Photo of Colleen M McCleery, IMFT, LICDC-C, Marriage & Family Therapist
Colleen M McCleery
Marriage & Family Therapist, IMFT, LICDC-C
Verified Verified
Olmsted Falls, OH 44138  (Online Only)
I am a Marriage and Family Therapist with 30 years of experience, I address a wide array of individual and relationship issues with a holistic perspective and concern for your overall, long-term well being. I provide EMDR, individual, couples and family therapy. In addition my LICDC allows me to help certain clients identify addictive or self destructive patterns and relationships. Working together we can move towards self awareness and self improvement that positively impacts all areas of ones life.
I am a Marriage and Family Therapist with 30 years of experience, I address a wide array of individual and relationship issues with a holistic perspective and concern for your overall, long-term well being. I provide EMDR, individual, couples and family therapy. In addition my LICDC allows me to help certain clients identify addictive or self destructive patterns and relationships. Working together we can move towards self awareness and self improvement that positively impacts all areas of ones life.
(216) 616-7912 View (216) 616-7912
Photo of Joan Norris, LISW, Clinical Social Work/Therapist
Joan Norris
Clinical Social Work/Therapist, LISW
Verified Verified
Olmsted Falls, OH 44138
Joan Norris has more than 25 years experience working in private practice, hospital settings and community mental health. Her specialty areas of focus are helping patients dealing with chronic or terminal illnesses, grief and loss, and pre- or post-surgery anxiety. She also specializes in relationship issues. She received her bachelor's degree from the University of Dayton and her master's degree in social work from Case Western Reserve University. She also trained at the C. G.
Joan Norris has more than 25 years experience working in private practice, hospital settings and community mental health. Her specialty areas of focus are helping patients dealing with chronic or terminal illnesses, grief and loss, and pre- or post-surgery anxiety. She also specializes in relationship issues. She received her bachelor's degree from the University of Dayton and her master's degree in social work from Case Western Reserve University. She also trained at the C. G.
(440) 797-4244 View (440) 797-4244
Photo of Jeanette Biermann, PsyD, Psychologist
Jeanette Biermann
Psychologist, PsyD
Verified Verified
Olmsted Falls, OH 44138
Dr. Biermann is a psychologist licensed to practice in Ohio since 2013. She earned her PhD in counseling psychology at the University of Akron. Her undergraduate degree in mathematics was awarded by Valparaiso University. She has provided psychological services in hospitals, long term care, primary care and private practice settings. Before training to become a psychologist, she worked in corporate and government settings for more than 25 years, informed by her MBA and her PhD in Operations Research from CWRU.
Dr. Biermann is a psychologist licensed to practice in Ohio since 2013. She earned her PhD in counseling psychology at the University of Akron. Her undergraduate degree in mathematics was awarded by Valparaiso University. She has provided psychological services in hospitals, long term care, primary care and private practice settings. Before training to become a psychologist, she worked in corporate and government settings for more than 25 years, informed by her MBA and her PhD in Operations Research from CWRU.
(440) 732-4684 View (440) 732-4684
Photo of Michael Weatherford, PhD, LPCC-S, NCC
Michael Weatherford
Licensed Professional Clinical Counselor, PhD, LPCC-S, NCC
Verified Verified
Olmsted Falls, OH 44138
Dr. Weatherford (He/him) is a licensed professional counselor with five years of clinical experience working with adolescents and adults in an outpatient setting with differing presenting concerns. He has specialized training in behavioral therapy and cognitive behavioral therapy. Dr. Weatherford primarily works with adolescents and adults (Ages 13-60) with a wide range of concerns. He has extensive experience working with adolescents and adults with varying depression diagnoses, varying anxiety-related diagnoses, ADHD, adjustment disorders, and PTSD.
Dr. Weatherford (He/him) is a licensed professional counselor with five years of clinical experience working with adolescents and adults in an outpatient setting with differing presenting concerns. He has specialized training in behavioral therapy and cognitive behavioral therapy. Dr. Weatherford primarily works with adolescents and adults (Ages 13-60) with a wide range of concerns. He has extensive experience working with adolescents and adults with varying depression diagnoses, varying anxiety-related diagnoses, ADHD, adjustment disorders, and PTSD.
(440) 762-6244 View (440) 762-6244
Photo of Susan Zacharias, LPCC-S, Counselor
Susan Zacharias
Counselor, LPCC-S
Verified Verified
Olmsted Falls, OH 44138
Susan Zacharias received her master's degree in clinical pastoral counseling from Ashland Theological Seminary. She also holds a bachelor's degree from Kent State University. She has more than 15 years of counseling experience including work in community and private practice settings. She currently provides individual, couples and family therapy to children, adolescents and adults ages 6 to 65+. Her treatment areas of specialty include trauma, post-traumatic stress disorder (PTSD), eating disorders and substance use disorders. She is also trained in the use of eye movement desensitization and reprocessing (EMDR).
Susan Zacharias received her master's degree in clinical pastoral counseling from Ashland Theological Seminary. She also holds a bachelor's degree from Kent State University. She has more than 15 years of counseling experience including work in community and private practice settings. She currently provides individual, couples and family therapy to children, adolescents and adults ages 6 to 65+. Her treatment areas of specialty include trauma, post-traumatic stress disorder (PTSD), eating disorders and substance use disorders. She is also trained in the use of eye movement desensitization and reprocessing (EMDR).
(440) 643-4237 View (440) 643-4237
Photo of Erica Allen, LPCC
Erica Allen
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Olmsted Falls, OH 44138
Erica Allen is a Professional Clinical Counselor and Marriage and Family Therapist, who has been practicing since 2008. She holds a bachelor's degree in psychology from Miami University and graduated from the University of Akron with a master's degree in Marriage and Family Therapy. She utilizes family systems therapy which explores the strengths of the family and the impact of generational, social, community and cultural factors in treatment. She also incorporates cognitive behavioral therapy techniques.
Erica Allen is a Professional Clinical Counselor and Marriage and Family Therapist, who has been practicing since 2008. She holds a bachelor's degree in psychology from Miami University and graduated from the University of Akron with a master's degree in Marriage and Family Therapy. She utilizes family systems therapy which explores the strengths of the family and the impact of generational, social, community and cultural factors in treatment. She also incorporates cognitive behavioral therapy techniques.
(440) 530-7426 View (440) 530-7426
Photo of Kaitlyn Baker-Wlodyka, LISW-S, Clinical Social Work/Therapist
Kaitlyn Baker-Wlodyka
Clinical Social Work/Therapist, LISW-S
Verified Verified
Olmsted Falls, OH 44138
Kaitlyn Baker-Wlodyka is a licensed independent clinician, practicing for over 10 years. She graduated from Case Western Reserve University with a degree in Social Work with a focus on treatment of co-occurring addiction and mental health in direct practice care. Kaitlyn loves working with individuals, couples and families. Kaitlyn specializes in marriage and family therapy with an emphasis on providing support to families experiencing high conflict issues including, court involvement and navigating family needs post decree.
Kaitlyn Baker-Wlodyka is a licensed independent clinician, practicing for over 10 years. She graduated from Case Western Reserve University with a degree in Social Work with a focus on treatment of co-occurring addiction and mental health in direct practice care. Kaitlyn loves working with individuals, couples and families. Kaitlyn specializes in marriage and family therapy with an emphasis on providing support to families experiencing high conflict issues including, court involvement and navigating family needs post decree.
(440) 496-8070 View (440) 496-8070
Photo of Tricia Fritz, LPCC
Tricia Fritz
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Olmsted Falls, OH 44138
The choice to engage in counseling may be difficult, but the benefits can be life changing. Loyal to the belief that a journey of a thousand miles begins with a single step. I seek to join you on this journey, value each individual's story, and while understanding the need for a strong therapeutic relationship. Whether you are negotiating life losses, feelings of anxiety and depression or adjustment to life challenges, I see my role as compassionate listener and guide. I specialize individuals struggling with mood disorders, transitions, anxiety, trauma, stress, low self-esteem, anger management, ADHD, grief and bereavement.
The choice to engage in counseling may be difficult, but the benefits can be life changing. Loyal to the belief that a journey of a thousand miles begins with a single step. I seek to join you on this journey, value each individual's story, and while understanding the need for a strong therapeutic relationship. Whether you are negotiating life losses, feelings of anxiety and depression or adjustment to life challenges, I see my role as compassionate listener and guide. I specialize individuals struggling with mood disorders, transitions, anxiety, trauma, stress, low self-esteem, anger management, ADHD, grief and bereavement.
(440) 664-3831 View (440) 664-3831
Photo of Megan Smith, LPCC,  ATR
Megan Smith
Licensed Professional Clinical Counselor, LPCC, ATR
Verified Verified
Olmsted Falls, OH 44138
My name is Megan M. Smith and I am a Licensed Professional Clinical Counselor (LPCC) and Registered Art Therapist (ATR). I received my master's degree in counseling and art therapy from Ursuline College and my EMDR therapy training through The Institute for Creative Mindfulness. My aim is to help women and LGBTQIA (BIPOC millennials and gen-z) folx heal from traumatic experiences. Trauma can change how we see ourselves and others, impact how we navigate the world and our relationships, and have us feeling stuck in the past.
My name is Megan M. Smith and I am a Licensed Professional Clinical Counselor (LPCC) and Registered Art Therapist (ATR). I received my master's degree in counseling and art therapy from Ursuline College and my EMDR therapy training through The Institute for Creative Mindfulness. My aim is to help women and LGBTQIA (BIPOC millennials and gen-z) folx heal from traumatic experiences. Trauma can change how we see ourselves and others, impact how we navigate the world and our relationships, and have us feeling stuck in the past.
(440) 683-6937 View (440) 683-6937
Photo of Tanya P Morrow, LISW-S, Clinical Social Work/Therapist
Tanya P Morrow
Clinical Social Work/Therapist, LISW-S
Verified Verified
Olmsted Falls, OH 44138
Tanya Morrow spent 25 years at the children and families social services agency Beech Brook, most recently as director of theEarly Childhood program. She is experienced in the treatment of behavior disorders and post-traumatic stressdisorder (PTSD) resulting fromabuse as well astrauma informed care, parent-child interaction therapy (PCIT) and LGBTQI issues. She hasspecial interest in treatment of women's issues, self-care and empowerment,life coaching, social skill development and resilience.
Tanya Morrow spent 25 years at the children and families social services agency Beech Brook, most recently as director of theEarly Childhood program. She is experienced in the treatment of behavior disorders and post-traumatic stressdisorder (PTSD) resulting fromabuse as well astrauma informed care, parent-child interaction therapy (PCIT) and LGBTQI issues. She hasspecial interest in treatment of women's issues, self-care and empowerment,life coaching, social skill development and resilience.
(440) 762-6263 View (440) 762-6263
Photo of Gabriel Somarriba, PsyD, Psychologist
Gabriel Somarriba
Psychologist, PsyD
Verified Verified
Olmsted Falls, OH 44138
Dr. Somarriba is a clinical psychologist who is fluent in both English and Spanish. He received his doctoral degree in psychology, his master's degree in clinical psychology from Divine Mercy University and his bachelor's degree in international studies from American University. He also completed a post-doctoral fellowship in family medicine at MetroHealth Medical Center. He has experience in both outpatient and inpatient settings providing psychotherapy and psychological assessments for patients of all ages.
Dr. Somarriba is a clinical psychologist who is fluent in both English and Spanish. He received his doctoral degree in psychology, his master's degree in clinical psychology from Divine Mercy University and his bachelor's degree in international studies from American University. He also completed a post-doctoral fellowship in family medicine at MetroHealth Medical Center. He has experience in both outpatient and inpatient settings providing psychotherapy and psychological assessments for patients of all ages.
(440) 737-3732 View (440) 737-3732
Photo of Christine Carey, Clinical Social Work/Therapist
Christine Carey
Clinical Social Work/Therapist
Verified Verified
Olmsted Falls, OH 44138
Christine Carey has over 30 years of experience working in clinical settings with children and adolescents. She holds a B.A. degree in Social work and MSSA (social work), from Cleveland State University and Case western Reserve University. She concentrated in child and adolescent mental health with a particular focus on childhood development. She also hold a post-graduate certification in marital and family therapy from The Family Therapy Center at The University of Cincinnati.
Christine Carey has over 30 years of experience working in clinical settings with children and adolescents. She holds a B.A. degree in Social work and MSSA (social work), from Cleveland State University and Case western Reserve University. She concentrated in child and adolescent mental health with a particular focus on childhood development. She also hold a post-graduate certification in marital and family therapy from The Family Therapy Center at The University of Cincinnati.
(440) 760-5785 View (440) 760-5785
Photo of Tara Reidy, PsyD, Psychologist
Tara Reidy
Psychologist, PsyD
Verified Verified
Olmsted Falls, OH 44138
For adults and older adolescents Tara believes in combining insight from lifelong experiences and patterns with cognitive behavioral therapy. For young children she works with closely with both parent and child. She specializes in emotional and behavioral problems of young children and in the impact of early trauma on adult anxiety and depression. In her spare time, Tara enjoys square dancing and hiking in the wonderful Cleveland Metropark system. She directs a small food pantry associated with the Greater Cleveland Food Bank.
For adults and older adolescents Tara believes in combining insight from lifelong experiences and patterns with cognitive behavioral therapy. For young children she works with closely with both parent and child. She specializes in emotional and behavioral problems of young children and in the impact of early trauma on adult anxiety and depression. In her spare time, Tara enjoys square dancing and hiking in the wonderful Cleveland Metropark system. She directs a small food pantry associated with the Greater Cleveland Food Bank.
(440) 571-7154 View (440) 571-7154
Photo of Trista Piccola, LISW-S, Clinical Social Work/Therapist
Trista Piccola
Clinical Social Work/Therapist, LISW-S
Verified Verified
Olmsted Falls, OH 44138
Trista Piccola is a Licensed Independent Social Worker Supervisor in Ohio who has been practicing since 2007. Trista provides care for individuals and families seeking help need to be able to do so without any fear of stigma or judgment. She focuses on helping people feel at ease so they can start the process of problem-solving and healing. Outside of work, Trista is an animal lover.
Trista Piccola is a Licensed Independent Social Worker Supervisor in Ohio who has been practicing since 2007. Trista provides care for individuals and families seeking help need to be able to do so without any fear of stigma or judgment. She focuses on helping people feel at ease so they can start the process of problem-solving and healing. Outside of work, Trista is an animal lover.
(440) 739-3977 View (440) 739-3977
Photo of Vanilda Reyes de Noyes, LISW-S, Clinical Social Work/Therapist
Vanilda Reyes de Noyes
Clinical Social Work/Therapist, LISW-S
Verified Verified
Olmsted Falls, OH 44138
Vanilda Reyes de Noyes is a Licensed Independent Social Worker Supervisor in Ohio who has been practicing since 2007. Through her work in a variety of settings including community mental health centers, hospitals, and churches, Vanilda has seen the need to create an environment where people can experience support and healing. She is committed to having a person-centered approach to help clients meet their therapeutic goals. In her spare time, Vanilda enjoys spending time with family and friends, a good cup of coffee, weight training at the gym, reading, and going on walks.
Vanilda Reyes de Noyes is a Licensed Independent Social Worker Supervisor in Ohio who has been practicing since 2007. Through her work in a variety of settings including community mental health centers, hospitals, and churches, Vanilda has seen the need to create an environment where people can experience support and healing. She is committed to having a person-centered approach to help clients meet their therapeutic goals. In her spare time, Vanilda enjoys spending time with family and friends, a good cup of coffee, weight training at the gym, reading, and going on walks.
(440) 659-2411 View (440) 659-2411
Photo of Christine Billick, PsyD, Psychologist
Christine Billick
Psychologist, PsyD
Verified Verified
Olmsted Falls, OH 44138
Brookana Bonezzi is a board certified advanced practice nurse with dual certification in pediatrics and mental health care. She received her bachelor's degree in nursing from Case Western Reserve University and her master's degree from the University of Akron. She also earned post-master's certification in psychiatric mental health from the University of Cincinnati. She has more than 10 years of nursing experience in both inpatient and outpatient settings and has served a variety of patients across the life span including children, adolescents and adults.
Brookana Bonezzi is a board certified advanced practice nurse with dual certification in pediatrics and mental health care. She received her bachelor's degree in nursing from Case Western Reserve University and her master's degree from the University of Akron. She also earned post-master's certification in psychiatric mental health from the University of Cincinnati. She has more than 10 years of nursing experience in both inpatient and outpatient settings and has served a variety of patients across the life span including children, adolescents and adults.
(440) 762-6144 View (440) 762-6144
Photo of Seth F Nieding, LISW, LICDC, Clinical Social Work/Therapist
Seth F Nieding
Clinical Social Work/Therapist, LISW, LICDC
Verified Verified
Olmsted Falls, OH 44138
Many patients can effectively overcome symptoms without medication. The mission of Nieding Therapy is: (1) to work with you in order for you to obtain the skills necessary to be able to take control over your thoughts, emotions, and behavior, to learn the skills necessary to overcome your life dominating problems, to improve relationships, and (2) to discover your unique gifts/strengths which you can utilize in your daily life. To schedule an initial consultation call Colleen, office manager, direct at 440-748-1207 or email niedingtherapy@gmail.com Day and Saturday appointments.
Many patients can effectively overcome symptoms without medication. The mission of Nieding Therapy is: (1) to work with you in order for you to obtain the skills necessary to be able to take control over your thoughts, emotions, and behavior, to learn the skills necessary to overcome your life dominating problems, to improve relationships, and (2) to discover your unique gifts/strengths which you can utilize in your daily life. To schedule an initial consultation call Colleen, office manager, direct at 440-748-1207 or email niedingtherapy@gmail.com Day and Saturday appointments.
(440) 520-1339 View (440) 520-1339
Photo of Susanne Sacco, LISW, MEd, Clinical Social Work/Therapist
Susanne Sacco
Clinical Social Work/Therapist, LISW, MEd
Verified Verified
Olmsted Falls, OH 44138
Waitlist for new clients
I believe in an individualized approach for every client and working with you to determine the best methodology to get you where you want to be. I will help you tell your life story, and will work with you to find insight and meaning for the future. While on your journey, you will find that I can offer and link you with additional resources to empower you beyond the therapy room. Finally, if a relationship with me as a therapist is not working, I encourage my clients to be open and honest so that we can get them on the correct path to healing.
I believe in an individualized approach for every client and working with you to determine the best methodology to get you where you want to be. I will help you tell your life story, and will work with you to find insight and meaning for the future. While on your journey, you will find that I can offer and link you with additional resources to empower you beyond the therapy room. Finally, if a relationship with me as a therapist is not working, I encourage my clients to be open and honest so that we can get them on the correct path to healing.
(440) 484-3229 View (440) 484-3229
Photo of undefined - Insight Counseling and Wellness LLC, Clinical Social Work/Therapist
Insight Counseling and Wellness LLC
Clinical Social Work/Therapist
Verified Verified
5 Endorsed
Olmsted Falls, OH 44138
Our licensed therapists can help you in processing traumas, depression, anxiety, grief, family stressors, substance abuse, low self-esteem, and more! Insight Counseling and Wellness provides psychotherapy to individuals, couples, and families in all phases of life. We work with all ages in a variety of modalities.
Our licensed therapists can help you in processing traumas, depression, anxiety, grief, family stressors, substance abuse, low self-esteem, and more! Insight Counseling and Wellness provides psychotherapy to individuals, couples, and families in all phases of life. We work with all ages in a variety of modalities.
(440) 973-4545 View (440) 973-4545
Photo of undefined - The Dreaming Tree Counseling Center, MA, LPCC-S, LICDC, ICADC, SAP, Counselor
The Dreaming Tree Counseling Center
Counselor, MA, LPCC-S, LICDC, ICADC, SAP
Verified Verified
1 Endorsed
Olmsted Falls, OH 44138
Welcome to "The Dreaming Tree" Counseling Center. My name is Mike Skoda, and the concept came to me from my love of Dave Matthews Band and their lesser known DMB song, "The Dreaming Tree." Fast forward and now we have a family owned and operated and family-friendly practice in beautiful, Broadview Heights, OH. Our mission is to help folks restore their roots and foundations in order to reclaim your dreams and legacies. In short, we help nourish "The Dreaming Tree" of your life, whether it be a relationship, a family, a school, or just some awesome dreams of your own! We help you learn to dream again and live out your wildest dreams!
Welcome to "The Dreaming Tree" Counseling Center. My name is Mike Skoda, and the concept came to me from my love of Dave Matthews Band and their lesser known DMB song, "The Dreaming Tree." Fast forward and now we have a family owned and operated and family-friendly practice in beautiful, Broadview Heights, OH. Our mission is to help folks restore their roots and foundations in order to reclaim your dreams and legacies. In short, we help nourish "The Dreaming Tree" of your life, whether it be a relationship, a family, a school, or just some awesome dreams of your own! We help you learn to dream again and live out your wildest dreams!
(440) 220-6926 View (440) 220-6926

See more therapy options for 44138

How does your Therapist compare?

Number of Therapists in 44138

20+

Average cost per session

$135

Therapists in 44138 who prioritize treating:

90% Depression
90% Anxiety
76% Trauma and PTSD
69% Grief
59% Life Transitions
48% Self Esteem
45% Relationship Issues

Average years in practice

13 Years

Top 3 insurances accepted

96% Aetna
96% Medical Mutual
93% Cigna and Evernorth

How Therapists in 44138 see their clients

94% In Person and Online
6% Online Only

Gender breakdown

81% Female
19% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 44138?

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.