Therapists in 48314

Photo of Shelby Evans, Clinical Social Work/Therapist, LMSW
Shelby Evans
Clinical Social Work/Therapist, LMSW
Sterling Heights, MI 48314
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 Dustin Shepler - Silver Linings Counseling, PhD, LP
Silver Linings Counseling
Verified Verified
Sterling Heights, MI 48314
If the challenges in your life feel like they are uncontrollable, we encourage you to take the time for yourself by reaching out to us for support. It is the goal of Silver Linings Counseling to help you navigate through any obstacle you may have, because we know that life can be difficult and overwhelming. Our goal is to help you create positive change in your life to aid in your happiness and well-being. We believe in strong emotional support, a healthy perspective, and hard work.
If the challenges in your life feel like they are uncontrollable, we encourage you to take the time for yourself by reaching out to us for support. It is the goal of Silver Linings Counseling to help you navigate through any obstacle you may have, because we know that life can be difficult and overwhelming. Our goal is to help you create positive change in your life to aid in your happiness and well-being. We believe in strong emotional support, a healthy perspective, and hard work.
(586) 580-2975 View (586) 580-2975
Photo of Rachel Wolf, Licensed Professional Counselor, LPC, CCTP
Rachel Wolf
Licensed Professional Counselor, LPC, CCTP
Sterling Heights, MI 48314
I am a Licensed Professional Counselor in the state of Michigan with over a decade of experience working with a widely diverse population of adults seeking help with depression, anxiety, substance abuse/addiction, sexuality, and life transitions. I also have experience working with individuals in alternative relationship structures (polyamory) and members of the LGBTQIA+ community. I earned my Bachelor of Arts in Psychology and Master of Arts in Counseling from Oakland University.
I am a Licensed Professional Counselor in the state of Michigan with over a decade of experience working with a widely diverse population of adults seeking help with depression, anxiety, substance abuse/addiction, sexuality, and life transitions. I also have experience working with individuals in alternative relationship structures (polyamory) and members of the LGBTQIA+ community. I earned my Bachelor of Arts in Psychology and Master of Arts in Counseling from Oakland University.
(586) 210-9415 View (586) 210-9415
Photo of Crystal Smith, Licensed Professional Counselor, LPC
Crystal Smith
Licensed Professional Counselor, LPC
Online Only
I am a Licensed Professional Counselor with over 15 years in the mental health field, working with clients to improve life satisfaction. I specialize in treating adults and children who are struggling with depression, anxiety, Post-Traumatic Stress Disorder, trauma, abuse, neglect, relationship difficulties, adjustment issues, grief and loss, parenting support, and substance use disorders. I hold a Master’s Degree in Counseling with an advanced specialization in treating children and adolescents from Oakland University in Rochester, Michigan.
I am a Licensed Professional Counselor with over 15 years in the mental health field, working with clients to improve life satisfaction. I specialize in treating adults and children who are struggling with depression, anxiety, Post-Traumatic Stress Disorder, trauma, abuse, neglect, relationship difficulties, adjustment issues, grief and loss, parenting support, and substance use disorders. I hold a Master’s Degree in Counseling with an advanced specialization in treating children and adolescents from Oakland University in Rochester, Michigan.
(586) 217-3702 View (586) 217-3702
Photo of Michelle Thorburn, Limited Licensed Psychologist, MA, LLP
Michelle Thorburn
Limited Licensed Psychologist, MA, LLP
Sterling Heights, MI 48314
I firmly believe that we all hold the answers to our lives within ourselves. My job is to help you shine a light on your own answers, authentically and without judgement. I do not have a magic strategy that will "fix" you (you aren't broken!) nor can I tell you who you "should" be. Only you can decide that. I work best with those who want to explore their experiences and emotions to gain better insight into themselves. We are constantly told who we "should" be. We all carry beliefs about ourselves that were placed upon us by others, but you don't have to continue to hold them.
I firmly believe that we all hold the answers to our lives within ourselves. My job is to help you shine a light on your own answers, authentically and without judgement. I do not have a magic strategy that will "fix" you (you aren't broken!) nor can I tell you who you "should" be. Only you can decide that. I work best with those who want to explore their experiences and emotions to gain better insight into themselves. We are constantly told who we "should" be. We all carry beliefs about ourselves that were placed upon us by others, but you don't have to continue to hold them.
(248) 773-4377 View (248) 773-4377
Photo of Isabel J Pirrone, Limited Licensed Psychologist, MA, LLP
Isabel J Pirrone
Limited Licensed Psychologist, MA, LLP
2 Endorsed
Sterling Heights, MI 48314
Waitlist for new clients
Starting therapy can feel like an overwhelming step, especially when you're carrying the weight of difficult emotions or a diagnosis that feels misunderstood. My goal is to create a space where you feel safe, respected, and truly heard - a space where your story matters, free of judgment. Using a collaborative and person-centered approach, I incorporate cognitive behavioral therapy (CBT), emotion-focused therapy, mindfulness, and other evidence-based techniques to help you develop insight, strengthen coping skills, and work toward lasting emotional growth.
Starting therapy can feel like an overwhelming step, especially when you're carrying the weight of difficult emotions or a diagnosis that feels misunderstood. My goal is to create a space where you feel safe, respected, and truly heard - a space where your story matters, free of judgment. Using a collaborative and person-centered approach, I incorporate cognitive behavioral therapy (CBT), emotion-focused therapy, mindfulness, and other evidence-based techniques to help you develop insight, strengthen coping skills, and work toward lasting emotional growth.
(586) 580-2975 View (586) 580-2975
Photo of Laura Ray, Clinical Social Work/Therapist, LMSW
Laura Ray
Clinical Social Work/Therapist, LMSW
3 Endorsed
Online Only
I earned my graduate education from The University of Michigan. I am a kind, compassionate therapist dedicated to helping others. My goal is to provide an environment in which people feel comfortable and supported in order to achieve positive change in their lives. My approach is centered around helping clients identify their own goals and working together through a collaborative therapeutic process to help them meet those goals. During this process, I work to provide clients with effective skills for managing health and life challenges.
I earned my graduate education from The University of Michigan. I am a kind, compassionate therapist dedicated to helping others. My goal is to provide an environment in which people feel comfortable and supported in order to achieve positive change in their lives. My approach is centered around helping clients identify their own goals and working together through a collaborative therapeutic process to help them meet those goals. During this process, I work to provide clients with effective skills for managing health and life challenges.
(248) 291-3827 View (248) 291-3827
Photo of Darlita Paulding, Licensed Professional Counselor, LPC
Darlita Paulding
Licensed Professional Counselor, LPC
1 Endorsed
Sterling Heights, MI 48314
I am a Licensed Professional Counselor (LPC) with 15 years of experience working with adolescents, adults, couples, and families. I have assisted individuals working through anger, depressive symptoms, anxiety, unhealthy relationships, low self-esteem, and stress. I completed my Bachelor of Arts (BA) in Psychology at Michigan State University and my Master of Arts (MA) in Counseling at Oakland University. I am also a National Certified Counselor (NCC).
I am a Licensed Professional Counselor (LPC) with 15 years of experience working with adolescents, adults, couples, and families. I have assisted individuals working through anger, depressive symptoms, anxiety, unhealthy relationships, low self-esteem, and stress. I completed my Bachelor of Arts (BA) in Psychology at Michigan State University and my Master of Arts (MA) in Counseling at Oakland University. I am also a National Certified Counselor (NCC).
(586) 600-8500 View (586) 600-8500
Photo of Marya Drygalski, Clinical Social Work/Therapist, LCSW
Marya Drygalski
Clinical Social Work/Therapist, LCSW
Sterling Heights, MI 48314
I am a Licensed Clinical Social Worker, Addictions Specialist, and Employee Assistance Professional in the state of Michigan with over 33 years of experience providing clinical assessment and therapeutic care to adults, couples, and families seeking help with anxiety/depression, trauma, and life transitions. I completed my Master's Degree at the University of Michigan and can provide biblical, faith-based counseling for clients who wish to incorporate their Christian faith into the therapeutic process.
I am a Licensed Clinical Social Worker, Addictions Specialist, and Employee Assistance Professional in the state of Michigan with over 33 years of experience providing clinical assessment and therapeutic care to adults, couples, and families seeking help with anxiety/depression, trauma, and life transitions. I completed my Master's Degree at the University of Michigan and can provide biblical, faith-based counseling for clients who wish to incorporate their Christian faith into the therapeutic process.
(586) 300-2441 View (586) 300-2441
Photo of Glikeria Hastings, Clinical Social Work/Therapist, LMSW
Glikeria Hastings
Clinical Social Work/Therapist, LMSW
Sterling Heights, MI 48314
I am a Licensed Clinical Social Worker (LCSW) with over 9 years of experience in the mental health field. I am passionate about helping adults and seniors address their unique challenges and lead more fulfilling lives. My areas of expertise include major life transitions, aging, end-of-life and hospice issues, grief, loss, bereavement, addiction, substance use, depression, mood disorders, trauma, sexual abuse, anxiety, low self-esteem, women’s issues, bipolar disorder, relationship concerns, and stress management.
I am a Licensed Clinical Social Worker (LCSW) with over 9 years of experience in the mental health field. I am passionate about helping adults and seniors address their unique challenges and lead more fulfilling lives. My areas of expertise include major life transitions, aging, end-of-life and hospice issues, grief, loss, bereavement, addiction, substance use, depression, mood disorders, trauma, sexual abuse, anxiety, low self-esteem, women’s issues, bipolar disorder, relationship concerns, and stress management.
(586) 785-5014 View (586) 785-5014
Photo of Vicki Lynn Wright-Trimboli, Licensed Professional Counselor, MA, LPC, CRC
Vicki Lynn Wright-Trimboli
Licensed Professional Counselor, MA, LPC, CRC
2 Endorsed
Sterling Heights, MI 48314
All clients are treated with empathy, kindness, and a safe place to explore situations, desires, goals, barriers and needs. We will walk on that journey together at a pace that keeps momentum going through compassion, healthy challenges and implementing sustainable strategies. Discovery of your why or why not can be full of twists and turns; using support along the way shows yourself kindness and respect. I welcome questions and feedback to determine if we are a good fit together. You are important and worth this investment to yourself.
All clients are treated with empathy, kindness, and a safe place to explore situations, desires, goals, barriers and needs. We will walk on that journey together at a pace that keeps momentum going through compassion, healthy challenges and implementing sustainable strategies. Discovery of your why or why not can be full of twists and turns; using support along the way shows yourself kindness and respect. I welcome questions and feedback to determine if we are a good fit together. You are important and worth this investment to yourself.
(586) 271-0745 View (586) 271-0745
Photo of Stephanie Scianna, Licensed Master Social Worker, LMSW
Stephanie Scianna
Licensed Master Social Worker, LMSW
Sterling Heights, MI 48314
I am a Licensed Master Social Worker and certified advanced addiction and drug counselor with nearly 15 years of experience working in the substance use and mental health fields. I specialize in treating adults who are seeking services for anxiety, depression, trauma, adjustment disorders, self-esteem, relationship issues, and substance use disorders. I am passionate about working with pregnant and parenting women with co-occurring mental health and substance use disorders.
I am a Licensed Master Social Worker and certified advanced addiction and drug counselor with nearly 15 years of experience working in the substance use and mental health fields. I specialize in treating adults who are seeking services for anxiety, depression, trauma, adjustment disorders, self-esteem, relationship issues, and substance use disorders. I am passionate about working with pregnant and parenting women with co-occurring mental health and substance use disorders.
(586) 301-5859 View (586) 301-5859
Photo of Kaitlyn Grobbel, Counselor, LLPC
Kaitlyn Grobbel
Counselor, LLPC
Sterling Heights, MI 48314
When human beings experience trauma or severe life stressors, it is not uncommon for one to feel as though their life is unraveling, to feel unsafe, and not know which step to take first. One of Kaitlyn’s greatest passions is bringing healing to people’s lives and listening to her clients’ lived experiences. It is a primary focus of hers that her clients receive personalized care to benefit from counseling. She provides her clients with a safe, comforting, and non-judgmental space where they can share their personal concerns, trauma, goals, and fears. She helps clients explore their interpersonal relationships, thoughts, & emotions.
When human beings experience trauma or severe life stressors, it is not uncommon for one to feel as though their life is unraveling, to feel unsafe, and not know which step to take first. One of Kaitlyn’s greatest passions is bringing healing to people’s lives and listening to her clients’ lived experiences. It is a primary focus of hers that her clients receive personalized care to benefit from counseling. She provides her clients with a safe, comforting, and non-judgmental space where they can share their personal concerns, trauma, goals, and fears. She helps clients explore their interpersonal relationships, thoughts, & emotions.
(947) 217-2867 View (947) 217-2867
Photo of Dr. Dean Leav - Psychological Testing & Evaluations - Dr. Dean, Psychologist, PsyD, QME, Author
Psychological Testing & Evaluations - Dr. Dean
Psychologist, PsyD, QME, Author
Sterling Heights, MI 48314
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
(586) 800-1122 View (586) 800-1122
Photo of Marilee R Trombley, Counselor, MA, LPC
Marilee R Trombley
Counselor, MA, LPC
2 Endorsed
Online Only
I have counseled many dynamics and genre, however, my specialty lies in trauma and complicated grief. We all need a safe place to talk and express our emotions...knowing that the person listening understands the impact of YOUR loss/trauma on YOUR life. Many times we learn through our tragedies...but ALWAYS it changes who we are and our perspective. By talking out the new emotional/perspective changes, at times forced upon you, we can defuse the shame, the fear, and the doubts; helping you move forward from tragedy. The fact is you CAN move forward, through and past tragedy.
I have counseled many dynamics and genre, however, my specialty lies in trauma and complicated grief. We all need a safe place to talk and express our emotions...knowing that the person listening understands the impact of YOUR loss/trauma on YOUR life. Many times we learn through our tragedies...but ALWAYS it changes who we are and our perspective. By talking out the new emotional/perspective changes, at times forced upon you, we can defuse the shame, the fear, and the doubts; helping you move forward from tragedy. The fact is you CAN move forward, through and past tragedy.
(586) 648-1616 View (586) 648-1616
Photo of Erin M Touchette, Limited Licensed Psychologist, MA, LLP
Erin M Touchette
Limited Licensed Psychologist, MA, LLP
Online Only
Coming to therapy is like drinking coffee with an old friend, except the difference is that this friend listens very closely, does not react negatively to what you say, and only provides productive feed back. Who wouldn't benefit from that? As a therapist I provide a comfortable and safe place for you to talk through some of those difficult moments in your life. Sometimes life is just hard and you just need a little extra help.
Coming to therapy is like drinking coffee with an old friend, except the difference is that this friend listens very closely, does not react negatively to what you say, and only provides productive feed back. Who wouldn't benefit from that? As a therapist I provide a comfortable and safe place for you to talk through some of those difficult moments in your life. Sometimes life is just hard and you just need a little extra help.
(586) 217-3394 View (586) 217-3394
Photo of Aaron Thomas, Licensed Professional Counselor, LPC
Aaron Thomas
Licensed Professional Counselor, LPC
1 Endorsed
Sterling Heights, MI 48314
At times, we all encounter challenges that can leave us feeling uncertain and adrift. My hope is to provide you with a warm and supportive atmosphere where you feel heard and understood. One where we can explore your story, gain insight, grow and heal. I see clients of all ages, especially preteens through young adults and couples. Together we can take on challenges including depression, anxiety, grief, family conflict, trauma background, panic, ADHD, ASD, and life transitions. Whatever your specific circumstances and goals, we can work together to address them.
At times, we all encounter challenges that can leave us feeling uncertain and adrift. My hope is to provide you with a warm and supportive atmosphere where you feel heard and understood. One where we can explore your story, gain insight, grow and heal. I see clients of all ages, especially preteens through young adults and couples. Together we can take on challenges including depression, anxiety, grief, family conflict, trauma background, panic, ADHD, ASD, and life transitions. Whatever your specific circumstances and goals, we can work together to address them.
(586) 281-5820 View (586) 281-5820
Photo of Carmella Lewis, Clinical Social Work/Therapist, LCSW
Carmella Lewis
Clinical Social Work/Therapist, LCSW
Sterling Heights, MI 48314
I am Carmella, a Licensed Clinical Master Social Worker in the state of Michigan with five years of experience in the mental health field. I work with children, adolescents, adults, and families, specializing in anxiety, depression, adjustment disorder, PTSD, trauma, grief, and relationship/family issues. I provide individualized and family therapy, assisting clients in working toward achieving their ultimate goals and healing.
I am Carmella, a Licensed Clinical Master Social Worker in the state of Michigan with five years of experience in the mental health field. I work with children, adolescents, adults, and families, specializing in anxiety, depression, adjustment disorder, PTSD, trauma, grief, and relationship/family issues. I provide individualized and family therapy, assisting clients in working toward achieving their ultimate goals and healing.
(586) 500-7224 View (586) 500-7224
Photo of Alicia Width, Psychologist, PsyD, LP
Alicia Width
Psychologist, PsyD, LP
1 Endorsed
Sterling Heights, MI 48314
Not accepting new clients
Sometimes life can feel incredibly difficult, unfair, and even unkind. I can be your support during challenging times by providing a safe, affirming space to promote healing and growth. I believe people deserve to be heard and seen as their authentic selves. My passion is working with gender identity and sexuaIity, as I want individuals to best understand and accept themselves. I also work with anxiety, depression, trauma, and relationship challenges. My goal as a therapist is to make you feel safe, heard, and accepted as we work together to overcome life’s difficulties.
Sometimes life can feel incredibly difficult, unfair, and even unkind. I can be your support during challenging times by providing a safe, affirming space to promote healing and growth. I believe people deserve to be heard and seen as their authentic selves. My passion is working with gender identity and sexuaIity, as I want individuals to best understand and accept themselves. I also work with anxiety, depression, trauma, and relationship challenges. My goal as a therapist is to make you feel safe, heard, and accepted as we work together to overcome life’s difficulties.
(586) 690-4977 View (586) 690-4977
Photo of Michael Butkus - Michael Butkus, PhD, PLLC, Psychologist, PhD
Michael Butkus, PhD, PLLC
Psychologist, PhD
Sterling Heights, MI 48314
Not accepting new clients
I really understand how uncomfortable anxiety, worry, sadness and depression can make you feel. I am one of those who can help. I have over 40 years experience helping people feel better and feel better quicker. I have an additional expertise in the treatment of mild to moderate forms of OCD (ie, OCD that can be effectively handled in weekly therapy; more severe forms of OCD require a different practice than I conduct). If you are like me, willing to work hard and put in the time, then together we can improve your life.
I really understand how uncomfortable anxiety, worry, sadness and depression can make you feel. I am one of those who can help. I have over 40 years experience helping people feel better and feel better quicker. I have an additional expertise in the treatment of mild to moderate forms of OCD (ie, OCD that can be effectively handled in weekly therapy; more severe forms of OCD require a different practice than I conduct). If you are like me, willing to work hard and put in the time, then together we can improve your life.
(586) 799-3234 View (586) 799-3234

See more therapy options for 48314

How does your Therapist compare?

Number of Therapists in 48314

60+

Average cost per session

$150

Therapists in 48314 who prioritize treating:

97% Anxiety
93% Depression
82% Trauma and PTSD
80% Coping Skills
79% Stress
77% Grief
75% Self Esteem

Average years in practice

11 Years

Top 3 insurances accepted

98% BlueCross and BlueShield
84% Aetna
74% Blue Care Network

How Therapists in 48314 see their clients

74% In Person and Online
26% Online Only

Gender breakdown

87% Female
13% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 48314?

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.