Therapists in 49071

Photo of Dawn R Diggs, Licensed Professional Counselor, LPC
Dawn R Diggs
Licensed Professional Counselor, LPC
1 Endorsed
Mattawan, MI 49071
With 24 years of clinical experience, I provide compassionate and evidence-based therapy to adolescents and adults through individual and couples counseling. My work focuses on helping clients navigate anxiety, depression, grief, identity conflict, anger management, eating disorders, chronic pain, work-related stress, school stress/relationship struggles, low self esteem, abuse, trauma, and marital conflict—including the challenges of infidelity . I incorporate Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) to support clients in developing practical skills, healthier thought patterns, and emotional resilie
With 24 years of clinical experience, I provide compassionate and evidence-based therapy to adolescents and adults through individual and couples counseling. My work focuses on helping clients navigate anxiety, depression, grief, identity conflict, anger management, eating disorders, chronic pain, work-related stress, school stress/relationship struggles, low self esteem, abuse, trauma, and marital conflict—including the challenges of infidelity . I incorporate Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) to support clients in developing practical skills, healthier thought patterns, and emotional resilie
(269) 533-7036 View (269) 533-7036
Photo of Arlene Giacona, Clinical Social Work/Therapist, LMSW
Arlene Giacona
Clinical Social Work/Therapist, LMSW
1 Endorsed
Mattawan, MI 49071
Hello! Thank you for stopping by. I am a Social Worker and therapist with 20 years experience in the mental health field. What sets me apart though? I have a very passionate, upbeat personality that shines through in my practice. I work hard to help my clients see the strength they already have within and that I am just a facilitator to help them achieve any goal they set forth for themselves. I am honest and "real". I would be happy to chat with you about your goals and how we can work to achieve them together!
Hello! Thank you for stopping by. I am a Social Worker and therapist with 20 years experience in the mental health field. What sets me apart though? I have a very passionate, upbeat personality that shines through in my practice. I work hard to help my clients see the strength they already have within and that I am just a facilitator to help them achieve any goal they set forth for themselves. I am honest and "real". I would be happy to chat with you about your goals and how we can work to achieve them together!
(269) 241-8435 View (269) 241-8435
Photo of Amanda Roundhouse - Healing House Therapy, Licensed Professional Counselor, MA, LPC, NCC
Healing House Therapy
Licensed Professional Counselor, MA, LPC, NCC
Mattawan, MI 49071
My name is Amanda Roundhouse. I am a Licensed Professional Counselor in Michigan and am Nationally Board Certified and the owner of Healing House Therapy. I am a Licensed Professional Counselor in Michigan and am Nationally Board Certified and the owner of Healing House Therapy. No matter where you are in life, getting help can be difficult but also very rewarding. I am honored that you are considering Healing House Therapy to help you along this journey.
My name is Amanda Roundhouse. I am a Licensed Professional Counselor in Michigan and am Nationally Board Certified and the owner of Healing House Therapy. I am a Licensed Professional Counselor in Michigan and am Nationally Board Certified and the owner of Healing House Therapy. No matter where you are in life, getting help can be difficult but also very rewarding. I am honored that you are considering Healing House Therapy to help you along this journey.
(269) 448-0590 View (269) 448-0590
Photo of Tracy Wilson, Licensed Professional Counselor, MA, LPC, LLP
Tracy Wilson
Licensed Professional Counselor, MA, LPC, LLP
Mattawan, MI 49071
Life is rarely easy. At times, things start to feel unmanageable and we get overwhelmed. This can be due to life circumstances, a challenging diagnosis, or simply the realities of being human. The good news is, things can get better. Finding the right person to help you along the way is a huge step. I'd love to be your teammate in this journey. Working together, we'll get through this. I have been honored to help clients over the past 28 years managing anxiety, depression, sexual abuse, women's issues, marital, PTSD and many more. Just give me a call and we'll go from there.
Life is rarely easy. At times, things start to feel unmanageable and we get overwhelmed. This can be due to life circumstances, a challenging diagnosis, or simply the realities of being human. The good news is, things can get better. Finding the right person to help you along the way is a huge step. I'd love to be your teammate in this journey. Working together, we'll get through this. I have been honored to help clients over the past 28 years managing anxiety, depression, sexual abuse, women's issues, marital, PTSD and many more. Just give me a call and we'll go from there.
(269) 257-2336 View (269) 257-2336
Photo of Jessica S Parr, Clinical Social Work/Therapist, LMSW
Jessica S Parr
Clinical Social Work/Therapist, LMSW
1 Endorsed
Mattawan, MI 49071
Each of us has our own learned ways of coping or dealing with stressors, however sometimes the stress can become so overwhelming that we are no longer effective with our methods. This is a time when we should reach out for extra support to get things back on track. I would be honored to help you “regroup”, “refocus on priorities” and “set attainable goals”. My therapeutic approach is primarily both strength-based and interpersonal. I will meet you where you are on this path to wellness and help guide you in the direction you want to be. Start your journey today.
Each of us has our own learned ways of coping or dealing with stressors, however sometimes the stress can become so overwhelming that we are no longer effective with our methods. This is a time when we should reach out for extra support to get things back on track. I would be honored to help you “regroup”, “refocus on priorities” and “set attainable goals”. My therapeutic approach is primarily both strength-based and interpersonal. I will meet you where you are on this path to wellness and help guide you in the direction you want to be. Start your journey today.
(269) 290-1334 View (269) 290-1334
Photo of Gary Brookmyer-Lambert Jr, Licensed Professional Counselor, EdD, MA, LPC
Gary Brookmyer-Lambert Jr
Licensed Professional Counselor, EdD, MA, LPC
1 Endorsed
Serves Area
Nobody knows you like you know yourself. Your past decisions weigh on you and stop you from moving forward, to a place of peace and growth. Your past does not determine your future, each day is a new opportunity to start fresh. You may doubt who you are or what you want out of life, but you are the keeper of your story and do have power over your future. Your journey to finding the best life possible begins when you decide to make the change. I consider it an honor to walk down the path of exploration with you. No journey is too big or small, I believe in honoring all of life’s moments with my clients in a nonjudgmental environment.
Nobody knows you like you know yourself. Your past decisions weigh on you and stop you from moving forward, to a place of peace and growth. Your past does not determine your future, each day is a new opportunity to start fresh. You may doubt who you are or what you want out of life, but you are the keeper of your story and do have power over your future. Your journey to finding the best life possible begins when you decide to make the change. I consider it an honor to walk down the path of exploration with you. No journey is too big or small, I believe in honoring all of life’s moments with my clients in a nonjudgmental environment.
(269) 231-8170 View (269) 231-8170
Photo of Gilbert R Paivarinta, Clinical Social Work/Therapist, LMSW, CAADC
Gilbert R Paivarinta
Clinical Social Work/Therapist, LMSW, CAADC
3 Endorsed
Serves Area
As a therapist in Kalamazoo, MI, my journey into social work was shaped by my own experiences with tragedy and trauma. These challenges gave me firsthand insight into the profound impact of trauma, inspiring me to pursue a career dedicated to helping others heal. My personal experiences, combined with academic training, have allowed me to develop a deep understanding of trauma and complex trauma, making me a genuinely trauma-informed therapist.
As a therapist in Kalamazoo, MI, my journey into social work was shaped by my own experiences with tragedy and trauma. These challenges gave me firsthand insight into the profound impact of trauma, inspiring me to pursue a career dedicated to helping others heal. My personal experiences, combined with academic training, have allowed me to develop a deep understanding of trauma and complex trauma, making me a genuinely trauma-informed therapist.
(269) 371-5690 View (269) 371-5690
Photo of Kristina Raleigh, Licensed Professional Counselor, MA, LPC, CCATP
Kristina Raleigh
Licensed Professional Counselor, MA, LPC, CCATP
1 Endorsed
Serves Area
Has your adolescent been experiencing overwhelming sadness? Does your teen feel worried a lot? Are these worries negatively impacting your child's relationships and academic performance? Have recent or ongoing stressors decreased your child's ability to cope with or adjust to change? You want hope and healing for your child so they can feel normal again. You want your teen to find relief from the constant worrying. You want your child to be successful at adapting to change. You have found the place your child needs to be to improve their life.
Has your adolescent been experiencing overwhelming sadness? Does your teen feel worried a lot? Are these worries negatively impacting your child's relationships and academic performance? Have recent or ongoing stressors decreased your child's ability to cope with or adjust to change? You want hope and healing for your child so they can feel normal again. You want your teen to find relief from the constant worrying. You want your child to be successful at adapting to change. You have found the place your child needs to be to improve their life.
(269) 215-2940 View (269) 215-2940
Photo of Krissa Elizabeth Kirby - Child & Family Psychological Services, Psychologist, PsyD
Child & Family Psychological Services
Psychologist, PsyD
Serves Area
As a clinical psychologist, Dr. Kirby, provides comprehensive psychological services in a caring and supportive practice environment. Dr. Kirby specializes in treating children, adolescents, and adults who present with a variety of emotional and behavioral difficulties including: depression, grief, anxiety, childhood trauma, domestic violence, women's issues, behavioral problems in children/adolescents, and family systems issues. Dr. Kirby integrates psychological treatment methodologies and techniques to offer a highly personalized treatment approach that is tailored to each individual patient/family. Dr. Kirby empowers her patients to lead happier and more fulfilling lives by becoming more empowered and self-aware.
As a clinical psychologist, Dr. Kirby, provides comprehensive psychological services in a caring and supportive practice environment. Dr. Kirby specializes in treating children, adolescents, and adults who present with a variety of emotional and behavioral difficulties including: depression, grief, anxiety, childhood trauma, domestic violence, women's issues, behavioral problems in children/adolescents, and family systems issues. Dr. Kirby integrates psychological treatment methodologies and techniques to offer a highly personalized treatment approach that is tailored to each individual patient/family. Dr. Kirby empowers her patients to lead happier and more fulfilling lives by becoming more empowered and self-aware.
(269) 752-1743 View (269) 752-1743
Photo of Curtis S Pierce, Counselor, MA, LLC
Curtis S Pierce
Counselor, MA, LLC
Serves Area
The most important decision isn’t the one you made yesterday—it’s the one you make today. Real change starts now. I help individuals, couples, and families take control of their lives and move forward with confidence. Whether you’re navigating relationship challenges, dealing with anxiety or depression, managing stress, or facing the lasting impact of trauma, I provide a supportive, nonjudgmental space to grow—personally, professionally, and spiritually.
The most important decision isn’t the one you made yesterday—it’s the one you make today. Real change starts now. I help individuals, couples, and families take control of their lives and move forward with confidence. Whether you’re navigating relationship challenges, dealing with anxiety or depression, managing stress, or facing the lasting impact of trauma, I provide a supportive, nonjudgmental space to grow—personally, professionally, and spiritually.
(269) 247-4943 View (269) 247-4943
Photo of Elisabeth Bock - Rise Counseling Group & Holistic Wellness Center, Clinical Social Work/Therapist, LMSW
Rise Counseling Group & Holistic Wellness Center
Clinical Social Work/Therapist, LMSW
Serves Area
First and foremost, kudos to you for prioritizing your self-care and wellness. My name is Elisabeth Bock and my practice is Rise Counseling Group & Holistic Wellness. Rise was founded to create a safe and comfortable space for those seeking a holistic approach to addressing human experiences like anxiety and depression, relationship problems, life transitions, career/home/school stress, pressures of parenting, trauma, and grief. But Rise was also created with the intention to offer services to those who would like to focus on self-care, personal growth, and finding meaning and purpose. All are welcome here.
First and foremost, kudos to you for prioritizing your self-care and wellness. My name is Elisabeth Bock and my practice is Rise Counseling Group & Holistic Wellness. Rise was founded to create a safe and comfortable space for those seeking a holistic approach to addressing human experiences like anxiety and depression, relationship problems, life transitions, career/home/school stress, pressures of parenting, trauma, and grief. But Rise was also created with the intention to offer services to those who would like to focus on self-care, personal growth, and finding meaning and purpose. All are welcome here.
(269) 215-2892 View (269) 215-2892
Photo of Lisa M Klein - Awakenings Christian Counseling, Licensed Professional Counselor, MA, LPC, ACS
Awakenings Christian Counseling
Licensed Professional Counselor, MA, LPC, ACS
Serves Area
Life can quickly take a turn leaving us in shock, feeling like our future is uncertain and out of control. Seeking help processing is the first step to healing. Knowing that you are not alone as you navigate through the process brings a sense of comfort and reassurance needed in difficult times.
Life can quickly take a turn leaving us in shock, feeling like our future is uncertain and out of control. Seeking help processing is the first step to healing. Knowing that you are not alone as you navigate through the process brings a sense of comfort and reassurance needed in difficult times.
(269) 215-6687 View (269) 215-6687
Photo of Erin Arwady, Clinical Social Work/Therapist, MSW, LMSW
Erin Arwady
Clinical Social Work/Therapist, MSW, LMSW
4 Endorsed
Serves Area
As an LMSW with several years of experience, I have developed a balanced, relationship-driven, and creative approach to working with individuals and families from diverse populations. I have extensive experience working with children, adults, and families with various concerns including mood disorders, eating disorders, ADHD, and dual diagnosis. While I do not subscribe to any one modality of treatment, I have training and experience in utilizing Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), expressive arts therapies, and holistic approaches.
As an LMSW with several years of experience, I have developed a balanced, relationship-driven, and creative approach to working with individuals and families from diverse populations. I have extensive experience working with children, adults, and families with various concerns including mood disorders, eating disorders, ADHD, and dual diagnosis. While I do not subscribe to any one modality of treatment, I have training and experience in utilizing Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), expressive arts therapies, and holistic approaches.
(269) 397-3142 View (269) 397-3142
Photo of Christina Thomason, Clinical Social Work/Therapist, LMSW
Christina Thomason
Clinical Social Work/Therapist, LMSW
Serves Area
Asking for help can be difficult. I understand that entering therapy can be a big step and how important it is that you feel respected , seen and heard. My experience includes helping children, adolescents, adults, and families navigate difficult times in their lives and to feel empowered making changes in their relationships, careers or personal goals. Together, we will develop a treatment strategy that focuses on the issues and changes that you identify and are ready to address.
Asking for help can be difficult. I understand that entering therapy can be a big step and how important it is that you feel respected , seen and heard. My experience includes helping children, adolescents, adults, and families navigate difficult times in their lives and to feel empowered making changes in their relationships, careers or personal goals. Together, we will develop a treatment strategy that focuses on the issues and changes that you identify and are ready to address.
(269) 266-8264 View (269) 266-8264
Photo of Tim Meyer - New Horizon Counseling, Clinical Social Work/Therapist, LMSW
New Horizon Counseling
Clinical Social Work/Therapist, LMSW
1 Endorsed
Serves Area
Are you or your child struggling with long-lasting periods of sadness; are you/they becoming more isolated, or having thoughts of self-harm? Do you find yourself or your child worrying excessively? Maybe you're just finding it difficult to connect with your child or partner? Are you looking to find relief from day-to-day stressors, increase healthy communication skills, find more effective ways to receive compliance from your child?
Are you or your child struggling with long-lasting periods of sadness; are you/they becoming more isolated, or having thoughts of self-harm? Do you find yourself or your child worrying excessively? Maybe you're just finding it difficult to connect with your child or partner? Are you looking to find relief from day-to-day stressors, increase healthy communication skills, find more effective ways to receive compliance from your child?
(269) 682-2135 View (269) 682-2135
Photo of Heather Allbee, Licensed Professional Counselor, MA, LPC, NCC
Heather Allbee
Licensed Professional Counselor, MA, LPC, NCC
1 Endorsed
Serves Area
Your counseling experience is just that- yours. My goal is to meet you where you are at in your own journey and gain understanding into your needs, strengths, supports and challenges. Together, we will build a therapeutic plan based on your desired outcomes. With over 10 years of experience working as a Licensed Professional Counselor, I specialize in working with children 10+, teens, adults and families. I offer support in the areas of depression, anxiety, self-esteem/self worth, family conflicts, grief and loss, LGBTQ+ affirmative therapy, relationship conflicts, motivation, parenting, career exploration and sports counseling.
Your counseling experience is just that- yours. My goal is to meet you where you are at in your own journey and gain understanding into your needs, strengths, supports and challenges. Together, we will build a therapeutic plan based on your desired outcomes. With over 10 years of experience working as a Licensed Professional Counselor, I specialize in working with children 10+, teens, adults and families. I offer support in the areas of depression, anxiety, self-esteem/self worth, family conflicts, grief and loss, LGBTQ+ affirmative therapy, relationship conflicts, motivation, parenting, career exploration and sports counseling.
(269) 290-1258 View (269) 290-1258
Photo of Melanie Bugnaski, Licensed Professional Counselor, MA, LPC
Melanie Bugnaski
Licensed Professional Counselor, MA, LPC
1 Endorsed
Serves Area
Accepting NEW clients! +<>+<>+<>+<>+<>+<>+ Limited Winter Hours After School: Monday until 8pm! These prime times fill up quick! +<>+<>+<>+<>+<>+<>+ Have you ever felt alone and like people don't understand you? Or have you ever struggled with, am I making the right choices in parenting for my children? My passion in counseling is helping clients understand who they are, to gain skills that help them meet their goals, and to provide educational opportunities for growth. Together WE define your goals and set obtainable objectives to meet those goals... you are the expert of you! Think of me as your helper or guide...
Accepting NEW clients! +<>+<>+<>+<>+<>+<>+ Limited Winter Hours After School: Monday until 8pm! These prime times fill up quick! +<>+<>+<>+<>+<>+<>+ Have you ever felt alone and like people don't understand you? Or have you ever struggled with, am I making the right choices in parenting for my children? My passion in counseling is helping clients understand who they are, to gain skills that help them meet their goals, and to provide educational opportunities for growth. Together WE define your goals and set obtainable objectives to meet those goals... you are the expert of you! Think of me as your helper or guide...
(269) 373-7134 View (269) 373-7134
Photo of Kelle Brooks, Clinical Social Work/Therapist, LMSW, MA
Kelle Brooks
Clinical Social Work/Therapist, LMSW, MA
Serves Area
Taking the first step towards therapy is often the most difficult. I strive to create a safe and comfortable atmosphere in which to build a caring and collaborative therapeutic relationship where the client and the therapist work as a team. In working with my clients, I practice a strength-based approach where helping my clients with wellness, self-growth, and exploration is vital and foremost. I am particularly interested in trying to help clients feel more like the authors of their own lives, so that they can achieve what they hope for in all areas of their life.
Taking the first step towards therapy is often the most difficult. I strive to create a safe and comfortable atmosphere in which to build a caring and collaborative therapeutic relationship where the client and the therapist work as a team. In working with my clients, I practice a strength-based approach where helping my clients with wellness, self-growth, and exploration is vital and foremost. I am particularly interested in trying to help clients feel more like the authors of their own lives, so that they can achieve what they hope for in all areas of their life.
(269) 509-0728 View (269) 509-0728
Photo of Stephanie Murphy, Clinical Social Work/Therapist, LMSW
Stephanie Murphy
Clinical Social Work/Therapist, LMSW
9 Endorsed
Serves Area
Taking the first step towards therapy is a courageous choice. Whether you're seeking support for anxiety, depression, relationship issues, or facing the challenges of trauma and substance use, I am here to help you find clarity and create positive change in your life. Together, we will explore your inner world, build resilience, and work towards the positive changes you seek in your life.
Taking the first step towards therapy is a courageous choice. Whether you're seeking support for anxiety, depression, relationship issues, or facing the challenges of trauma and substance use, I am here to help you find clarity and create positive change in your life. Together, we will explore your inner world, build resilience, and work towards the positive changes you seek in your life.
(269) 218-0019 View (269) 218-0019
Photo of Kristin Zimmerman, Clinical Social Work/Therapist, LMSW, ACSW
Kristin Zimmerman
Clinical Social Work/Therapist, LMSW, ACSW
Serves Area
Life can be challenging at times; if your current ways of coping aren’t working it can feel overwhelming and life may seem unmanageable, Sometimes the guidance of a professional can provide you with the clarity needed to help you move forward. I work with teens and adults seeking treatment for depression, anxiety, low self-esteem, substance use, codependency and life transitions as well as with families affected by these issues. I enjoy working with parents and their adult children seeking to improve communication and resolve past and current conflict.
Life can be challenging at times; if your current ways of coping aren’t working it can feel overwhelming and life may seem unmanageable, Sometimes the guidance of a professional can provide you with the clarity needed to help you move forward. I work with teens and adults seeking treatment for depression, anxiety, low self-esteem, substance use, codependency and life transitions as well as with families affected by these issues. I enjoy working with parents and their adult children seeking to improve communication and resolve past and current conflict.
(269) 580-8159 View (269) 580-8159

How does your Therapist compare?

Number of Therapists in 49071

50+

Average cost per session

$180

Therapists in 49071 who prioritize treating:

98% Anxiety
93% Depression
88% Self Esteem
79% Relationship Issues
78% Stress
76% Parenting
74% Trauma and PTSD

Average years in practice

14 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
84% Blue Care Network
80% UnitedHealthcare UHC | UBH

How Therapists in 49071 see their clients

88% In Person and Online
12% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 49071?

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.