Photo of Megan Hickman - Breathe Wellness and Counseling, LLC, LCSW, Clinical Social Work/Therapist
Breathe Wellness and Counseling, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Little Elm, TX 75068
I have a passion to help others create the best version of themselves. I have been a social worker for 15 years and have worked with multiple diverse populations in non profit settings, medical and behavioral health hospitals and private clinics. Life can be overwhelming so I utilize a holistic approach to view many aspects of life and their impact.
I have a passion to help others create the best version of themselves. I have been a social worker for 15 years and have worked with multiple diverse populations in non profit settings, medical and behavioral health hospitals and private clinics. Life can be overwhelming so I utilize a holistic approach to view many aspects of life and their impact.
(469) 970-5895 View (469) 970-5895
Photo of Shannon LaDawn McGaugh, MA, LMFT, Pre-Licensed Professional
Shannon LaDawn McGaugh
Pre-Licensed Professional, MA, LMFT
Verified Verified
1 Endorsed
Little Elm, TX 75068
Namaste.. I acknowledge the divine in me and I look forward to meeting the divine in you. I have been in this field for over 13 years and enjoy every new pathway that you may bring to my life. We can research new pathways together.. Life is a very difficult challenge for all of us..may we take haste in exploring the more pleasant aspects that life offers to each of us. No matter what you maybe facing in life believe that within you is the power to overcome or make changes .. I am trained in many lines of counseling and will not turn anyone away who is willing to seek deeper in their soul with direction to transform their life.
Namaste.. I acknowledge the divine in me and I look forward to meeting the divine in you. I have been in this field for over 13 years and enjoy every new pathway that you may bring to my life. We can research new pathways together.. Life is a very difficult challenge for all of us..may we take haste in exploring the more pleasant aspects that life offers to each of us. No matter what you maybe facing in life believe that within you is the power to overcome or make changes .. I am trained in many lines of counseling and will not turn anyone away who is willing to seek deeper in their soul with direction to transform their life.
(469) 871-8082 View (469) 871-8082
Photo of Theresa Tran, MS, LPC-A, NCC
Theresa Tran
Licensed Professional Counselor Associate, MS, LPC-A, NCC
Verified Verified
1 Endorsed
Little Elm, TX 75068
Theresa Tran is a Licensed Professional Counselor Associate supervised by Reese Seigler, LPC-Supervisor. She completed her Bachelor’s degree in Human Development and Family Sciences at the University of North Texas where she also earned her Master’s degree in Clinical Mental Health Counseling. During her program at the University of North Texas, Theresa specialized in Play Therapy while also participating in the Bilingual and Trauma Informed Integrated Care Project which focused on enhancing culturally sensitive mental health services to bilingual and minority populations.
Theresa Tran is a Licensed Professional Counselor Associate supervised by Reese Seigler, LPC-Supervisor. She completed her Bachelor’s degree in Human Development and Family Sciences at the University of North Texas where she also earned her Master’s degree in Clinical Mental Health Counseling. During her program at the University of North Texas, Theresa specialized in Play Therapy while also participating in the Bilingual and Trauma Informed Integrated Care Project which focused on enhancing culturally sensitive mental health services to bilingual and minority populations.
(469) 273-1426 View (469) 273-1426
Photo of Christi Perez, LCSW, Clinical Social Work/Therapist
Christi Perez
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Online Only
Life is hard and full of challenges, we all need some outside supports at different stages in our life. It is not always easy to be open and vulnerable to those people within our inner circle and that can feel lonely and isolating. A trusting therapeutic relationship can provide you the space and freedom many people need to be their true authentic self, to say what they have been holding in, and know they will be accepted through it all. I strive to create an atmosphere where each client can feel seen, heard, validated and celebrated for who they are. We are all worthy of this. Your story makes you uniquely you.
Life is hard and full of challenges, we all need some outside supports at different stages in our life. It is not always easy to be open and vulnerable to those people within our inner circle and that can feel lonely and isolating. A trusting therapeutic relationship can provide you the space and freedom many people need to be their true authentic self, to say what they have been holding in, and know they will be accepted through it all. I strive to create an atmosphere where each client can feel seen, heard, validated and celebrated for who they are. We are all worthy of this. Your story makes you uniquely you.
(214) 427-0098 View (214) 427-0098
Photo of Quenla McGilber, MS, LPC, Licensed Professional Counselor
Quenla McGilber
Licensed Professional Counselor, MS, LPC
Verified Verified
Online Only
Hello and Welcome! Making the first step to sign up for therapy takes courage and compassion and I am so proud of you for getting started. You will be glad you did! I am a Licensed Professional Counselor in Texas with close to 14 years of professional work experience, I earned my Master’s Degree in Clinical Mental Health from Fort Hays State University. I have experience in helping clients with stress and anxiety, relationship issues, trauma and abuse, depression and gaining motivation to move forward from old belief systems and feelings of being trapped.
Hello and Welcome! Making the first step to sign up for therapy takes courage and compassion and I am so proud of you for getting started. You will be glad you did! I am a Licensed Professional Counselor in Texas with close to 14 years of professional work experience, I earned my Master’s Degree in Clinical Mental Health from Fort Hays State University. I have experience in helping clients with stress and anxiety, relationship issues, trauma and abuse, depression and gaining motivation to move forward from old belief systems and feelings of being trapped.
(469) 809-2530 View (469) 809-2530
Photo of Bianca Milliern, LPC, Licensed Professional Counselor
Bianca Milliern
Licensed Professional Counselor, LPC
Verified Verified
Little Elm, TX 75068
I’m Bianca Milliern, an LPC with 12 years of experience helping individuals & families navigate family conflict, divorce, coping skills, mental stress, behavioral issues, life transitions, depression, & anxiety. My passion for psychology & understanding the human condition began after I emigrated from South Africa to the U.S., and I’m dedicated to guiding others on their unique wellness journeys. My ideal client is ready to start healing and values a collaborative, respectful therapeutic relationship. While many come to therapy to address pain, wellness is a journey worth embarking on at any age or stage of life.
I’m Bianca Milliern, an LPC with 12 years of experience helping individuals & families navigate family conflict, divorce, coping skills, mental stress, behavioral issues, life transitions, depression, & anxiety. My passion for psychology & understanding the human condition began after I emigrated from South Africa to the U.S., and I’m dedicated to guiding others on their unique wellness journeys. My ideal client is ready to start healing and values a collaborative, respectful therapeutic relationship. While many come to therapy to address pain, wellness is a journey worth embarking on at any age or stage of life.
(855) 303-0225 View (855) 303-0225
Photo of Dalesa C Martinez - Inspired & Free, PhD, LMFT, Marriage & Family Therapist
Inspired & Free
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Oak Point, TX 75068
At Inspired & Free, the goal is to help clients to become to the best versions of themselves. We help you to uncover the mental and emotional blocks that prevent you from manifesting the life that you truly deserve, in all areas of your life. We help you "take off the mask", uncovering your authentic self. A diverse & inclusive therapy practice dedicated to supporting you on your journey to well-being, our team consists entirely of therapists of color, bringing a wealth of personal & professional experience to address your unique needs. Our therapists are experienced professionals who understand your unique challenges.
At Inspired & Free, the goal is to help clients to become to the best versions of themselves. We help you to uncover the mental and emotional blocks that prevent you from manifesting the life that you truly deserve, in all areas of your life. We help you "take off the mask", uncovering your authentic self. A diverse & inclusive therapy practice dedicated to supporting you on your journey to well-being, our team consists entirely of therapists of color, bringing a wealth of personal & professional experience to address your unique needs. Our therapists are experienced professionals who understand your unique challenges.
(469) 718-5528 View (469) 718-5528
Photo of Victoria Nobriga, MA, LPC A
Victoria Nobriga
Licensed Professional Counselor Associate, MA, LPC A
Verified Verified
Online Only
Victoria is a compassionate and dedicated therapist with experience in trauma-informed therapy and substance use disorders. Her experience has been instrumental in guiding individuals through the complexities of trauma recovery and addiction treatment. Victoria utilizes evidence-based therapies such as Cognitive Behavioral Therapy (CBT) and Motivation Interviewing to empower clients on their healing journey. She prioritizes creating a safe, non-judgmental space where clients can explore their experiences and develop effective coping strategies.
Victoria is a compassionate and dedicated therapist with experience in trauma-informed therapy and substance use disorders. Her experience has been instrumental in guiding individuals through the complexities of trauma recovery and addiction treatment. Victoria utilizes evidence-based therapies such as Cognitive Behavioral Therapy (CBT) and Motivation Interviewing to empower clients on their healing journey. She prioritizes creating a safe, non-judgmental space where clients can explore their experiences and develop effective coping strategies.
(469) 652-8338 View (469) 652-8338
Photo of Hannah Kearns, MS, LPC, NCC, Licensed Professional Counselor
Hannah Kearns
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Online Only
Hannah Kearns is an LPC at Mended Soul Counseling Services. She is NCC certified. Hannah graduated with her bachelor's degree in Integrative Studies, focusing on the fields of Counseling, Psychology, and Speech-Language Pathology, and her master's in Clinical Mental Health Counseling. She loves to work with teenagers, adults, depression, anxiety, ADHD, and those struggling to find their purpose in life.
Hannah Kearns is an LPC at Mended Soul Counseling Services. She is NCC certified. Hannah graduated with her bachelor's degree in Integrative Studies, focusing on the fields of Counseling, Psychology, and Speech-Language Pathology, and her master's in Clinical Mental Health Counseling. She loves to work with teenagers, adults, depression, anxiety, ADHD, and those struggling to find their purpose in life.
(972) 435-7946 x1 View (972) 435-7946 x1
Photo of Joy Lee, LPC-A
Joy Lee
Licensed Professional Counselor Associate, LPC-A
Verified Verified
1 Endorsed
Little Elm, TX 75068
I am passionate about working with children, adolescents, couples, and families to help them grow mentally, emotionally, and spiritually. Throughout my counseling practice, I have worked with different populations on topics including stress, trauma, depression, anxiety, shame, guilt, grief, self-esteem, values, identity, anger management, emotions, relationships, and communication skills. My greatest interest lies in the individual’s well-being. As a counselor, I facilitate a safe environment for exploration, support, and discovering internal and external strengths and resources to overcome challenges.
I am passionate about working with children, adolescents, couples, and families to help them grow mentally, emotionally, and spiritually. Throughout my counseling practice, I have worked with different populations on topics including stress, trauma, depression, anxiety, shame, guilt, grief, self-esteem, values, identity, anger management, emotions, relationships, and communication skills. My greatest interest lies in the individual’s well-being. As a counselor, I facilitate a safe environment for exploration, support, and discovering internal and external strengths and resources to overcome challenges.
(346) 440-1800 View (346) 440-1800
Photo of Uzma Janjua - Kids Belong Counseling LLC , BSc , LPC-S, YT200, Licensed Professional Counselor
Kids Belong Counseling LLC
Licensed Professional Counselor, BSc , LPC-S, YT200
Verified Verified
Little Elm, TX 75068
Kids Belong Counseling help clients of all ages from children (3 yrs- teenagers) to adults. We also help couples, families and marriage counseling. Our therapist have over 20 years of experience helping our clients. We believe in using many different expressive interventions in therapy, which include art, movement, yoga and mindfulness. Talk therapy alone at times is not enough to promote healing and growth and, more importantly; self-awareness. We respond to all request within 48 hours if not sooner. Please reach out to us, we welcome you!
Kids Belong Counseling help clients of all ages from children (3 yrs- teenagers) to adults. We also help couples, families and marriage counseling. Our therapist have over 20 years of experience helping our clients. We believe in using many different expressive interventions in therapy, which include art, movement, yoga and mindfulness. Talk therapy alone at times is not enough to promote healing and growth and, more importantly; self-awareness. We respond to all request within 48 hours if not sooner. Please reach out to us, we welcome you!
(972) 736-9410 View (972) 736-9410
Photo of Lindsey Grela, MA, LPC, Licensed Professional Counselor
Lindsey Grela
Licensed Professional Counselor, MA, LPC
Verified Verified
Little Elm, TX 75068
Lindsey has experience working in a domestic violence outreach center, a community health crisis center, and a behavioral day treatment program for children and adolescents. As a part of her experience, Lindsey has worked with children and adults struggling with a variety of concerns, including, but not limited to: Post-Traumatic Stress Disorder (PTSD), Abuse, Trauma, Anxiety, Depression, Bipolar disorder, Grief, Relationship Concerns, and Personal Identity.
Lindsey has experience working in a domestic violence outreach center, a community health crisis center, and a behavioral day treatment program for children and adolescents. As a part of her experience, Lindsey has worked with children and adults struggling with a variety of concerns, including, but not limited to: Post-Traumatic Stress Disorder (PTSD), Abuse, Trauma, Anxiety, Depression, Bipolar disorder, Grief, Relationship Concerns, and Personal Identity.
(214) 225-2751 View (214) 225-2751
Photo of Ariel Burns - Thriveworks Counseling & Psychiatry Little Elm, Licensed Professional Counselor
Thriveworks Counseling & Psychiatry Little Elm
Licensed Professional Counselor
Verified Verified
Little Elm, TX 75068
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
(469) 809-1361 View (469) 809-1361
Photo of Shahidrah R Cowgill, PhD(c), LPC-S, NCC, Licensed Professional Counselor
Shahidrah R Cowgill
Licensed Professional Counselor, PhD(c), LPC-S, NCC
Verified Verified
2 Endorsed
Little Elm, TX 75068
Learn how you can get reconnected and stop feeling angry, alone, inadequate, broken and misunderstood. There is HOPE! I strive to create a genuine, nonjudgmental, safe, and collaborative relationship with my clients. In a comfortable environment, I offer intensive and concierge support to help each client navigate the terrain of their recuperation and recovery journey. Within the therapeutic relationship, clients learn ways to improve their interpersonal relationships, increase emotional health and, well-being and effectively address personal life challenges.
Learn how you can get reconnected and stop feeling angry, alone, inadequate, broken and misunderstood. There is HOPE! I strive to create a genuine, nonjudgmental, safe, and collaborative relationship with my clients. In a comfortable environment, I offer intensive and concierge support to help each client navigate the terrain of their recuperation and recovery journey. Within the therapeutic relationship, clients learn ways to improve their interpersonal relationships, increase emotional health and, well-being and effectively address personal life challenges.
(214) 326-0556 x102 View (214) 326-0556 x102
Photo of Alicia Kwande, LCSW, Clinical Social Work/Therapist
Alicia Kwande
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Online Only
Hi, I'm a Licensed Clinical Social Worker (LCSW) licensed in Texas and Colorado.
Hi, I'm a Licensed Clinical Social Worker (LCSW) licensed in Texas and Colorado.
(469) 871-8217 View (469) 871-8217
Photo of Briana Rayford, LCSW, LCDC, Clinical Social Work/Therapist
Briana Rayford
Clinical Social Work/Therapist, LCSW, LCDC
Verified Verified
Online Only
I'm a Licensed Clinical Social Worker (LCSW) and Licensed Chemical Dependency Counselor (LCDC) with 9 years of experience in the mental health field. Currently licensed to practice in the state of Texas.
I'm a Licensed Clinical Social Worker (LCSW) and Licensed Chemical Dependency Counselor (LCDC) with 9 years of experience in the mental health field. Currently licensed to practice in the state of Texas.
(469) 297-9692 View (469) 297-9692
Photo of Abby Goebel, MA, LPC-A
Abby Goebel
Licensed Professional Counselor Associate , MA, LPC-A
Verified Verified
Little Elm, TX 75068
Abby Goebel, Licensed Professional Counselor - Associate, a graduate of Dallas Baptist University, understands the profound impact of a positive therapeutic relationship. She recognizes that building trust is essential for creating a safe and respectful environment where clients can truly feel heard. By emphasizing collaboration and understanding, Abby supports her clients in making meaningful, lasting changes. Her passion is to empower individuals to realize their fullest potential and uncover their inner strength, guiding them on their journey to become the best version of themselves. Abby is supervised by Lindsey Grela, Licensed.
Abby Goebel, Licensed Professional Counselor - Associate, a graduate of Dallas Baptist University, understands the profound impact of a positive therapeutic relationship. She recognizes that building trust is essential for creating a safe and respectful environment where clients can truly feel heard. By emphasizing collaboration and understanding, Abby supports her clients in making meaningful, lasting changes. Her passion is to empower individuals to realize their fullest potential and uncover their inner strength, guiding them on their journey to become the best version of themselves. Abby is supervised by Lindsey Grela, Licensed.
(469) 218-6768 View (469) 218-6768
Photo of Janet Worley, MEd, LMFT-A, Marriage & Family Therapist Associate
Janet Worley
Marriage & Family Therapist Associate, MEd, LMFT-A
Verified Verified
Oak Point, TX 75068
Struggling to form real-life connections in a world full of online interactions? Past hurts, feelings of inadequacy, or life's challenges can leave you feeling lonely and disconnected. I understand how your physical, social, spiritual, cultural, and family experiences shape who you are—and that everyone deserves meaningful, fulfilling relationships. My goal is to help you explore how these aspects of your life are connected and essential to your well-being. Together, we’ll nurture them so you can build the relationships and fulfillment you truly desire. Let's start your journey toward deeper connection and happiness!
Struggling to form real-life connections in a world full of online interactions? Past hurts, feelings of inadequacy, or life's challenges can leave you feeling lonely and disconnected. I understand how your physical, social, spiritual, cultural, and family experiences shape who you are—and that everyone deserves meaningful, fulfilling relationships. My goal is to help you explore how these aspects of your life are connected and essential to your well-being. Together, we’ll nurture them so you can build the relationships and fulfillment you truly desire. Let's start your journey toward deeper connection and happiness!
(972) 846-4412 View (972) 846-4412
Photo of Amanda Goertz, MEd, LPC-A
Amanda Goertz
LPC Associate, MEd, LPC-A
Verified Verified
1 Endorsed
Little Elm, TX 75068
I am passionate about working with children, adolescents, and their families as they learn to navigate life. I have worked with individuals who struggle with anxiety, depression, emotional regulation, and learning how to cope with life transitions. I also have experience conducting child-centered play therapy sessions with youth between the ages of 3 and 17. From my background of growing up in a small town, I learned to understand the importance of connection with others and hearing one's story by stepping into their own world. I believe all people should have the opportunity to be understood, heard, valued, and accepted.
I am passionate about working with children, adolescents, and their families as they learn to navigate life. I have worked with individuals who struggle with anxiety, depression, emotional regulation, and learning how to cope with life transitions. I also have experience conducting child-centered play therapy sessions with youth between the ages of 3 and 17. From my background of growing up in a small town, I learned to understand the importance of connection with others and hearing one's story by stepping into their own world. I believe all people should have the opportunity to be understood, heard, valued, and accepted.
(469) 901-7540 View (469) 901-7540
Photo of Sarah Brown, MA, LPC, Licensed Professional Counselor
Sarah Brown
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Online Only
I specialize in working with teens and young adults. I have always enjoyed working with this age group. Being a teenager is such an important time of one’s life and there are so many decisions to made. I have worked with young men and women for the last 16 years and love the opportunity to walk along their journey with them. During your teen and young adult years there are so many pressures: relationships, friendships, school, parents, your future, social pressures at school, exposure to substances, and figuring out who you want to be. I truly enjoy being part of the process when a young person finds themself.
I specialize in working with teens and young adults. I have always enjoyed working with this age group. Being a teenager is such an important time of one’s life and there are so many decisions to made. I have worked with young men and women for the last 16 years and love the opportunity to walk along their journey with them. During your teen and young adult years there are so many pressures: relationships, friendships, school, parents, your future, social pressures at school, exposure to substances, and figuring out who you want to be. I truly enjoy being part of the process when a young person finds themself.
(972) 947-5804 View (972) 947-5804
1

How does your Therapist compare?

Number of Therapists in 75068

100+

Average cost per session

$130

Therapists in 75068 who prioritize treating:

96% Anxiety
95% Depression
78% Relationship Issues
77% Coping Skills
74% Self Esteem
74% Stress
69% Grief

Average years in practice

10 Years

Top 3 insurances accepted

81% Cigna and Evernorth
79% BlueCross and BlueShield
77% Aetna

How Therapists in 75068 see their clients

77% In Person and Online
23% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 75068?

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.