Photo of Jody (Hansen) Fixman, Counselor in 63005, MO
Jody (Hansen) Fixman
Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Chesterfield, MO 63005  (Online Only)
I have a wide range of experience including: Consulting and providing services for the Dr. Phil Show; Adjunct Professor in Graduate School Counseling program; Crisis counselor for the United States Postal Service, Care Manager for United Behavioral Health and Lead clinician for an outpatient clinic. I am Nationally Board Certified and a member of the following: Mo. Mental Health Counselors Assn.; American Counseling Association; American Psychological Assn. Don't wait another day to find solutions to your issues. I am also an online therapist so now you don't have to leave your home or work to get help. Make that call today!
I have a wide range of experience including: Consulting and providing services for the Dr. Phil Show; Adjunct Professor in Graduate School Counseling program; Crisis counselor for the United States Postal Service, Care Manager for United Behavioral Health and Lead clinician for an outpatient clinic. I am Nationally Board Certified and a member of the following: Mo. Mental Health Counselors Assn.; American Counseling Association; American Psychological Assn. Don't wait another day to find solutions to your issues. I am also an online therapist so now you don't have to leave your home or work to get help. Make that call today!
(314) 488-8798 View (314) 488-8798
Photo of Nichole Oliver, Licensed Professional Counselor in 63005, MO
Nichole Oliver
Licensed Professional Counselor, LPC, NCC, NPT-C, DAAETS
Verified Verified
18 Endorsed
Chesterfield, MO 63005
As an Integrative Therapist, I bring together the whole person- emotional, cognitive, behavioral, physiological, and spiritual dimensions of each individual client for lasting change. Incorporating practical neuroscience to improve neurobiology, emotional regulation, calming the mind & body, and reducing anxiety and fear. Bridging the gap between where you are today and your best-authentic self. Helping clients reduce and eliminate traumatic memories, automatic negative thoughts, rumination, patterns of self-defeating behaviors, and subconscious mechanisms is the primary goal. Mind-body therapy for lasting change!
As an Integrative Therapist, I bring together the whole person- emotional, cognitive, behavioral, physiological, and spiritual dimensions of each individual client for lasting change. Incorporating practical neuroscience to improve neurobiology, emotional regulation, calming the mind & body, and reducing anxiety and fear. Bridging the gap between where you are today and your best-authentic self. Helping clients reduce and eliminate traumatic memories, automatic negative thoughts, rumination, patterns of self-defeating behaviors, and subconscious mechanisms is the primary goal. Mind-body therapy for lasting change!
(314) 551-9221 View (314) 551-9221
Photo of Holly Wilson Rothert, Marriage & Family Therapist in 63005, MO
Holly Wilson Rothert
Marriage & Family Therapist, MA, MFT
Verified Verified
Chesterfield, MO 63005
I believe we all have the power within ourselves to heal. However, sometimes we get so caught up in the struggle, we lose track of our strengths. Therapy can help you recognize patterns that aren't working for you and reconnect to those strengths, leading to awareness and self-acceptance. I will guide you along that journey, encouraging you to be who you truly are in an empathetic and supportive environment. My office is a judgement-free zone, where you can express yourself honestly in a compassionate setting.
I believe we all have the power within ourselves to heal. However, sometimes we get so caught up in the struggle, we lose track of our strengths. Therapy can help you recognize patterns that aren't working for you and reconnect to those strengths, leading to awareness and self-acceptance. I will guide you along that journey, encouraging you to be who you truly are in an empathetic and supportive environment. My office is a judgement-free zone, where you can express yourself honestly in a compassionate setting.
(636) 393-8067 View (636) 393-8067
Photo of Laurie Watkins, Licensed Professional Counselor in 63005, MO
Laurie Watkins
Licensed Professional Counselor, LPC, LCPC
Verified Verified
Chesterfield, MO 63005
I am interested in helping people find their way along their personal journey. I enjoy working with adults, couples and adolescents. My approach is gentle and supportive. My theory focuses on using a combination of Psychodynamic Theory, Cognitive Behavioral and Insight oriented therapies. I have practiced in the field for 30 years. My first profession was Recreation Therapy an now Psychodynamic Therapist. I am licensed in both Illinois and Missouri. I look forward to meeting you.
I am interested in helping people find their way along their personal journey. I enjoy working with adults, couples and adolescents. My approach is gentle and supportive. My theory focuses on using a combination of Psychodynamic Theory, Cognitive Behavioral and Insight oriented therapies. I have practiced in the field for 30 years. My first profession was Recreation Therapy an now Psychodynamic Therapist. I am licensed in both Illinois and Missouri. I look forward to meeting you.
(314) 227-9809 View (314) 227-9809
Photo of abt counseling services, LLC, Clinical Social Work/Therapist in 63005, MO
abt counseling services, LLC
Clinical Social Work/Therapist, RN, MSW, LCSW
Verified Verified
Chesterfield, MO 63005
We all experience some level of depression, anxiety, stress, and/or feelings of low self-worth at some point in our lives. It can feel lonely and isolating. We may have difficulty feeling joy, purpose, connection, and fulfillment. We crave to be understood and find self-love and love from others. Healing can start with our relationship as client and therapist. Together we will build a safe space for you to meet your fears and rediscover yourself, your needs and wants. You can feel empowered to share with confidence
We all experience some level of depression, anxiety, stress, and/or feelings of low self-worth at some point in our lives. It can feel lonely and isolating. We may have difficulty feeling joy, purpose, connection, and fulfillment. We crave to be understood and find self-love and love from others. Healing can start with our relationship as client and therapist. Together we will build a safe space for you to meet your fears and rediscover yourself, your needs and wants. You can feel empowered to share with confidence
(636) 791-4578 View (636) 791-4578
Photo of Johnnetta Cole, Licensed Professional Counselor in 63005, MO
Johnnetta Cole
Licensed Professional Counselor, MA, LPC
Verified Verified
Chesterfield, MO 63005
I am a Licensed Professional Counselor who welcomes individuals from all walks of life. Are you feeling down, stuck, overwhelmed, discouraged, hopeless? Are you experiencing difficulties with relationships, work/school or life in general? I would love for us to work together and collaborate a healthy plan of approach. I will walk side by side with you as you take this journey. Congratulations on your decision to utilize self-care and seek professional counseling.
I am a Licensed Professional Counselor who welcomes individuals from all walks of life. Are you feeling down, stuck, overwhelmed, discouraged, hopeless? Are you experiencing difficulties with relationships, work/school or life in general? I would love for us to work together and collaborate a healthy plan of approach. I will walk side by side with you as you take this journey. Congratulations on your decision to utilize self-care and seek professional counseling.
(636) 333-1097 View (636) 333-1097
Photo of Lumen Wellness & Counseling , Clinical Social Work/Therapist in 63005, MO
Lumen Wellness & Counseling
Clinical Social Work/Therapist, MSW, LCSW, LPC, NCC
Verified Verified
Chesterfield, MO 63005
At Lumen Wellness & Counseling, we recognize an immense need for therapy, counseling, and massage & wellness services that bring peace and fulfillment to women’s lives in our shared community. Through Lumen’s Mind, Heart, and Body therapy approach, our expert therapists work to create a non-judgmental, safe space to share your feelings and provide you with coping skills to be the best version of yourself. Our team has experience in, and a passion for, working with women and families throughout the journey of pregnancy and parenthood, specifically those struggling with perinatal mood and anxiety disorders.
At Lumen Wellness & Counseling, we recognize an immense need for therapy, counseling, and massage & wellness services that bring peace and fulfillment to women’s lives in our shared community. Through Lumen’s Mind, Heart, and Body therapy approach, our expert therapists work to create a non-judgmental, safe space to share your feelings and provide you with coping skills to be the best version of yourself. Our team has experience in, and a passion for, working with women and families throughout the journey of pregnancy and parenthood, specifically those struggling with perinatal mood and anxiety disorders.
(314) 742-7133 View (314) 742-7133
Photo of Marie Hernández-Seltz in 63005, MO
Marie Hernández-Seltz
PhD, MS
Verified Verified
Chesterfield, MO 63005
Many individuals suffer under the heaviness of their anger, sadness, fear, and pain; others battle to feel anything at all. Self-esteem, relationships, or work can suffer when early cognitive, emotional, and behavioral patterns are applied to new situations. Although it may be intimidating, exploring your thoughts, feelings, and experiences within the context of a safe therapeutic relationship can increase your awareness and perception of control over your internal world. Throughout the therapeutic process, you will find your strength, resilience, purpose, and, ultimately, your freedom to shape your external world more effectively.
Many individuals suffer under the heaviness of their anger, sadness, fear, and pain; others battle to feel anything at all. Self-esteem, relationships, or work can suffer when early cognitive, emotional, and behavioral patterns are applied to new situations. Although it may be intimidating, exploring your thoughts, feelings, and experiences within the context of a safe therapeutic relationship can increase your awareness and perception of control over your internal world. Throughout the therapeutic process, you will find your strength, resilience, purpose, and, ultimately, your freedom to shape your external world more effectively.
(657) 325-8635 View (657) 325-8635
Photo of Brittany Pierson, Licensed Clinical Professional Counselor in 63005, MO
Brittany Pierson
Licensed Clinical Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Chesterfield, MO 63005
Waitlist for new clients
Everyone needs help sometimes. We use the resources, strategies, and supports that we have to work through the difficult times in life, but can reach the point where we need something more to face the challenges that we're up against. If you have reached a point where the burden has become too great, know that you're not alone. My goal is to walk with you, offering hope, healing and strategies to face the challenges that you’re up against. You are worthy of more, and there is no better time to seek help.
Everyone needs help sometimes. We use the resources, strategies, and supports that we have to work through the difficult times in life, but can reach the point where we need something more to face the challenges that we're up against. If you have reached a point where the burden has become too great, know that you're not alone. My goal is to walk with you, offering hope, healing and strategies to face the challenges that you’re up against. You are worthy of more, and there is no better time to seek help.
(314) 207-3748 View (314) 207-3748
Photo of Clay Coffee, Marriage & Family Therapist in 63005, MO
Clay Coffee
Marriage & Family Therapist, PhD, MDiv, LMFT, LPC
Verified Verified
1 Endorsed
Chesterfield, MO 63005  (Online Only)
Not accepting new clients
My goal in counseling is to create a safe and collaborative environment in which an individual, couple or family can explore and make sense of how their inner experiences and relationship patterns are either restricting or fostering a greater sense of connection with themselves and others. I specialize in working with couples, adults, families with adult children, clergy or religious professionals impacted by childhood abuse and neglect, grief and loss, underdeveloped communication and conflict resolution skills, spiritual abuse and trauma, anxiety and depression, and divorce and remarriage.
My goal in counseling is to create a safe and collaborative environment in which an individual, couple or family can explore and make sense of how their inner experiences and relationship patterns are either restricting or fostering a greater sense of connection with themselves and others. I specialize in working with couples, adults, families with adult children, clergy or religious professionals impacted by childhood abuse and neglect, grief and loss, underdeveloped communication and conflict resolution skills, spiritual abuse and trauma, anxiety and depression, and divorce and remarriage.
(314) 207-4212 View (314) 207-4212
Photo of Lara Haas in 63005, MO
Lara Haas
LMSW, CPPC
Verified Verified
Chesterfield, MO 63005
Whether you are an individual, parenting pair, or family looking to pursue personal goals, navigate a transition, find greater meaning and joy, help a loved one, improve communication, or strengthen relationships, you've come to the right place! My practice offers life, parent, and relationship coaching for all ages-youth, adolescents, and adults. During my 25+ years in education, social work, and coaching, I have helped hundreds of individuals and families live happier, more fulfilling lives. Coaching is a collaboration, and I can't wait to work with you. So, summon your confidence and motivation and let's get to work!
Whether you are an individual, parenting pair, or family looking to pursue personal goals, navigate a transition, find greater meaning and joy, help a loved one, improve communication, or strengthen relationships, you've come to the right place! My practice offers life, parent, and relationship coaching for all ages-youth, adolescents, and adults. During my 25+ years in education, social work, and coaching, I have helped hundreds of individuals and families live happier, more fulfilling lives. Coaching is a collaboration, and I can't wait to work with you. So, summon your confidence and motivation and let's get to work!
(314) 936-2594 View (314) 936-2594
Photo of Yanet Vanegas, Psychologist in 63005, MO
Yanet Vanegas
Psychologist, PsyD, PMH-C
Verified Verified
Chesterfield, MO 63005  (Online Only)
Dr. Yanet Vanegas is a licensed psychologist trained at Harvard Medical School’s McLean Hospital. She specializes in the treatment of children, adolescents, and perinatal (prenatal and postpartum) women, and uses evidence-based practices to treat depression, anxiety, behavioral problems, ADHD, self-esteem concerns, social anxiety, autism, and social skills deficits. Dr. Vanegas also received extensive training and is a specialist in the treatment of eating disorders and OCD. She owns a private practice, A Secure Base Psychological Service, LLC, in Tampa, FL, and can practice in 39 states.
Dr. Yanet Vanegas is a licensed psychologist trained at Harvard Medical School’s McLean Hospital. She specializes in the treatment of children, adolescents, and perinatal (prenatal and postpartum) women, and uses evidence-based practices to treat depression, anxiety, behavioral problems, ADHD, self-esteem concerns, social anxiety, autism, and social skills deficits. Dr. Vanegas also received extensive training and is a specialist in the treatment of eating disorders and OCD. She owns a private practice, A Secure Base Psychological Service, LLC, in Tampa, FL, and can practice in 39 states.
(412) 538-5764 View (412) 538-5764
Photo of Jaimeson Campbell, Pre-Licensed Professional in 63005, MO
Jaimeson Campbell
Pre-Licensed Professional, PLPC
Verified Verified
Chesterfield, MO 63005  (Online Only)
This isn’t what you expected. You were told parenthood would be a “magical journey” but right now it feels like anything but. Maybe you’re feeling hopeless on your journey through infertility, drowning in grief following a loss, dealing with prenatal anxiety and depression, struggling to cope with experiencing birth trauma, or trying to survive that first year postpartum (because whoever said everything will be hunky dory at 6 weeks was clearly misinformed). I get it and you are not alone.
This isn’t what you expected. You were told parenthood would be a “magical journey” but right now it feels like anything but. Maybe you’re feeling hopeless on your journey through infertility, drowning in grief following a loss, dealing with prenatal anxiety and depression, struggling to cope with experiencing birth trauma, or trying to survive that first year postpartum (because whoever said everything will be hunky dory at 6 weeks was clearly misinformed). I get it and you are not alone.
(636) 238-2725 View (636) 238-2725
Photo of Jocelyn M Flowers, Licensed Professional Counselor in 63005, MO
Jocelyn M Flowers
Licensed Professional Counselor, MA, LPC
Verified Verified
Chesterfield, MO 63005
Are you or your child or teen struggling in life? Do you want to help, but don't know how? Many battle anxiety and depression. Some have to cope with behavior disorders, learning disorders, or autism spectrum disorders. Others have been identified as gifted, but struggle with perfectionism, "debilitating empathy," or social skills. Throughout my career, I've helped hundreds of kids, teens and adults learn the coping skills they need to succeed in life and be happy.Call or e-mail me today to start your, or your child's journey to self-awareness, self-management, and self esteem.
Are you or your child or teen struggling in life? Do you want to help, but don't know how? Many battle anxiety and depression. Some have to cope with behavior disorders, learning disorders, or autism spectrum disorders. Others have been identified as gifted, but struggle with perfectionism, "debilitating empathy," or social skills. Throughout my career, I've helped hundreds of kids, teens and adults learn the coping skills they need to succeed in life and be happy.Call or e-mail me today to start your, or your child's journey to self-awareness, self-management, and self esteem.
(314) 720-4613 View (314) 720-4613
Photo of St. Louis DBT, LLC in 63005, MO
St. Louis DBT, LLC
MSW, LCSW
Verified Verified
2 Endorsed
Chesterfield, MO 63005
Many of the people who work with us are trying to find ways of controlling the emotions swirling around them, but it just feels like trying to grasp at sand in a sandstorm - the particles smacking them in the face, blurring their vision of the world, and causing them to flail about in futile attempts to stop the storm. Emotions similarly can cloud judgment and lead us to lash out in futile attempts to stop the pain. The more we try to control the whipping winds, the more energy we waste. We believe the key to surviving the storm is to accept its existence and skillfully cope with it.
Many of the people who work with us are trying to find ways of controlling the emotions swirling around them, but it just feels like trying to grasp at sand in a sandstorm - the particles smacking them in the face, blurring their vision of the world, and causing them to flail about in futile attempts to stop the storm. Emotions similarly can cloud judgment and lead us to lash out in futile attempts to stop the pain. The more we try to control the whipping winds, the more energy we waste. We believe the key to surviving the storm is to accept its existence and skillfully cope with it.
(314) 375-3665 View (314) 375-3665
Photo of Elizabeth (Lissy) Rand, Licensed Professional Counselor in 63005, MO
Elizabeth (Lissy) Rand
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Chesterfield, MO 63005
As a counselor, I believe that each client is unique, as are their experiences. This belief allows me to work with both individuals and families in a way that is personally tailored to meet their needs. I am honored when I am invited and trusted to work with children, teenagers, adults and entire families through life's ever changing events.
As a counselor, I believe that each client is unique, as are their experiences. This belief allows me to work with both individuals and families in a way that is personally tailored to meet their needs. I am honored when I am invited and trusted to work with children, teenagers, adults and entire families through life's ever changing events.
(314) 742-9680 View (314) 742-9680
Photo of Amy Brown, Clinical Social Work/Therapist in 63005, MO
Amy Brown
Clinical Social Work/Therapist, MSW, LCSW, RPT-S
Verified Verified
3 Endorsed
Chesterfield, MO 63005  (Online Only)
My belief is that no one "needs" counseling, but that everyone deserves it. I have more than 20 years of experience providing individual and family counseling to children, teens, adults, and families. The foundation of my counseling philosophy is that "anyone can overcome anything". I believe strongly that we all have inherent strengths and abilities to overcome life's most difficult challenges.
My belief is that no one "needs" counseling, but that everyone deserves it. I have more than 20 years of experience providing individual and family counseling to children, teens, adults, and families. The foundation of my counseling philosophy is that "anyone can overcome anything". I believe strongly that we all have inherent strengths and abilities to overcome life's most difficult challenges.
View
Photo of Erica Rosen-McGinnis, Clinical Social Work/Therapist in 63005, MO
Erica Rosen-McGinnis
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Chesterfield, MO 63005
I am passionate about connecting with people and providing a safe and confidential space in which you can share your hopes, dreams, and fears. I believe that each person has innate strengths and I feel honored to be able to be a part of your journey towards a more satisfying and healthy life.
I am passionate about connecting with people and providing a safe and confidential space in which you can share your hopes, dreams, and fears. I believe that each person has innate strengths and I feel honored to be able to be a part of your journey towards a more satisfying and healthy life.
(314) 394-8732 View (314) 394-8732
Photo of Ari L. Holtz, Psychologist in 63005, MO
Ari L. Holtz
Psychologist, PhD
Verified Verified
1 Endorsed
Chesterfield, MO 63005  (Online Only)
We all have periods in our lives when we need a place to discuss life's difficulties. Whether you'd like to improve your relationships or mood, you find yourself worrying excessively, you have experienced trauma or abuse, you struggle with eating issues or body image, or you simply want a safe place where you can explore your life, I hope to provide you with a supportive environment in which to talk openly and feel truly heard. I offer a different perspective, challenging insights and practical solutions to aid you in working toward real and significant change in your life.
We all have periods in our lives when we need a place to discuss life's difficulties. Whether you'd like to improve your relationships or mood, you find yourself worrying excessively, you have experienced trauma or abuse, you struggle with eating issues or body image, or you simply want a safe place where you can explore your life, I hope to provide you with a supportive environment in which to talk openly and feel truly heard. I offer a different perspective, challenging insights and practical solutions to aid you in working toward real and significant change in your life.
(636) 542-8994 View (636) 542-8994
Photo of Abbe L Bassin, Clinical Social Work/Therapist in 63005, MO
Abbe L Bassin
Clinical Social Work/Therapist, LCSW, MSW, RYT
Verified Verified
1 Endorsed
Chesterfield, MO 63005
My goal is to help my clients work towards achieving their highest possible state of emotional and physical well-being. My professional training and background include working with adolescents and adults in both short and longer term therapy. I value the diversity and flexibility of a generalist practice. I offer challenging insight with compassion and practical solutions aimed at developing a new awareness and fulfilling life.
My goal is to help my clients work towards achieving their highest possible state of emotional and physical well-being. My professional training and background include working with adolescents and adults in both short and longer term therapy. I value the diversity and flexibility of a generalist practice. I offer challenging insight with compassion and practical solutions aimed at developing a new awareness and fulfilling life.
(844) 937-1774 View (844) 937-1774

How does your Therapist compare?

Number of Therapists in 63005

100+

Average cost per session

$130

Therapists in 63005 who prioritize treating:

99% Anxiety
95% Depression
79% Relationship Issues
76% Self Esteem
69% Life Transitions
68% Stress
67% Grief

Average years in practice

13 Years

Top 3 insurances accepted

90% UnitedHealthcare UHC | UBH
76% Aetna
71% Optum

How Therapists in 63005 see their clients

74% In Person and Online
26% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in 63005?

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.