Photo of Jeri Lewis - Old Towne Counseling Services, LPC, Licensed Professional Counselor
Old Towne Counseling Services
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
King William, VA 23086
Are you feeling depressed, overwhelmed, anxious and possibly many other feelings? Old Towne Counseling's (OTC) qualified and experienced therapists, psychologist and prescribers can help! Our team of over 40 providers is here to listen to what's going on and assist you in creating a plan that allows for strength building and feeling better. We work with all ages and with 40+ providers we most likely will have a provider that specializes in the concerns that you are experiencing. We offer therapy for all ages, coaching, psychological testing and psychiatric medication management.
Are you feeling depressed, overwhelmed, anxious and possibly many other feelings? Old Towne Counseling's (OTC) qualified and experienced therapists, psychologist and prescribers can help! Our team of over 40 providers is here to listen to what's going on and assist you in creating a plan that allows for strength building and feeling better. We work with all ages and with 40+ providers we most likely will have a provider that specializes in the concerns that you are experiencing. We offer therapy for all ages, coaching, psychological testing and psychiatric medication management.
(804) 465-7978 View (804) 465-7978
Photo of Nedra Voorhies, LPC, Licensed Professional Counselor
Nedra Voorhies
Licensed Professional Counselor, LPC
Verified Verified
King William, VA 23086
Your life, your concerns and your goals are of utmost importance when you choose a therapist. Finding the right fit makes a huge difference. I have more than 20 years of experience counseling individuals, couples, and families. I am well equipped and highly motivated to guide you as you achieve your goals. Your concerns are immediately addressed when you speak with me. I take time to get to know you and work to combine counseling theories and techniques to individually work with you. I have no cookie cutter treatment plans. My doctoral thesis focused on clinical outcomes.
Your life, your concerns and your goals are of utmost importance when you choose a therapist. Finding the right fit makes a huge difference. I have more than 20 years of experience counseling individuals, couples, and families. I am well equipped and highly motivated to guide you as you achieve your goals. Your concerns are immediately addressed when you speak with me. I take time to get to know you and work to combine counseling theories and techniques to individually work with you. I have no cookie cutter treatment plans. My doctoral thesis focused on clinical outcomes.
(804) 719-1959 View (804) 719-1959
Photo of Christina Urcinas, PhD, Psychologist
Christina Urcinas
Psychologist, PhD
Verified Verified
King William, VA 23086  (Online Only)
I am a licensed Clinical Psychologist with over a decade of work in national and regional hospital systems, multi-disciplinary long-term care and rehabilitation facilities, and community clinics. I collaborate with adults experiencing a variety of mental health concerns including symptoms of depression, panic disorder, generalized and social anxiety, grief and loss, trauma, adjustment and self-esteem issues, and caregiver stress. I provide individual teletherapy services only at this time with a clinical foundation primarily consisting of cognitive-behavioral interventions.
I am a licensed Clinical Psychologist with over a decade of work in national and regional hospital systems, multi-disciplinary long-term care and rehabilitation facilities, and community clinics. I collaborate with adults experiencing a variety of mental health concerns including symptoms of depression, panic disorder, generalized and social anxiety, grief and loss, trauma, adjustment and self-esteem issues, and caregiver stress. I provide individual teletherapy services only at this time with a clinical foundation primarily consisting of cognitive-behavioral interventions.
(757) 520-2011 View (757) 520-2011
Photo of Stephanie Safos-Moriarty, LPC, Licensed Professional Counselor
Stephanie Safos-Moriarty
Licensed Professional Counselor, LPC
Verified Verified
King William, VA 23086
My name is Stephanie Safos-Moriarty, and I am a Licensed Mental Health Counselor and Licensed Professional Counselor in the states of FL, VA, and CT. I offer counseling services for parents, individuals, couples, families, children, adolescents, geriatric clients, and all populations, including LGBTQIA+ and MOGAI, with a caring, compassionate, and genuine approach. I provide counseling services for parents, individuals, couples, families, children, adolescents, geriatric clients, and all populations, including LGBTQIA+ and MOGAI.
My name is Stephanie Safos-Moriarty, and I am a Licensed Mental Health Counselor and Licensed Professional Counselor in the states of FL, VA, and CT. I offer counseling services for parents, individuals, couples, families, children, adolescents, geriatric clients, and all populations, including LGBTQIA+ and MOGAI, with a caring, compassionate, and genuine approach. I provide counseling services for parents, individuals, couples, families, children, adolescents, geriatric clients, and all populations, including LGBTQIA+ and MOGAI.
(571) 946-4605 View (571) 946-4605

More Therapists Nearby

Photo of Dr. Kat Ford, PhD, LPC, NBCT, Licensed Professional Counselor
Dr. Kat Ford
Licensed Professional Counselor, PhD, LPC, NBCT
Verified Verified
Richmond, VA 23230
Dr. Kat Ford brings a unique blend of empathy, expertise, and personalized therapy to meet clients' diverse needs. With a solid foundation in mental health counseling and extensive experience with various backgrounds, she understands emotional complexities. Clients will find a compassionate, non-judgmental space where their concerns are addressed with tailored strategies for growth and healing. Dr. Ford's holistic approach combines traditional therapeutic techniques with innovative methods, ensuring individualized, high-quality, evidence-based care for transformative experiences.
Dr. Kat Ford brings a unique blend of empathy, expertise, and personalized therapy to meet clients' diverse needs. With a solid foundation in mental health counseling and extensive experience with various backgrounds, she understands emotional complexities. Clients will find a compassionate, non-judgmental space where their concerns are addressed with tailored strategies for growth and healing. Dr. Ford's holistic approach combines traditional therapeutic techniques with innovative methods, ensuring individualized, high-quality, evidence-based care for transformative experiences.
(804) 655-0118 View (804) 655-0118
Photo of Bridget Dunnavant, PhD, LCP, Psychologist
Bridget Dunnavant
Psychologist, PhD, LCP
Verified Verified
1 Endorsed
Richmond, VA 23225
I offer individual, couples, and group therapy. In addition to ameliorating symptoms, decreasing emotional pain, and helping to solve difficult problems, experiential therapy, along with mindfulness and somatic awareness can facilitate significant personal growth and increased wellness. My approach is broadly humanistic, meaning we seek together in a safe and secure environment, mutual understanding of you as a whole person, honing your internal "voice" and tapping into your existing strengths. Once we identify who you really are inside and what is most important to you, the path to bringing your life into alignment becomes clearer.
I offer individual, couples, and group therapy. In addition to ameliorating symptoms, decreasing emotional pain, and helping to solve difficult problems, experiential therapy, along with mindfulness and somatic awareness can facilitate significant personal growth and increased wellness. My approach is broadly humanistic, meaning we seek together in a safe and secure environment, mutual understanding of you as a whole person, honing your internal "voice" and tapping into your existing strengths. Once we identify who you really are inside and what is most important to you, the path to bringing your life into alignment becomes clearer.
(804) 793-8685 View (804) 793-8685
Photo of Ashley Vicari, LPC, LPCC-S, NCC, Licensed Professional Counselor
Ashley Vicari
Licensed Professional Counselor, LPC, LPCC-S, NCC
Verified Verified
2 Endorsed
Glen Allen, VA 23059
Hi! I'm Ashley. I've been practicing Therapy for 10 years and am honored to have sat across from so many incredible souls. Life can be so beautiful. It can also be so incredibly hard and challenging to navigate. I'd love to support you as you seek healing and restoration. Having worked in this field for years, my specialties include anxiety, depression, eating disorders and body image, life adjustments, parenthood, infertility and perinatal support, and women's issues among other things.
Hi! I'm Ashley. I've been practicing Therapy for 10 years and am honored to have sat across from so many incredible souls. Life can be so beautiful. It can also be so incredibly hard and challenging to navigate. I'd love to support you as you seek healing and restoration. Having worked in this field for years, my specialties include anxiety, depression, eating disorders and body image, life adjustments, parenthood, infertility and perinatal support, and women's issues among other things.
(270) 713-6158 View (270) 713-6158
Photo of Andrew Walls, Licensed Professional Counselor
Andrew Walls
Licensed Professional Counselor
Verified Verified
Ampthill, VA 23234  (Online Only)
Andrew is a Licensed Professional Counselor and Nationally Certified Counselor; he earned his master’s degree from Troy University in Tampa Florida and is currently working on his Ph.D. in Counselor Education and Supervision with Capella University. Prior to entering the field of mental health, Andrew was a member of the United States Army and served in support of Operation Iraqi Freedom. Andrew has experience working with adults across the lifespan and adolescents that struggle with various types of mental health diagnoses.
Andrew is a Licensed Professional Counselor and Nationally Certified Counselor; he earned his master’s degree from Troy University in Tampa Florida and is currently working on his Ph.D. in Counselor Education and Supervision with Capella University. Prior to entering the field of mental health, Andrew was a member of the United States Army and served in support of Operation Iraqi Freedom. Andrew has experience working with adults across the lifespan and adolescents that struggle with various types of mental health diagnoses.
(571) 556-9568 View (571) 556-9568
Photo of Jaquiera Moore, LPC-R, Pre-Licensed Professional
Jaquiera Moore
Pre-Licensed Professional, LPC-R
Verified Verified
Richmond, VA 23226
Jaquiera Moore, LPC-R Jaquiera Moore is a Licensed Professional Counselor in Residency in Virginia who has been practicing since 2021. She has a Master of Arts in Clinical Mental Health Counseling from South University and a Bachelor of Science in Psychology from Virginia State University. In her spare time, Jaquiera enjoys binge watching TV, spending time with family and friends, and traveling.
Jaquiera Moore, LPC-R Jaquiera Moore is a Licensed Professional Counselor in Residency in Virginia who has been practicing since 2021. She has a Master of Arts in Clinical Mental Health Counseling from South University and a Bachelor of Science in Psychology from Virginia State University. In her spare time, Jaquiera enjoys binge watching TV, spending time with family and friends, and traveling.
(804) 207-8301 View (804) 207-8301
Photo of Erica Ohnstad, LPC, LSATP, ATR-BC, Licensed Professional Counselor
Erica Ohnstad
Licensed Professional Counselor, LPC, LSATP, ATR-BC
Verified Verified
Ashland, VA 23005
I am licensed in the state of Virginia as a Licensed Professional Counselor, a Licensed Addictions Treatment Practitioner, and a Board Certified Art Therapist. I have an extensive history of working with clients suffering from co-occurring disorders. I believe that the therapeutic value of art has the power to heal, empower, and engage those who feel isolated due to addiction, depression, anxiety, fears, anger, and pain. I received my Master's degree in Art Therapy from George Washington University, with a focus on Trauma-Informed Care.
I am licensed in the state of Virginia as a Licensed Professional Counselor, a Licensed Addictions Treatment Practitioner, and a Board Certified Art Therapist. I have an extensive history of working with clients suffering from co-occurring disorders. I believe that the therapeutic value of art has the power to heal, empower, and engage those who feel isolated due to addiction, depression, anxiety, fears, anger, and pain. I received my Master's degree in Art Therapy from George Washington University, with a focus on Trauma-Informed Care.
(571) 568-5225 View (571) 568-5225
Photo of Ashley Patrican, LPC, Licensed Professional Counselor
Ashley Patrican
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23223
I believe that therapy is about the journey towards self-discovery and joining that person on a quest to seek out the answers they already have within themselves. The ideal client is a person who is open to learning, determined to self-improve and committed to the therapeutic relationship. My experiences with mental health range from: autism, mood disorders, postpartum depression, lyme disease, suicide ideation, gender identity concerns,personality disorders, chronic pain, trauma, behavioral management, social skills training, parent training, psychosis to substance use.
I believe that therapy is about the journey towards self-discovery and joining that person on a quest to seek out the answers they already have within themselves. The ideal client is a person who is open to learning, determined to self-improve and committed to the therapeutic relationship. My experiences with mental health range from: autism, mood disorders, postpartum depression, lyme disease, suicide ideation, gender identity concerns,personality disorders, chronic pain, trauma, behavioral management, social skills training, parent training, psychosis to substance use.
(434) 331-3751 View (434) 331-3751
Photo of Ken Horne, MSW, LCSW, Clinical Social Work/Therapist
Ken Horne
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Richmond, VA 23220
Waitlist for new clients
Welcome - I am a licensed psychotherapist with 18+ years of clinical experience. I specialize in client-centered, insight-oriented talk therapy that incorporates mindfulness, somatic work, wellness planning, and practical tools for self-soothing and stress reduction. My holistic, humanistic approach draws from multiple healing perspectives including psychodynamic, narrative, cognitive-behavioral, emotionally-focused, and attachment-based therapies. I often support clients experiencing anxiety, depression, self-judgment, cumulative stress, grief, stuckness, reactivity, relational problems, lack of fulfillment, or major life changes.
Welcome - I am a licensed psychotherapist with 18+ years of clinical experience. I specialize in client-centered, insight-oriented talk therapy that incorporates mindfulness, somatic work, wellness planning, and practical tools for self-soothing and stress reduction. My holistic, humanistic approach draws from multiple healing perspectives including psychodynamic, narrative, cognitive-behavioral, emotionally-focused, and attachment-based therapies. I often support clients experiencing anxiety, depression, self-judgment, cumulative stress, grief, stuckness, reactivity, relational problems, lack of fulfillment, or major life changes.
(434) 981-5331 View (434) 981-5331
Photo of Asia Hall, MA, LPC, LSATP, Licensed Professional Counselor
Asia Hall
Licensed Professional Counselor, MA, LPC, LSATP
Verified Verified
1 Endorsed
Richmond, VA 23225  (Online Only)
What does your picture look like? I firmly believe that we all have our own levels of success and happiness and sometime need assistance reaching that place in our lives. I have gained a wealth of knowledge and experience with over 16 years of experience working with individuals in various settings to include outpatient care, residential homes, hospice, and jails. I am no stranger to seeing the impact of trauma, addiction, depression, grief, and difficulty due to adjusting to stages of life. I am aware of how hard it is for you to face these issues alone! Let me help you.
What does your picture look like? I firmly believe that we all have our own levels of success and happiness and sometime need assistance reaching that place in our lives. I have gained a wealth of knowledge and experience with over 16 years of experience working with individuals in various settings to include outpatient care, residential homes, hospice, and jails. I am no stranger to seeing the impact of trauma, addiction, depression, grief, and difficulty due to adjusting to stages of life. I am aware of how hard it is for you to face these issues alone! Let me help you.
(434) 256-2975 View (434) 256-2975
Photo of Amanda Steiner, PreLPC, Pre-Licensed Professional
Amanda Steiner
Pre-Licensed Professional, PreLPC
Verified Verified
Richmond, VA 23223  (Online Only)
I am Amanda Steiner, a Resident in Counseling with 5 years of experience in the mental health field. I specialize in depression, anxiety, grief, trauma, religious trauma, and major life transitions. I’m passionate about helping clients find internal safety, meet their individual goals, and break cycles of generational trauma.
I am Amanda Steiner, a Resident in Counseling with 5 years of experience in the mental health field. I specialize in depression, anxiety, grief, trauma, religious trauma, and major life transitions. I’m passionate about helping clients find internal safety, meet their individual goals, and break cycles of generational trauma.
(804) 913-2634 View (804) 913-2634
Photo of Cara Marinucci, LPC, FAMI, Licensed Professional Counselor
Cara Marinucci
Licensed Professional Counselor, LPC, FAMI
Verified Verified
3 Endorsed
Richmond, VA 23233
As a Licensed Professional Counselor, I am continually inspired by the transformative moment that happens in the counseling process. There is a sacredness in being present to another as a guide on this journey we call life. Whether it is exploring inner resources for healing and growth or the possibilities for deep and lasting change, it is an honor to work with people that are desiring a better way to be themselves in the world. My own journey has taught me that being truly present and engaged allows space for the unknown to be revealed, acknowledged, and eventually integrated into the service of the whole self.
As a Licensed Professional Counselor, I am continually inspired by the transformative moment that happens in the counseling process. There is a sacredness in being present to another as a guide on this journey we call life. Whether it is exploring inner resources for healing and growth or the possibilities for deep and lasting change, it is an honor to work with people that are desiring a better way to be themselves in the world. My own journey has taught me that being truly present and engaged allows space for the unknown to be revealed, acknowledged, and eventually integrated into the service of the whole self.
(434) 248-3114 View (434) 248-3114
Photo of Ashley Mottley, RIC, Pre-Licensed Professional
Ashley Mottley
Pre-Licensed Professional, RIC
Verified Verified
1 Endorsed
Glen Allen, VA 23060
Ashley brings experience working with neurodivergent individuals, those with trauma histories, as well as members of the queer and trans communities. She is skilled in supporting clients dealing with bipolar disorder, borderline personality disorder, and substance use challenges. As a neurodivergent therapist herself, Ashley deeply understands the complexities of forming an empowered identity while navigating societal differences. Her approach is centered on building genuine, nonjudgmental connections, and she works collaboratively with clients to develop personalized strategies that meet their unique needs.
Ashley brings experience working with neurodivergent individuals, those with trauma histories, as well as members of the queer and trans communities. She is skilled in supporting clients dealing with bipolar disorder, borderline personality disorder, and substance use challenges. As a neurodivergent therapist herself, Ashley deeply understands the complexities of forming an empowered identity while navigating societal differences. Her approach is centered on building genuine, nonjudgmental connections, and she works collaboratively with clients to develop personalized strategies that meet their unique needs.
(804) 408-4261 View (804) 408-4261
Photo of Linda Walsh, LPC, Licensed Professional Counselor
Linda Walsh
Licensed Professional Counselor, LPC
Verified Verified
Mechanicsville, VA 23116  (Online Only)
Accepting new clients: Adults only. With over 40 years of counseling experience in working with all types of clients and problems I enjoy helping clients uncover positive tools for important changes in their lives. I believe therapy can make a huge difference in people's lives and enhance their overall health and well-being. I believe in a strong mind-body connection and that much of what ails us can not be medicated away. I see clients in individual therapy and Telehealth only.
Accepting new clients: Adults only. With over 40 years of counseling experience in working with all types of clients and problems I enjoy helping clients uncover positive tools for important changes in their lives. I believe therapy can make a huge difference in people's lives and enhance their overall health and well-being. I believe in a strong mind-body connection and that much of what ails us can not be medicated away. I see clients in individual therapy and Telehealth only.
(804) 577-5960 View (804) 577-5960
Photo of LaToya Cotman, MEd, LPC, Licensed Professional Counselor
LaToya Cotman
Licensed Professional Counselor, MEd, LPC
Verified Verified
Glen Allen, VA 23059  (Online Only)
Hello! Thank you for taking the time to inquire more about the services I offer. I am a Licensed Professional Counselor in VA and a Board Certified Clinical Supervisor for LPC Residents. I offer individual, family, and group counseling to a variety of ages including children, adolescents, and adults.
Hello! Thank you for taking the time to inquire more about the services I offer. I am a Licensed Professional Counselor in VA and a Board Certified Clinical Supervisor for LPC Residents. I offer individual, family, and group counseling to a variety of ages including children, adolescents, and adults.
(757) 906-3177 View (757) 906-3177
Photo of Priscilla Herzberg, LCSW, Clinical Social Work/Therapist
Priscilla Herzberg
Clinical Social Work/Therapist, LCSW
Verified Verified
Ashland, VA 23005
I am Priscilla Herzberg, a Licensed Clinical Social Worker in the state of Virginia who partners with adults and couples seeking help with depression, anxiety, life transitions, and trauma. I completed my Bachelor of Science in Human Development from Virginia Tech and received my Master of Social Work from Virginia Commonwealth University.
I am Priscilla Herzberg, a Licensed Clinical Social Worker in the state of Virginia who partners with adults and couples seeking help with depression, anxiety, life transitions, and trauma. I completed my Bachelor of Science in Human Development from Virginia Tech and received my Master of Social Work from Virginia Commonwealth University.
(804) 258-4934 View (804) 258-4934
Photo of Wendy Couch, LCMHC, LPC-S, Licensed Professional Counselor
Wendy Couch
Licensed Professional Counselor, LCMHC, LPC-S
Verified Verified
Glen Allen, VA 23059  (Online Only)
Limited daytime availability at this time: Everyone deserves a safe space to find their voice and write their next chapter. Mental health wellness is a journey, and I would be honored to be a part of yours. My goal is to support you through connection, reflection and growth. I am dedicated to creating a supportive therapeutic relationship built on trust, transparency, and authenticity. My approach integrates trauma informed and evidence-based practices with personalized care, curated to meet your unique needs and goals.
Limited daytime availability at this time: Everyone deserves a safe space to find their voice and write their next chapter. Mental health wellness is a journey, and I would be honored to be a part of yours. My goal is to support you through connection, reflection and growth. I am dedicated to creating a supportive therapeutic relationship built on trust, transparency, and authenticity. My approach integrates trauma informed and evidence-based practices with personalized care, curated to meet your unique needs and goals.
(804) 494-4081 View (804) 494-4081

See more therapy options for 23086

How does your Therapist compare?

Number of Therapists in 23086

< 10

Therapists in 23086 who prioritize treating:

100% Anxiety
75% Depression
75% Coping Skills
75% Women's Issues
50% Relationship Issues
50% Grief
50% Parenting

Average years in practice

32 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% UnitedHealthcare UHC | UBH

How Therapists in 23086 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 23086?

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.