Photo of Angela Meadows, MS, LPC, NCC, Counselor
Angela Meadows
Counselor, MS, LPC, NCC
Verified Verified
Fieldale, VA 24089  (Online Only)
I have experience working from youth ages 4-17 and adults ages 18-60. My experiences have been primarily working with teens & young adults with anxiety, depression, adhd, trauma, and parenting concerns. I work with you to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started. Therapy is like changing your sheets. In order to have the best sleep we have to maintain what we sleep on. Imagine session as your way of cleaning your sheets. Your way of building back to what you have.
I have experience working from youth ages 4-17 and adults ages 18-60. My experiences have been primarily working with teens & young adults with anxiety, depression, adhd, trauma, and parenting concerns. I work with you to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started. Therapy is like changing your sheets. In order to have the best sleep we have to maintain what we sleep on. Imagine session as your way of cleaning your sheets. Your way of building back to what you have.
(276) 400-9238 View (276) 400-9238
Photo of Kenneth Kronheim, LPC, Licensed Professional Counselor
Kenneth Kronheim
Licensed Professional Counselor, LPC
Verified Verified
Fieldale, VA 24089
Ken Kronheim has been a licensed therapist since 2007. As a retired fire rescue chief, Ken possesses the experience and insight not only to ease physical suffering but help mental health as well. Ken's goal is to not only make you "feel" better but also help you "get" better. My focus Ken has a vast amount of experience with front-line/professional personnel such as first responders, medical field, military, law, educators and their families as well as college aged students. Ken utilizes an eclectic approach to therapy while primarily utilizing CBT, REBT, and solution-focused techniques.
Ken Kronheim has been a licensed therapist since 2007. As a retired fire rescue chief, Ken possesses the experience and insight not only to ease physical suffering but help mental health as well. Ken's goal is to not only make you "feel" better but also help you "get" better. My focus Ken has a vast amount of experience with front-line/professional personnel such as first responders, medical field, military, law, educators and their families as well as college aged students. Ken utilizes an eclectic approach to therapy while primarily utilizing CBT, REBT, and solution-focused techniques.
(571) 520-4178 View (571) 520-4178
Photo of Mayah Taylor, LPC, Licensed Professional Counselor
Mayah Taylor
Licensed Professional Counselor, LPC
Verified Verified
Fieldale, VA 24089
I believe that anyone seeking help can find peace, wellness, and strength in a warm, supportive therapeutic environment. I have worked in mental health since 2017. My professional experience includes providing individual and group therapy in a private practice setting and working in the hospital setting to provide crisis intervention, discharge planning, and conducting behavioral health assessments as part of treatment planning. I serve clients experiencing various mental health issues and problems surrounding anger management, anxiety, coping skills, depression, grief/loss, stress, and self-esteem.
I believe that anyone seeking help can find peace, wellness, and strength in a warm, supportive therapeutic environment. I have worked in mental health since 2017. My professional experience includes providing individual and group therapy in a private practice setting and working in the hospital setting to provide crisis intervention, discharge planning, and conducting behavioral health assessments as part of treatment planning. I serve clients experiencing various mental health issues and problems surrounding anger management, anxiety, coping skills, depression, grief/loss, stress, and self-esteem.
(540) 930-4365 View (540) 930-4365

More Therapists Nearby

Photo of DeAnna Smith, MSEd, Pre-Licensed Professional
DeAnna Smith
Pre-Licensed Professional, MSEd
Verified Verified
1 Endorsed
Martinsville, VA 24115  (Online Only)
I believe therapy can benefit everyone, and is not just for when something is "wrong." Therapy is a place to work through issues, but is also a place to become the best version of yourself. I hope that after therapy with me, clients feel motivated and empowered to move forward and do their best at whatever challenges arise.
I believe therapy can benefit everyone, and is not just for when something is "wrong." Therapy is a place to work through issues, but is also a place to become the best version of yourself. I hope that after therapy with me, clients feel motivated and empowered to move forward and do their best at whatever challenges arise.
(804) 993-8450 View (804) 993-8450
Photo of Porcha Porter, Clinical Social Work/Therapist
Porcha Porter
Clinical Social Work/Therapist
Verified Verified
Martinsville, VA 24112  (Online Only)
I am licensed in Virginia with 6 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, lgbt-related issues, & depression. I work with my clients to create an open and relaxed environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!
I am licensed in Virginia with 6 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, lgbt-related issues, & depression. I work with my clients to create an open and relaxed environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!
(571) 556-8227 View (571) 556-8227
Photo of Paula Tisdale, Licensed Professional Counselor
Paula Tisdale
Licensed Professional Counselor
Verified Verified
Martinsville, VA 24112  (Online Only)
Hi, My Name is Paula, and I am a Trauma Informed Therapist with over 15 years of clinical experience working with individuals, couples, families and young adults impacted by adverse traumatic experiences and major life events. My approach is holistic, and I assist families and major stakeholders in gaining a better understanding of the benefit of therapy to garner their support and increase successful treatment outcomes. In 2009, I graduated from Liberty University in Lynchburg, Virginia, with a Master’s Degree in Professional Counseling.
Hi, My Name is Paula, and I am a Trauma Informed Therapist with over 15 years of clinical experience working with individuals, couples, families and young adults impacted by adverse traumatic experiences and major life events. My approach is holistic, and I assist families and major stakeholders in gaining a better understanding of the benefit of therapy to garner their support and increase successful treatment outcomes. In 2009, I graduated from Liberty University in Lynchburg, Virginia, with a Master’s Degree in Professional Counseling.
(757) 432-2058 View (757) 432-2058
Photo of Nijeria J. Jones, LPC, NCC, ABS, Coach
Nijeria J. Jones
LPC, NCC, ABS, Coach
Verified Verified
3 Endorsed
Martinsville, VA 24112  (Online Only)
Do you struggle with intimacy issues or feel disconnected in your relationships? Is it affecting your ability to form meaningful connections? Do you feel overwhelmed by the thought of discussing sex and intimacy? Do you wonder if your sex life could be more fulfilling? Now more than ever, people of all genders & sexual orientations are feeling uncertain about overcoming societal stigmas around sex & intimacy. We believe it shouldn’t be so hard to live a fulfilling sexual life! At Sexhale Services LLC, I offer sex therapy and intimacy coaching for adults seeking to enhance their personal & sexual relationship.
Do you struggle with intimacy issues or feel disconnected in your relationships? Is it affecting your ability to form meaningful connections? Do you feel overwhelmed by the thought of discussing sex and intimacy? Do you wonder if your sex life could be more fulfilling? Now more than ever, people of all genders & sexual orientations are feeling uncertain about overcoming societal stigmas around sex & intimacy. We believe it shouldn’t be so hard to live a fulfilling sexual life! At Sexhale Services LLC, I offer sex therapy and intimacy coaching for adults seeking to enhance their personal & sexual relationship.
View
Photo of Preston H. Page, LCSW, LSATP, Clinical Social Work/Therapist
Preston H. Page
Clinical Social Work/Therapist, LCSW, LSATP
Verified Verified
Bassett, VA 24055
I have joined Dr. Margaret Bowen's “Restoration is a Journey” practice. Working with me will therefore make available to you a physician and two psychiatric nurse practitioners. Mental health and substance abuse treatment are available. Substance abuse services include Suboxone and other medically assisted treatment such as Vivitrol. Methadone is not available. You are not required to see the physician and psychiatric nurse practitioners to work with me.
I have joined Dr. Margaret Bowen's “Restoration is a Journey” practice. Working with me will therefore make available to you a physician and two psychiatric nurse practitioners. Mental health and substance abuse treatment are available. Substance abuse services include Suboxone and other medically assisted treatment such as Vivitrol. Methadone is not available. You are not required to see the physician and psychiatric nurse practitioners to work with me.
(276) 403-0975 View (276) 403-0975
Photo of Jame'e Hairston, MSW, LCSW, Clinical Social Work/Therapist
Jame'e Hairston
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Martinsville, VA 24112
Welcome! I’m a Licensed Client Social Worker based in Virginia with 6 years of experience. I received my Master’s from Walden University and specialize in helping individuals improve their quality of life. I work with clients facing challenges like stress, anxiety, and life transitions, using empathy and collaboration to create personalized strategies for growth. My goal is to empower clients to build resilience, enhance emotional well-being, and achieve their goals in a supportive, non-judgmental space.
Welcome! I’m a Licensed Client Social Worker based in Virginia with 6 years of experience. I received my Master’s from Walden University and specialize in helping individuals improve their quality of life. I work with clients facing challenges like stress, anxiety, and life transitions, using empathy and collaboration to create personalized strategies for growth. My goal is to empower clients to build resilience, enhance emotional well-being, and achieve their goals in a supportive, non-judgmental space.
(276) 365-1272 View (276) 365-1272
Photo of Kimberly Mcgrady, LCSW, Clinical Social Work/Therapist
Kimberly Mcgrady
Clinical Social Work/Therapist, LCSW
Verified Verified
Martinsville, VA 24112
Welcome! My name is Kimberly McGrady (VA license 0904015173). Right now it doesn't feel like it, but you can create change in your life! It is hard work to get your mind to stop doing all that unhealthy stuff like keeping you stuck, unmotivated, ruminating, anxious, fearful, insecure, depressed, being self-critical, and repeating negative patterns. Let's dive in, see where your head is, set some goals, create some new thought patterns, learn self-compassion, and get you back to living your best life. My ideal client wants to actively engage in therapy and learn effective mind skills to evolve and thrive.
Welcome! My name is Kimberly McGrady (VA license 0904015173). Right now it doesn't feel like it, but you can create change in your life! It is hard work to get your mind to stop doing all that unhealthy stuff like keeping you stuck, unmotivated, ruminating, anxious, fearful, insecure, depressed, being self-critical, and repeating negative patterns. Let's dive in, see where your head is, set some goals, create some new thought patterns, learn self-compassion, and get you back to living your best life. My ideal client wants to actively engage in therapy and learn effective mind skills to evolve and thrive.
(276) 807-5352 View (276) 807-5352
Photo of Tia Jamison, LCSW, Clinical Social Work/Therapist
Tia Jamison
Clinical Social Work/Therapist, LCSW
Verified Verified
Martinsville, VA 24112
Not accepting new clients
Greetings! Do you often feel weighted down by feelings of anxiety? Do you often experience long periods of sadness and have difficulty engaging in daily activities and tasks? Are you having a difficult time coping with life stressors and moving forward? Are you tired of being “strong” all the time? Are you struggling with low self-esteem? If so, you’ve come to the right place!
Greetings! Do you often feel weighted down by feelings of anxiety? Do you often experience long periods of sadness and have difficulty engaging in daily activities and tasks? Are you having a difficult time coping with life stressors and moving forward? Are you tired of being “strong” all the time? Are you struggling with low self-esteem? If so, you’ve come to the right place!
View
Photo of Linnie Daniel, LCSW, Clinical Social Work/Therapist
Linnie Daniel
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Martinsville, VA 24112  (Online Only)
Life throws us challenges that can feel like you're stuck in survival mode. You might feel disconnected from the world, having difficulty with relationships, or a sense of confusion about the future.
Life throws us challenges that can feel like you're stuck in survival mode. You might feel disconnected from the world, having difficulty with relationships, or a sense of confusion about the future.
(757) 517-8364 View (757) 517-8364
Photo of Tina Street, MSW, LCSW, Clinical Social Work/Therapist
Tina Street
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Martinsville, VA 24112
If only life came with a manual, then we wouldn’t need “leaders” to guide us, educate us, motivate us, and encourage us. Life would be perfect with blue skies and no worries. Well unfortunately it doesn’t and sometimes our worlds get cloudy, and we need a extra level of support to guide us through this journey of life. Sometimes change can be uncomfortable especially when you are vulnerable, but knowing that you need help is the first step to the healing process (So great job and kudos to you).
If only life came with a manual, then we wouldn’t need “leaders” to guide us, educate us, motivate us, and encourage us. Life would be perfect with blue skies and no worries. Well unfortunately it doesn’t and sometimes our worlds get cloudy, and we need a extra level of support to guide us through this journey of life. Sometimes change can be uncomfortable especially when you are vulnerable, but knowing that you need help is the first step to the healing process (So great job and kudos to you).
(434) 277-2236 View (434) 277-2236
Photo of Lisa McIntosh - Second Chance LLC, LPC, Licensed Professional Counselor
Second Chance LLC
Licensed Professional Counselor, LPC
Verified Verified
Martinsville, VA 24112
I am a Licensed Professional Counselor and Certified Substance Abuse Counselor Supervisee with over 20 years of experience helping adults and children to improve their wellbeing and enhance their quality of life. I offer individual, family or group therapy for adults experiencing depression, anxiety, grief, post-traumatic stress disorder and substance use disorder. I also offer individual or group therapy for children ages 5-17 years old experiencing anxiety, depression, conduct disorder, oppositional defiant disorder, attention-deficit/hyperactivity disorder, mood disorder and trauma.
I am a Licensed Professional Counselor and Certified Substance Abuse Counselor Supervisee with over 20 years of experience helping adults and children to improve their wellbeing and enhance their quality of life. I offer individual, family or group therapy for adults experiencing depression, anxiety, grief, post-traumatic stress disorder and substance use disorder. I also offer individual or group therapy for children ages 5-17 years old experiencing anxiety, depression, conduct disorder, oppositional defiant disorder, attention-deficit/hyperactivity disorder, mood disorder and trauma.
(276) 633-6658 View (276) 633-6658
Photo of Danielle Hulse, Licensed Professional Counselor
Danielle Hulse
Licensed Professional Counselor
Verified Verified
Martinsville, VA 24112  (Online Only)
Welcome to A Phoenix Life Counseling & Consulting Services! As the owner of the practice and a trauma-specialized therapist, I am excited to work with you and be a part of your healing and growth journey! What I Bring to the Table: I provide therapy for individuals, families, and couples; adults and youth. I see clients virtually throughout the state of VA and am available to see clients in person through the use of public space or nature trails in the Hampton Roads Area. Group therapy to be offered soon as well.
Welcome to A Phoenix Life Counseling & Consulting Services! As the owner of the practice and a trauma-specialized therapist, I am excited to work with you and be a part of your healing and growth journey! What I Bring to the Table: I provide therapy for individuals, families, and couples; adults and youth. I see clients virtually throughout the state of VA and am available to see clients in person through the use of public space or nature trails in the Hampton Roads Area. Group therapy to be offered soon as well.
(434) 694-2092 View (434) 694-2092
Photo of Angel W. Whitehead - The Therapy Hub, LPC, Licensed Professional Counselor
The Therapy Hub
Licensed Professional Counselor, LPC
Verified Verified
Martinsville, VA 24112
October 2024: Accepting new clients. Hi there, I’m Angel Whitehead, owner of The Therapy Hub, PLLC in Blacksburg, Virginia. I specialize in providing compassionate support for millennials struggling with body image concerns & relationship worries! (Gen X & Gen Z folks are also welcome). I also specialize in men's issues, focusing on destigmatizing vulnerability and addressing rigid gender norms. I offer a modern therapy approach that cultivates self-compassion & empowers you to get curious & dig deep into your beliefs about your relationship with yourself, your body, & the people in your life.
October 2024: Accepting new clients. Hi there, I’m Angel Whitehead, owner of The Therapy Hub, PLLC in Blacksburg, Virginia. I specialize in providing compassionate support for millennials struggling with body image concerns & relationship worries! (Gen X & Gen Z folks are also welcome). I also specialize in men's issues, focusing on destigmatizing vulnerability and addressing rigid gender norms. I offer a modern therapy approach that cultivates self-compassion & empowers you to get curious & dig deep into your beliefs about your relationship with yourself, your body, & the people in your life.
(540) 750-5593 View (540) 750-5593
Photo of Mark Murphy, LCPC, Licensed Professional Counselor
Mark Murphy
Licensed Professional Counselor, LCPC
Verified Verified
Collinsville, VA 24078
I have been a Licensed Professional Counselor for over 20 years. I have worked with men, women, teens, and families on various issues. Sometimes that work involved helping them through a particular incident or life change that overwhelmed them. Other times, our work centered around longstanding topics of depression, anxiety, trauma, and addiction. With years of both institutional and outpatient experience, I enjoy helping people move from a place they can no longer tolerate to one where they feel happier and more effective. I also provide clinical supervision for LPC residents.
I have been a Licensed Professional Counselor for over 20 years. I have worked with men, women, teens, and families on various issues. Sometimes that work involved helping them through a particular incident or life change that overwhelmed them. Other times, our work centered around longstanding topics of depression, anxiety, trauma, and addiction. With years of both institutional and outpatient experience, I enjoy helping people move from a place they can no longer tolerate to one where they feel happier and more effective. I also provide clinical supervision for LPC residents.
(757) 909-5571 View (757) 909-5571
Photo of Bethany Gravely - Lifebulb Counseling & Therapy, LCSW, Clinical Social Work/Therapist
Lifebulb Counseling & Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Martinsville, VA 24112
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
(276) 276-1729 View (276) 276-1729
Photo of James 'scott' Law, LCSW, Clinical Social Work/Therapist
James 'scott' Law
Clinical Social Work/Therapist, LCSW
Verified Verified
Martinsville, VA 24112  (Online Only)
I am a LCSW in Virginia. I enjoy helping others find balance through therapy. The therapy I provide is individualized to meet your needs. I am a veteran, father and husband with many life experiences that have helped develop my therapeutic approach. I have experience navigating and treating mental health concerns across the emotional, cognitive and behavioral health spectrum. I believe in meeting everyone where they are and developing a plan to get where they want to be while meeting their unique needs.
I am a LCSW in Virginia. I enjoy helping others find balance through therapy. The therapy I provide is individualized to meet your needs. I am a veteran, father and husband with many life experiences that have helped develop my therapeutic approach. I have experience navigating and treating mental health concerns across the emotional, cognitive and behavioral health spectrum. I believe in meeting everyone where they are and developing a plan to get where they want to be while meeting their unique needs.
(540) 405-8846 View (540) 405-8846
Photo of Sharon Grey Wilson - Blue Ridge Counseling, Sharon Wilson, LCSW, MSW, LCSW, Clinical Social Work/Therapist
Blue Ridge Counseling, Sharon Wilson, LCSW
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Martinsville, VA 24112
It’s 4:00 AM, and everyone in the house is asleep but you. Your heart is pounding, your thoughts are racing, and all you want to do is break down and cry. But you can’t; you have to hold it together. No one can know what you’re going through. Everyone thinks you have it all under control and is counting on you. The thought of letting them down is too much to bear. So you plaster on a smile, put one foot in front of the other, and slog through another day. But it’s getting harder and harder to pretend. Secretly you wonder how long you can go on until it falls apart. The sadness is overwhelming, and it's draining the life out of you.
It’s 4:00 AM, and everyone in the house is asleep but you. Your heart is pounding, your thoughts are racing, and all you want to do is break down and cry. But you can’t; you have to hold it together. No one can know what you’re going through. Everyone thinks you have it all under control and is counting on you. The thought of letting them down is too much to bear. So you plaster on a smile, put one foot in front of the other, and slog through another day. But it’s getting harder and harder to pretend. Secretly you wonder how long you can go on until it falls apart. The sadness is overwhelming, and it's draining the life out of you.
(276) 284-9625 View (276) 284-9625

See more therapy options for 24089

How does your Therapist compare?

Number of Therapists in 24089

< 10

Therapists in 24089 who prioritize treating:

67% Depression
67% Grief
67% Coping Skills
33% Anxiety
33% Addiction
33% Chronic Pain
33% Eating Disorders

Average years in practice

1 Year

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in 24089 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

67% Female
33% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 24089?

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.