Therapists in 45206

Photo of Erin Michel, Licensed Professional Counselor, LPC
Erin Michel
Licensed Professional Counselor, LPC
2 Endorsed
Cincinnati, OH 45206
Our relationships define our humanity, bringing richness and joy into our lives while sometimes causing pain. They act as mirrors, reflecting our inner selves and fulfilling our innate need for connection. When we are connected to others, we feel more in tune with ourselves and our world. However, mental health challenges can both contribute to and result from relationship discord, creating a distressing cycle. Feelings of isolation lead to further disconnection, distancing us from our values and deepening our sense of loneliness and loss. Through therapy, we can carve a different path: one of vulnerability, intimacy, and joy.
Our relationships define our humanity, bringing richness and joy into our lives while sometimes causing pain. They act as mirrors, reflecting our inner selves and fulfilling our innate need for connection. When we are connected to others, we feel more in tune with ourselves and our world. However, mental health challenges can both contribute to and result from relationship discord, creating a distressing cycle. Feelings of isolation lead to further disconnection, distancing us from our values and deepening our sense of loneliness and loss. Through therapy, we can carve a different path: one of vulnerability, intimacy, and joy.
(513) 654-9445 View (513) 654-9445
Photo of Clare Hattemer Plattner, Marriage & Family Therapist, MS, IMFT
Clare Hattemer Plattner
Marriage & Family Therapist, MS, IMFT
Cincinnati, OH 45206
I specialize in helping couples with various relationship concerns. Whether there are long-standing issues or new challenges, it is possible to reach a deeper understanding of yourself and your partner by addressing the problems in couples therapy. My approach includes collaborating with you to develop fresh alternatives to ineffective communication patterns, recognizing and honoring the best of you and your partner, and helping you find a way to relate on a deeper level in your relationship. Your relationship can become the haven you hoped for --- a supportive environment where love and growth take place
I specialize in helping couples with various relationship concerns. Whether there are long-standing issues or new challenges, it is possible to reach a deeper understanding of yourself and your partner by addressing the problems in couples therapy. My approach includes collaborating with you to develop fresh alternatives to ineffective communication patterns, recognizing and honoring the best of you and your partner, and helping you find a way to relate on a deeper level in your relationship. Your relationship can become the haven you hoped for --- a supportive environment where love and growth take place
(513) 580-4849 View (513) 580-4849
Photo of Haley Gilbert, Counselor, LPCC
Haley Gilbert
Counselor, LPCC
Cincinnati, OH 45206
Therapy with me is not one-size-fits-all. I believe healing happens when you feel truly seen, supported, and challenged in ways that fit you. My style is collaborative, down-to-earth, and a little different than the traditional ‘therapist behind a clipboard.’ use evidence-based approaches like EMDR, CBT, DBT, and Internal Family Systems to help you move through anxiety, trauma, relationship struggles, or feeling stuck—and I bring warmth, humor, and compassion into the process.
Therapy with me is not one-size-fits-all. I believe healing happens when you feel truly seen, supported, and challenged in ways that fit you. My style is collaborative, down-to-earth, and a little different than the traditional ‘therapist behind a clipboard.’ use evidence-based approaches like EMDR, CBT, DBT, and Internal Family Systems to help you move through anxiety, trauma, relationship struggles, or feeling stuck—and I bring warmth, humor, and compassion into the process.
(513) 450-6436 View (513) 450-6436
Photo of Casey Frazee Katz, Counselor, MA, LPCC
Casey Frazee Katz
Counselor, MA, LPCC
Cincinnati, OH 45206
My key therapeutic values are trust, empathy, honesty, non-judgmental environment, inherent strengths, and humor. I am a person-centered and empowerment-based counselor. I value your experiences and I approach the therapeutic relationship with the belief that you are an expert in your life's experiences. In sessions, we collaborate to enhance strengths and identify a way forward toward what you are seeking. I enjoy helping people achieve what they are striving for - relief, security, change, freedom, progress. Session time is YOUR time and I want to make sure you get out of each session what you need!
My key therapeutic values are trust, empathy, honesty, non-judgmental environment, inherent strengths, and humor. I am a person-centered and empowerment-based counselor. I value your experiences and I approach the therapeutic relationship with the belief that you are an expert in your life's experiences. In sessions, we collaborate to enhance strengths and identify a way forward toward what you are seeking. I enjoy helping people achieve what they are striving for - relief, security, change, freedom, progress. Session time is YOUR time and I want to make sure you get out of each session what you need!
(513) 392-4984 View (513) 392-4984
Photo of Hannah Bisig, Licensed Professional Counselor, MA, LPCC, CST
Hannah Bisig
Licensed Professional Counselor, MA, LPCC, CST
1 Endorsed
Cincinnati, OH 45206
Hi, my name is Hannah Bisig (pronouns: she/her) and I look forward to working with you! I believe you hold the unique ability to overcome life’s challenges, and I’ll work to create a safe and authentic space where we can foster your healing and self-compassion. Our goal will be to achieve a space where you can love yourself and life much more fully.
Hi, my name is Hannah Bisig (pronouns: she/her) and I look forward to working with you! I believe you hold the unique ability to overcome life’s challenges, and I’ll work to create a safe and authentic space where we can foster your healing and self-compassion. Our goal will be to achieve a space where you can love yourself and life much more fully.
(614) 665-8709 x103 View (614) 665-8709 x103
Photo of Kasey Rosswurm, Licensed Social Worker, LISW
Kasey Rosswurm
Licensed Social Worker, LISW
Cincinnati, OH 45206
Seeing your child struggle with anxiety, depression, eating concerns, or self-esteem can feel overwhelming. You want to help, but it’s not always clear how. That’s where therapy can provide meaningful support. I specialize in working with young people during these critical years of development, offering both a safe space for them to grow and guidance for parents navigating the process alongside them. I bring over a decade of experience supporting adolescents and young adults through challenges including mood concerns, identity exploration, grief, trauma, peer and family conflict, and major life transitions.
Seeing your child struggle with anxiety, depression, eating concerns, or self-esteem can feel overwhelming. You want to help, but it’s not always clear how. That’s where therapy can provide meaningful support. I specialize in working with young people during these critical years of development, offering both a safe space for them to grow and guidance for parents navigating the process alongside them. I bring over a decade of experience supporting adolescents and young adults through challenges including mood concerns, identity exploration, grief, trauma, peer and family conflict, and major life transitions.
(513) 717-5325 x700 View (513) 717-5325 x700
Photo of Sharee N Allen, Marriage & Family Therapist, LMFT
Sharee N Allen
Marriage & Family Therapist, LMFT
1 Endorsed
Cincinnati, OH 45206
Book today with Groundswell Psychotherapy and take back your well-being! I offer virtual or in-person sessions at a frequency that works for you. With ten years of experience in Marriage and Family Therapy and Art Therapy serving children, adolescents, families, couples and adults, I treat those who experience addiction, ADHD, trauma, anxiety and depression, as well as those undergoing life transitions such as adjustment to illness, changes in schooling, divorce and grief. Groundswell is a 501(c)3 nonprofit that functions on a sliding scale fee, so individual rates range from only $70 to $90 per session.
Book today with Groundswell Psychotherapy and take back your well-being! I offer virtual or in-person sessions at a frequency that works for you. With ten years of experience in Marriage and Family Therapy and Art Therapy serving children, adolescents, families, couples and adults, I treat those who experience addiction, ADHD, trauma, anxiety and depression, as well as those undergoing life transitions such as adjustment to illness, changes in schooling, divorce and grief. Groundswell is a 501(c)3 nonprofit that functions on a sliding scale fee, so individual rates range from only $70 to $90 per session.
(323) 313-0747 View (323) 313-0747
Photo of Haley Gilbert, Licensed Professional Counselor, LPCC
Haley Gilbert
Licensed Professional Counselor, LPCC
Cincinnati, OH 45206
Therapy with me is not one-size-fits-all. I believe healing happens when you feel truly seen, supported, and challenged in ways that fit you. My style is collaborative, down-to-earth, and a little different than the traditional ‘therapist behind a clipboard.’ I use evidence-based approaches like EMDR, CBT, DBT, and Internal Family Systems to help you move through anxiety, trauma, relationship struggles, or feeling stuck—and I bring warmth, humor, and compassion into the process.
Therapy with me is not one-size-fits-all. I believe healing happens when you feel truly seen, supported, and challenged in ways that fit you. My style is collaborative, down-to-earth, and a little different than the traditional ‘therapist behind a clipboard.’ I use evidence-based approaches like EMDR, CBT, DBT, and Internal Family Systems to help you move through anxiety, trauma, relationship struggles, or feeling stuck—and I bring warmth, humor, and compassion into the process.
(513) 845-1826 View (513) 845-1826
Photo of Akira Drummonds, Licensed Professional Counselor, MA, LPCC-S
Akira Drummonds
Licensed Professional Counselor, MA, LPCC-S
2 Endorsed
Cincinnati, OH 45206
Welcome to a judgment free zone designed to provide space for the on-the-go busybody to slow down and make space for self-care. A space to grow, heal, and recover. Together, we can dissolve the stressful worries, address the past traumas hidden in the closet, and break free from the dark heavy feelings that hinder your daily progress. Here, the negative thought patterns, detrimental behaviors, poor habits or heavy feelings that seem just too difficult to break are slowly transformed to a healthier, happier lifestyle.
Welcome to a judgment free zone designed to provide space for the on-the-go busybody to slow down and make space for self-care. A space to grow, heal, and recover. Together, we can dissolve the stressful worries, address the past traumas hidden in the closet, and break free from the dark heavy feelings that hinder your daily progress. Here, the negative thought patterns, detrimental behaviors, poor habits or heavy feelings that seem just too difficult to break are slowly transformed to a healthier, happier lifestyle.
(513) 643-9280 View (513) 643-9280
Photo of Dr. Carole Stokes-Brewer, Counselor, PhD, LISW-S, LPCC-S
Dr. Carole Stokes-Brewer
Counselor, PhD, LISW-S, LPCC-S
Cincinnati, OH 45206
Are you struggling with self-doubt, life challenges, or coping with the loss or concerns for a loved one? Do you want to break free from unwanted habits, build resilience, or boost self-esteem? Psychotherapy helps. Through a personalized, interactive approach, I help clients recognize their strengths, overcome patterns, and turn challenges into growth. As an African American therapist, I understand the impact of intergenerational trauma, racial stress, and cultural resilience. I support individuals from all backgrounds, especially those navigating identity, belonging, and empowerment.
Are you struggling with self-doubt, life challenges, or coping with the loss or concerns for a loved one? Do you want to break free from unwanted habits, build resilience, or boost self-esteem? Psychotherapy helps. Through a personalized, interactive approach, I help clients recognize their strengths, overcome patterns, and turn challenges into growth. As an African American therapist, I understand the impact of intergenerational trauma, racial stress, and cultural resilience. I support individuals from all backgrounds, especially those navigating identity, belonging, and empowerment.
(513) 275-7029 View (513) 275-7029
Photo of Ross Shiveley, Clinical Social Work/Therapist, MSW, LSW
Ross Shiveley
Clinical Social Work/Therapist, MSW, LSW
4 Endorsed
Cincinnati, OH 45206
My style is collaborative and grounded in curiosity, mindfulness, and compassion. We will begin exactly where you are without judgment or expectation. Whether you're exploring your gender or sexuality, healing from religious trauma, or navigating the complexity of parenting, intimate relationships, or emotional regulation, our work will honor your inner wisdom and lived experience.
My style is collaborative and grounded in curiosity, mindfulness, and compassion. We will begin exactly where you are without judgment or expectation. Whether you're exploring your gender or sexuality, healing from religious trauma, or navigating the complexity of parenting, intimate relationships, or emotional regulation, our work will honor your inner wisdom and lived experience.
(513) 935-2957 View (513) 935-2957
Photo of Georgina Chávez, Pre-Licensed Professional, MA
Georgina Chávez
Pre-Licensed Professional, MA
Cincinnati, OH 45206
Life can feel heavy at times—whether it’s managing stress, navigating relationships, processing past trauma, or adjusting to major life transitions. Therapy can provide a safe, supportive space to explore these challenges and develop tools to live more fully. I work collaboratively with adults to help them build self-awareness, resilience, and a greater sense of balance in daily life. I am a bilingual therapist, fluent in English and Spanish, and bring a strong social justice perspective to my work.
Life can feel heavy at times—whether it’s managing stress, navigating relationships, processing past trauma, or adjusting to major life transitions. Therapy can provide a safe, supportive space to explore these challenges and develop tools to live more fully. I work collaboratively with adults to help them build self-awareness, resilience, and a greater sense of balance in daily life. I am a bilingual therapist, fluent in English and Spanish, and bring a strong social justice perspective to my work.
(513) 877-6317 View (513) 877-6317
Photo of Susan R Kleinhenz, Counselor, MS, LPCC
Susan R Kleinhenz
Counselor, MS, LPCC
1 Endorsed
Cincinnati, OH 45206
Life can be overwhelming, confusing, and difficult at times—leaving you feeling stuck, scared, uncertain or hopeless. While one part of you believes you should keep pushing yourself to rise above it all, other parts pull you back down into old, familiar patterns that no longer serve you. Therapy is a courageous step toward self-understanding and lasting change. In our work together, we’ll explore the inner conflict you’re experiencing, and aim to heal past emotional wounds, reduce shame and self-judgment, and channel your strengths—so you can live with greater clarity, internal harmony, and alignment with your true Self.
Life can be overwhelming, confusing, and difficult at times—leaving you feeling stuck, scared, uncertain or hopeless. While one part of you believes you should keep pushing yourself to rise above it all, other parts pull you back down into old, familiar patterns that no longer serve you. Therapy is a courageous step toward self-understanding and lasting change. In our work together, we’ll explore the inner conflict you’re experiencing, and aim to heal past emotional wounds, reduce shame and self-judgment, and channel your strengths—so you can live with greater clarity, internal harmony, and alignment with your true Self.
(513) 572-8796 View (513) 572-8796
Photo of Hope M. Godfrey, Licensed Professional Clinical Counselor, MS, LPCC
Hope M. Godfrey
Licensed Professional Clinical Counselor, MS, LPCC
Cincinnati, OH 45206
Clinician providing quality care to those seeking to minimize and reduce mental health symptoms, while working towards living an optimal quality of life.
Clinician providing quality care to those seeking to minimize and reduce mental health symptoms, while working towards living an optimal quality of life.
(513) 643-5912 View (513) 643-5912
Photo of Christy Haas - Relationship + Ketamine Assisted Psychotherapist, Counselor, MA, LPCC, CST
Relationship + Ketamine Assisted Psychotherapist
Counselor, MA, LPCC, CST
1 Endorsed
Cincinnati, OH 45206
As a sex therapist I often have clients tell me that being intimate with their partner has become another one of the responsibilities to check off the "To-Do" list; describing sex as a chore, or even a burden. Having sexual issues can have devastating effects on individuals and couples. There are many reasons why sex becomes an issue in relationships: sexual shame from their upbringing, pain during sex, trying to understand their sexuality and preferences or processing past trauma. Working with a professional in a safe & professional space to communicate their feelings & thoughts can have a huge impact.
As a sex therapist I often have clients tell me that being intimate with their partner has become another one of the responsibilities to check off the "To-Do" list; describing sex as a chore, or even a burden. Having sexual issues can have devastating effects on individuals and couples. There are many reasons why sex becomes an issue in relationships: sexual shame from their upbringing, pain during sex, trying to understand their sexuality and preferences or processing past trauma. Working with a professional in a safe & professional space to communicate their feelings & thoughts can have a huge impact.
(513) 718-4789 View (513) 718-4789
Photo of Heather Rose Harris, Counselor, MEd, LPCC
Heather Rose Harris
Counselor, MEd, LPCC
1 Endorsed
Serves Area
I thrive when working with clients and couples who come to therapy in order to focus on their relationships, working towards goals of greater connection, understanding, and fulfillment. I enjoy working with relationships of all shapes and sizes, no matter how those relationships are defined. I gravitate towards helping clients who are ready to navigate delicate topics of intimacy and sexual functioning, so that I can support their journey of healing and understanding. I also like to work with adults who have experienced significant life events and trauma and who may need a safe and caring space to work towards healing.
I thrive when working with clients and couples who come to therapy in order to focus on their relationships, working towards goals of greater connection, understanding, and fulfillment. I enjoy working with relationships of all shapes and sizes, no matter how those relationships are defined. I gravitate towards helping clients who are ready to navigate delicate topics of intimacy and sexual functioning, so that I can support their journey of healing and understanding. I also like to work with adults who have experienced significant life events and trauma and who may need a safe and caring space to work towards healing.
(513) 951-1364 View (513) 951-1364
Photo of Kelvette Beacham, Clinical Social Work/Therapist, MSSA, LISW-S
Kelvette Beacham
Clinical Social Work/Therapist, MSSA, LISW-S
4 Endorsed
Serves Area
Things are a lot in the world right now! Maybe you're a high-achiever, and perhaps perfectionism and anxiety often leave you feeling stuck and unable to move forward. You might be navigating intense emotions like anger, dealing with past trauma, and are looking for a different kind of support after previous therapy experiences. Right now, life likely feels overwhelming. Anxiety, and maybe even depression, have you in their grip, leaving you burned out. Even simple daily tasks feel like mountains, and relationships might be strained or absent, making you feel lost and unsure of what's ahead.
Things are a lot in the world right now! Maybe you're a high-achiever, and perhaps perfectionism and anxiety often leave you feeling stuck and unable to move forward. You might be navigating intense emotions like anger, dealing with past trauma, and are looking for a different kind of support after previous therapy experiences. Right now, life likely feels overwhelming. Anxiety, and maybe even depression, have you in their grip, leaving you burned out. Even simple daily tasks feel like mountains, and relationships might be strained or absent, making you feel lost and unsure of what's ahead.
(216) 242-4564 View (216) 242-4564
Photo of Alex Childs, Counselor, LPCC-S, MSE
Alex Childs
Counselor, LPCC-S, MSE
1 Endorsed
Serves Area
Choosing a therapist is a deeply personal journey, requiring trust, vulnerability, and a genuine connection. My approach is rooted in authenticity and intentional presence, moving beyond surface-level conversations. Our work together is purposeful. I'm not here to fill time with generic exercises or standard-issue worksheets. Instead, I'll create a space that honors your unique experiences, challenges your perceptions, and supports your growth. I challenge you because I see your strength, resilience, and capacity for transformation.
Choosing a therapist is a deeply personal journey, requiring trust, vulnerability, and a genuine connection. My approach is rooted in authenticity and intentional presence, moving beyond surface-level conversations. Our work together is purposeful. I'm not here to fill time with generic exercises or standard-issue worksheets. Instead, I'll create a space that honors your unique experiences, challenges your perceptions, and supports your growth. I challenge you because I see your strength, resilience, and capacity for transformation.
(380) 210-5114 View (380) 210-5114
Photo of Sage Maniates, Licensed Professional Counselor, LPC
Sage Maniates
Licensed Professional Counselor, LPC
Serves Area
I specialize in helping individuals, especially LGBTQ+ people, heal from the impacts of trauma. Using EMDR, IFS, ketamine assisted therapy, and other trauma-focused techniques, I work with clients for whom violence, family relationships, marginalization, and more, have shaped how they see themselves and the world. I'm trans, queer, disabled, and neurodivergent myself, so you won't have to "explain" your queerness in my room. I am creative and curious with my clients, and seek out innovative approaches so I can provide a space where you can be affirmed in your identity, and access the healing you need.
I specialize in helping individuals, especially LGBTQ+ people, heal from the impacts of trauma. Using EMDR, IFS, ketamine assisted therapy, and other trauma-focused techniques, I work with clients for whom violence, family relationships, marginalization, and more, have shaped how they see themselves and the world. I'm trans, queer, disabled, and neurodivergent myself, so you won't have to "explain" your queerness in my room. I am creative and curious with my clients, and seek out innovative approaches so I can provide a space where you can be affirmed in your identity, and access the healing you need.
(513) 935-3323 View (513) 935-3323
Photo of Kimberly Melendy, Counselor, LPC
Kimberly Melendy
Counselor, LPC
1 Endorsed
Serves Area
You find yourself at a crossroads, frustrated by the present state of things but unsure of the future. The challenge of daily stressors impacting your ability to concentrate, causing irritability, and lowered patience has brought you to this point of no return. You're resilient, but tired of having to go at it alone and are ready for better tools, guidance, and an advocate to help you along the way. Things have to change, but you need help with prioritizing yourself, setting healthy boundaries, and finding a healthy balance. The most challenging step is the first one, and you’ve taken it just by looking for the help you need.
You find yourself at a crossroads, frustrated by the present state of things but unsure of the future. The challenge of daily stressors impacting your ability to concentrate, causing irritability, and lowered patience has brought you to this point of no return. You're resilient, but tired of having to go at it alone and are ready for better tools, guidance, and an advocate to help you along the way. Things have to change, but you need help with prioritizing yourself, setting healthy boundaries, and finding a healthy balance. The most challenging step is the first one, and you’ve taken it just by looking for the help you need.
(513) 540-3152 View (513) 540-3152

See more therapy options for 45206

How does your Therapist compare?

Number of Therapists in 45206

40+

Average cost per session

$150

Therapists in 45206 who prioritize treating:

95% Depression
93% Anxiety
77% Relationship Issues
77% Trauma and PTSD
77% Self Esteem
77% Stress
67% Grief

Average years in practice

10 Years

Top 3 insurances accepted

65% Aetna
52% BlueCross and BlueShield
52% Other

How Therapists in 45206 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

81% Female
14% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 45206?

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.