Therapists in 21853

Photo of Marsha E Beckett - Advanced Behavioral Health Counseling Services,LLC, Licensed Clinical Professional Counselor, LCPC, LCADC, NCC, MAC
Advanced Behavioral Health Counseling Services,LLC
Licensed Clinical Professional Counselor, LCPC, LCADC, NCC, MAC
Serves Area
As a licensed clinical professional counselor with a broad range of knowledge and experience of over 20 years in both the mental health and substance abuse fields, it's important to meet the client "where they are," emotionally, spritually, and psychologically. My approach to counseling is cognitive behavioral targeted towards empowerment of the client, changing negative thinking patterns and identifying client strengths to bring positive life altering changes. Other modalities of treatment are utilized as necessary, tailored to client needs. I work with individuals, families, couples, and veterans. My style is nonjudgmental with a high degree of respect, warmth and support.
As a licensed clinical professional counselor with a broad range of knowledge and experience of over 20 years in both the mental health and substance abuse fields, it's important to meet the client "where they are," emotionally, spritually, and psychologically. My approach to counseling is cognitive behavioral targeted towards empowerment of the client, changing negative thinking patterns and identifying client strengths to bring positive life altering changes. Other modalities of treatment are utilized as necessary, tailored to client needs. I work with individuals, families, couples, and veterans. My style is nonjudgmental with a high degree of respect, warmth and support.
(443) 305-6428 View (443) 305-6428
Photo of Karen Simon, Licensed Clinical Professional Counselor, BS, MS, LCPC
Karen Simon
Licensed Clinical Professional Counselor, BS, MS, LCPC
Serves Area
As your prospective therapist, and I want to express my commitment to creating a space where trust can flourish and transformative healing can take place. Building a strong therapeutic alliance is the cornerstone of our work together, and I understand the profound importance of trust in this process. In my practice, I approach therapy with an unwavering dedication to creating a safe and non-judgmental environment. I recognize that vulnerability is at the heart of meaningful therapeutic progress, and I am deeply committed to earning and maintaining your trust throughout our journey together.
As your prospective therapist, and I want to express my commitment to creating a space where trust can flourish and transformative healing can take place. Building a strong therapeutic alliance is the cornerstone of our work together, and I understand the profound importance of trust in this process. In my practice, I approach therapy with an unwavering dedication to creating a safe and non-judgmental environment. I recognize that vulnerability is at the heart of meaningful therapeutic progress, and I am deeply committed to earning and maintaining your trust throughout our journey together.
(410) 835-7844 View (410) 835-7844
Photo of Olubusola Sari - Olu Sari @MLJ Counseling & Consulting Firm, LLC, Clinical Social Work/Therapist, LCSW-C, LICSW
Olu Sari @MLJ Counseling & Consulting Firm, LLC
Clinical Social Work/Therapist, LCSW-C, LICSW
1 Endorsed
Serves Area
Are you feeling overwhelmed, anxious, or stuck in a difficult phase of life? As a clinical therapist with 17 years of experience, I provide a supportive and nonjudgmental environment to help you navigate your life’s challenges. I specialize in stress management, anxiety, grief, depression, trauma, relationship issues, and other life transitions. I utilize a multimodal approach to assess your unique psychopathology to ensure targeted clinical care.
Are you feeling overwhelmed, anxious, or stuck in a difficult phase of life? As a clinical therapist with 17 years of experience, I provide a supportive and nonjudgmental environment to help you navigate your life’s challenges. I specialize in stress management, anxiety, grief, depression, trauma, relationship issues, and other life transitions. I utilize a multimodal approach to assess your unique psychopathology to ensure targeted clinical care.
(410) 834-4493 View (410) 834-4493
Photo of Ganiyat Badmus - Ganiyat Badmus, LCSW-C @ Bluntly Coached, LLC, Clinical Social Work/Therapist, LCSW-C
Ganiyat Badmus, LCSW-C @ Bluntly Coached, LLC
Clinical Social Work/Therapist, LCSW-C
2 Endorsed
Princess Anne, MD 21853
Waitlist for new clients
I work most effectively with adults and adolescents, welcoming clients from all walks of life, regardless of gender, race, culture, socio-economic, or immigration status. My work with adults is grounded in the empowering belief that you are significantly more capable than you may currently feel or think. Utilizing a solution-focused approach, I partner with clients to enhance stress management, cultivate mental wellness, and achieve holistic growth through evidence-based, client-centered, and culturally informed methods."
I work most effectively with adults and adolescents, welcoming clients from all walks of life, regardless of gender, race, culture, socio-economic, or immigration status. My work with adults is grounded in the empowering belief that you are significantly more capable than you may currently feel or think. Utilizing a solution-focused approach, I partner with clients to enhance stress management, cultivate mental wellness, and achieve holistic growth through evidence-based, client-centered, and culturally informed methods."
(410) 541-1995 View (410) 541-1995
Photo of Alex Lesniak, Pre-Licensed Professional
Alex Lesniak
Pre-Licensed Professional
3 Endorsed
Serves Area
Waitlist for new clients
As a member of the LGBTQIA2S+ community, I understand that facing something overwhelming, such as a life transition, navigating relationships, anxiety/depression, or exploring your identity, can feel incredibly isolating. I strive to create an environment that feels safe and affirming, where you don't have to face it all alone. My purpose is working with queer and BIPOC clients across the lifespan and I am committed to creating a space where often-overlooked voices are heard and validated. I approach clients with an intersectional, holistic lens, considering both the individual and the larger systems in which they operate.
As a member of the LGBTQIA2S+ community, I understand that facing something overwhelming, such as a life transition, navigating relationships, anxiety/depression, or exploring your identity, can feel incredibly isolating. I strive to create an environment that feels safe and affirming, where you don't have to face it all alone. My purpose is working with queer and BIPOC clients across the lifespan and I am committed to creating a space where often-overlooked voices are heard and validated. I approach clients with an intersectional, holistic lens, considering both the individual and the larger systems in which they operate.
(240) 219-3679 View (240) 219-3679
Photo of Alison Outten, Clinical Social Work/Therapist, LCSW
Alison Outten
Clinical Social Work/Therapist, LCSW
Online Only
Hi, I'm Alison Outten, a Licensed Clinical Social Worker with over 7 years of clinical experience working with individuals in areas including but not limited to depression, anxiety, trauma, substance use, and life coaching. I use a holistic approach that consists of Cognitive Behavioral (CBT), Person-Centered, Supportive, Strength-Based, and Holistic therapies during treatment with clients. I believe in working in partnership with clients to utilize their strengths to help them sort out their challenges and achieve their goals.
Hi, I'm Alison Outten, a Licensed Clinical Social Worker with over 7 years of clinical experience working with individuals in areas including but not limited to depression, anxiety, trauma, substance use, and life coaching. I use a holistic approach that consists of Cognitive Behavioral (CBT), Person-Centered, Supportive, Strength-Based, and Holistic therapies during treatment with clients. I believe in working in partnership with clients to utilize their strengths to help them sort out their challenges and achieve their goals.
(410) 514-3002 View (410) 514-3002
Photo of Justin T King, Counselor, LCPC
Justin T King
Counselor, LCPC
2 Endorsed
Online Only
I work best with individuals carrying a lot—stress, pressure, unspoken expectations—who are ready for therapy that’s real, honest, and focused on progress. You may not want to dwell in the past—you want direct conversation, real tools, and a therapist who tells the truth with compassion. My style is grounded in unconditional positive regard, meaning you’ll be fully seen, never judged, and supported in showing up as yourself. Together, we’ll build clarity, strength, and a path forward that fits your life.
I work best with individuals carrying a lot—stress, pressure, unspoken expectations—who are ready for therapy that’s real, honest, and focused on progress. You may not want to dwell in the past—you want direct conversation, real tools, and a therapist who tells the truth with compassion. My style is grounded in unconditional positive regard, meaning you’ll be fully seen, never judged, and supported in showing up as yourself. Together, we’ll build clarity, strength, and a path forward that fits your life.
(667) 222-2798 View (667) 222-2798
Photo of Zahra Barnes, Clinical Social Work/Therapist, LMSW
Zahra Barnes
Clinical Social Work/Therapist, LMSW
1 Endorsed
Online Only
Zahra is a dedicated mental health therapist who offers an affirming, compassionate, and culturally responsive space for healing. With a grounded approach, she invites clients into therapy as their full, authentic selves, free from judgment and societal expectations. Her practice is rooted in deep empathy, intersectional awareness, and a strong belief in the power of personal agency, as she understands the nuanced ways that racism, homophobia, misogyny, and generational trauma can impact mental health. Her work is as much about healing as it is about honoring identity, reclaiming narratives, and nurturing radical self-acceptance!
Zahra is a dedicated mental health therapist who offers an affirming, compassionate, and culturally responsive space for healing. With a grounded approach, she invites clients into therapy as their full, authentic selves, free from judgment and societal expectations. Her practice is rooted in deep empathy, intersectional awareness, and a strong belief in the power of personal agency, as she understands the nuanced ways that racism, homophobia, misogyny, and generational trauma can impact mental health. Her work is as much about healing as it is about honoring identity, reclaiming narratives, and nurturing radical self-acceptance!
(443) 706-8642 View (443) 706-8642
Photo of Catherine Mary Beers, Clinical Social Work/Therapist, LCSW-C
Catherine Mary Beers
Clinical Social Work/Therapist, LCSW-C
Serves Area
Not accepting new clients
Ideally, clients develop a trust with their therapist to work towards resolving those situations that are causing them stress, pain, discomfort or anxiety. Therapy is like a journey that requires trust, support and guidance in order to reach a goal. I have been working with individuals, children and families since 1989 in a variety of settings. I work extensively with victims of trauma, separation/divorce, and clients dealing with depression, bereavement and anxiety. If your goal is to reach inner peace then I can assist you in completing that journey.
Ideally, clients develop a trust with their therapist to work towards resolving those situations that are causing them stress, pain, discomfort or anxiety. Therapy is like a journey that requires trust, support and guidance in order to reach a goal. I have been working with individuals, children and families since 1989 in a variety of settings. I work extensively with victims of trauma, separation/divorce, and clients dealing with depression, bereavement and anxiety. If your goal is to reach inner peace then I can assist you in completing that journey.
(443) 880-2829 View (443) 880-2829
Photo of Linda Timme, Clinical Social Work/Therapist, LCSW-C
Linda Timme
Clinical Social Work/Therapist, LCSW-C
Online Only
My goal is to help others embrace life’s journeys and promote wellness. A great moment in therapy happens when you take steps to become the best version of yourself and feel worthy. My name is Dr. Linda Timme. I am a current Licensed Clinical Social Worker certified by the National Board of Social Work in Maryland, Virginia, and Pennsylvania. I am a Bilingual Clinical Therapist with over 15+ years of experience in mental health and specialize in the treatment of Post-Traumatic Disorder, complex trauma that results from grief and loss, domestic violence, among other traumatic events.
My goal is to help others embrace life’s journeys and promote wellness. A great moment in therapy happens when you take steps to become the best version of yourself and feel worthy. My name is Dr. Linda Timme. I am a current Licensed Clinical Social Worker certified by the National Board of Social Work in Maryland, Virginia, and Pennsylvania. I am a Bilingual Clinical Therapist with over 15+ years of experience in mental health and specialize in the treatment of Post-Traumatic Disorder, complex trauma that results from grief and loss, domestic violence, among other traumatic events.
(443) 909-1453 View (443) 909-1453
Photo of Dominique Benjamin, Pre-Licensed Professional, MFT
Dominique Benjamin
Pre-Licensed Professional, MFT
2 Endorsed
Online Only
I recognize that seeking support is a courageous and important step, and I am here to guide you on your journey toward healing and personal growth. My approach is built on respect, empathy, and collaboration, with a deep belief in each person's individuality. I adjust my therapeutic methods to suit your unique needs and goals, whether you're facing life changes, navigating difficult emotions, or seeking to enhance your overall well-being. My specialty and focus lie in mentorship, life coaching, individual and couples therapy, mediation, and navigating complex family dynamics.
I recognize that seeking support is a courageous and important step, and I am here to guide you on your journey toward healing and personal growth. My approach is built on respect, empathy, and collaboration, with a deep belief in each person's individuality. I adjust my therapeutic methods to suit your unique needs and goals, whether you're facing life changes, navigating difficult emotions, or seeking to enhance your overall well-being. My specialty and focus lie in mentorship, life coaching, individual and couples therapy, mediation, and navigating complex family dynamics.
(914) 601-2781 View (914) 601-2781

More Therapists Nearby

Photo of Julie Pindell Smith, Drug & Alcohol Counselor, MS, CADC, CSC-AD
Julie Pindell Smith
Drug & Alcohol Counselor, MS, CADC, CSC-AD
1 Endorsed
Berlin, MD 21811
Do you want to stop drinking or using drugs? Do you have a loved one struggling with substance use? Giving up something that has been used as a coping skill can be very difficult and present many challenges. Recovering from a substance use disorder will be a journey and one that I can help you with! It can also be difficult to know how to best support a loved one who is in active addiction or just beginning the recovery process. I have been working with adults of all ages with substance use disorders since 2009 helping them navigate the process of change with an open mind, empathy and compassion.
Do you want to stop drinking or using drugs? Do you have a loved one struggling with substance use? Giving up something that has been used as a coping skill can be very difficult and present many challenges. Recovering from a substance use disorder will be a journey and one that I can help you with! It can also be difficult to know how to best support a loved one who is in active addiction or just beginning the recovery process. I have been working with adults of all ages with substance use disorders since 2009 helping them navigate the process of change with an open mind, empathy and compassion.
(410) 936-4719 x1006 View (410) 936-4719 x1006
Photo of Lauren Capel - Paradigm Integrated Behavioral Health & Wellness, Clinical Social Work/Therapist
Paradigm Integrated Behavioral Health & Wellness
Clinical Social Work/Therapist
1 Endorsed
Serves Area
Are you ready to embark on a transformative journey of self-discovery and healing? We believe every story deserves to be heard, and every emotion is valid. We are committed to providing a safe, culturally affirming space where your voice is valued and your story matters. Life can sometimes feel overwhelming. Whether you’re grappling with anxiety, navigating the complexities of depression, facing relationship hurdles, or processing grief, our team is here to support you with empathy and understanding. We celebrate the richness of your identity and strive to honor it in every session.
Are you ready to embark on a transformative journey of self-discovery and healing? We believe every story deserves to be heard, and every emotion is valid. We are committed to providing a safe, culturally affirming space where your voice is valued and your story matters. Life can sometimes feel overwhelming. Whether you’re grappling with anxiety, navigating the complexities of depression, facing relationship hurdles, or processing grief, our team is here to support you with empathy and understanding. We celebrate the richness of your identity and strive to honor it in every session.
(443) 331-2483 View (443) 331-2483
Photo of Anastasia Mercado, Licensed Clinical Professional Counselor, LCPC
Anastasia Mercado
Licensed Clinical Professional Counselor, LCPC
Salisbury, MD 21801
Welcome — I’m so glad you’re here. Seeking support is a courageous step, and this space offers compassion, curiosity, and hope. With over two decades in advocacy, crisis support, and community care, I bring a person-centered, conversational style rooted in each person’s intrinsic value. Therapy with me is a chance to explore your story at your own pace, set meaningful goals, and feel truly seen, supported, and empowered. Grounded in a person-centered approach, I strive to create a compassionate, nonjudgmental environment where your voice leads the way.
Welcome — I’m so glad you’re here. Seeking support is a courageous step, and this space offers compassion, curiosity, and hope. With over two decades in advocacy, crisis support, and community care, I bring a person-centered, conversational style rooted in each person’s intrinsic value. Therapy with me is a chance to explore your story at your own pace, set meaningful goals, and feel truly seen, supported, and empowered. Grounded in a person-centered approach, I strive to create a compassionate, nonjudgmental environment where your voice leads the way.
(410) 892-1055 View (410) 892-1055
Photo of Madalyne Harris, Licensed Clinical Professional Counselor, LCPC, LCPAT
Madalyne Harris
Licensed Clinical Professional Counselor, LCPC, LCPAT
Salisbury, MD 21801
I have an eclectic therapeutic style and strive to meet people wherever they are on their journey. Healing and emotional growth takes time. It's not easy to sit with the big emotions and deeper parts of ourselves that we keep hidden, but with the right therapist you don't have to do it alone. After all, "only in the darkness can you see the stars" and exploring our own darkness allows us to find our light. As long as you have a willingness to do the work and openly engage in the therapy process, you are ready to start your journey.
I have an eclectic therapeutic style and strive to meet people wherever they are on their journey. Healing and emotional growth takes time. It's not easy to sit with the big emotions and deeper parts of ourselves that we keep hidden, but with the right therapist you don't have to do it alone. After all, "only in the darkness can you see the stars" and exploring our own darkness allows us to find our light. As long as you have a willingness to do the work and openly engage in the therapy process, you are ready to start your journey.
(443) 993-5372 View (443) 993-5372
Photo of Gardner McCullough - Catalyst Counseling, Clinical Social Work/Therapist, LCSW
Catalyst Counseling
Clinical Social Work/Therapist, LCSW
Salisbury, MD 21801
Accepting New Clients - Anxiety, Trauma & Burnout Support. You may be feeling overwhelmed, stuck, or emotionally exhausted, not because you have not tried, but because what you have tried has not created lasting change. You might be dealing with anxiety, stress, relationship strain, burnout, or a major life transition and want support that actually helps. You are looking for a therapist who is thoughtful, direct, and collaborative, someone who helps you understand what is happening and build skills you can use outside of sessions. Your goal is not just to talk, but to feel better and function better.
Accepting New Clients - Anxiety, Trauma & Burnout Support. You may be feeling overwhelmed, stuck, or emotionally exhausted, not because you have not tried, but because what you have tried has not created lasting change. You might be dealing with anxiety, stress, relationship strain, burnout, or a major life transition and want support that actually helps. You are looking for a therapist who is thoughtful, direct, and collaborative, someone who helps you understand what is happening and build skills you can use outside of sessions. Your goal is not just to talk, but to feel better and function better.
(301) 364-3307 View (301) 364-3307
Photo of PJ Kurtz, Clinical Social Work/Therapist, LCSW-C
PJ Kurtz
Clinical Social Work/Therapist, LCSW-C
1 Endorsed
Salisbury, MD 21801
My goal is to assist people in developing coping skills to improve their quality of life when dealing with mental health issues, such as depression, anxiety, and past traumas. Collaboration with family/support, medical providers, medication prescribers and other community resources is crucial in creating sustainability and wrap around support for clients. I strive to have flexible hours to accommodate for client's other obligations in life.
My goal is to assist people in developing coping skills to improve their quality of life when dealing with mental health issues, such as depression, anxiety, and past traumas. Collaboration with family/support, medical providers, medication prescribers and other community resources is crucial in creating sustainability and wrap around support for clients. I strive to have flexible hours to accommodate for client's other obligations in life.
(443) 359-9830 View (443) 359-9830
Photo of Melanie Spencer - Balance Point Wellness, LLC, Licensed Clinical Professional Counselor, LCPC
Balance Point Wellness, LLC
Licensed Clinical Professional Counselor, LCPC
1 Endorsed
Online Only
NOW ACCEPTING NEW CLIENTS!
NOW ACCEPTING NEW CLIENTS!
(443) 234-0204 x1 View (443) 234-0204 x1
Photo of Elizabeth Harring - Chesapeake Behavioral Health Services, Clinical Social Work/Therapist, LCSW-C, LCPC, LMSW, LGPC
Chesapeake Behavioral Health Services
Clinical Social Work/Therapist, LCSW-C, LCPC, LMSW, LGPC
Serves Area
Chesapeake Behavioral Health Services provides virtual therapy for adults across Maryland. Our licensed clinicians work with individuals and couples navigating anxiety, stress, relationship challenges, and life transitions. We are currently accepting new adult clients (16+) and focus on helping you get connected with the right therapist—not just the next available appointment. Our intake process is thoughtful and responsive, with the goal of matching you to a clinician whose approach, experience, and availability fit your needs.
Chesapeake Behavioral Health Services provides virtual therapy for adults across Maryland. Our licensed clinicians work with individuals and couples navigating anxiety, stress, relationship challenges, and life transitions. We are currently accepting new adult clients (16+) and focus on helping you get connected with the right therapist—not just the next available appointment. Our intake process is thoughtful and responsive, with the goal of matching you to a clinician whose approach, experience, and availability fit your needs.
(410) 639-3717 View (410) 639-3717
Photo of Client Services - For All Seasons Behavioral Health & RCC
For All Seasons Behavioral Health & RCC
Verified Verified
Serves Area
For All Seasons Behavioral Health and Rape Crisis Center improves the quality of life for residents across the Mid-Shore and throughout Maryland with our expert therapy, psychiatry, victim and crisis support, education and outreach.
For All Seasons Behavioral Health and Rape Crisis Center improves the quality of life for residents across the Mid-Shore and throughout Maryland with our expert therapy, psychiatry, victim and crisis support, education and outreach.
(410) 822-1018 View (410) 822-1018

See more therapy options for 21853

How does your Therapist compare?

Number of Therapists in 21853

10+

Average cost per session

$105

Therapists in 21853 who prioritize treating:

82% Anxiety
82% Self Esteem
73% Depression
73% Trauma and PTSD
73% Coping Skills
64% Relationship Issues
64% ADHD

Average years in practice

13 Years

Top 3 insurances accepted

82% Aetna
82% BlueCross and BlueShield
82% Cigna and Evernorth

How Therapists in 21853 see their clients

55% In Person and Online
45% Online Only

Gender breakdown

91% Female
9% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 21853?

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.