Photo of Caryl Barga - Caryl Barga , LCC, MA
Caryl Barga
Licensed Clinical Mental Health Counselor, LCC, MA
Verified Verified
Online Only
I like to create a welcoming environment to promote healing and allow clients to process the issues that brought them to therapy. Life can be overwhelming or frustrating as we navigate the changes and challenges that come along. Therapy is an opportunity to gain a deeper understanding of our internal experiences, our relationships with other people and how we see ourselves in the world. Letting go of past events that still affect us can allow us the freedom to be more present to explore our values and live a rich, rewarding life. The client/therapist Relationship will be the foundation for the work that we do together.
I like to create a welcoming environment to promote healing and allow clients to process the issues that brought them to therapy. Life can be overwhelming or frustrating as we navigate the changes and challenges that come along. Therapy is an opportunity to gain a deeper understanding of our internal experiences, our relationships with other people and how we see ourselves in the world. Letting go of past events that still affect us can allow us the freedom to be more present to explore our values and live a rich, rewarding life. The client/therapist Relationship will be the foundation for the work that we do together.
(828) 900-1934 View (828) 900-1934
Photo of Lyn Taylor Hale, LCMHC, Counselor
Lyn Taylor Hale
Counselor, LCMHC
Verified Verified
Hillsborough, NC 27278
Wondering what is next? How you got where you are? Who you are? Afraid you've missed opportunities or what you hoped for is passing by? I work with people looking for authenticity and fulfillment, offering a chance to question openly and explore who you are and what you really love. Understanding the inevitability of change and how to navigate through sometimes unthinkable circumstances can feel overwhelming. I love working together with clients to help them understand and manage these deep emotions--and to realize that they do have the courage to face what is ahead and the ability to manage their own lives.
Wondering what is next? How you got where you are? Who you are? Afraid you've missed opportunities or what you hoped for is passing by? I work with people looking for authenticity and fulfillment, offering a chance to question openly and explore who you are and what you really love. Understanding the inevitability of change and how to navigate through sometimes unthinkable circumstances can feel overwhelming. I love working together with clients to help them understand and manage these deep emotions--and to realize that they do have the courage to face what is ahead and the ability to manage their own lives.
(336) 777-7106 View (336) 777-7106
Photo of Callie Durham, MA, LCMHC, Licensed Professional Counselor
Callie Durham
Licensed Professional Counselor, MA, LCMHC
Verified Verified
Hillsborough, NC 27278
Not accepting new clients
Hello! I am so glad that you are here, the fact that you are here means you are choosing to make positive changes to your mental health! You deserve to feel heard, cared for and to know that no matter what you are working through or towards, you are enough! I have always had a desire to help others and am excited to work with you!
Hello! I am so glad that you are here, the fact that you are here means you are choosing to make positive changes to your mental health! You deserve to feel heard, cared for and to know that no matter what you are working through or towards, you are enough! I have always had a desire to help others and am excited to work with you!
(336) 265-9241 View (336) 265-9241
Photo of Sarah Patricia Jones, MBA, MA, NCC, LCMHC
Sarah Patricia Jones
Licensed Clinical Mental Health Counselor, MBA, MA, NCC, LCMHC
Verified Verified
Hillsborough, NC 27278
Not accepting new clients
I enjoy working with adults who are struggling with anxiety, depression, work/university/college stress, life transitions, or other forms of emotional and behavioral distress. I provide a warm, empathetic, and non-judgmental environment for clients to explore their concerns and to to develop coping skills in a safe space. I believe in the power of the human-animal bond and time spent in nature to accelerate client discovery, insight and growth.
I enjoy working with adults who are struggling with anxiety, depression, work/university/college stress, life transitions, or other forms of emotional and behavioral distress. I provide a warm, empathetic, and non-judgmental environment for clients to explore their concerns and to to develop coping skills in a safe space. I believe in the power of the human-animal bond and time spent in nature to accelerate client discovery, insight and growth.
(984) 400-4148 View (984) 400-4148
Photo of Kate Kehayes, MS, LCMHC, NCC, Counselor
Kate Kehayes
Counselor, MS, LCMHC, NCC
Verified Verified
Online Only
As a neurodivergent individual who utilizes a bionic arm, I'm no stranger to feeling different. Maybe you're struggling with self-esteem, anxiety or depression, having trouble with your relationships, or needing support with overwhelming feelings. I'm here to accept you as you are, provide tools, and support you as we find new strategies for managing your life stressors.
As a neurodivergent individual who utilizes a bionic arm, I'm no stranger to feeling different. Maybe you're struggling with self-esteem, anxiety or depression, having trouble with your relationships, or needing support with overwhelming feelings. I'm here to accept you as you are, provide tools, and support you as we find new strategies for managing your life stressors.
(919) 873-4811 View (919) 873-4811
Photo of James C. Carpenter, PhD, ABPP, Psychologist
James C. Carpenter
Psychologist, PhD, ABPP
Verified Verified
Hillsborough, NC 27278
Suffering draws us to consider therapy, much as it sends us to any doctor. The suffering therapy focuses on is emotional and existential (a LIFE that is out of whack). If you are considering therapy it means that you take your suffering seriously and wish to seek a more fulfilling life. You know instinctively that more is possible. I have many years of experience in helping people to develop greater strength and more fulfilling relationships.
Suffering draws us to consider therapy, much as it sends us to any doctor. The suffering therapy focuses on is emotional and existential (a LIFE that is out of whack). If you are considering therapy it means that you take your suffering seriously and wish to seek a more fulfilling life. You know instinctively that more is possible. I have many years of experience in helping people to develop greater strength and more fulfilling relationships.
(919) 234-5209 View (919) 234-5209
Photo of Raelee Peirce - Parent Coach, PCI, Coach, BA
Parent Coach
PCI, Coach, BA
Verified Verified
2 Endorsed
Online Only
My clients feel stuck in a cycle of escalating frustration with their child’s behavior—tantrums, defiance, or constant power struggles leave them drained and questioning their parenting. They want their home to feel calmer but instead face daily battles that push them to the brink. The chaos fuels guilt and resentment, and they’re desperate for a way to break free. Together, we untangle the root causes of these behaviors, simplify the overwhelm, and rebuild connection, helping parents feel confident and creating a home where both they and their children can thrive.
My clients feel stuck in a cycle of escalating frustration with their child’s behavior—tantrums, defiance, or constant power struggles leave them drained and questioning their parenting. They want their home to feel calmer but instead face daily battles that push them to the brink. The chaos fuels guilt and resentment, and they’re desperate for a way to break free. Together, we untangle the root causes of these behaviors, simplify the overwhelm, and rebuild connection, helping parents feel confident and creating a home where both they and their children can thrive.
(984) 230-9212 View (984) 230-9212
Photo of Maureen Gomeringer, MSW, LCSW, SEP, Clinical Social Work/Therapist
Maureen Gomeringer
Clinical Social Work/Therapist, MSW, LCSW, SEP
Verified Verified
Hillsborough, NC 27278
September, 2024: I have limited openings for new patients. You are welcome to contact me and I will respond about scheduling a consultation as I am able and will discuss your care needs and therapy goals. I have dedicated my 20 year long career to the premise that we must know what is possible and have capacity to do it before we can be free to choose. During my academic studies in Psychology, Philosophy, Religion, and Social Work I was introduced to the intersections of Queer and Gender theories and became ignited with the framework of knowledge, power, control, and paths to liberation, all of which continue to inform my practice.
September, 2024: I have limited openings for new patients. You are welcome to contact me and I will respond about scheduling a consultation as I am able and will discuss your care needs and therapy goals. I have dedicated my 20 year long career to the premise that we must know what is possible and have capacity to do it before we can be free to choose. During my academic studies in Psychology, Philosophy, Religion, and Social Work I was introduced to the intersections of Queer and Gender theories and became ignited with the framework of knowledge, power, control, and paths to liberation, all of which continue to inform my practice.
(919) 766-2757 View (919) 766-2757
Photo of Carla Peraza, MS, LMFT, Marriage & Family Therapist
Carla Peraza
Marriage & Family Therapist, MS, LMFT
Verified Verified
Online Only
Despite best efforts, the clients I work with find themselves frustrated, overwhelmed, or disheartened when trying to achieve goals, grieving a loss or navigating life’s unique challenges. They want to heal; disrupt patterns within themselves; or in relationships. Typically, they are open to the idea of “awakening” & want to feel more grounded within themselves & explore how they interact with the world. Through the lens of authentic compassion, they’re awakening or questioning our cultural conditioning that reinforces the idea that we are not enough. I create a genuine space for you to come as you are.
Despite best efforts, the clients I work with find themselves frustrated, overwhelmed, or disheartened when trying to achieve goals, grieving a loss or navigating life’s unique challenges. They want to heal; disrupt patterns within themselves; or in relationships. Typically, they are open to the idea of “awakening” & want to feel more grounded within themselves & explore how they interact with the world. Through the lens of authentic compassion, they’re awakening or questioning our cultural conditioning that reinforces the idea that we are not enough. I create a genuine space for you to come as you are.
(984) 464-4929 View (984) 464-4929
Photo of Dr. Tom Ronen Goddard, PhD, CCEP
Dr. Tom Ronen Goddard
PhD, CCEP
Verified Verified
Hillsborough, NC 27278
The clients with whom I work are seeking to find, or reclaim, joy or clarity in their lives. They have a sense that there's something more to life than what they're experiencing, but don't believe that medication or conventional talk therapy is the way to get there. Perhaps they want to make some changes in their personal or professional life but feel stuck.
The clients with whom I work are seeking to find, or reclaim, joy or clarity in their lives. They have a sense that there's something more to life than what they're experiencing, but don't believe that medication or conventional talk therapy is the way to get there. Perhaps they want to make some changes in their personal or professional life but feel stuck.
(984) 279-7238 View (984) 279-7238
Photo of Sarah Rawleigh, MSW, LCSW, Clinical Social Work/Therapist
Sarah Rawleigh
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Online Only
Not accepting new clients
I believe everyone has an innate capacity to heal and change. Access to this healing is sometimes blocked when there is a need to adapt and survive traumatic, difficult or overwhelming experiences. Perhaps it is something that happened in childhood, or over a period of time, or is a single incident that occurred more recently. When access to healing is blocked, our nervous system can become overwhelmed. When this happens we may experience symptoms such as anxiety, panic, or hyper-alertness, depression, anger, low self-esteem, substance abuse, conflictual relational patterns, or low motivation.
I believe everyone has an innate capacity to heal and change. Access to this healing is sometimes blocked when there is a need to adapt and survive traumatic, difficult or overwhelming experiences. Perhaps it is something that happened in childhood, or over a period of time, or is a single incident that occurred more recently. When access to healing is blocked, our nervous system can become overwhelmed. When this happens we may experience symptoms such as anxiety, panic, or hyper-alertness, depression, anger, low self-esteem, substance abuse, conflictual relational patterns, or low motivation.
(984) 208-2948 View (984) 208-2948
Photo of Judy Fitzpatrick, ADHD, Coach
Judy Fitzpatrick
ADHD, Coach
Verified Verified
Hillsborough, NC 27278
As an adult with ADHD, are you constantly overwhelmed or always playing catch-up? Is lack of focus impacting your life? Whether you are newly diagnosed with ADHD/ADD or have been struggling to find solutions for years, I will help you create effective strategies to manage your challenges and enjoy lasting change. If you are a parent of a child with ADHD, I will help you understand your child's brain, differentiate ADHD struggles from standard childhood behavior, and develop parenting strategies that will stop the chaos and help your child succeed.
As an adult with ADHD, are you constantly overwhelmed or always playing catch-up? Is lack of focus impacting your life? Whether you are newly diagnosed with ADHD/ADD or have been struggling to find solutions for years, I will help you create effective strategies to manage your challenges and enjoy lasting change. If you are a parent of a child with ADHD, I will help you understand your child's brain, differentiate ADHD struggles from standard childhood behavior, and develop parenting strategies that will stop the chaos and help your child succeed.
(847) 257-3337 View (847) 257-3337
Photo of Susan D. Griffith, PhD, Psychologist
Susan D. Griffith
Psychologist, PhD
Verified Verified
Hillsborough, NC 27278
I find great pleasure in successful long-term therapy relationships. My clients are usually adults who can appreciate and learn well from a working relationship with a good therapist. Please visit my website EasyToTalkTo.com. I am "seeing" all my clients on the telephone at this time, with great success. (I again have times free for Medicare patients.) Financial information: I can accept payments from many medical insurance companies as well as provide therapy for self-pay clients, using a sliding scale. I love my clients. Email me with questions: susandgriffithphd@gmail.com
I find great pleasure in successful long-term therapy relationships. My clients are usually adults who can appreciate and learn well from a working relationship with a good therapist. Please visit my website EasyToTalkTo.com. I am "seeing" all my clients on the telephone at this time, with great success. (I again have times free for Medicare patients.) Financial information: I can accept payments from many medical insurance companies as well as provide therapy for self-pay clients, using a sliding scale. I love my clients. Email me with questions: susandgriffithphd@gmail.com
(919) 343-9551 View (919) 343-9551
Photo of Dana S Breedlove, PhD, LP, HSPP, Psychologist
Dana S Breedlove
Psychologist, PhD, LP, HSPP
Verified Verified
1 Endorsed
Hillsborough, NC 27278
Are you or your child feeling overwhelmed by life? Is your child disinterested or struggling in school? Do you feel misunderstood or struggle to to fit in? As a therapist with many years of experience as a school psychologist and special education teacher, I bring a unique perspective to problem solving. Personally navigating life with ADHD adds an additional layer of insight, compassion, and creativity! I can help you better understand your or your child’s challenges and needs, and find ways to address them. I would be honored to walk with you as you tackle the rough spots in your life and move more confidently towards your goals.
Are you or your child feeling overwhelmed by life? Is your child disinterested or struggling in school? Do you feel misunderstood or struggle to to fit in? As a therapist with many years of experience as a school psychologist and special education teacher, I bring a unique perspective to problem solving. Personally navigating life with ADHD adds an additional layer of insight, compassion, and creativity! I can help you better understand your or your child’s challenges and needs, and find ways to address them. I would be honored to walk with you as you tackle the rough spots in your life and move more confidently towards your goals.
(984) 300-3567 View (984) 300-3567
Photo of Stephanie Baldwin, LCSW-S, Clinical Social Work/Therapist
Stephanie Baldwin
Clinical Social Work/Therapist, LCSW-S
Verified Verified
2 Endorsed
Hillsborough, NC 27278
If you are a high-functioning professional navigating anxiety, life transitions, career stress, faulty coping mechanisms, or relationship challenges- you're in the right place. Serving North Carolina and Texas, I offer individual and couples therapy for adults, group therapy, intensives, and workshops. My clients are typically achieving some level of success externally, but dealing with internal struggles other people may not be aware of. I'm passionate about making space for those silent internal challenges and helping my clients move towards a satisfying, meaningful existence.
If you are a high-functioning professional navigating anxiety, life transitions, career stress, faulty coping mechanisms, or relationship challenges- you're in the right place. Serving North Carolina and Texas, I offer individual and couples therapy for adults, group therapy, intensives, and workshops. My clients are typically achieving some level of success externally, but dealing with internal struggles other people may not be aware of. I'm passionate about making space for those silent internal challenges and helping my clients move towards a satisfying, meaningful existence.
(984) 207-1963 View (984) 207-1963
Photo of Anna Marie Smith, MSW, RYT500, LCSW, Clinical Social Work/Therapist
Anna Marie Smith
Clinical Social Work/Therapist, MSW, RYT500, LCSW
Verified Verified
Online Only
Not accepting new clients
My approach to counseling is that we are our one minds, body, soul, and spirit - all within us is connected - we are one. Becoming reconnected is the process of returning to your whole self, back home to who we are designed to be. Although we cannot erase the harm done to us, we can reclaim and reconnect back to our original sense of self. Counseling is a process of coming back home to you. I am a fan of allowing you to guide our processes of coming home to you. My approach to therapy is an embodied, interpersonal and narrative (story) focused.
My approach to counseling is that we are our one minds, body, soul, and spirit - all within us is connected - we are one. Becoming reconnected is the process of returning to your whole self, back home to who we are designed to be. Although we cannot erase the harm done to us, we can reclaim and reconnect back to our original sense of self. Counseling is a process of coming back home to you. I am a fan of allowing you to guide our processes of coming home to you. My approach to therapy is an embodied, interpersonal and narrative (story) focused.
(919) 343-9388 View (919) 343-9388
Photo of Natalia Torres del Valle: Expressive Arts Therapy, MA, REAT, LCMHC, Counselor
Natalia Torres del Valle: Expressive Arts Therapy
Counselor, MA, REAT, LCMHC
Verified Verified
Hillsborough, NC 27278
Waitlist for new clients
As an expressive arts therapist, I am dedicated to helping children and adolescents navigate their emotions, find their voice, and discover their true selves. I believe that the arts provide a powerful outlet for expression, allowing us to tap into our innermost thoughts and feelings. In our sessions, I create a safe and inclusive space for your child to explore their internal world. Through various art forms, we delve into the depths of their experiences, unraveling emotions that may have been held tightly within. My approach is holistic and strength-based, tailored to meet the unique needs of each individual or group.
As an expressive arts therapist, I am dedicated to helping children and adolescents navigate their emotions, find their voice, and discover their true selves. I believe that the arts provide a powerful outlet for expression, allowing us to tap into our innermost thoughts and feelings. In our sessions, I create a safe and inclusive space for your child to explore their internal world. Through various art forms, we delve into the depths of their experiences, unraveling emotions that may have been held tightly within. My approach is holistic and strength-based, tailored to meet the unique needs of each individual or group.
(919) 926-0312 View (919) 926-0312
Photo of Diane S Obeid, MEd, LCMHC, LPC, LCASA, NCC, Licensed Professional Counselor
Diane S Obeid
Licensed Professional Counselor, MEd, LCMHC, LPC, LCASA, NCC
Verified Verified
1 Endorsed
Online Only
“Attachment is another word for disappointment and pain.” Are your relationships a source of elation and devastation but rarely anything in between? Perhaps ‘chaos’ and ‘emotional roller coaster’ define your family, friendships, or marriage? Trusting others is difficult. You feel manipulated or foolish, and your coping mechanisms aren’t working. You tolerate unhealthy behaviors because it hurts less than being abandoned. There is another way. I promise.
“Attachment is another word for disappointment and pain.” Are your relationships a source of elation and devastation but rarely anything in between? Perhaps ‘chaos’ and ‘emotional roller coaster’ define your family, friendships, or marriage? Trusting others is difficult. You feel manipulated or foolish, and your coping mechanisms aren’t working. You tolerate unhealthy behaviors because it hurts less than being abandoned. There is another way. I promise.
(919) 648-1936 View (919) 648-1936
Photo of Lucy Lang, MSW, LCSW-A, Clinical Social Work/Therapist
Lucy Lang
Clinical Social Work/Therapist, MSW, LCSW-A
Verified Verified
1 Endorsed
Hillsborough, NC 27278
Waitlist for new clients
I’m Lucy, a Licensed Clinical Social Work Associate in the state of North Carolina. I provide affirming and person-centered therapy to teens and adults (ages 14+). As a therapist, I have worked with clients through their journeys with various challenges, including depression, anxiety, loneliness, academic stress, work- related stress, trauma, adjustment issues, relationship issues, and interpersonal problems. I have a particular interest in serving LGBTQ+ clients and clients with Autism, ADHD, or others who identify as neurodivergent. My style is warm, supportive, nonjudgmental, and down to earth.
I’m Lucy, a Licensed Clinical Social Work Associate in the state of North Carolina. I provide affirming and person-centered therapy to teens and adults (ages 14+). As a therapist, I have worked with clients through their journeys with various challenges, including depression, anxiety, loneliness, academic stress, work- related stress, trauma, adjustment issues, relationship issues, and interpersonal problems. I have a particular interest in serving LGBTQ+ clients and clients with Autism, ADHD, or others who identify as neurodivergent. My style is warm, supportive, nonjudgmental, and down to earth.
(919) 892-6542 View (919) 892-6542
Photo of Donte' Corey - True Living Counseling Services PLLC, PhD, LCMHCS, NCC, Licensed Professional Counselor
True Living Counseling Services PLLC
Licensed Professional Counselor, PhD, LCMHCS, NCC
Verified Verified
3 Endorsed
Hillsborough, NC 27278
There are a variety of reasons for deciding to participate in counseling. Some people have long term issues that hinder them from living the life that they wish and need assistance with dealing with these issues. Others have short term problems that they are not able to conquer on their own and need some guidance to mange this. Whatever your situation is, there are many dimensions of counseling that can relieve you of your stressful situation.
There are a variety of reasons for deciding to participate in counseling. Some people have long term issues that hinder them from living the life that they wish and need assistance with dealing with these issues. Others have short term problems that they are not able to conquer on their own and need some guidance to mange this. Whatever your situation is, there are many dimensions of counseling that can relieve you of your stressful situation.
(919) 372-0463 View (919) 372-0463
1

How does your Therapist compare?

Number of Therapists in 27278

100+

Average cost per session

$150

Therapists in 27278 who prioritize treating:

91% Anxiety
85% Depression
81% Relationship Issues
78% Self Esteem
74% Trauma and PTSD
68% Life Transitions
65% Stress

Average years in practice

13 Years

Top 3 insurances accepted

87% BlueCross and BlueShield
71% Aetna
26% Other

How Therapists in 27278 see their clients

78% In Person and Online
22% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 27278?

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.