Therapists in 48192

Photo of Christopher Marzonie, Licensed Professional Counselor, MA, LPC
Christopher Marzonie
Licensed Professional Counselor, MA, LPC
Wyandotte, MI 48192
Feeling lost? Without direction? Stuck ? .....or simply misunderstood ? My 27 years as a Licensed Professional Counselor (giving counsel to adult individuals and couples) have provided me tools to be a valuable co-pilot on your flight to better days. I believe it is a privilege to be invited into my client's lives. With that mindful respect, I employ a laser-like focus and insight to accompany my clients on a route to real progress and change. We all fly higher with a co-pilot who is focused on the same destination. I am uniquely qualified to be that co-pilot.
Feeling lost? Without direction? Stuck ? .....or simply misunderstood ? My 27 years as a Licensed Professional Counselor (giving counsel to adult individuals and couples) have provided me tools to be a valuable co-pilot on your flight to better days. I believe it is a privilege to be invited into my client's lives. With that mindful respect, I employ a laser-like focus and insight to accompany my clients on a route to real progress and change. We all fly higher with a co-pilot who is focused on the same destination. I am uniquely qualified to be that co-pilot.
(734) 822-7321 View (734) 822-7321
Photo of Kelly Marie Steyaert, Limited Licensed Psychologist, LLP, MA
Kelly Marie Steyaert
Limited Licensed Psychologist, LLP, MA
Wyandotte, MI 48192
We all experience difficulties and crises in our lives. You may be having difficulty with a life transition, grief and loss, issues related to adverse childhood experiences, relationship issues, or anxiety and/or depression from a source you are aware of or from one(s) you are unable to identify. It would be my privilege to help guide you to the other side of whatever struggle or pain it is that you are facing. Regardless of age, we all continue to have periods of growth, struggle, and change. The best way to grow and to heal is in an atmosphere of nonjudgmental, warmth and compassion which I pledge to provide.
We all experience difficulties and crises in our lives. You may be having difficulty with a life transition, grief and loss, issues related to adverse childhood experiences, relationship issues, or anxiety and/or depression from a source you are aware of or from one(s) you are unable to identify. It would be my privilege to help guide you to the other side of whatever struggle or pain it is that you are facing. Regardless of age, we all continue to have periods of growth, struggle, and change. The best way to grow and to heal is in an atmosphere of nonjudgmental, warmth and compassion which I pledge to provide.
(734) 530-4390 View (734) 530-4390
Photo of Ciera Bies, Psychologist, PsyD, LP
Ciera Bies
Psychologist, PsyD, LP
1 Endorsed
Wyandotte, MI 48192
My practice is devoted to therapy for women. Women face many unique challenges and experiences throughout life. Increased demands affect our ability to live authentically, balance needs, and enjoy experiences. Stress impacts how we feel about and care for ourselves. I will partner with you to identify barriers gain insight, and find new ways of coping.
My practice is devoted to therapy for women. Women face many unique challenges and experiences throughout life. Increased demands affect our ability to live authentically, balance needs, and enjoy experiences. Stress impacts how we feel about and care for ourselves. I will partner with you to identify barriers gain insight, and find new ways of coping.
(734) 838-4585 View (734) 838-4585
Photo of Nicholas David Capaul, Limited Licensed Psychologist, PsyD, LLP
Nicholas David Capaul
Limited Licensed Psychologist, PsyD, LLP
1 Endorsed
Wyandotte, MI 48192
Through our lifetimes we are confronted with many obstacles, challenges and decisions. In the process of becoming the best you, guidance and support can be truly beneficial. Self-discovery through therapy can be an empowering and enlightening process. Incorporating my life and work experience, combined with a safe and supportive space, my hope is to help guide you through the challenges of life.
Through our lifetimes we are confronted with many obstacles, challenges and decisions. In the process of becoming the best you, guidance and support can be truly beneficial. Self-discovery through therapy can be an empowering and enlightening process. Incorporating my life and work experience, combined with a safe and supportive space, my hope is to help guide you through the challenges of life.
(734) 404-7179 View (734) 404-7179
Photo of Genny Luppino, Licensed Professional Counselor, MA, LPC-S, NCC
Genny Luppino
Licensed Professional Counselor, MA, LPC-S, NCC
Wyandotte, MI 48192
Hi, I’m Genny! If you’re here, you might be feeling overwhelmed, stuck, or just unsure of how to move forward and that’s okay. Maybe you or your child are navigating life with neurodiversity - searching for support that truly understands how brains and experiences can work differently. Maybe you’ve been carrying the weight of trauma or painful experiences that still echo in your day-to-day life. Or maybe anxiety, depression, or other challenges keep getting in the way of the life you want to live. Whatever has brought you here, I want you to know you don’t have to figure it out alone.
Hi, I’m Genny! If you’re here, you might be feeling overwhelmed, stuck, or just unsure of how to move forward and that’s okay. Maybe you or your child are navigating life with neurodiversity - searching for support that truly understands how brains and experiences can work differently. Maybe you’ve been carrying the weight of trauma or painful experiences that still echo in your day-to-day life. Or maybe anxiety, depression, or other challenges keep getting in the way of the life you want to live. Whatever has brought you here, I want you to know you don’t have to figure it out alone.
(734) 807-4386 View (734) 807-4386
Photo of Destiny Ann Flowers-Fayad, Licensed Professional Counselor, MA, LPC, CRC
Destiny Ann Flowers-Fayad
Licensed Professional Counselor, MA, LPC, CRC
7 Endorsed
Wyandotte, MI 48192
It's easy to feel like you always have to be happy and never make mistakes, as if anything less is failure. That kind of pressure can push us into survival mode, leaving us feeling disconnected from ourselves and others. I’ve been there too. It's not your fault—we all do the best we can with what we’ve been taught. In our work together, you’ll have a safe, non-judgmental space to reflect, unpack the messages you’ve received about yourself and the world, and begin to redefine your story. This process often opens the door to greater self-compassion and deeper connection with others navigating similar social and systemic challenges.
It's easy to feel like you always have to be happy and never make mistakes, as if anything less is failure. That kind of pressure can push us into survival mode, leaving us feeling disconnected from ourselves and others. I’ve been there too. It's not your fault—we all do the best we can with what we’ve been taught. In our work together, you’ll have a safe, non-judgmental space to reflect, unpack the messages you’ve received about yourself and the world, and begin to redefine your story. This process often opens the door to greater self-compassion and deeper connection with others navigating similar social and systemic challenges.
(517) 878-7460 View (517) 878-7460
Photo of Brenda Sue O'Brien, Licensed Professional Counselor, PhD, LLP, LPC
Brenda Sue O'Brien
Licensed Professional Counselor, PhD, LLP, LPC
Wyandotte, MI 48192
Hello! As an experienced therapist I feel I can help teens, adults, couples and those in the LBGTQ area to sort out their issues, gain perspective to feel whole and healthy again. No one needs to suffer depression, anxiety, bullying , or low self worth. We can work these issues together.
Hello! As an experienced therapist I feel I can help teens, adults, couples and those in the LBGTQ area to sort out their issues, gain perspective to feel whole and healthy again. No one needs to suffer depression, anxiety, bullying , or low self worth. We can work these issues together.
(248) 965-0636 View (248) 965-0636
Photo of John Charles Brennan, Psychologist, JD, PsyD, LP
John Charles Brennan
Psychologist, JD, PsyD, LP
1 Endorsed
Wyandotte, MI 48192
In everyone's journey we are confronted by obstacles, conflict and difficult choices. We need guidance and understanding to assist us in the search for our best self. Self discovery through therapy can be enlightening and empowering. My hope is to help you through this process with empathy and support, premised upon the skills I have learned through life and as a professional counselor. I have received training in Imago Relationship Therapy, domestic abuse, and working with veterans. I was a faculty member at several universities, and a guest speaker at marriage workshops. I have both trained and supervised students in psychology.
In everyone's journey we are confronted by obstacles, conflict and difficult choices. We need guidance and understanding to assist us in the search for our best self. Self discovery through therapy can be enlightening and empowering. My hope is to help you through this process with empathy and support, premised upon the skills I have learned through life and as a professional counselor. I have received training in Imago Relationship Therapy, domestic abuse, and working with veterans. I was a faculty member at several universities, and a guest speaker at marriage workshops. I have both trained and supervised students in psychology.
(734) 519-7624 View (734) 519-7624
Photo of Theresa K Schwartz, Clinical Social Work/Therapist, LMSW-C, LCSW
Theresa K Schwartz
Clinical Social Work/Therapist, LMSW-C, LCSW
2 Endorsed
Wyandotte, MI 48192
I am an LMSW-C specializing in military and medical trauma, PTSD, substance use, ADHD, anxiety, depression, self-esteem, bipolar disorder, grief, and co-occurring disorders. My background as a combat medic, private investigator, and trauma survivor informs my compassionate, trauma-informed approach. I walk beside clients on their healing journey, offering honest, real, and non-judgmental support while helping them build coping skills, recognize their strengths, and find joy in their lives.
I am an LMSW-C specializing in military and medical trauma, PTSD, substance use, ADHD, anxiety, depression, self-esteem, bipolar disorder, grief, and co-occurring disorders. My background as a combat medic, private investigator, and trauma survivor informs my compassionate, trauma-informed approach. I walk beside clients on their healing journey, offering honest, real, and non-judgmental support while helping them build coping skills, recognize their strengths, and find joy in their lives.
(734) 547-3371 View (734) 547-3371
Photo of Karl Kunzi - Integrated Health Clinical Counseling P.L.L.C., Counselor, MA, LPC, LMHC, CBIS, SST
Integrated Health Clinical Counseling P.L.L.C.
Counselor, MA, LPC, LMHC, CBIS, SST
Wyandotte, MI 48192
I've had the honor serving Michigan and Florida for 15 plus years working with children, adolescents, adults, and the elderly. I've provided individual therapy, group therapy, skills training, and case management to our community youth and adults, including those with Special Needs. I have started up 2 successful mental health programs in the city of Detroit. I now work in a small private practice to continue my passion of providing therapy and behavior modification to the community. Currently I am only providing individual therapy. It is truly an honor to be here for you.
I've had the honor serving Michigan and Florida for 15 plus years working with children, adolescents, adults, and the elderly. I've provided individual therapy, group therapy, skills training, and case management to our community youth and adults, including those with Special Needs. I have started up 2 successful mental health programs in the city of Detroit. I now work in a small private practice to continue my passion of providing therapy and behavior modification to the community. Currently I am only providing individual therapy. It is truly an honor to be here for you.
(734) 636-2896 View (734) 636-2896
Photo of Margaret Blevins, Limited Licensed Psychologist, JD, MA, LLP
Margaret Blevins
Limited Licensed Psychologist, JD, MA, LLP
2 Endorsed
Wyandotte, MI 48192
We live in a world where social media and feeling the need to present the perfect picture of one's life has left many people feeling alone and empty. I believe every person can dive within and find true happiness if they allow themselves to. When you find yourself in need of help with those hard moments in life, it can be beneficial to find a professional to guide you on your path. No one knows yourself better than you do, and my degree doesn't make me an expert on you, but it can helpme to help you manage core troubling issues of trauma, anxiety, depression, social phobia, grief, life transitions and relationship issues.
We live in a world where social media and feeling the need to present the perfect picture of one's life has left many people feeling alone and empty. I believe every person can dive within and find true happiness if they allow themselves to. When you find yourself in need of help with those hard moments in life, it can be beneficial to find a professional to guide you on your path. No one knows yourself better than you do, and my degree doesn't make me an expert on you, but it can helpme to help you manage core troubling issues of trauma, anxiety, depression, social phobia, grief, life transitions and relationship issues.
(734) 219-0744 View (734) 219-0744
Photo of Margaret Lincoln, Clinical Social Work/Therapist, LMSW, ACSW
Margaret Lincoln
Clinical Social Work/Therapist, LMSW, ACSW
1 Endorsed
Wyandotte, MI 48192
I have been practicing for over 28 years. I graduated with a Masters degree in Social Work from Wayne State University graduating with honors. I specialize in the treatment of anxiety disorders, depression, children of divorce, adult children of divorce issues, anger management, and child behavioral disorders. I have also been a practicing School Social Worker since 1997 working in both public and charter schools. I have a wealth of knowledge regarding the IEP and 504 process. I have also taught upper level undergraduate courses at the University level in the Department of Social Work.
I have been practicing for over 28 years. I graduated with a Masters degree in Social Work from Wayne State University graduating with honors. I specialize in the treatment of anxiety disorders, depression, children of divorce, adult children of divorce issues, anger management, and child behavioral disorders. I have also been a practicing School Social Worker since 1997 working in both public and charter schools. I have a wealth of knowledge regarding the IEP and 504 process. I have also taught upper level undergraduate courses at the University level in the Department of Social Work.
(248) 639-4136 View (248) 639-4136
Photo of Avery L. Lewis, Licensed Professional Counselor, LPC, MA
Avery L. Lewis
Licensed Professional Counselor, LPC, MA
1 Endorsed
Wyandotte, MI 48192
Hello! My name is Avery Lewis. I am a Licensed Professional Counselor and a 2020 graduate of Siena Heights University, where I earned my M.A. in Clinical Mental Health Counseling. I work with children, adolescents, and adults experiencing challenges such as: depression, anxiety, grief, trauma, abuse, self-esteem struggles, PTSD, gender identity/sexuality issues, self-harm, suicidal ideation, crisis circumstances, and relationship issues. I incorporate cognitive behavioral therapy and play therapy interventions as well as utilize reality orientation and resilience training to provide genuine and effective care for my clients.
Hello! My name is Avery Lewis. I am a Licensed Professional Counselor and a 2020 graduate of Siena Heights University, where I earned my M.A. in Clinical Mental Health Counseling. I work with children, adolescents, and adults experiencing challenges such as: depression, anxiety, grief, trauma, abuse, self-esteem struggles, PTSD, gender identity/sexuality issues, self-harm, suicidal ideation, crisis circumstances, and relationship issues. I incorporate cognitive behavioral therapy and play therapy interventions as well as utilize reality orientation and resilience training to provide genuine and effective care for my clients.
(734) 359-6932 View (734) 359-6932
Photo of Lisa Ave-Lallemant, Counselor, MA, LLPC
Lisa Ave-Lallemant
Counselor, MA, LLPC
4 Endorsed
Wyandotte, MI 48192
I provide therapeutic services to adolescent children and adults. My counseling approach is holistic, empathetic, and person-centered, while embracing the concepts of cognitive behavior therapy and solution-focused therapy. My style is direct, yet engaging and approachable, integrating therapeutic interventions uniquely appropriate for each client.
I provide therapeutic services to adolescent children and adults. My counseling approach is holistic, empathetic, and person-centered, while embracing the concepts of cognitive behavior therapy and solution-focused therapy. My style is direct, yet engaging and approachable, integrating therapeutic interventions uniquely appropriate for each client.
(248) 206-3326 View (248) 206-3326
Photo of Bernadette Halash, Clinical Social Work/Therapist, LLMSW
Bernadette Halash
Clinical Social Work/Therapist, LLMSW
Wyandotte, MI 48192
I am a Limited Licensed Master Social Worker (LLMSW). I have experience working with all ages including couples and families on a variety of mental health issues. I specialize in self esteem, anxiety, depression, ADHD, life transitions, family changes, sexuality, and relationship issues including difficulties with intimacy. I am also LGBTQ+, sex and kink friendly. I am currently available to work with ages 10+ (preteens, teens, young adults and adults) and couples or families.
I am a Limited Licensed Master Social Worker (LLMSW). I have experience working with all ages including couples and families on a variety of mental health issues. I specialize in self esteem, anxiety, depression, ADHD, life transitions, family changes, sexuality, and relationship issues including difficulties with intimacy. I am also LGBTQ+, sex and kink friendly. I am currently available to work with ages 10+ (preteens, teens, young adults and adults) and couples or families.
(248) 266-3144 View (248) 266-3144
Photo of Kristi Wandrie-Biundo, Licensed Professional Counselor, L-CMHC, CCATP, PE-PC
Kristi Wandrie-Biundo
Licensed Professional Counselor, L-CMHC, CCATP, PE-PC
2 Endorsed
Serves Area
I believe in a non-judgmental, person-centered, positive approach in the counseling relationship, where the client feels comfortable enough to express their feelings and thoughts while examining factors which may be causing them pain, anxiety, or unhappiness. I also believe that individuals have the power within themselves to overcome these personal barriers to attain their full potential. My goal is to support you and give you tools to use along the way, and also in your future. There is light at the end of what may seem a dark tunnel, but together we will work to get you there.
I believe in a non-judgmental, person-centered, positive approach in the counseling relationship, where the client feels comfortable enough to express their feelings and thoughts while examining factors which may be causing them pain, anxiety, or unhappiness. I also believe that individuals have the power within themselves to overcome these personal barriers to attain their full potential. My goal is to support you and give you tools to use along the way, and also in your future. There is light at the end of what may seem a dark tunnel, but together we will work to get you there.
(734) 315-2248 View (734) 315-2248
Photo of Michel Lynn DeJulian, Clinical Social Work/Therapist, LMSW-CM, ACSW, SSW
Michel Lynn DeJulian
Clinical Social Work/Therapist, LMSW-CM, ACSW, SSW
1 Endorsed
Serves Area
I am licensed in Michigan with 30 years of professional work experience with children, adolescents, young adults and families. My areas of expertise are in managing Anxiety disorders including Panic Disorder, Obsessive Compulsive Disorder and Generalized Anxiety. I have supported and coached hundreds of children on the Autism Spectrum and those with ADHD also. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
I am licensed in Michigan with 30 years of professional work experience with children, adolescents, young adults and families. My areas of expertise are in managing Anxiety disorders including Panic Disorder, Obsessive Compulsive Disorder and Generalized Anxiety. I have supported and coached hundreds of children on the Autism Spectrum and those with ADHD also. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
(734) 999-4615 View (734) 999-4615
Photo of Penelope Hale, Psychologist, PhD
Penelope Hale
Psychologist, PhD
1 Endorsed
Serves Area
People encounter many situations during their lives that have a long and lasting impact on how they respond, emotionally and behaviorally, to present day problems. Often there is no one to listen. I listen and help people untangle the knots in life that keep them from living up to their own expectations, potentials, and hopes.
People encounter many situations during their lives that have a long and lasting impact on how they respond, emotionally and behaviorally, to present day problems. Often there is no one to listen. I listen and help people untangle the knots in life that keep them from living up to their own expectations, potentials, and hopes.
(313) 334-4786 View (313) 334-4786
Photo of Ted Varkas, Clinical Social Work/Therapist, MSW, LMSW
Ted Varkas
Clinical Social Work/Therapist, MSW, LMSW
1 Endorsed
Serves Area
Healing is a journey that’s both personal and deeply woven with our relationships. I genuinely believe in helping people improve their self-care while building healthier connections with others. When it comes to choosing a therapist, it’s a personal decision based on trust and confidence. With over 32 years of experience in mental health and medical settings, I’ve had the pleasure of working with adolescents, adults, medical professionals, couples, caregivers, and families to overcome various challenges in their lives.
Healing is a journey that’s both personal and deeply woven with our relationships. I genuinely believe in helping people improve their self-care while building healthier connections with others. When it comes to choosing a therapist, it’s a personal decision based on trust and confidence. With over 32 years of experience in mental health and medical settings, I’ve had the pleasure of working with adolescents, adults, medical professionals, couples, caregivers, and families to overcome various challenges in their lives.
(734) 577-7702 View (734) 577-7702
Photo of Shannon McInchak, Clinical Social Work/Therapist, LMSW
Shannon McInchak
Clinical Social Work/Therapist, LMSW
2 Endorsed
Serves Area
Are you wondering – Why can’t I just get my shit together?! Are you doing all the "right" things and still feeling lost? Are you so worried about being judged that you keep it all bottled up? You don’t have to wait to hit your breaking point to see a therapist. This is not the life you want anymore! You want to feel at peace and hopeful for the future, not drained and afraid. Imagine a therapy experience where you feel comfortable being yourself, get helpful feedback, and start breaking unhelpful patterns. You come into a space that's cozy and inviting. Your therapist dresses casually, swears, and has a sense of humor.
Are you wondering – Why can’t I just get my shit together?! Are you doing all the "right" things and still feeling lost? Are you so worried about being judged that you keep it all bottled up? You don’t have to wait to hit your breaking point to see a therapist. This is not the life you want anymore! You want to feel at peace and hopeful for the future, not drained and afraid. Imagine a therapy experience where you feel comfortable being yourself, get helpful feedback, and start breaking unhelpful patterns. You come into a space that's cozy and inviting. Your therapist dresses casually, swears, and has a sense of humor.
(734) 219-0561 View (734) 219-0561

See more therapy options for 48192

How does your Therapist compare?

Number of Therapists in 48192

50+

Average cost per session

$140

Therapists in 48192 who prioritize treating:

96% Anxiety
92% Depression
92% Self Esteem
84% Grief
78% Trauma and PTSD
76% Relationship Issues
75% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

96% BlueCross and BlueShield
80% Aetna
74% Blue Care Network

How Therapists in 48192 see their clients

71% In Person and Online
29% Online Only

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 48192?

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.