Therapists in 48311

Photo of Stefani Goerlich, Clinical Social Work/Therapist, PhD, LMSW-C, LCSW, LISW, CST
Stefani Goerlich
Clinical Social Work/Therapist, PhD, LMSW-C, LCSW, LISW, CST
2 Endorsed
Sterling Heights, MI 48311
It’s hard to tell someone else your deepest secrets. The truth about your inner voice, your desires, your struggling relationship. You’re left feeling alienated and unsure if you will ever find the kind of true connection that you crave. You know deep inside that relationships and intimacy are meant to be wonderful…but something is holding you back: Fear of rejection. Fear of judgement. Fear of not being enough. Fear of not knowing what to do. Fear of being alone. I'm here to help with this sense of disconnection and despair. I believe we all deserve to love and be loved- and especially, to love ourselves.
It’s hard to tell someone else your deepest secrets. The truth about your inner voice, your desires, your struggling relationship. You’re left feeling alienated and unsure if you will ever find the kind of true connection that you crave. You know deep inside that relationships and intimacy are meant to be wonderful…but something is holding you back: Fear of rejection. Fear of judgement. Fear of not being enough. Fear of not knowing what to do. Fear of being alone. I'm here to help with this sense of disconnection and despair. I believe we all deserve to love and be loved- and especially, to love ourselves.
(586) 859-0018 View (586) 859-0018
Photo of Zina Asmar-Salem, Marriage & Family Therapist, PhD, LMFT, LLP
Zina Asmar-Salem
Marriage & Family Therapist, PhD, LMFT, LLP
Serves Area
Licensed Marriage Family Therapist and Limited Licensed psychologist with 20 years of experience working with individuals, couples and groups. Experience in utilization of a wide range of clinical and therapeutic modalities. Member of American of Psychology today, APA and CAMFT. Practicing therapist in CA and MI. Nationally certified in Trauma-Focused Cognitive Behavioral Therapy (TFCBT) and various other clinical modalities, psychometric assessments & evaluations. Expertise in treating a variety of anxiety and mood disorders, relationship & family issues and ADHD/ADD.
Licensed Marriage Family Therapist and Limited Licensed psychologist with 20 years of experience working with individuals, couples and groups. Experience in utilization of a wide range of clinical and therapeutic modalities. Member of American of Psychology today, APA and CAMFT. Practicing therapist in CA and MI. Nationally certified in Trauma-Focused Cognitive Behavioral Therapy (TFCBT) and various other clinical modalities, psychometric assessments & evaluations. Expertise in treating a variety of anxiety and mood disorders, relationship & family issues and ADHD/ADD.
(947) 600-4215 View (947) 600-4215
Photo of Eric J Black, Licensed Professional Counselor, MA, LPC
Eric J Black
Licensed Professional Counselor, MA, LPC
2 Endorsed
Serves Area
I have advanced skills in working with folks who are experiencing problems with substance abuse and trauma. I also provide support for relationship issues to help build better connection through communication. As a person with a Cerebral Palsy, I believe in being honest and transparent when dealing with whatever challenges life has to offer. My speech pattern may take time to get used to, and I want to prepare new clients for that.
I have advanced skills in working with folks who are experiencing problems with substance abuse and trauma. I also provide support for relationship issues to help build better connection through communication. As a person with a Cerebral Palsy, I believe in being honest and transparent when dealing with whatever challenges life has to offer. My speech pattern may take time to get used to, and I want to prepare new clients for that.
(586) 238-3482 View (586) 238-3482
Photo of Rayna Larson, Clinical Social Work/Therapist, LLMSW
Rayna Larson
Clinical Social Work/Therapist, LLMSW
Serves Area
Hello there! My name is Rayna. I am a social worker with a masters degree from Walden University. I believe that each of us is the expert on our own lives, and my role as a therapist is to help you discover and make sense of what you already know, I strive to create a therapeutic environment marked by compassion and non-judgement, where you feel comfortable being yourself. Therapy is a collaborative process, so I want to understand your personal hopes and goals as well as what gives meaning to your life in order to help you make the changes you strive for.
Hello there! My name is Rayna. I am a social worker with a masters degree from Walden University. I believe that each of us is the expert on our own lives, and my role as a therapist is to help you discover and make sense of what you already know, I strive to create a therapeutic environment marked by compassion and non-judgement, where you feel comfortable being yourself. Therapy is a collaborative process, so I want to understand your personal hopes and goals as well as what gives meaning to your life in order to help you make the changes you strive for.
(586) 571-7243 View (586) 571-7243
Photo of Angela Arche, Clinical Social Work/Therapist, LMSW
Angela Arche
Clinical Social Work/Therapist, LMSW
Serves Area
I am a Licensed Master Social Worker in the State of Michigan with over 20 years of experience. I have worked with diverse populations, including those dealing with depression, anxiety, bipolar disorder, schizophrenia, substance abuse, life transitions, relationship issues, PTSD, grief and loss, and many other issues that affect daily functioning. I completed my Bachelor in Social Work at the University of Michigan-Flint and earned my Master of Social Work from Wayne State University.
I am a Licensed Master Social Worker in the State of Michigan with over 20 years of experience. I have worked with diverse populations, including those dealing with depression, anxiety, bipolar disorder, schizophrenia, substance abuse, life transitions, relationship issues, PTSD, grief and loss, and many other issues that affect daily functioning. I completed my Bachelor in Social Work at the University of Michigan-Flint and earned my Master of Social Work from Wayne State University.
(586) 474-4372 View (586) 474-4372
Photo of Ashley Grayson, Counselor, MA, LLC
Ashley Grayson
Counselor, MA, LLC
Serves Area
“You don’t have to have it all figured out to take the next step.” If you’re feeling overwhelmed, stuck, or emotionally drained, I want you to know you’re not alone and you don’t have to go through this by yourself. Whether you're navigating life transitions, dealing with grief, anxiety, or relationship challenges, therapy can be a safe space to breathe, process, and begin to heal. I’m here to walk alongside you with compassion, insight, and tools that actually make a difference.
“You don’t have to have it all figured out to take the next step.” If you’re feeling overwhelmed, stuck, or emotionally drained, I want you to know you’re not alone and you don’t have to go through this by yourself. Whether you're navigating life transitions, dealing with grief, anxiety, or relationship challenges, therapy can be a safe space to breathe, process, and begin to heal. I’m here to walk alongside you with compassion, insight, and tools that actually make a difference.
(586) 221-6871 View (586) 221-6871
Photo of Dr. Michael Washburn, Licensed Professional Counselor, PhD, LPC, CSAT, CS, NCC
Dr. Michael Washburn
Licensed Professional Counselor, PhD, LPC, CSAT, CS, NCC
1 Endorsed
Serves Area
In life we all at times find ourselves, or our loved ones, feeling stuck, confused, or even more disheartened - without hope! Counseling is about unraveling the story and learning to write a new narrative and ending that is both healthy and fulfilling especially around the issues of intimacy and sexuality. With over 30 years of counseling experience, Michael is a Therapist and Clinical Sexologist holding dual Master's Degrees and a Ph.D.​ in Clinical Sexology, a Diplomate with the American Board of Sexology, and author, focusing on all aspects of intimacy and sexuality both for an individual and in relationship with other.
In life we all at times find ourselves, or our loved ones, feeling stuck, confused, or even more disheartened - without hope! Counseling is about unraveling the story and learning to write a new narrative and ending that is both healthy and fulfilling especially around the issues of intimacy and sexuality. With over 30 years of counseling experience, Michael is a Therapist and Clinical Sexologist holding dual Master's Degrees and a Ph.D.​ in Clinical Sexology, a Diplomate with the American Board of Sexology, and author, focusing on all aspects of intimacy and sexuality both for an individual and in relationship with other.
(248) 600-4352 View (248) 600-4352
Photo of Renisha Black, Counselor, MA, LLPC, NCC
Renisha Black
Counselor, MA, LLPC, NCC
1 Endorsed
Serves Area
As a therapist, I specialize in supporting clients facing overwhelming challenges. My goal is to assist clients in navigating their emotional struggles, enabling them to cultivate self-worth, manage their emotions, and discover healthy ways to cope with life transitions. Whether you are seeking guidance during difficult times or aiming to improve your overall mental well-being, I am committed to delivering personalized and compassionate care tailored to your unique needs.
As a therapist, I specialize in supporting clients facing overwhelming challenges. My goal is to assist clients in navigating their emotional struggles, enabling them to cultivate self-worth, manage their emotions, and discover healthy ways to cope with life transitions. Whether you are seeking guidance during difficult times or aiming to improve your overall mental well-being, I am committed to delivering personalized and compassionate care tailored to your unique needs.
(586) 327-8291 View (586) 327-8291
Photo of Shelby Evans, Clinical Social Work/Therapist, LMSW
Shelby Evans
Clinical Social Work/Therapist, LMSW
Serves Area
I am Shelby Evans, a Licensed Clinical Social Worker (LCSW) in the state of Michigan with over 6 years of experience in the mental health field. I have worked with teens, adults, and seniors experiencing severe mental illness. I specialize in supporting individuals dealing with depression, anxiety, post-traumatic stress disorder (PTSD), substance use, grief/loss, stress management, mood disorders, relationship/family issues, major life transitions, and life challenges. I earned both my Bachelor’s and Master’s degrees in Social Work at Wayne State University, with a concentration in cognitive behavioral therapy (CBT).
I am Shelby Evans, a Licensed Clinical Social Worker (LCSW) in the state of Michigan with over 6 years of experience in the mental health field. I have worked with teens, adults, and seniors experiencing severe mental illness. I specialize in supporting individuals dealing with depression, anxiety, post-traumatic stress disorder (PTSD), substance use, grief/loss, stress management, mood disorders, relationship/family issues, major life transitions, and life challenges. I earned both my Bachelor’s and Master’s degrees in Social Work at Wayne State University, with a concentration in cognitive behavioral therapy (CBT).
(586) 300-3603 View (586) 300-3603
Photo of Ferrari Serrette, Limited Licensed Psychologist, MA, LLP, CAADC
Ferrari Serrette
Limited Licensed Psychologist, MA, LLP, CAADC
1 Endorsed
Online Only
Therapy and ADHD evaluations are offered!...... My therapy approach is client centered. This means that I tend to be honest, accepting, supportive, and reflective. My goal is to help you understand your thoughts, perceptions, and emotions. I believe this understanding may help you reach your full potential. I know that you might be afraid of the unknown, but it is necessary to take action if you want change. What's the worst that can happen?...You try therapy and it doesn't work? "The greatest accomplishment is not in never failing, but in rising again after you fall" (Vince Lombardi). Keep moving forward! Try again!
Therapy and ADHD evaluations are offered!...... My therapy approach is client centered. This means that I tend to be honest, accepting, supportive, and reflective. My goal is to help you understand your thoughts, perceptions, and emotions. I believe this understanding may help you reach your full potential. I know that you might be afraid of the unknown, but it is necessary to take action if you want change. What's the worst that can happen?...You try therapy and it doesn't work? "The greatest accomplishment is not in never failing, but in rising again after you fall" (Vince Lombardi). Keep moving forward! Try again!
(586) 501-8864 View (586) 501-8864
Photo of Sonia McCain, Clinical Social Work/Therapist, LLSW
Sonia McCain
Clinical Social Work/Therapist, LLSW
2 Endorsed
Online Only
You’ve carried a lot—now it’s time to set it down. If you’re feeling weighed down by years of unspoken thoughts, buried emotions, or painful experiences, you don’t have to hold it all alone anymore. Maybe you're ready to heal, rebuild relationships, quiet the mental chaos, and finally feel at peace. Therapy won’t "fix" you—because you’re not broken. But I will walk beside you with compassion, curiosity, and tools to help you grow into the version of yourself you’ve been fighting to become. Let’s start this journey together.
You’ve carried a lot—now it’s time to set it down. If you’re feeling weighed down by years of unspoken thoughts, buried emotions, or painful experiences, you don’t have to hold it all alone anymore. Maybe you're ready to heal, rebuild relationships, quiet the mental chaos, and finally feel at peace. Therapy won’t "fix" you—because you’re not broken. But I will walk beside you with compassion, curiosity, and tools to help you grow into the version of yourself you’ve been fighting to become. Let’s start this journey together.
(313) 723-2083 View (313) 723-2083
Photo of Kaitlyn Barbour, Clinical Social Work/Therapist, LMSW
Kaitlyn Barbour
Clinical Social Work/Therapist, LMSW
1 Endorsed
Online Only
Whether this is your first-time seeking therapy, or you are searching for a new therapist, I am grateful you have taken this step of reaching out for support. I believe through building respect, trust, and the safety of a non-judgmental, unbiased environment, we can work together toward achieving your goals. Whether you are going through a difficult time or just need someone to lend a listening ear, together we can take on these life transitions. I strive to assist clients in gaining a deeper insight into challenging and changing their thought processes. I look forward to exploring this journey with you.
Whether this is your first-time seeking therapy, or you are searching for a new therapist, I am grateful you have taken this step of reaching out for support. I believe through building respect, trust, and the safety of a non-judgmental, unbiased environment, we can work together toward achieving your goals. Whether you are going through a difficult time or just need someone to lend a listening ear, together we can take on these life transitions. I strive to assist clients in gaining a deeper insight into challenging and changing their thought processes. I look forward to exploring this journey with you.
(586) 488-4455 View (586) 488-4455
Photo of Meltem Akbay, Counselor, MA, LPC
Meltem Akbay
Counselor, MA, LPC
Serves Area
Not accepting new clients
Therapy is a safe space of self-exploration and building awareness of what is holding you back from leading a more fulfilling life: whether you have suffered a recent loss and trauma(s), are suffering with painful emotions or having trouble coping with a life transition etc. My areas of specializing in a wide range of issues including, PTSD, anxiety disorders, obsessive-compulsive disorders, grief and loss and depression.
Therapy is a safe space of self-exploration and building awareness of what is holding you back from leading a more fulfilling life: whether you have suffered a recent loss and trauma(s), are suffering with painful emotions or having trouble coping with a life transition etc. My areas of specializing in a wide range of issues including, PTSD, anxiety disorders, obsessive-compulsive disorders, grief and loss and depression.
(313) 513-1184 View (313) 513-1184
Photo of Kent Darcie, Counselor, MA, LPC
Kent Darcie
Counselor, MA, LPC
2 Endorsed
Serves Area
Not accepting new clients
Whether you’re dealing with anxiety, depression, anger, or couple-related issues, it’s important to feel confident that there is hope. This is also true for adult children of divorce and adults whose parents wait until they’re grown to divorce. Adults with divorced parents (nearly 40% of adults) can experience problems trusting people, fear of conflict, fear of being inadequate or inferior, anxiety, anger, overreaction to triggers, father hunger, and a fear of divorcing themselves. These issues often contribute to unsuccessful relationships and marriages. But in a safe, non-judgmental, and informative atmosphere, hope is possible!
Whether you’re dealing with anxiety, depression, anger, or couple-related issues, it’s important to feel confident that there is hope. This is also true for adult children of divorce and adults whose parents wait until they’re grown to divorce. Adults with divorced parents (nearly 40% of adults) can experience problems trusting people, fear of conflict, fear of being inadequate or inferior, anxiety, anger, overreaction to triggers, father hunger, and a fear of divorcing themselves. These issues often contribute to unsuccessful relationships and marriages. But in a safe, non-judgmental, and informative atmosphere, hope is possible!
(586) 474-4629 View (586) 474-4629
Photo of Sarah Balogh, Licensed Professional Counselor, MA, LPC
Sarah Balogh
Licensed Professional Counselor, MA, LPC
4 Endorsed
Online Only
I have a passion for working with adolescents and their parents or guardians, young adults, and people who have a history of trauma. Finding an individual identity, personal interests, and focusing on strengths and values are integral parts of most sessions with me. My personal philosophy is to meet clients where they are in life, and a create a life they are excited to live. I help clients identify and use their strengths to achieve their goals. I love working holistically with overall wellness, body positivity, healthy at every size, self-acceptance, self-empowerment, and disordered eating behavior.
I have a passion for working with adolescents and their parents or guardians, young adults, and people who have a history of trauma. Finding an individual identity, personal interests, and focusing on strengths and values are integral parts of most sessions with me. My personal philosophy is to meet clients where they are in life, and a create a life they are excited to live. I help clients identify and use their strengths to achieve their goals. I love working holistically with overall wellness, body positivity, healthy at every size, self-acceptance, self-empowerment, and disordered eating behavior.
(810) 407-7403 View (810) 407-7403

More Therapists Nearby

Photo of Miranda Nunez, Counselor, LLC
Miranda Nunez
Counselor, LLC
1 Endorsed
Northville, MI 48168
Dear Future Client, I want to start by acknowledging the courage it takes to seek support on your journey. Whether you are navigating life’s transitions, facing personal challenges, or simply seeking personal growth, I am here to provide a safe and supportive space where you can explore your thoughts and emotions without judgment.
Dear Future Client, I want to start by acknowledging the courage it takes to seek support on your journey. Whether you are navigating life’s transitions, facing personal challenges, or simply seeking personal growth, I am here to provide a safe and supportive space where you can explore your thoughts and emotions without judgment.
(734) 463-5773 View (734) 463-5773
Photo of Shahzad Qurashi, TLLP
Shahzad Qurashi
Verified Verified
Sterling Heights, MI 48312
I am deeply passionate about the benefits of therapy and empowering individuals to tap into their inner potential for transformation and growth. The truth is, anything worth having takes time, but in the end, it is worth it. Therapy is a collaborative effort between the therapist and the client, and both parties need to put in the work to reap the benefits of this partnership. I aim to provide my clients with coping skills that will help them lead meaningful lives aligned with their personal values.
I am deeply passionate about the benefits of therapy and empowering individuals to tap into their inner potential for transformation and growth. The truth is, anything worth having takes time, but in the end, it is worth it. Therapy is a collaborative effort between the therapist and the client, and both parties need to put in the work to reap the benefits of this partnership. I aim to provide my clients with coping skills that will help them lead meaningful lives aligned with their personal values.
(586) 800-8021 View (586) 800-8021
Photo of Shoshana Katz, Psychologist, PhD, LP
Shoshana Katz
Psychologist, PhD, LP
Bingham Farms, MI 48025
If sadness, worry, stress, chronic pain, insomnia, and/or difficulty concentrating is holding you back from getting what you want out of life, it is time to seek help. These symptoms can sometimes slow down, or even prevent, success in school, at work, and with relationships. I can help you understand how your thought and behavior patterns may be contributing to your symptoms, and how to change them so you can feel better. Your treatment plan and your goals are up to you; you decide what you want to change and how you'd like me to help you make those changes.
If sadness, worry, stress, chronic pain, insomnia, and/or difficulty concentrating is holding you back from getting what you want out of life, it is time to seek help. These symptoms can sometimes slow down, or even prevent, success in school, at work, and with relationships. I can help you understand how your thought and behavior patterns may be contributing to your symptoms, and how to change them so you can feel better. Your treatment plan and your goals are up to you; you decide what you want to change and how you'd like me to help you make those changes.
(248) 487-9479 View (248) 487-9479
Photo of Mark Pelcher, Licensed Professional Counselor, MA, LLP, LPC, CAADC
Mark Pelcher
Licensed Professional Counselor, MA, LLP, LPC, CAADC
Serves Area
Mark is a Licensed Professional Counselor, Limited Licensed Psychologist and Certified Advanced Alcohol and Drug Counselor with many years of experience helping people with depression, anxiety, substance use and relationship problems. He is skilled at helping people with exploring identity and sexuality. He likes to help people learn to achieve their goals through effective interpersonal skills and boundary work. Mark has experience working in the LGBTQ+ community and in the local Native American Community. He has training in many evidence-based practices such as CBT, DBT, Seeking Safety and Motivational Interviewing.
Mark is a Licensed Professional Counselor, Limited Licensed Psychologist and Certified Advanced Alcohol and Drug Counselor with many years of experience helping people with depression, anxiety, substance use and relationship problems. He is skilled at helping people with exploring identity and sexuality. He likes to help people learn to achieve their goals through effective interpersonal skills and boundary work. Mark has experience working in the LGBTQ+ community and in the local Native American Community. He has training in many evidence-based practices such as CBT, DBT, Seeking Safety and Motivational Interviewing.
(616) 201-1453 View (616) 201-1453
Photo of Shira Pomrantz, Clinical Social Work/Therapist, LCSW
Shira Pomrantz
Clinical Social Work/Therapist, LCSW
3 Endorsed
Detroit, MI 48210
Are you struggling with ongoing stress? Searching for clarity and peace of mind? You’ve tried distracting yourself and avoiding triggering events, but just can't seem to get rid of the anxiety. You don't have to continue living this way. I have over 13 years of experience helping women cope with and heal from anxiety, depression, relationship issues, low self-esteem, and trauma.
Are you struggling with ongoing stress? Searching for clarity and peace of mind? You’ve tried distracting yourself and avoiding triggering events, but just can't seem to get rid of the anxiety. You don't have to continue living this way. I have over 13 years of experience helping women cope with and heal from anxiety, depression, relationship issues, low self-esteem, and trauma.
(973) 604-0369 View (973) 604-0369

How does your Therapist compare?

Number of Therapists in 48311

10+

Average cost per session

$150

Therapists in 48311 who prioritize treating:

100% Anxiety
93% Stress
87% Self Esteem
73% Relationship Issues
73% Depression
73% Grief
73% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
92% Aetna
85% Blue Care Network

How Therapists in 48311 see their clients

73% In Person and Online
27% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 48311?

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.