Photo of Megan Lanier, LCMHCA, CRC, Counselor
Megan Lanier
Counselor, LCMHCA, CRC
Verified Verified
Raleigh, NC 27605
Not accepting new clients
I am a Licensed Clinical Mental Health Counselor Associate (LCMHCA) who provides therapy to adolescents 15+ and adults with a primary focus on anxiety, OCD, phobias, chronic pain, depression, self-esteem, life transitions, and relationship concerns. My goal as a therapist is to help you move from a place of feeling "stuck" to one where you are empowered to do what matters to you even in the midst of life's difficulties!
I am a Licensed Clinical Mental Health Counselor Associate (LCMHCA) who provides therapy to adolescents 15+ and adults with a primary focus on anxiety, OCD, phobias, chronic pain, depression, self-esteem, life transitions, and relationship concerns. My goal as a therapist is to help you move from a place of feeling "stuck" to one where you are empowered to do what matters to you even in the midst of life's difficulties!
(984) 464-6609 View (984) 464-6609
Photo of Morgan Jafari, LCSWA, Clinical Social Work/Therapist
Morgan Jafari
Clinical Social Work/Therapist, LCSWA
Verified Verified
3 Endorsed
Raleigh, NC 27605
My priority as a therapist is to show you what therapy can and should be: safe, curious, non-judgmental, client-driven, and even fun! You are the expert in your life, and I am here to listen, inquire, and sit with you as you embark on cultivating a deeper sense of identity and belonging within yourself and the world. My aim is to help you feel comfortable within the discomfort true vulnerability can so often bring. The root of my work lies in a deep seated passion for discovering the value and depth of joy–no matter what you are bringing to the table. This work is for you, and I am with you!
My priority as a therapist is to show you what therapy can and should be: safe, curious, non-judgmental, client-driven, and even fun! You are the expert in your life, and I am here to listen, inquire, and sit with you as you embark on cultivating a deeper sense of identity and belonging within yourself and the world. My aim is to help you feel comfortable within the discomfort true vulnerability can so often bring. The root of my work lies in a deep seated passion for discovering the value and depth of joy–no matter what you are bringing to the table. This work is for you, and I am with you!
(919) 899-2828 View (919) 899-2828
Photo of Beth Sugar, LCMHC, Licensed Professional Counselor
Beth Sugar
Licensed Professional Counselor, LCMHC
Verified Verified
2 Endorsed
Raleigh, NC 27605  (Online Only)
Is life all of a sudden unfamiliar? Work or school, not the same? Are you feeling isolated from friends & family? It can be hard to know which foot to put in front of the other. You are not alone! All parts of you are welcome! I am here to help you learn to move with life again, not move on with life.
Is life all of a sudden unfamiliar? Work or school, not the same? Are you feeling isolated from friends & family? It can be hard to know which foot to put in front of the other. You are not alone! All parts of you are welcome! I am here to help you learn to move with life again, not move on with life.
(919) 594-0370 View (919) 594-0370
Photo of Jennifer Viemont, MSW, LCSW, Clinical Social Work/Therapist
Jennifer Viemont
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27605
Waitlist for new clients
I help young adults (ages 17-27) overcome anxiety, depression, loneliness, and other challenges they may face. We don’t stop there, though. My goal is to help you build the life you want. Once we’ve alleviated the primary symptoms you’re dealing with, we’ll move on to identifying who you want to be and how you want your life to look—and determine how you can get there.
I help young adults (ages 17-27) overcome anxiety, depression, loneliness, and other challenges they may face. We don’t stop there, though. My goal is to help you build the life you want. Once we’ve alleviated the primary symptoms you’re dealing with, we’ll move on to identifying who you want to be and how you want your life to look—and determine how you can get there.
(984) 400-5158 View (984) 400-5158
Photo of Lauren Campbell - Lauren Campbell, LCSW, PLLC, MSW, LCSW, PLLC, Clinical Social Work/Therapist
Lauren Campbell, LCSW, PLLC
Clinical Social Work/Therapist, MSW, LCSW, PLLC
Verified Verified
1 Endorsed
Raleigh, NC 27605
Specializing in sex therapy and relationship issues, I work with individuals and couples to improve relational and sexual intimacy. Areas of treatment include sexual or performance anxiety, pain issues, erectile dysfunction, premature ejaculation, difficulty with orgasms, differing levels of desire/libido, attachment issues and past trauma, and relational/communication issues. So many feel helpless, that there is no hope that their lives can improve. I help to awaken and restore wellness in body and mind when you are unsure of how to move forward. All you need is to be open to the possibility than things can change.
Specializing in sex therapy and relationship issues, I work with individuals and couples to improve relational and sexual intimacy. Areas of treatment include sexual or performance anxiety, pain issues, erectile dysfunction, premature ejaculation, difficulty with orgasms, differing levels of desire/libido, attachment issues and past trauma, and relational/communication issues. So many feel helpless, that there is no hope that their lives can improve. I help to awaken and restore wellness in body and mind when you are unsure of how to move forward. All you need is to be open to the possibility than things can change.
(984) 331-5737 View (984) 331-5737
Photo of Richard Sladich, MS, LCMHC, ASDCS
Richard Sladich
Licensed Clinical Mental Health Counselor, MS, LCMHC, ASDCS
Verified Verified
Raleigh, NC 27605
Waitlist for new clients
Hello, I currently have limited openings for accepting new clients. Need help with Social Anxiety, generalized anxiety, Autism spectrum, ADHD, or Depression? I specialize in those issues, but I also focus on the issues of panic attacks, phobias, agoraphobia, and Obsessive-Compulsive Disorder (OCD). I also help with relationship issues, learning to advocate for yourself, and setting boundaries. I am available for in person or virtual sessions. I am a Certified TEAM-CBT Therapist with the Feeling Good Institute.
Hello, I currently have limited openings for accepting new clients. Need help with Social Anxiety, generalized anxiety, Autism spectrum, ADHD, or Depression? I specialize in those issues, but I also focus on the issues of panic attacks, phobias, agoraphobia, and Obsessive-Compulsive Disorder (OCD). I also help with relationship issues, learning to advocate for yourself, and setting boundaries. I am available for in person or virtual sessions. I am a Certified TEAM-CBT Therapist with the Feeling Good Institute.
(919) 648-4037 View (919) 648-4037
Photo of Amber Nelms, MA, BCBA, LBA
Amber Nelms
MA, BCBA, LBA
Verified Verified
Raleigh, NC 27605
I support children with autism spectrum disorder and collaborate with parents to create an Applied Behavior Analysis care plan that improves social skills, communication, accountability, overcoming problem behaviors, school readiness, self-care skills, play skills, and much more. I want your child to become the best version of themselves by teaching behaviors to help them thrive.
I support children with autism spectrum disorder and collaborate with parents to create an Applied Behavior Analysis care plan that improves social skills, communication, accountability, overcoming problem behaviors, school readiness, self-care skills, play skills, and much more. I want your child to become the best version of themselves by teaching behaviors to help them thrive.
(984) 985-3234 View (984) 985-3234
Photo of Pooja Ganatra, MSW, LCSW-A, LCAS, Clinical Social Work/Therapist
Pooja Ganatra
Clinical Social Work/Therapist, MSW, LCSW-A, LCAS
Verified Verified
Raleigh, NC 27605
Are you wanting to enhance your mental well-being, foster self-awareness, improve relationships, and find fulfillment? Feeling overwhelmed or struggling? Needing a safe, non-judgmental space to explore yourself and develop coping skills? Want to feel happier, more in control? More in touch with your body? Move past reoccurring problems? I support clients of all ages and backgrounds to address various issues including depression, anxiety, stress, life transitions, trauma, ADHD, substance use, relationship conflicts, family conflicts, navigating multi-cultural issues, with particular experience with Asian and American cultures.
Are you wanting to enhance your mental well-being, foster self-awareness, improve relationships, and find fulfillment? Feeling overwhelmed or struggling? Needing a safe, non-judgmental space to explore yourself and develop coping skills? Want to feel happier, more in control? More in touch with your body? Move past reoccurring problems? I support clients of all ages and backgrounds to address various issues including depression, anxiety, stress, life transitions, trauma, ADHD, substance use, relationship conflicts, family conflicts, navigating multi-cultural issues, with particular experience with Asian and American cultures.
(919) 874-5443 View (919) 874-5443
Photo of Leah Powell, MSW, LCSWA, Clinical Social Work/Therapist
Leah Powell
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
2 Endorsed
Raleigh, NC 27605
Are you feeling stuck in your relationship? Maybe you have experienced betrayal on behalf of your partner, maybe you are coping with infertility, or maybe you are longing for the emotional connection you once felt with your partner. Relationships can be difficult, and investing in your relationship through couples’ therapy is a vulnerable and commendable step in the right direction. I am passionate about working with women and couples dealing with infertility/difficulty with family building, helping couples recover from a rupture in the relationship, or rediscovering the connection that once was.
Are you feeling stuck in your relationship? Maybe you have experienced betrayal on behalf of your partner, maybe you are coping with infertility, or maybe you are longing for the emotional connection you once felt with your partner. Relationships can be difficult, and investing in your relationship through couples’ therapy is a vulnerable and commendable step in the right direction. I am passionate about working with women and couples dealing with infertility/difficulty with family building, helping couples recover from a rupture in the relationship, or rediscovering the connection that once was.
(984) 409-7330 View (984) 409-7330
Photo of Kylie Lambert, LCSW, Clinical Social Work/Therapist
Kylie Lambert
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Raleigh, NC 27605  (Online Only)
Are you a successful professional mom juggling a demanding career and family life yet finding yourself overwhelmed by anxiety and self-doubt? Do you excel at caring for everyone else but struggle to extend that same care to yourself? I help ambitious millennial women silence their inner mean girl, set healthy boundaries, and rediscover their confidence. Together, we'll create practical strategies to manage anxiety and cultivate self-compassion so you can show up fully for both your career and your family – while staying true to yourself.
Are you a successful professional mom juggling a demanding career and family life yet finding yourself overwhelmed by anxiety and self-doubt? Do you excel at caring for everyone else but struggle to extend that same care to yourself? I help ambitious millennial women silence their inner mean girl, set healthy boundaries, and rediscover their confidence. Together, we'll create practical strategies to manage anxiety and cultivate self-compassion so you can show up fully for both your career and your family – while staying true to yourself.
(919) 626-2282 View (919) 626-2282
Photo of Jackie Engi, LCSW, Clinical Social Work/Therapist
Jackie Engi
Clinical Social Work/Therapist, LCSW
Verified Verified
Raleigh, NC 27605  (Online Only)
Are you struggling with anxiety and worry, stress, feeling down, or not quite feeling like yourself? Are you having relationship difficulties or dealing with a challenging transition in your life? I specialize in helping people with anxiety, depression, adjustment to life transitions, relationship challenges, and overall stress management. My passion is helping clients to build meaningful, joy-filled lives with increased connection and balance. I believe in the importance of highlighting existing strengths and resilience with each of my clients in a warm and compassionate setting.
Are you struggling with anxiety and worry, stress, feeling down, or not quite feeling like yourself? Are you having relationship difficulties or dealing with a challenging transition in your life? I specialize in helping people with anxiety, depression, adjustment to life transitions, relationship challenges, and overall stress management. My passion is helping clients to build meaningful, joy-filled lives with increased connection and balance. I believe in the importance of highlighting existing strengths and resilience with each of my clients in a warm and compassionate setting.
(919) 551-3650 View (919) 551-3650
Photo of Douglas Andrew, MSW, LCSW, Clinical Social Work/Therapist
Douglas Andrew
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Raleigh, NC 27605
I provide psychotherapy and coaching for adults and adolescents. Prior to becoming a therapist, I worked extensively in non-profit leadership and real estate development. I now operate my own therapy practice supporting people in living purposeful, joy-filled lives. I desire to help people connect more deeply with others and more deeply with God. I support people wrestling with a variety of issues and utilize a range of clinical approaches. I am anchored in a relational orientation, viewing the relationship between client and therapist as central to creating change.
I provide psychotherapy and coaching for adults and adolescents. Prior to becoming a therapist, I worked extensively in non-profit leadership and real estate development. I now operate my own therapy practice supporting people in living purposeful, joy-filled lives. I desire to help people connect more deeply with others and more deeply with God. I support people wrestling with a variety of issues and utilize a range of clinical approaches. I am anchored in a relational orientation, viewing the relationship between client and therapist as central to creating change.
(984) 203-8218 View (984) 203-8218
Photo of Mya Shaul, LCSW, Clinical Social Work/Therapist
Mya Shaul
Clinical Social Work/Therapist, LCSW
Verified Verified
Raleigh, NC 27605  (Online Only)
Waitlist for new clients
Mya is a Licensed Clinical Social Worker who earned her Master of Social Work from North Carolina State University and her Bachelor of Social Work from the University of North Carolina at Wilmington. Mya provides individual therapy to adolescents and adults with a primary focus in eating disorders, as well as trauma, depression, anxiety, self-harm, suicidality, body image concerns, and other life stressors. Mya is a Health at Every Size (HAES) informed clinician and is LGBTQIA+ affirming.
Mya is a Licensed Clinical Social Worker who earned her Master of Social Work from North Carolina State University and her Bachelor of Social Work from the University of North Carolina at Wilmington. Mya provides individual therapy to adolescents and adults with a primary focus in eating disorders, as well as trauma, depression, anxiety, self-harm, suicidality, body image concerns, and other life stressors. Mya is a Health at Every Size (HAES) informed clinician and is LGBTQIA+ affirming.
(252) 888-1821 View (252) 888-1821
Photo of Jamie Grisham, PsyD, MPH, Psychologist
Jamie Grisham
Psychologist, PsyD, MPH
Verified Verified
Raleigh, NC 27605
As a clinical psychologist, I help clients gain clarity and to find resolution to seemingly insurmountable issues and problems. I specialize in treating adults throughout the life cycle who have anxiety, eating disorders, depression, and/or relationship issues. By providing a compassionate and validating environment, clients are empowered to identify their needs and the means to get those needs met. I believe that each individual has their own voice and that therapy can facilitate its strengthening and emergence as a guiding force.
As a clinical psychologist, I help clients gain clarity and to find resolution to seemingly insurmountable issues and problems. I specialize in treating adults throughout the life cycle who have anxiety, eating disorders, depression, and/or relationship issues. By providing a compassionate and validating environment, clients are empowered to identify their needs and the means to get those needs met. I believe that each individual has their own voice and that therapy can facilitate its strengthening and emergence as a guiding force.
(984) 207-0921 View (984) 207-0921
Photo of Kate Bridgers, MA, LPA, Psychological Associate
Kate Bridgers
Psychological Associate, MA, LPA
Verified Verified
Raleigh, NC 27605
Kate is passionate about supporting children and families. She is an experienced clinician and has provided outpatient therapy for 15 years. Kate provides individual and family therapy to children ages 3 to 17 years old. Kate often works with children and teenagers with depression, anxiety, AD/HD, behavioral challenges, learning difficulties, and social skills deficits, as well as children and families adjusting to separation/divorce and other challenging life circumstances. Kate also provides psychological testing and assessment to children 7 to 17 years old.
Kate is passionate about supporting children and families. She is an experienced clinician and has provided outpatient therapy for 15 years. Kate provides individual and family therapy to children ages 3 to 17 years old. Kate often works with children and teenagers with depression, anxiety, AD/HD, behavioral challenges, learning difficulties, and social skills deficits, as well as children and families adjusting to separation/divorce and other challenging life circumstances. Kate also provides psychological testing and assessment to children 7 to 17 years old.
(984) 646-0097 View (984) 646-0097
Photo of Andrea Wallenbeck, LCSWA, Clinical Social Work/Therapist
Andrea Wallenbeck
Clinical Social Work/Therapist, LCSWA
Verified Verified
Raleigh, NC 27605
Waitlist for new clients
Accepting New Clients., What kind of person do you really want to be? For yourself, for your relationships, for your community? What is getting in the way? I partner with individuals and couples that want a life of peace and purpose. I can not erase pain and hardship, however, I can provide guidance in creating the life YOU want in the midst of life’s inevitable ups and downs. From the beginning we will clarify your goals and practice skills together in order to bring the changes you desire.
Accepting New Clients., What kind of person do you really want to be? For yourself, for your relationships, for your community? What is getting in the way? I partner with individuals and couples that want a life of peace and purpose. I can not erase pain and hardship, however, I can provide guidance in creating the life YOU want in the midst of life’s inevitable ups and downs. From the beginning we will clarify your goals and practice skills together in order to bring the changes you desire.
(984) 368-5501 View (984) 368-5501
Photo of Janet Slay, MS, LCMHCA, CRC, Counselor
Janet Slay
Counselor, MS, LCMHCA, CRC
Verified Verified
2 Endorsed
Raleigh, NC 27605
Welcome! You have taken the courageous step to seek support and I would be honored to take the next steps with you. I understand that finding balance and moving toward wellness is no easy feat; however, I believe that we all have the potential to do so. Whatever you are struggling with - I will meet you with compassion and understanding. I work with teenagers and adults to navigate various life challenges and mental health concerns, such as depression, anxiety, perfectionism, and life transitions. I am particularly passionate about working with college students. My hope is to help you engage more fully in what brings you joy.
Welcome! You have taken the courageous step to seek support and I would be honored to take the next steps with you. I understand that finding balance and moving toward wellness is no easy feat; however, I believe that we all have the potential to do so. Whatever you are struggling with - I will meet you with compassion and understanding. I work with teenagers and adults to navigate various life challenges and mental health concerns, such as depression, anxiety, perfectionism, and life transitions. I am particularly passionate about working with college students. My hope is to help you engage more fully in what brings you joy.
(919) 626-9469 View (919) 626-9469
Photo of Lynette Cisneros, LCMHC, LMHC, Licensed Professional Counselor
Lynette Cisneros
Licensed Professional Counselor, LCMHC, LMHC
Verified Verified
3 Endorsed
Raleigh, NC 27605  (Online Only)
I recognize that finding a therapist can be quite time consuming & feel daunting. I have been a practicing counselor for over 20 years. I provide services in North Carolina & Florida. Areas addressed may include: self worth & esteem, self sabotaging tendencies & negative self talk/thought spirals, resolving shame, establishing healthy boundaries, disentangling from unhealthy relationships, decreasing people pleasing, grief/loss, identity. I strive to aid my clients in identifying which choices, thoughts & behaviors have served them well & which may need to be reframed, redirected or just released.
I recognize that finding a therapist can be quite time consuming & feel daunting. I have been a practicing counselor for over 20 years. I provide services in North Carolina & Florida. Areas addressed may include: self worth & esteem, self sabotaging tendencies & negative self talk/thought spirals, resolving shame, establishing healthy boundaries, disentangling from unhealthy relationships, decreasing people pleasing, grief/loss, identity. I strive to aid my clients in identifying which choices, thoughts & behaviors have served them well & which may need to be reframed, redirected or just released.
(919) 372-4488 View (919) 372-4488
Photo of Stephanie Ann Ehrlich Seitz, MSW, LCSW, Clinical Social Work/Therapist
Stephanie Ann Ehrlich Seitz
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Raleigh, NC 27605  (Online Only)
Welcome! I am a Licensed Clinical Social Worker with experience helping others cope with day-to-day stressors and changing long-standing negative thoughts and behaviors using a combination of psycho-education and cognitive restructuring.
Welcome! I am a Licensed Clinical Social Worker with experience helping others cope with day-to-day stressors and changing long-standing negative thoughts and behaviors using a combination of psycho-education and cognitive restructuring.
(984) 293-8158 View (984) 293-8158
Photo of Patrick B McDade, LCMHCA, MEd
Patrick B McDade
Lic Clinical Mental Health Counselor Associate, LCMHCA, MEd
Verified Verified
Raleigh, NC 27605
Not accepting new clients
Therapy sessions are times to just relax and let it out. I'm a Licensed Clinical Mental Health Counselor Associate (LCMHCA) and former School Counselor. I love working with former teachers or folks still in the education system, athletes, and folks that want to talk through spiritual issues as well. My approach blends evidence-based techniques like IFS, ACT and CBT with mindfulness practices to help you build resilience, manage stress, and find clarity. Together, we'll explore what works best for you to foster positive change and personal growth.
Therapy sessions are times to just relax and let it out. I'm a Licensed Clinical Mental Health Counselor Associate (LCMHCA) and former School Counselor. I love working with former teachers or folks still in the education system, athletes, and folks that want to talk through spiritual issues as well. My approach blends evidence-based techniques like IFS, ACT and CBT with mindfulness practices to help you build resilience, manage stress, and find clarity. Together, we'll explore what works best for you to foster positive change and personal growth.
(984) 300-3844 View (984) 300-3844

How does your Therapist compare?

Number of Therapists in 27605

100+

Average cost per session

$150

Therapists in 27605 who prioritize treating:

95% Anxiety
86% Depression
78% Relationship Issues
75% Self Esteem
68% Coping Skills
68% Stress
68% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

89% BlueCross and BlueShield
78% Aetna
54% Cigna and Evernorth

How Therapists in 27605 see their clients

73% In Person and Online
27% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 27605?

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.