Therapists in 63144

Photo of Amy Kopp, Licensed Professional Counselor, MS, LPC
Amy Kopp
Licensed Professional Counselor, MS, LPC
6 Endorsed
Saint Louis, MO 63144
I support overworked adults as they find some relief, stressed college students gain balance, and support those in strained relationships at work, with family, or friends, implement boundaries. Before treatment, many of my clients felt emotionally paralyzed, helpless, on edge, exhausted, and that things were unmanageable. I support them as they reflect on what caused them to get to this point and identified ways to move forwar. In therapy, you cannot selectively heal just one area of your life because a positive change in one area directly improves another. I exclusively provide phone and/or video counseling sessions to clients.
I support overworked adults as they find some relief, stressed college students gain balance, and support those in strained relationships at work, with family, or friends, implement boundaries. Before treatment, many of my clients felt emotionally paralyzed, helpless, on edge, exhausted, and that things were unmanageable. I support them as they reflect on what caused them to get to this point and identified ways to move forwar. In therapy, you cannot selectively heal just one area of your life because a positive change in one area directly improves another. I exclusively provide phone and/or video counseling sessions to clients.
(314) 470-4850 View (314) 470-4850
Rebekah Connor
Licensed Professional Counselor, LPC, LCPC
Brentwood, MO 63144
Each of us has a unique history that shapes how we make sense of our inner and outer world. I have over 15 years of experience working in mental health with diverse clients who have a variety of concerns they bring to our relationship. Some of the typical issues that I have helped clients address include depression, anxiety, mania, trauma histories, and substance use. In addition, I have a personal passion working with clients who are exploring their gender identity and/or sexuality. Often because of the concerns that my clients bring up, I help people with life changes, career questions, self-esteem, and relationship issues.
Each of us has a unique history that shapes how we make sense of our inner and outer world. I have over 15 years of experience working in mental health with diverse clients who have a variety of concerns they bring to our relationship. Some of the typical issues that I have helped clients address include depression, anxiety, mania, trauma histories, and substance use. In addition, I have a personal passion working with clients who are exploring their gender identity and/or sexuality. Often because of the concerns that my clients bring up, I help people with life changes, career questions, self-esteem, and relationship issues.
(314) 742-9188 View (314) 742-9188
Photo of Rebecca Barach, Clinical Social Work/Therapist, MEd, MSW, LCSW
Rebecca Barach
Clinical Social Work/Therapist, MEd, MSW, LCSW
1 Endorsed
Brentwood, MO 63144
Are you feeling stuck or overwhelmed by self-defeating behaviors, anxiety, or life challenges? Change can be hard, but you don’t have to navigate it alone. I’m Rebecca, and I help adolescents and adults create lasting transformation through compassion-focused therapy, DBT, and solution-focused techniques. Together, we’ll explore strategies that empower you to break free from patterns that hold you back and build a life of peace, resilience, and fulfillment. Take the first step towards healing today and begin your journey to a brighter tomorrow.
Are you feeling stuck or overwhelmed by self-defeating behaviors, anxiety, or life challenges? Change can be hard, but you don’t have to navigate it alone. I’m Rebecca, and I help adolescents and adults create lasting transformation through compassion-focused therapy, DBT, and solution-focused techniques. Together, we’ll explore strategies that empower you to break free from patterns that hold you back and build a life of peace, resilience, and fulfillment. Take the first step towards healing today and begin your journey to a brighter tomorrow.
(314) 501-6541 View (314) 501-6541
Photo of Madaleine Baker, Counselor, PLPC, MAADC
Madaleine Baker
Counselor, PLPC, MAADC
Brentwood, MO 63144
Many of my clients appear to have it together on the outside while internally struggling with stress, trauma, addiction, relationship conflict, or patterns that leave them feeling stuck and disconnected. I work with individuals and couples seeking meaningful change and healthier ways of coping, communicating, and connecting. My approach is supportive, collaborative, and nonjudgmental. Together, we build insight, improve emotional regulation, process difficult experiences, and develop practical tools that help clients feel more grounded, empowered, and confident moving forward.
Many of my clients appear to have it together on the outside while internally struggling with stress, trauma, addiction, relationship conflict, or patterns that leave them feeling stuck and disconnected. I work with individuals and couples seeking meaningful change and healthier ways of coping, communicating, and connecting. My approach is supportive, collaborative, and nonjudgmental. Together, we build insight, improve emotional regulation, process difficult experiences, and develop practical tools that help clients feel more grounded, empowered, and confident moving forward.
(314) 315-9761 View (314) 315-9761
Photo of Cindy Rousseau, Licensed Professional Counselor, LPC
Cindy Rousseau
Licensed Professional Counselor, LPC
1 Endorsed
Brentwood, MO 63144
My ideal client is anyone who senses something isn’t going well in their life and is ready to take the first step toward change. Whether you know exactly what you want to work on or are unsure where to begin, seeking support is courageous. I help individuals improve their behaviors, develop insight, and strengthen personal or interpersonal relationships, guiding you toward meaningful growth and more fulfilling daily life.
My ideal client is anyone who senses something isn’t going well in their life and is ready to take the first step toward change. Whether you know exactly what you want to work on or are unsure where to begin, seeking support is courageous. I help individuals improve their behaviors, develop insight, and strengthen personal or interpersonal relationships, guiding you toward meaningful growth and more fulfilling daily life.
(314) 970-5837 View (314) 970-5837
Photo of Kelly O'Donnell - Wise Mind Therapy, Clinical Social Work/Therapist, LCSW, CHHC
Wise Mind Therapy
Clinical Social Work/Therapist, LCSW, CHHC
2 Endorsed
Brentwood, MO 63144
Are you struggling to handle stress and anxiety? Do you find yourself turning to food or other substances to comfort yourself? Do you have past trauma that effects your life today? Many people struggle with depression, anxiety, emotional eating and/or substance abuse when they are stressed, unhappy, or have an imbalance in their life. We can help you get control of your life again and come to a place of peace and contentment.
Are you struggling to handle stress and anxiety? Do you find yourself turning to food or other substances to comfort yourself? Do you have past trauma that effects your life today? Many people struggle with depression, anxiety, emotional eating and/or substance abuse when they are stressed, unhappy, or have an imbalance in their life. We can help you get control of your life again and come to a place of peace and contentment.
(314) 403-1798 View (314) 403-1798
Photo of Krystal Schuette, Licensed Professional Counselor, MA, LPC
Krystal Schuette
Licensed Professional Counselor, MA, LPC
3 Endorsed
Saint Louis, MO 63144
Are you struggling because of something that happened in the recent or distant past? Have you experienced something traumatic like abuse, combat, physical violence, rape or robbery? Do you view the world negatively? Have you re-experienced the past or feel like 'it's happening all over again"? Do you avoid things you used to do for fear of being reminded of the past? Do you hate when people bring it up? You may be struggling with trauma triggers.
Are you struggling because of something that happened in the recent or distant past? Have you experienced something traumatic like abuse, combat, physical violence, rape or robbery? Do you view the world negatively? Have you re-experienced the past or feel like 'it's happening all over again"? Do you avoid things you used to do for fear of being reminded of the past? Do you hate when people bring it up? You may be struggling with trauma triggers.
(314) 310-2738 View (314) 310-2738
Photo of Michelle Patton, Counselor, MEd, PLPC, NCC
Michelle Patton
Counselor, MEd, PLPC, NCC
2 Endorsed
Brentwood, MO 63144
Reaching out when you feel disconnected from yourself and others, or when you feel broken or hurt can be scary. You're not alone in that experience. Reading these words might make your heart race because you're used to picking yourself up and doing it all on your own, or because you might have to process something you've been trying to avoid or forget for a long time. Sometimes we need to ask someone to help us. Help us get up, be next to us on the ground until we're ready to sit and stand, or walk beside us into the dark forest we've desperately been trying to go around. That's what I do.
Reaching out when you feel disconnected from yourself and others, or when you feel broken or hurt can be scary. You're not alone in that experience. Reading these words might make your heart race because you're used to picking yourself up and doing it all on your own, or because you might have to process something you've been trying to avoid or forget for a long time. Sometimes we need to ask someone to help us. Help us get up, be next to us on the ground until we're ready to sit and stand, or walk beside us into the dark forest we've desperately been trying to go around. That's what I do.
(314) 689-3828 View (314) 689-3828
Photo of Jessica Kay Dowling, Licensed Professional Counselor, MEd, LPC, NCC
Jessica Kay Dowling
Licensed Professional Counselor, MEd, LPC, NCC
11 Endorsed
Saint Louis, MO 63144
When life demands too much from you, are you kind to yourself? Do you feel ashamed or angry, like you’re being consumed by a critical voice? Do you feel lost or that life isn’t fulfilling? Do you feel like something needs to be different but are unsure of where to begin? Together we can start to untangle your past, make meaning out of your struggles, and embark on the process of change. The psychodynamic approach is depth-oriented allowing all the aspects of you to have a voice, be understood, and grow in unison. I strive to create a space that allows for a nuanced understanding of yourself.
When life demands too much from you, are you kind to yourself? Do you feel ashamed or angry, like you’re being consumed by a critical voice? Do you feel lost or that life isn’t fulfilling? Do you feel like something needs to be different but are unsure of where to begin? Together we can start to untangle your past, make meaning out of your struggles, and embark on the process of change. The psychodynamic approach is depth-oriented allowing all the aspects of you to have a voice, be understood, and grow in unison. I strive to create a space that allows for a nuanced understanding of yourself.
(314) 626-8906 View (314) 626-8906
Photo of Marla Liberman, Psychologist, PhD
Marla Liberman
Psychologist, PhD
1 Endorsed
Saint Louis, MO 63144
Clinical Psychologist: KNOWLEDGEABLE, COMPASSIONATE, POSITIVE, HELPFUL...Working at Hawthorn Children's Psychiatric Hospital and in private practice more than 20 years, my diagnostic and treatment services for youth, adults, couples and families are enriched by the knowledge, skills, judgment and wisdom cultivated and honed through experience (10,000 hours- four times over). Clinical supervision of Pre-doctoral Psychology Interns (http://www.umsl.edu/slpic/) helps keep me current. As a clinician, in addition to therapist and diagnostician, I may function as educator, consultant, coach and sometimes-- cheerleader. Schedule a consultation; let's find out how I may be helpful to you.
Clinical Psychologist: KNOWLEDGEABLE, COMPASSIONATE, POSITIVE, HELPFUL...Working at Hawthorn Children's Psychiatric Hospital and in private practice more than 20 years, my diagnostic and treatment services for youth, adults, couples and families are enriched by the knowledge, skills, judgment and wisdom cultivated and honed through experience (10,000 hours- four times over). Clinical supervision of Pre-doctoral Psychology Interns (http://www.umsl.edu/slpic/) helps keep me current. As a clinician, in addition to therapist and diagnostician, I may function as educator, consultant, coach and sometimes-- cheerleader. Schedule a consultation; let's find out how I may be helpful to you.
(314) 266-0801 View (314) 266-0801
Photo of Chelsea Davis, Clinical Social Work/Therapist, LCSW
Chelsea Davis
Clinical Social Work/Therapist, LCSW
1 Endorsed
Brentwood, MO 63144
Life can be overwhelming, especially when navigating childhood trauma, family struggles, or personal growth. Whether you're a child, adolescent, young adult, or family, I'm here to help. As a Licensed Clinical Social Worker and Registered Play Therapist, I specialize in trauma-informed care, focusing on parent-child relationships, emotion regulation, and communication. Using CBT, DBT, Play Therapy, DDP, and ARC, I offer personalized support to build resilience, foster growth, and create positive change. Let's work together on your journey to healing and transformation.
Life can be overwhelming, especially when navigating childhood trauma, family struggles, or personal growth. Whether you're a child, adolescent, young adult, or family, I'm here to help. As a Licensed Clinical Social Worker and Registered Play Therapist, I specialize in trauma-informed care, focusing on parent-child relationships, emotion regulation, and communication. Using CBT, DBT, Play Therapy, DDP, and ARC, I offer personalized support to build resilience, foster growth, and create positive change. Let's work together on your journey to healing and transformation.
(314) 742-7082 View (314) 742-7082
Photo of Madison Crowell, Pre-Licensed Professional, MA, PLPC
Madison Crowell
Pre-Licensed Professional, MA, PLPC
Brentwood, MO 63144
Welcome. Something brought you here — maybe your child’s behavior, a teen’s big feelings, your own stress or anxiety, or changes in your relationships or identity. I work with children, teens, adults, couples, and families, offering a supportive space to slow down, be curious, and foster a deeper connection with oneself.
Welcome. Something brought you here — maybe your child’s behavior, a teen’s big feelings, your own stress or anxiety, or changes in your relationships or identity. I work with children, teens, adults, couples, and families, offering a supportive space to slow down, be curious, and foster a deeper connection with oneself.
(314) 248-3855 View (314) 248-3855
Photo of Laura Adamgbo, Licensed Professional Counselor, MA, LPC, NCC, RPT-S
Laura Adamgbo
Licensed Professional Counselor, MA, LPC, NCC, RPT-S
6 Endorsed
Brentwood, MO 63144
Are you going through a major change in your life? Divorce, remarriage, blending a family, new job, new baby? Have you hit a road block in your career? Is anxiety keeping you from living an enriching lifestyle? Do you have unresolved trauma? Do you have a difficult to manage child? I can help you with these sudden roadblocks. During these transitional phases of life, we need a support system to help us gain strength, resilience and maintain a healthy living. I use EMDR, Cognitive Behavior Therapy (CBT) in working with adult clients and play therapy with my child clients. I act as an advocate, sounding board and gentle challenger.
Are you going through a major change in your life? Divorce, remarriage, blending a family, new job, new baby? Have you hit a road block in your career? Is anxiety keeping you from living an enriching lifestyle? Do you have unresolved trauma? Do you have a difficult to manage child? I can help you with these sudden roadblocks. During these transitional phases of life, we need a support system to help us gain strength, resilience and maintain a healthy living. I use EMDR, Cognitive Behavior Therapy (CBT) in working with adult clients and play therapy with my child clients. I act as an advocate, sounding board and gentle challenger.
(314) 925-1850 View (314) 925-1850
Photo of Ayelet Gottesman, Psychologist, PsyD
Ayelet Gottesman
Psychologist, PsyD
1 Endorsed
Saint Louis, MO 63144
My approach to therapy stems from the belief that feeling truly seen and understood is a basic human need. I aim to provide a safe and reflective space where you can bring your whole self without fear of judgment. We will work together in a collaborative process to understand your unique experiences and how they've impacted you, figure out where you may be stuck, and help you take back the reins. I work with people, not diagnoses, and take a strengths-based approach to help individuals of all ages gain self-awareness, curiosity, inspiration and hope.
My approach to therapy stems from the belief that feeling truly seen and understood is a basic human need. I aim to provide a safe and reflective space where you can bring your whole self without fear of judgment. We will work together in a collaborative process to understand your unique experiences and how they've impacted you, figure out where you may be stuck, and help you take back the reins. I work with people, not diagnoses, and take a strengths-based approach to help individuals of all ages gain self-awareness, curiosity, inspiration and hope.
(314) 671-0714 View (314) 671-0714
Photo of Sarah Wightman
Sarah Wightman
Verified Verified
Brentwood, MO 63144
As a proud member of Upaya Counseling, LLC, I want to first say congratulations on taking the first step of your journey! I am passionate about meeting people from all walks of life where they are and working towards their goals. You can expect a client-centered, highly validating approach balanced with a focus on the changes you want to make. I value enhancing your abilities to advocate for yourself and commit to establishing a strong alliance that fosters a desire for collaboration.
As a proud member of Upaya Counseling, LLC, I want to first say congratulations on taking the first step of your journey! I am passionate about meeting people from all walks of life where they are and working towards their goals. You can expect a client-centered, highly validating approach balanced with a focus on the changes you want to make. I value enhancing your abilities to advocate for yourself and commit to establishing a strong alliance that fosters a desire for collaboration.
(314) 912-0791 View (314) 912-0791
Photo of Maria von Stamwitz, Pre-Licensed Professional, PLPC
Maria von Stamwitz
Pre-Licensed Professional, PLPC
1 Endorsed
Brentwood, MO 63144
As an adult, do you struggle with interpersonal relationships? Feel hopeless in your job, a lack of direction and purpose in your career? Are you experiencing difficulty transitioning out of a relationship or entering a new phase of life with grief? I can help you with these anxiety and adjustment related concerns. Do you have a child that struggles with social anxiety, school behavior problems and impulsive behaviors? Do you suspect your child might have a high functioning Autism? I am passionate about working with young children who struggle with these concerns.
As an adult, do you struggle with interpersonal relationships? Feel hopeless in your job, a lack of direction and purpose in your career? Are you experiencing difficulty transitioning out of a relationship or entering a new phase of life with grief? I can help you with these anxiety and adjustment related concerns. Do you have a child that struggles with social anxiety, school behavior problems and impulsive behaviors? Do you suspect your child might have a high functioning Autism? I am passionate about working with young children who struggle with these concerns.
(314) 947-6742 View (314) 947-6742
Photo of Jennifer S Lyons, Counselor, MA, PLPC
Jennifer S Lyons
Counselor, MA, PLPC
2 Endorsed
Saint Louis, MO 63144
Hey, life can be really hard and if you're here to find a better way - you've taken the first step! Therapy is work and change, no matter how much we know we need to, can feel like walking in wet cement. My goal is to help you align your actions with how you envision your life. And maybe even uncover a new vision . . or two. It may sound simple, but if you are sick and tired of being sick and tired- I am here to help you.
Hey, life can be really hard and if you're here to find a better way - you've taken the first step! Therapy is work and change, no matter how much we know we need to, can feel like walking in wet cement. My goal is to help you align your actions with how you envision your life. And maybe even uncover a new vision . . or two. It may sound simple, but if you are sick and tired of being sick and tired- I am here to help you.
(314) 912-2365 View (314) 912-2365
Photo of Monica Uthlaut, Clinical Social Work/Therapist, LCSW, CCTP
Monica Uthlaut
Clinical Social Work/Therapist, LCSW, CCTP
2 Endorsed
Saint Louis, MO 63144
At Mind Body Integration, I offer Somatic Psychotherapy and Somatic EMDR to individuals, groups, and organizations. I work with what western medicine labels as anxiety, depression, ptsd/c-ptsd, etc, when in actuality, the underlying issue is nervous system dysregulation due to emotion suppression and inflammation. Addressing the root issue will facilitate healing your entire system to achieve mind-body connection, resulting in more moments of peace and calm overall. Deep inner work can bring more clarity and resolution to your dilemmas, and increased presence so you can access the truth that already exists inside of you.
At Mind Body Integration, I offer Somatic Psychotherapy and Somatic EMDR to individuals, groups, and organizations. I work with what western medicine labels as anxiety, depression, ptsd/c-ptsd, etc, when in actuality, the underlying issue is nervous system dysregulation due to emotion suppression and inflammation. Addressing the root issue will facilitate healing your entire system to achieve mind-body connection, resulting in more moments of peace and calm overall. Deep inner work can bring more clarity and resolution to your dilemmas, and increased presence so you can access the truth that already exists inside of you.
(314) 310-3429 View (314) 310-3429
Photo of Ashley Meyer, Licensed Professional Counselor, LPC
Ashley Meyer
Licensed Professional Counselor, LPC
Brentwood, MO 63144
My ideal clients are children and adolescents struggling with anxiety, depression, behavioral issues, trauma, or challenges in social or academic settings. I help them build resilience, improve emotional regulation, and discover their strengths. Together, we work on increasing self-confidence, developing healthier coping skills, and overcoming obstacles to help them thrive.
My ideal clients are children and adolescents struggling with anxiety, depression, behavioral issues, trauma, or challenges in social or academic settings. I help them build resilience, improve emotional regulation, and discover their strengths. Together, we work on increasing self-confidence, developing healthier coping skills, and overcoming obstacles to help them thrive.
(314) 463-4470 View (314) 463-4470
Photo of Brooke Kelly, Licensed Professional Counselor, LPC
Brooke Kelly
Licensed Professional Counselor, LPC
1 Endorsed
Brentwood, MO 63144
My ideal clients are women and adolescents facing anxiety, depression, life transitions, and trauma. You may be struggling with stress, major life changes, or seeking healthy coping mechanisms. You want compassionate support, practical strategies, and a safe space for growth. Your goals include building resilience, improving mental health, and finding balance. You value creative, evidence-based approaches and a therapist who fosters authenticity, compassion, and acceptance throughout your journey. Ready to start your healing? Let's work together to create meaningful change.
My ideal clients are women and adolescents facing anxiety, depression, life transitions, and trauma. You may be struggling with stress, major life changes, or seeking healthy coping mechanisms. You want compassionate support, practical strategies, and a safe space for growth. Your goals include building resilience, improving mental health, and finding balance. You value creative, evidence-based approaches and a therapist who fosters authenticity, compassion, and acceptance throughout your journey. Ready to start your healing? Let's work together to create meaningful change.
(636) 422-5586 View (636) 422-5586

See more therapy options for 63144

How does your Therapist compare?

Number of Therapists in 63144

90+

Average cost per session

$150

Therapists in 63144 who prioritize treating:

98% Anxiety
98% Social Anxiety
98% Health Anxiety
98% Driving Anxiety
93% Depression
84% Life Transitions
82% Self Esteem

Average years in practice

12 Years

Top 3 insurances accepted

91% Aetna
82% Cigna and Evernorth
76% UnitedHealthcare UHC | UBH

How Therapists in 63144 see their clients

81% In Person and Online
19% Online Only

Gender breakdown

91% Female
8% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 63144?

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.