Therapists in 29206

Photo of Ariana M Copeland, Licensed Professional Counselor Associate, LPCA, MA
Ariana M Copeland
Licensed Professional Counselor Associate, LPCA, MA
Columbia, SC 29206
I am interested in working with women at various stages of life. It is not uncommon to see anxiety, depression, anger, and confusion appear when there is a major transition in life. My experience has been with young ladies in their college and career era as they launch into the world of adulthood and its intricacies. I come alongside mothers who are going through the ups and downs of parenthood to help them feel empowered and heard. I also work with Spanish-speaking clients, thanks to my own bilingual background.
I am interested in working with women at various stages of life. It is not uncommon to see anxiety, depression, anger, and confusion appear when there is a major transition in life. My experience has been with young ladies in their college and career era as they launch into the world of adulthood and its intricacies. I come alongside mothers who are going through the ups and downs of parenthood to help them feel empowered and heard. I also work with Spanish-speaking clients, thanks to my own bilingual background.
(803) 779-1995 View (803) 779-1995
Photo of Josh Freeman, Licensed Professional Counselor, MA, LPC
Josh Freeman
Licensed Professional Counselor, MA, LPC
1 Endorsed
Columbia, SC 29206
Whether you need a safe place to process trauma you've experienced, vent about your stressors and the frustrations in life, need help with your relationships, or are going through a gender transition, I would love to accompany you on your personal journey. We can work together to develop skills to improve your life and meet your goals. Currently accepting new individuals and relationships of all kinds. I provide tarot readings, birth chart readings and spiritual counseling per the request of the client, but is not a requirement. I have a very holistic approach to healing.
Whether you need a safe place to process trauma you've experienced, vent about your stressors and the frustrations in life, need help with your relationships, or are going through a gender transition, I would love to accompany you on your personal journey. We can work together to develop skills to improve your life and meet your goals. Currently accepting new individuals and relationships of all kinds. I provide tarot readings, birth chart readings and spiritual counseling per the request of the client, but is not a requirement. I have a very holistic approach to healing.
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Photo of Devorah Marrus, Licensed Professional Counselor Associate , EdS, LPC-A, NCC
Devorah Marrus
Licensed Professional Counselor Associate , EdS, LPC-A, NCC
2 Endorsed
Columbia, SC 29206
One of my favorite quotes is "There is a crack in everything, that's how the light gets in." It is often through our struggles and life challenges that we are given the power and opportunity to find our deepest strength, courage, growth and purpose in life. If you are struggling with anxious thoughts, feeling depressed or feeling alone, I want you to know there is help for you. I can provide evidence-based counseling, emotional support, guidance & psychotherapy services to help you identify and work through your challenges. Call me so we can begin this journey towards your healing today!
One of my favorite quotes is "There is a crack in everything, that's how the light gets in." It is often through our struggles and life challenges that we are given the power and opportunity to find our deepest strength, courage, growth and purpose in life. If you are struggling with anxious thoughts, feeling depressed or feeling alone, I want you to know there is help for you. I can provide evidence-based counseling, emotional support, guidance & psychotherapy services to help you identify and work through your challenges. Call me so we can begin this journey towards your healing today!
(803) 590-9615 View (803) 590-9615
Photo of Lisa Pileggi Almonte, Marriage & Family Therapist, LMFT, MA
Lisa Pileggi Almonte
Marriage & Family Therapist, LMFT, MA
1 Endorsed
Columbia, SC 29206
Inner healing begins when basic needs are met. Until we can find healing from our traumas and wounds, we will continue to be weighed down by our past. I provide an empathic presence for individuals working through emotional discomfort. I offer a judgement-free, nurturing space where individuals can understand their pain and discover how to cope and heal. As your ally and guide, I will help you explore the parts in your life that keep you feeling stuck. Over time, we will work together to excavate the unknown and navigate ways to live a healthier and more authentic life. I will be your biggest cheerleader!
Inner healing begins when basic needs are met. Until we can find healing from our traumas and wounds, we will continue to be weighed down by our past. I provide an empathic presence for individuals working through emotional discomfort. I offer a judgement-free, nurturing space where individuals can understand their pain and discover how to cope and heal. As your ally and guide, I will help you explore the parts in your life that keep you feeling stuck. Over time, we will work together to excavate the unknown and navigate ways to live a healthier and more authentic life. I will be your biggest cheerleader!
(803) 598-8497 View (803) 598-8497
Photo of Carlton A Andrews, Licensed Professional Counselor, MRC, LPC, NCAC
Carlton A Andrews
Licensed Professional Counselor, MRC, LPC, NCAC
2 Endorsed
Columbia, SC 29206
Therapy has the potential to be tremendously helpful. I have over 25 years of experience working in the counseling field. I am a Licensed Professional Counselor as well as an NCAC. Through my career, I have primarily focused on all types of addictions as well as worked with couples and others seeking to change habits and personality traits that hinder their happiness. I will help to recognize, face, and overcome the stuck points often felt when having personal difficulties. I use varied counseling methods such as cognitive behavioral therapy, motivational interviewing, psychodynamic therapy and mindfulness.
Therapy has the potential to be tremendously helpful. I have over 25 years of experience working in the counseling field. I am a Licensed Professional Counselor as well as an NCAC. Through my career, I have primarily focused on all types of addictions as well as worked with couples and others seeking to change habits and personality traits that hinder their happiness. I will help to recognize, face, and overcome the stuck points often felt when having personal difficulties. I use varied counseling methods such as cognitive behavioral therapy, motivational interviewing, psychodynamic therapy and mindfulness.
(803) 302-3907 View (803) 302-3907
Photo of Tina Phillips - No Shame Counseling, Reiki & Consultation, LLC, Clinical Social Work/Therapist, LISW-CP, LCSW, MRP
No Shame Counseling, Reiki & Consultation, LLC
Clinical Social Work/Therapist, LISW-CP, LCSW, MRP
2 Endorsed
Serves Area
Why me? Why did/do I have to experience ____, be born with _____, and ultimately live with _____???? You've probably tried everything you know; positivity, praying, ignoring or burying the feelings, talking about the experience, maladaptive behaviors (shopping, sex, substances, ANYTHING to keep your mind off of what is), and you may have even tried therapy. Either way, you're here now which means something in you believes it is time and you are ready for positive change. You decide the destination or goal and I walk alongside you on the journey. Through reiki and/or therapy, we can get where you want to be. Healthy..why NOT you?
Why me? Why did/do I have to experience ____, be born with _____, and ultimately live with _____???? You've probably tried everything you know; positivity, praying, ignoring or burying the feelings, talking about the experience, maladaptive behaviors (shopping, sex, substances, ANYTHING to keep your mind off of what is), and you may have even tried therapy. Either way, you're here now which means something in you believes it is time and you are ready for positive change. You decide the destination or goal and I walk alongside you on the journey. Through reiki and/or therapy, we can get where you want to be. Healthy..why NOT you?
(839) 222-6019 View (839) 222-6019
Photo of Joseph Patrick Boland - Dr. Joseph Boland & Associates, Psychologist, PhD
Dr. Joseph Boland & Associates
Psychologist, PhD
Serves Area
Dr. Boland has a general psychotherapy practice treating children, adolescents and adults . He has been in private practice since 1988 and specializes in Cognitive Behavioral Therapy (CBT) and Behavioral Family Psychotherapy. Dr. Boland graduated Summa Cum Laude (top 2%) from the University of Northern Colorado in 1981 and received his Ph.D. in Clinical Psychology from the University of South Carolina in 1987. He completed his psychology internship at the Medical College of Georgia and his postdoctoral supervision at G. Werber Bryan Psychiatric Hospital in Columbia, SC. He is licensed in South Carolina as a clinical psychologist.
Dr. Boland has a general psychotherapy practice treating children, adolescents and adults . He has been in private practice since 1988 and specializes in Cognitive Behavioral Therapy (CBT) and Behavioral Family Psychotherapy. Dr. Boland graduated Summa Cum Laude (top 2%) from the University of Northern Colorado in 1981 and received his Ph.D. in Clinical Psychology from the University of South Carolina in 1987. He completed his psychology internship at the Medical College of Georgia and his postdoctoral supervision at G. Werber Bryan Psychiatric Hospital in Columbia, SC. He is licensed in South Carolina as a clinical psychologist.
(803) 393-9939 View (803) 393-9939
Photo of Kayla Sweet, Licensed Professional Counselor, MS, LPC
Kayla Sweet
Licensed Professional Counselor, MS, LPC
6 Endorsed
Serves Area
As a licensed professional counselor, I provide a safe, affirming, and collaborative space for LGBTQIA+ individuals to explore their experiences and emotions. Whether you're navigating identity, relationships, coming out, past trauma, or simply seeking support from someone who understands the unique challenges our community faces, I'm here to walk alongside you with compassion and respect. I recognize how deeply personal and layered the therapeutic journey can be, especially for queer individuals who may have experienced rejection, marginalization, or invisibility.
As a licensed professional counselor, I provide a safe, affirming, and collaborative space for LGBTQIA+ individuals to explore their experiences and emotions. Whether you're navigating identity, relationships, coming out, past trauma, or simply seeking support from someone who understands the unique challenges our community faces, I'm here to walk alongside you with compassion and respect. I recognize how deeply personal and layered the therapeutic journey can be, especially for queer individuals who may have experienced rejection, marginalization, or invisibility.
(803) 784-8460 View (803) 784-8460
Photo of Nicole Tank, Licensed Professional Counselor, LPC
Nicole Tank
Licensed Professional Counselor, LPC
1 Endorsed
Serves Area
With a career spanning over two and a half decades, Nicole Tank, MA, LPC, brings a wealth of experience to the field of mental health. Her journey has honed her expertise, with a particular focus on specialized populations and comprehensive training. Nicole's professional trek including schools, in-home services, and community mental health programs. Here, she developed her proficiency in assisting adolescents, adults and families dealing with issues such as anxiety, depression, ADHD, ASD, and trauma. Nicole specializes in helping Neurodivergent people understand their neurotype, learn to work with it and increase functionality.
With a career spanning over two and a half decades, Nicole Tank, MA, LPC, brings a wealth of experience to the field of mental health. Her journey has honed her expertise, with a particular focus on specialized populations and comprehensive training. Nicole's professional trek including schools, in-home services, and community mental health programs. Here, she developed her proficiency in assisting adolescents, adults and families dealing with issues such as anxiety, depression, ADHD, ASD, and trauma. Nicole specializes in helping Neurodivergent people understand their neurotype, learn to work with it and increase functionality.
(803) 910-4676 View (803) 910-4676
Photo of Hannah Davis, Licensed Professional Counselor, LPC
Hannah Davis
Licensed Professional Counselor, LPC
Serves Area
Hannah Davis, LPC, at LifeStance Health, helps individuals across South Carolina navigate life’s challenges with compassion, insight, and evidence-based care. She provides individual therapy for adolescents, adults, and seniors, supporting clients as they work toward healing, self-understanding, and personal growth. Whether addressing anxiety, depression, or complex trauma, Hannah strives to create a safe, affirming environment where clients feel heard and empowered. Hannah is especially passionate about supporting members of the LGBTQIA+ community and individuals exploring gender identity or sexual orientation.
Hannah Davis, LPC, at LifeStance Health, helps individuals across South Carolina navigate life’s challenges with compassion, insight, and evidence-based care. She provides individual therapy for adolescents, adults, and seniors, supporting clients as they work toward healing, self-understanding, and personal growth. Whether addressing anxiety, depression, or complex trauma, Hannah strives to create a safe, affirming environment where clients feel heard and empowered. Hannah is especially passionate about supporting members of the LGBTQIA+ community and individuals exploring gender identity or sexual orientation.
(803) 784-3233 View (803) 784-3233
Photo of Kevin Carlstead, Marriage & Family Therapist, LMFT
Kevin Carlstead
Marriage & Family Therapist, LMFT
10 Endorsed
Serves Area
I help clients build strong relationships with their self, and within their most important relationships, so they have a say in their life. This deeply rooted connection becomes incredibly freeing and empowering, making even the most painful experiences feel more stable and meaningful.
I help clients build strong relationships with their self, and within their most important relationships, so they have a say in their life. This deeply rooted connection becomes incredibly freeing and empowering, making even the most painful experiences feel more stable and meaningful.
(720) 669-7231 View (720) 669-7231
Photo of Jennifer Gilmore, Licensed Professional Counselor, LPC
Jennifer Gilmore
Licensed Professional Counselor, LPC
Serves Area
Over 20 years of experience working with adults and young adults who wish to break free from unproductive patterns, anxiety, depression, grief, overwhelm, burnout or the imprint of past traumas. My overarching approach is a Systems Theory model which has become trauma informed after extensive training and practice in trauma work. This is a wholistic approach which may also include aspects of: Interpersonal Theory, Solution Focused Therapy, Mindfulness Based techniques, and useful skills from other schools of thought as appropriate.
Over 20 years of experience working with adults and young adults who wish to break free from unproductive patterns, anxiety, depression, grief, overwhelm, burnout or the imprint of past traumas. My overarching approach is a Systems Theory model which has become trauma informed after extensive training and practice in trauma work. This is a wholistic approach which may also include aspects of: Interpersonal Theory, Solution Focused Therapy, Mindfulness Based techniques, and useful skills from other schools of thought as appropriate.
(803) 258-5902 View (803) 258-5902
Photo of Jenna Bridgers, Licensed Professional Counselor Associate, LPCA
Jenna Bridgers
Licensed Professional Counselor Associate, LPCA
1 Endorsed
Serves Area
You might look like you have it all together, but inside you feel drained, overwhelmed, or stuck. Maybe you’re a high achiever who’s tired of the constant pressure, or a parent who feels guilty for not being more patient. You want to feel calmer, more present, and confident in your choices—but the old ways of pushing through aren’t working anymore. In our work together, I’ll provide a warm, non-judgmental space to help you slow down, reconnect with yourself, and build tools that actually last. My style blends practical strategies with deep exploration for healing and growth that you will embody!
You might look like you have it all together, but inside you feel drained, overwhelmed, or stuck. Maybe you’re a high achiever who’s tired of the constant pressure, or a parent who feels guilty for not being more patient. You want to feel calmer, more present, and confident in your choices—but the old ways of pushing through aren’t working anymore. In our work together, I’ll provide a warm, non-judgmental space to help you slow down, reconnect with yourself, and build tools that actually last. My style blends practical strategies with deep exploration for healing and growth that you will embody!
(803) 346-7236 View (803) 346-7236
Photo of Derald 'nick' Adams, Licensed Professional Counselor, EdS, LPC
Derald 'nick' Adams
Licensed Professional Counselor, EdS, LPC
2 Endorsed
Serves Area
My favorite moment in counseling is when I get to see my clients just beginning to live their truth. I see counseling as a unique experience for each person that comes in to work with me. Whether I am working with an individual, a couple, or a family, sessions are tailored to the special needs of everyone in the room.
My favorite moment in counseling is when I get to see my clients just beginning to live their truth. I see counseling as a unique experience for each person that comes in to work with me. Whether I am working with an individual, a couple, or a family, sessions are tailored to the special needs of everyone in the room.
(803) 913-9793 View (803) 913-9793
Photo of Jc Davis, Licensed Professional Counselor Associate, LPC-A
Jc Davis
Licensed Professional Counselor Associate, LPC-A
Serves Area
The unavoidable truth is that life is not short; it is the longest thing we will ever do. For that reason, it should be something we engage in wholly. At times, the human experience can be a painful, messy, and overwhelming one. My goal in therapy is to provide a space to explore those things and give them a proper place in our minds, hearts, and stories. If you are looking to strengthen your relationships, achieve a goal, or develop strategies to manage the extraordinary or the everyday things, then counseling is for you. We will work together to help you create the kind of life you’re looking for.
The unavoidable truth is that life is not short; it is the longest thing we will ever do. For that reason, it should be something we engage in wholly. At times, the human experience can be a painful, messy, and overwhelming one. My goal in therapy is to provide a space to explore those things and give them a proper place in our minds, hearts, and stories. If you are looking to strengthen your relationships, achieve a goal, or develop strategies to manage the extraordinary or the everyday things, then counseling is for you. We will work together to help you create the kind of life you’re looking for.
(803) 618-4165 View (803) 618-4165
Photo of Pam Litchford - Pam Litchford Counseling, Licensed Professional Counselor, MA, LPC
Pam Litchford Counseling
Licensed Professional Counselor, MA, LPC
2 Endorsed
Serves Area
I work exclusively with adult women and I can help you! You are not doomed to your thoughts, feelings or situation. You do not have to live with anxiety and depression. Maybe you are dealing with difficult people in your life. Let's figure out a way to get you some relief! Please go to my website for everything you need to know at - Pam Litchford Counseling - by answering a few questions via the “next step” button.
I work exclusively with adult women and I can help you! You are not doomed to your thoughts, feelings or situation. You do not have to live with anxiety and depression. Maybe you are dealing with difficult people in your life. Let's figure out a way to get you some relief! Please go to my website for everything you need to know at - Pam Litchford Counseling - by answering a few questions via the “next step” button.
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Photo of Malik Mooney, Licensed Professional Counselor, MA, LPC, LAC, NCC
Malik Mooney
Licensed Professional Counselor, MA, LPC, LAC, NCC
8 Endorsed
Serves Area
We have all had moments that we felt overwhelmed, and uncertain about our next best step. Maybe you are coping with difficulties that are related to depression, anxiety, career, family, grief, phase of life changes, or relational concerns. With a non-judgmental, client-centered approach I can assist you with developing effective coping skills & new perspectives to live your most fulfilling life.
We have all had moments that we felt overwhelmed, and uncertain about our next best step. Maybe you are coping with difficulties that are related to depression, anxiety, career, family, grief, phase of life changes, or relational concerns. With a non-judgmental, client-centered approach I can assist you with developing effective coping skills & new perspectives to live your most fulfilling life.
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Photo of Amanda Storm, Marriage & Family Therapist, LMFT
Amanda Storm
Marriage & Family Therapist, LMFT
Serves Area
Amanda Storm, LMFT, helps individuals and families build practical skills for emotional balance, healthier relationships, and lasting change through compassionate, evidence-based therapy. At LifeStance Health, she serves patients across South Carolina, offering care that is grounded in clinical expertise and a warm, collaborative approach. Amanda works with adolescents, teens, adults, and seniors, supporting people as they navigate life transitions, mood concerns, and relationship challenges in a safe and supportive therapeutic environment.
Amanda Storm, LMFT, helps individuals and families build practical skills for emotional balance, healthier relationships, and lasting change through compassionate, evidence-based therapy. At LifeStance Health, she serves patients across South Carolina, offering care that is grounded in clinical expertise and a warm, collaborative approach. Amanda works with adolescents, teens, adults, and seniors, supporting people as they navigate life transitions, mood concerns, and relationship challenges in a safe and supportive therapeutic environment.
(803) 844-7929 View (803) 844-7929
Photo of Norah Grimball, Licensed Professional Counselor, NCC, LPC, NCACI, LAC, ADC
Norah Grimball
Licensed Professional Counselor, NCC, LPC, NCACI, LAC, ADC
Serves Area
Are you looking for a safe place to grow into your best self? As a Licensed & Certified Professional Therapist, I am here to help! I provide individualized treatment in a safe, non-judgmental & compassionate environment utilizing a holistic approach to wellness that allows for deeply personal healing of the mind, body, & spirit. In this way, you are able to explore & reconnect with yourself, overcome challenges, develop resiliency, & greatly improve your quality of life. Over the course of my career, I have provided psychotherapy & counseling services to diverse populations in a variety of settings & I welcome diversities in life.
Are you looking for a safe place to grow into your best self? As a Licensed & Certified Professional Therapist, I am here to help! I provide individualized treatment in a safe, non-judgmental & compassionate environment utilizing a holistic approach to wellness that allows for deeply personal healing of the mind, body, & spirit. In this way, you are able to explore & reconnect with yourself, overcome challenges, develop resiliency, & greatly improve your quality of life. Over the course of my career, I have provided psychotherapy & counseling services to diverse populations in a variety of settings & I welcome diversities in life.
(803) 274-5854 View (803) 274-5854
Photo of Dr. Iris P. Coleman, Clinical Social Work/Therapist, DSW, LCSW, LISW-CP
Dr. Iris P. Coleman
Clinical Social Work/Therapist, DSW, LCSW, LISW-CP
Serves Area
As your therapist I will work with you to help strengthen areas that you rely on to achieve your optimal mental and emotional health. I work with issues of anxiety and depression, relationships, grief, life transitions, the effects of trauma and abuse.
As your therapist I will work with you to help strengthen areas that you rely on to achieve your optimal mental and emotional health. I work with issues of anxiety and depression, relationships, grief, life transitions, the effects of trauma and abuse.
(803) 674-4772 View (803) 674-4772

See more therapy options for 29206

How does your Therapist compare?

Number of Therapists in 29206

70+

Average cost per session

$125

Therapists in 29206 who prioritize treating:

92% Anxiety
85% Depression
76% Coping Skills
73% Life Transitions
70% Relationship Issues
70% Self Esteem
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
74% Cigna and Evernorth
72% Aetna

How Therapists in 29206 see their clients

50% In Person and Online
50% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 29206?

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.