soon, and see if we are the ideal match to support your mental health and therapeutic growth. I focus on treating Grief, Anxiety, OCD, Depression and/or Historical Difficulties. I pride myself on forming a strong therapeutic relationship based on trust and authenticity.
Are you struggling with the stress of daily life, feeling overwhelmed and unsure what to do? Is your past continuing to taunt you, and unsure why? Are you looking to become self-aware of your internal struggles but may feel overwhelmed by your emotions and thought patterns. Please don't hesitate to reach out to me promptly, and we can have an introductory session soon, and see if we are the ideal match to support your mental health and therapeutic growth. I focus on treating Grief, Anxiety, OCD, Depression and/or Historical Difficulties. I pride myself on forming a strong therapeutic relationship based on trust and authenticity.
(443) 205-1026 View (443) 205-1026
Photo of Kathrine Orpilla, Licensed Clinical Professional Counselor, LCPC, NCC
Kathrine Orpilla
Licensed Clinical Professional Counselor, LCPC, NCC
2 Endorsed
Serves Area
It shows courage and strength to reach out for help. As a therapist, my intention is to guide you through a process of growth and healing. We will work together in creating realistic goals that inspire positive changes. I will help you develop healthy thoughts and behaviors and practice compassion for yourself. I will offer you a caring, judgment-free, respectful and confidential environment that will allow you to express yourself and begin your journey towards a meaningful and balanced life. I have experience with mental health and addiction counseling. I work with adults and elders from diverse backgrounds.
It shows courage and strength to reach out for help. As a therapist, my intention is to guide you through a process of growth and healing. We will work together in creating realistic goals that inspire positive changes. I will help you develop healthy thoughts and behaviors and practice compassion for yourself. I will offer you a caring, judgment-free, respectful and confidential environment that will allow you to express yourself and begin your journey towards a meaningful and balanced life. I have experience with mental health and addiction counseling. I work with adults and elders from diverse backgrounds.
(443) 870-4511 View (443) 870-4511
Photo of Arthur H Burris, Licensed Clinical Professional Counselor, PhD, LCPC
Arthur H Burris
Licensed Clinical Professional Counselor, PhD, LCPC
Serves Area
My experience and training has been in development psychology and I use a family systems approach plus Marriage and Family therapy using conflict resolution techniques. I have over 20 years of experience treating substance abuse disorders/co-occurring, ACOA issues and codependency.I work closely with all psychiatrists to develop the best and most effective treatment plan. I have extensive experience in Cognitive Behavioral Therapy, Choice Theory, Acceptance & Commitment Therapy and Motivational Interviewing,
My experience and training has been in development psychology and I use a family systems approach plus Marriage and Family therapy using conflict resolution techniques. I have over 20 years of experience treating substance abuse disorders/co-occurring, ACOA issues and codependency.I work closely with all psychiatrists to develop the best and most effective treatment plan. I have extensive experience in Cognitive Behavioral Therapy, Choice Theory, Acceptance & Commitment Therapy and Motivational Interviewing,
(410) 929-7481 View (410) 929-7481
Photo of Rony Kusnadi, Licensed Clinical Professional Counselor, PhD, LCPC, CMNLP, CCTP, VSTCP
Rony Kusnadi
Licensed Clinical Professional Counselor, PhD, LCPC, CMNLP, CCTP, VSTCP
Serves Area
I am a Licensed Clinical Professional Counselor with more than 30 years of working as a mental health clinician. I have extensive experience helping children, adults, and families. I have a heart for people who are struggling with issues of everyday life. Day after day, we feel pressures and struggles that can turn us into people we don't want to be. I want to help you overcome these problems and difficult situations. I believe everyone can change because personalities and brains are flexible and adaptive.
I am a Licensed Clinical Professional Counselor with more than 30 years of working as a mental health clinician. I have extensive experience helping children, adults, and families. I have a heart for people who are struggling with issues of everyday life. Day after day, we feel pressures and struggles that can turn us into people we don't want to be. I want to help you overcome these problems and difficult situations. I believe everyone can change because personalities and brains are flexible and adaptive.
(240) 754-2796 View (240) 754-2796
Photo of Hannah Lorincz, Pre-Licensed Professional, MA, LGPC, NCC
Hannah Lorincz
Pre-Licensed Professional, MA, LGPC, NCC
10 Endorsed
Serves Area
My clients can be children learning to navigate big emotions, teenagers traversing through middle and high school, or young adults transitioning into the “real world”. I currently work with children over 10 years old, teenagers, and young adults virtually and face-to-face, as well as children under 10 years of age in person. My approach to counseling is patient, kind, and ready to meet you where you are.
My clients can be children learning to navigate big emotions, teenagers traversing through middle and high school, or young adults transitioning into the “real world”. I currently work with children over 10 years old, teenagers, and young adults virtually and face-to-face, as well as children under 10 years of age in person. My approach to counseling is patient, kind, and ready to meet you where you are.
(301) 835-2980 View (301) 835-2980
Photo of Michael Foley - Bright Minds Therapy, Counselor, MA, LCPC, CAC-AD
Bright Minds Therapy
Counselor, MA, LCPC, CAC-AD
1 Endorsed
Online Only
Bright Minds Therapy is a group practice that primarily focuses on helping children and adolescents. I am a Licensed Clinical Professional Counselor (LCPC). I graduated with my Masters of Science in Clinical Mental Health Counseling from Liberty University. My specialty is in providing therapy to children, adolescents, and families. I have experience with oppositional defiance, behavioral issues, trauma, bipolar disorder, anxiety, depression, and many other diagnoses and challenges in life. We primarily offer virtual services, but we do also provide community based mental health services in some cases.
Bright Minds Therapy is a group practice that primarily focuses on helping children and adolescents. I am a Licensed Clinical Professional Counselor (LCPC). I graduated with my Masters of Science in Clinical Mental Health Counseling from Liberty University. My specialty is in providing therapy to children, adolescents, and families. I have experience with oppositional defiance, behavioral issues, trauma, bipolar disorder, anxiety, depression, and many other diagnoses and challenges in life. We primarily offer virtual services, but we do also provide community based mental health services in some cases.
(410) 691-3530 View (410) 691-3530
Photo of Elizabeth Barrett, LPC Intern
Elizabeth Barrett
LPC Intern
2 Endorsed
Havre De Grace, MD 21078
Not accepting new clients
Are past negative events weighing on you and affecting your day-to-day life? Do you feel overwhelmed, lost, or stuck in life? Do you find yourself constantly worrying? Do you feel like you're the common denominator in all your relationship troubles? Do you sometimes wish you wouldn't wake up tomorrow? Would you like to just feel reasonably happy most of the time? I can help you with that.
Are past negative events weighing on you and affecting your day-to-day life? Do you feel overwhelmed, lost, or stuck in life? Do you find yourself constantly worrying? Do you feel like you're the common denominator in all your relationship troubles? Do you sometimes wish you wouldn't wake up tomorrow? Would you like to just feel reasonably happy most of the time? I can help you with that.
(443) 594-8477 View (443) 594-8477
Photo of Brian Nelson, Clinical Social Work/Therapist, MSW, LCSW-C
Brian Nelson
Clinical Social Work/Therapist, MSW, LCSW-C
1 Endorsed
Online Only
During these difficult times life can stop us in our tracks. We can get depressed, anxious, angry, and cannot see a path forward. We do not have to stop thriving, and living the life we want. With my assistance and the tools provided you will be able to live the life you want. I believe in using a mix of interventions including, but not limited to Cognitive Behavioral therapy, mindfulness, and a personable approach designed to heal and help move you forward in your life. I believe in your ability to overcome these challenges, and will work with you to address any obstacle that you are facing.
During these difficult times life can stop us in our tracks. We can get depressed, anxious, angry, and cannot see a path forward. We do not have to stop thriving, and living the life we want. With my assistance and the tools provided you will be able to live the life you want. I believe in using a mix of interventions including, but not limited to Cognitive Behavioral therapy, mindfulness, and a personable approach designed to heal and help move you forward in your life. I believe in your ability to overcome these challenges, and will work with you to address any obstacle that you are facing.
(410) 883-7985 View (410) 883-7985
Photo of Ranna Chaudry, Licensed Clinical Professional Counselor, MA, NCC, LCPC, TI-CBT, SAC
Ranna Chaudry
Licensed Clinical Professional Counselor, MA, NCC, LCPC, TI-CBT, SAC
Online Only
Ranna Chaudry, is a board certified Licensed Clinical Professional Counselor, from Harford County, Maryland who works with children, adolescents and families and provides care for patients who struggle with adjustment disorder, anxiety, depression, self esteem, anger management, trauma, grief and loss, behavioral issues and ADHD. 
She has extensive experience with trauma focused cognitive-behavioral therapy (CBT), and has been a board certified Licensed Clinical Professional counselor for over 15 years.
Her treatment approach is rooted in evidence based practices that focus on the mind-body connection.
Ranna Chaudry, is a board certified Licensed Clinical Professional Counselor, from Harford County, Maryland who works with children, adolescents and families and provides care for patients who struggle with adjustment disorder, anxiety, depression, self esteem, anger management, trauma, grief and loss, behavioral issues and ADHD. 
She has extensive experience with trauma focused cognitive-behavioral therapy (CBT), and has been a board certified Licensed Clinical Professional counselor for over 15 years.
Her treatment approach is rooted in evidence based practices that focus on the mind-body connection.
(410) 705-7241 View (410) 705-7241
Photo of Christopher Schwartfigure, Licensed Clinical Professional Counselor, LCPC, CAC-AD, RPS
Christopher Schwartfigure
Licensed Clinical Professional Counselor, LCPC, CAC-AD, RPS
1 Endorsed
Online Only
Not accepting new clients
If you’re seeking to transform your struggles into growth by addressing how past experiences shape your present, I offer EMDR therapy as a proven pathway to healing. Together, we’ll collaborate to process emotional wounds and reinforce your inherent resilience, fostering clarity and renewed well-being. As an EMDR-trained therapist with over 15 years experience as a recovery advocate, I appreciate using this powerful modality to help clients reprocess trauma and reclaim their lives.
If you’re seeking to transform your struggles into growth by addressing how past experiences shape your present, I offer EMDR therapy as a proven pathway to healing. Together, we’ll collaborate to process emotional wounds and reinforce your inherent resilience, fostering clarity and renewed well-being. As an EMDR-trained therapist with over 15 years experience as a recovery advocate, I appreciate using this powerful modality to help clients reprocess trauma and reclaim their lives.
(443) 291-2231 View (443) 291-2231
Photo of Elizabeth Clemons, Licensed Clinical Professional Counselor, LPC
Elizabeth Clemons
Licensed Clinical Professional Counselor, LPC
Online Only
Have you been suffering with: depression, anxiety, mood swings, stress and chronic pain or needing military spouse support? Then, allow me to help you to navigate through those journeys.
Have you been suffering with: depression, anxiety, mood swings, stress and chronic pain or needing military spouse support? Then, allow me to help you to navigate through those journeys.
(443) 347-5136 View (443) 347-5136

See more therapy options for 21078

How does your Therapist compare?

Number of Therapists in 21078

30+

Average cost per session

$135

Therapists in 21078 who prioritize treating:

94% Depression
94% Anxiety
84% Stress
81% Self Esteem
74% Relationship Issues
71% Trauma and PTSD
61% Grief

Average years in practice

12 Years

Top 3 insurances accepted

91% Cigna and Evernorth
83% Aetna
83% BlueCross and BlueShield

How Therapists in 21078 see their clients

55% In Person and Online
45% Online Only

Gender breakdown

65% Female
32% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 21078?

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.