Photo of Chris Williams, LCMHCA, MDiv, Counselor
Chris Williams
Counselor, LCMHCA, MDiv
Verified Verified
1 Endorsed
Durham, NC 27705
Hi, I’m Chris. No matter the reason that you find yourself exploring therapy, I have a few things I want to share with you: 1) It’s ok to be where you are right now. 2) You are doing the best you can with what you’ve got. 3) I want to help you be more you. While I have always had an interest in human psychology and wellbeing, the primary reason I entered this work was because of the healing, change, and growth I experienced in my own therapy. So, those three statements I shared with you aren’t platitudes to me. They are some of the most important lessons I learned through the work I did with my therapist.
Hi, I’m Chris. No matter the reason that you find yourself exploring therapy, I have a few things I want to share with you: 1) It’s ok to be where you are right now. 2) You are doing the best you can with what you’ve got. 3) I want to help you be more you. While I have always had an interest in human psychology and wellbeing, the primary reason I entered this work was because of the healing, change, and growth I experienced in my own therapy. So, those three statements I shared with you aren’t platitudes to me. They are some of the most important lessons I learned through the work I did with my therapist.
(984) 368-4869 View (984) 368-4869
Photo of Nelly Amariglio, PhD, HSP-P, Psychologist
Nelly Amariglio
Psychologist, PhD, HSP-P
Verified Verified
Durham, NC 27705
My passion centers on the ways in which early relationships, life experiences and cultural contexts shape our worldviews and impact our choices, coping and performance. I also focus on the interplay between the mind and the physical body, and the ways we can use this connection to increase well-being and overall functioning. Over the past 15 years I have worked in various academic medical institutions and hospitals (UCLA, CHLA), using research-based interventions to guide individuals (children, youth and adults), couples and families in working towards agency, personal growth, positive change, insight, and adaptation to life events.
My passion centers on the ways in which early relationships, life experiences and cultural contexts shape our worldviews and impact our choices, coping and performance. I also focus on the interplay between the mind and the physical body, and the ways we can use this connection to increase well-being and overall functioning. Over the past 15 years I have worked in various academic medical institutions and hospitals (UCLA, CHLA), using research-based interventions to guide individuals (children, youth and adults), couples and families in working towards agency, personal growth, positive change, insight, and adaptation to life events.
(984) 369-9078 View (984) 369-9078
Photo of Ashley J De Verteuil, LCSW, Clinical Social Work/Therapist
Ashley J De Verteuil
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Durham, NC 27705  (Online Only)
You feel sad and can't stop crying?You wake up with a heaviness in your chest, or have thoughts that make you feel like something must be wrong? You're angry, irritable, and can't seem to feel happy? You're tired, overwhelmed and overworked? You're having issues with family, or you're struggling in your marriage? You're a new mom, struggling to adjust to motherhood? You're struggling to become a mom but the journey has been difficult. You have a hard time taking care of yourself and putting your needs first? Then you've reached the right therapist to assist you in finding the peace, happiness, and balance that you seek.
You feel sad and can't stop crying?You wake up with a heaviness in your chest, or have thoughts that make you feel like something must be wrong? You're angry, irritable, and can't seem to feel happy? You're tired, overwhelmed and overworked? You're having issues with family, or you're struggling in your marriage? You're a new mom, struggling to adjust to motherhood? You're struggling to become a mom but the journey has been difficult. You have a hard time taking care of yourself and putting your needs first? Then you've reached the right therapist to assist you in finding the peace, happiness, and balance that you seek.
(336) 470-2380 View (336) 470-2380
Photo of Malcolm C Harris, Me, Counselor
Malcolm C Harris
Counselor, Me
Verified Verified
Durham, NC 27705  (Online Only)
Are you struggling with anxiety, depression, and challenging life transitions. Is this experience impacting the meaningful connections you want make with family and friends in your community. Do you feel frustrated, lost, and emotionally exhausted from your efforts to keep up appearances. Do feel that your life should be more fulfilling? People feel overwhelmed and uncertain about careers, family dynamics ,college experiences, and school issues at times. Finding your place in life can be difficult, let me help you build useful copings skills to create the life you want for yourself.
Are you struggling with anxiety, depression, and challenging life transitions. Is this experience impacting the meaningful connections you want make with family and friends in your community. Do you feel frustrated, lost, and emotionally exhausted from your efforts to keep up appearances. Do feel that your life should be more fulfilling? People feel overwhelmed and uncertain about careers, family dynamics ,college experiences, and school issues at times. Finding your place in life can be difficult, let me help you build useful copings skills to create the life you want for yourself.
(984) 646-0899 View (984) 646-0899
Photo of Nicole Vengrove Soffer, LCSW, LICSW, Clinical Social Work/Therapist
Nicole Vengrove Soffer
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Durham, NC 27705
I am a Licensed Clinical Social Worker and provide psychotherapy to adolescents, young adults, and adults. My approach is warm and engaging, curious and authentic. I work collaboratively with my clients and maintain a compassionate and inviting stance. I continue to feel honored to engage in this work and bear witness to such courage and vulnerability. I practice from a relational, psychodynamic, and trauma-informed framework. This means that, together, we will think about how the experiences you have been through in your life have shaped who you are today and how you engage in the world.
I am a Licensed Clinical Social Worker and provide psychotherapy to adolescents, young adults, and adults. My approach is warm and engaging, curious and authentic. I work collaboratively with my clients and maintain a compassionate and inviting stance. I continue to feel honored to engage in this work and bear witness to such courage and vulnerability. I practice from a relational, psychodynamic, and trauma-informed framework. This means that, together, we will think about how the experiences you have been through in your life have shaped who you are today and how you engage in the world.
(919) 769-3122 View (919) 769-3122
Photo of Cat Goyeneche, PsyD , HSP-P , Psychologist
Cat Goyeneche
Psychologist, PsyD , HSP-P
Verified Verified
4 Endorsed
Durham, NC 27705
Waitlist for new clients
Have you ever felt self-doubt? Uncertainty about how to make changes or difficulty coping even if you know what you want to do differently? It can be hard to imagine the ideal life we want for ourselves, let alone figure out how to make it happen. Gaining both support AND skills in therapy can reduce feelings of worry, sadness, and the "stuckness" we all feel at times. I look forward to working collaboratively with you as you move toward your ideal life!
Have you ever felt self-doubt? Uncertainty about how to make changes or difficulty coping even if you know what you want to do differently? It can be hard to imagine the ideal life we want for ourselves, let alone figure out how to make it happen. Gaining both support AND skills in therapy can reduce feelings of worry, sadness, and the "stuckness" we all feel at times. I look forward to working collaboratively with you as you move toward your ideal life!
(919) 629-9653 View (919) 629-9653
Photo of Rachel Eshel, MSEd, PsyD, Psychologist
Rachel Eshel
Psychologist, MSEd, PsyD
Verified Verified
3 Endorsed
Durham, NC 27705
I am passionate about supporting people who range in age from early childhood through adulthood. My background in child psychology informs my work with adults as well, as I am always considering how a person's developmental path and early relationships have shaped them. In therapy, I strive to bring empathy, warmth, and humor to the process. You can expect me to be curious about and accepting of your experiences as I support you in actively working towards change. I am sensitive to issues related to disability, immigration, and non-traditional forms of family building, and welcome all to my practice.
I am passionate about supporting people who range in age from early childhood through adulthood. My background in child psychology informs my work with adults as well, as I am always considering how a person's developmental path and early relationships have shaped them. In therapy, I strive to bring empathy, warmth, and humor to the process. You can expect me to be curious about and accepting of your experiences as I support you in actively working towards change. I am sensitive to issues related to disability, immigration, and non-traditional forms of family building, and welcome all to my practice.
(984) 223-8355 View (984) 223-8355
Photo of Kara Myree Resseguie, MA, LCMHCA, Counselor
Kara Myree Resseguie
Counselor, MA, LCMHCA
Verified Verified
2 Endorsed
Durham, NC 27705
Accepting New Clients! You set the tone, I hold the space. At your tempo, we discover the limitations holding you back from living a life centered in your values. In time, we witness your resentment alchemize into forgiveness, shame into compassion, and from confusion, find clarity. We ground in the present only to explore the past while simultaneously staging a brighter future. With every session you come home to yourself, you find meaning in your suffering. The quality of your relationships enhance. The heaviness that plagued you, you no longer carry. Your sense of self is restored. Your mind and heart are at peace.
Accepting New Clients! You set the tone, I hold the space. At your tempo, we discover the limitations holding you back from living a life centered in your values. In time, we witness your resentment alchemize into forgiveness, shame into compassion, and from confusion, find clarity. We ground in the present only to explore the past while simultaneously staging a brighter future. With every session you come home to yourself, you find meaning in your suffering. The quality of your relationships enhance. The heaviness that plagued you, you no longer carry. Your sense of self is restored. Your mind and heart are at peace.
(984) 223-4158 View (984) 223-4158
Photo of Cat Salemi, MA
Cat Salemi
Lic Clinical Mental Health Counselor Associate, MA
Verified Verified
1 Endorsed
Durham, NC 27705  (Online Only)
You’ve been looking a therapist who doesn’t try to put you in a box, and is genuinely curious about YOUR lived experience. You want therapy to be based on an empathic connection, with goals for how you want to heal or grow. You want your experience navigating your gender, sexuality, neurodiversity, and experience living in this society to be deeply witnessed. I’m experienced in helping individuals with ADHD and on the autism spectrum, using a non-pathological and neurodiversity-based approach. I am passionate about helping transgender, non-binary, and neurodiverse individuals find happiness and live life as their authentic selves.
You’ve been looking a therapist who doesn’t try to put you in a box, and is genuinely curious about YOUR lived experience. You want therapy to be based on an empathic connection, with goals for how you want to heal or grow. You want your experience navigating your gender, sexuality, neurodiversity, and experience living in this society to be deeply witnessed. I’m experienced in helping individuals with ADHD and on the autism spectrum, using a non-pathological and neurodiversity-based approach. I am passionate about helping transgender, non-binary, and neurodiverse individuals find happiness and live life as their authentic selves.
(984) 600-6458 x101 View (984) 600-6458 x101
Photo of Maria Rodriguez-Fischer, LCSW, CPC, Clinical Social Work/Therapist
Maria Rodriguez-Fischer
Clinical Social Work/Therapist, LCSW, CPC
Verified Verified
Durham, NC 27705
As your therapist I will work with you to resolve emotional and behavioral issues and assist you in reaching a sense of well-being. I provide services that range from therapy for anxiety, depression, post-traumatic stress disorder and grief counseling to family counseling, couples' counseling and beyond. Coaching services are also offered. As your coach I work with you to accelerate your growth and expand and maximize your opportunities in areas such as personal, relationships, career, lifestyle, finances and other areas. Coaching is about designing a more desirable future for yourself.
As your therapist I will work with you to resolve emotional and behavioral issues and assist you in reaching a sense of well-being. I provide services that range from therapy for anxiety, depression, post-traumatic stress disorder and grief counseling to family counseling, couples' counseling and beyond. Coaching services are also offered. As your coach I work with you to accelerate your growth and expand and maximize your opportunities in areas such as personal, relationships, career, lifestyle, finances and other areas. Coaching is about designing a more desirable future for yourself.
(919) 680-1017 View (919) 680-1017
Photo of Rachel Honig, LCSW, Clinical Social Work/Therapist
Rachel Honig
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Durham, NC 27705  (Online Only)
I am a committed and passionate clinical social worker, focused on supporting people on their path towards healing and change. My hope is to provide a space to process and reflect on significant events in your life while also providing specific skills or strategies. I support people looking to reduce anxiety, cope with and process difficult changes, and improve relationships. Therapy can be a vulnerable experience, though ultimately can lead towards meaningful change. I use a collaborative trauma informed approach focused on your goals.
I am a committed and passionate clinical social worker, focused on supporting people on their path towards healing and change. My hope is to provide a space to process and reflect on significant events in your life while also providing specific skills or strategies. I support people looking to reduce anxiety, cope with and process difficult changes, and improve relationships. Therapy can be a vulnerable experience, though ultimately can lead towards meaningful change. I use a collaborative trauma informed approach focused on your goals.
(919) 705-0604 View (919) 705-0604
Photo of Kristin Linton, LCMHCS, ATR-BC, Counselor
Kristin Linton
Counselor, LCMHCS, ATR-BC
Verified Verified
1 Endorsed
Durham, NC 27705
I am a Licensed Clinical Mental Health Counselor & Supervisor and have over 15 years of experience working with clients of all ages. My approach is warm and supportive and I view clients through a strengths-based lens. I understand that the challenges facing us today are stressful and unpredictable, and I will work in collaboration with you to help you regain balance, presence, and compassion for yourself in your personal growth.
I am a Licensed Clinical Mental Health Counselor & Supervisor and have over 15 years of experience working with clients of all ages. My approach is warm and supportive and I view clients through a strengths-based lens. I understand that the challenges facing us today are stressful and unpredictable, and I will work in collaboration with you to help you regain balance, presence, and compassion for yourself in your personal growth.
(919) 351-8682 View (919) 351-8682
Photo of Michael P. Iezzi, PhD, Psychologist
Michael P. Iezzi
Psychologist, PhD
Verified Verified
2 Endorsed
Durham, NC 27705
Everyone could benefit from talking with a counselor to help cope with life's stressors. You may prefer to meet with a counselor one-on-one to help improve your quality of life. If your intimate relationship is a concern, you and your partner(s) could utilize relationship counseling to communicate more effectively and regain the passion that drew you together. Building a support network and feeling as if you belong are also valuable resources that group counseling can provide. Regardless of your concern, there are multiple counseling options to help meet your needs. Initiating counseling services is the first step to feeling better.
Everyone could benefit from talking with a counselor to help cope with life's stressors. You may prefer to meet with a counselor one-on-one to help improve your quality of life. If your intimate relationship is a concern, you and your partner(s) could utilize relationship counseling to communicate more effectively and regain the passion that drew you together. Building a support network and feeling as if you belong are also valuable resources that group counseling can provide. Regardless of your concern, there are multiple counseling options to help meet your needs. Initiating counseling services is the first step to feeling better.
(984) 237-2741 View (984) 237-2741
Photo of Matt Slotkin, LCSW, JD, Clinical Social Work/Therapist
Matt Slotkin
Clinical Social Work/Therapist, LCSW, JD
Verified Verified
Durham, NC 27705
My therapeutic style is warm, genuine, accepting and collaborative.
My therapeutic style is warm, genuine, accepting and collaborative.
(984) 459-7444 View (984) 459-7444
Photo of Kate Rice, LCSWA
Kate Rice
LCSW Associate , LCSWA
Verified Verified
1 Endorsed
Durham, NC 27705
So you’re on the hunt for a therapist.. perhaps you’re an individual or partnership (18+) seeking support surrounding pleasure, sex, gender, sexuality, conflict, or communication – or you’re experiencing depression, anxiety, trauma, burnout, or stress related to front line social movement work. If that’s the case, we could be a good fit! I am affirming of all genders, sexualities, and relationship structures. I feel especially passionate about working with individuals and partners who are resisting social norms in one or more areas of their life.
So you’re on the hunt for a therapist.. perhaps you’re an individual or partnership (18+) seeking support surrounding pleasure, sex, gender, sexuality, conflict, or communication – or you’re experiencing depression, anxiety, trauma, burnout, or stress related to front line social movement work. If that’s the case, we could be a good fit! I am affirming of all genders, sexualities, and relationship structures. I feel especially passionate about working with individuals and partners who are resisting social norms in one or more areas of their life.
(984) 266-3580 View (984) 266-3580
Piper Brady King
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
1 Endorsed
Durham, NC 27705
Not accepting new clients
I am currently interested in working with clients ages 16+ on the following topics: substance use, relationships, interpersonal communication, boundaries, life transitions, sexuality, gender identity, anxiety, depression, dissociation, trauma and general exploration/discovery of identity. I work with folks from all cultural, racial and religious backgrounds and is LGBTQIA+ affirming.
I am currently interested in working with clients ages 16+ on the following topics: substance use, relationships, interpersonal communication, boundaries, life transitions, sexuality, gender identity, anxiety, depression, dissociation, trauma and general exploration/discovery of identity. I work with folks from all cultural, racial and religious backgrounds and is LGBTQIA+ affirming.
(984) 777-8544 View (984) 777-8544
Photo of David M Moore, PhD, LCMHCS, FABP , TA/SA
David M Moore
PhD, LCMHCS, FABP , TA/SA
Verified Verified
Durham, NC 27705
Psychoanalysis provides the most in-depth, long-lasting treatment. Ideal for the person who has tried medications and briefer therapies unsuccessfully. Like exercise and the violin, concentrated​ long work is required for lifelong growth in the ability to love, work and play, while containing suffering, loss and uncertainty. Quick fixes limited to a pill or briefer therapy, only if insurance pays, tend to be quite expensive long run. Psychoanalysis seeks to get at the underlying roots of problems and their meanings beginning in infancy and childhood, as they play out in the here and now of the therapy, and in recurrent problematic
Psychoanalysis provides the most in-depth, long-lasting treatment. Ideal for the person who has tried medications and briefer therapies unsuccessfully. Like exercise and the violin, concentrated​ long work is required for lifelong growth in the ability to love, work and play, while containing suffering, loss and uncertainty. Quick fixes limited to a pill or briefer therapy, only if insurance pays, tend to be quite expensive long run. Psychoanalysis seeks to get at the underlying roots of problems and their meanings beginning in infancy and childhood, as they play out in the here and now of the therapy, and in recurrent problematic
(919) 330-0052 View (919) 330-0052
Photo of Stephanie Kesner, MS, LCMHC, Counselor
Stephanie Kesner
Counselor, MS, LCMHC
Verified Verified
Durham, NC 27705  (Online Only)
Welcome! Oftentimes when life gets too hard or too overwhelming, it's difficult to know what to do or who to turn to for help. In fact, letting others know you need help is often the most difficult. But you're here. You've taken the first step to healing and I'm so glad you did. I practice from a person-centered perspective, meaning I walk alongside you in your journey at your pace. I also incorporate skills from other modalities as needed. You are the expert of your life and it's my job to honor that, to help provide clarity, and to offer tools to navigate life's most difficult challenges.
Welcome! Oftentimes when life gets too hard or too overwhelming, it's difficult to know what to do or who to turn to for help. In fact, letting others know you need help is often the most difficult. But you're here. You've taken the first step to healing and I'm so glad you did. I practice from a person-centered perspective, meaning I walk alongside you in your journey at your pace. I also incorporate skills from other modalities as needed. You are the expert of your life and it's my job to honor that, to help provide clarity, and to offer tools to navigate life's most difficult challenges.
(919) 739-4709 View (919) 739-4709
Photo of Matthew Michael Schneider, LCMHC, Counselor
Matthew Michael Schneider
Counselor, LCMHC
Verified Verified
3 Endorsed
Durham, NC 27705
Hello! I'm a Licensed Clinical Mental Health Counselor Associate and use my therapy gifts to provide sound counsel for those who are in need. I specialize in working with adults, couples, and teenagers to explore more about themselves. I use an integrated model of counseling that includes Interpersonal Processing, Evidence-Based Treatment, Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Emotionally Focused Therapy. I work with couples using the Gottman Method and have completed Levels 1-3. I also am a Certified Anxiety-Informed Professional via Evergreen Certification.
Hello! I'm a Licensed Clinical Mental Health Counselor Associate and use my therapy gifts to provide sound counsel for those who are in need. I specialize in working with adults, couples, and teenagers to explore more about themselves. I use an integrated model of counseling that includes Interpersonal Processing, Evidence-Based Treatment, Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Emotionally Focused Therapy. I work with couples using the Gottman Method and have completed Levels 1-3. I also am a Certified Anxiety-Informed Professional via Evergreen Certification.
(919) 276-8130 View (919) 276-8130
Photo of Sheffa Ariens, MA, MFT, Marriage & Family Therapist
Sheffa Ariens
Marriage & Family Therapist, MA, MFT
Verified Verified
5 Endorsed
Durham, NC 27705
I have 20+ years of experience working with individuals, couples and groups, specializing in supporting non-conformists and the folks they love - people who are non-monogamous, queer, trans, geeks, artists, dancers, healers, meditators, social activists, burners, kinksters, etc. I provide a non-judgmental space to reflect, receive compassion, strategize about best practices, and move forward with clarity.
I have 20+ years of experience working with individuals, couples and groups, specializing in supporting non-conformists and the folks they love - people who are non-monogamous, queer, trans, geeks, artists, dancers, healers, meditators, social activists, burners, kinksters, etc. I provide a non-judgmental space to reflect, receive compassion, strategize about best practices, and move forward with clarity.
View
1
...

How does your Therapist compare?

Number of Therapists in 27705

200+

Average cost per session

$150

Therapists in 27705 who prioritize treating:

94% Anxiety
88% Depression
84% Relationship Issues
75% Self Esteem
71% Stress
68% Trauma and PTSD
66% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
74% Aetna
43% Cigna and Evernorth

How Therapists in 27705 see their clients

72% In Person and Online
28% Online Only

Gender breakdown

80% Female
15% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 27705?

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.