Photo of Angel Palacios, Clinical Social Work/Therapist in 77020, TX
Angel Palacios
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Houston, TX 77020  (Online Only)
My ideal client is someone that can envision a better life and existence, and is willing to actively and persistently collaborate to work towards actualizing the goals they believe will enhance their mindset, their daily experience, and ultimately their quality of life. A willingness to discuss how they perceive and experience their issues will lead to a deeper understanding of root causes, actual needs, and the Self, which in turn will shift perspectives and transform personal narratives. Problems and needs become challenges met with action (via daily practice) that establish new behavioral patterns designed to achieve their goals.
My ideal client is someone that can envision a better life and existence, and is willing to actively and persistently collaborate to work towards actualizing the goals they believe will enhance their mindset, their daily experience, and ultimately their quality of life. A willingness to discuss how they perceive and experience their issues will lead to a deeper understanding of root causes, actual needs, and the Self, which in turn will shift perspectives and transform personal narratives. Problems and needs become challenges met with action (via daily practice) that establish new behavioral patterns designed to achieve their goals.
(832) 937-9848 View (832) 937-9848
Photo of Shartazia Warren, Clinical Social Work/Therapist in 77020, TX
Shartazia Warren
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77020  (Online Only)
Starting therapy can be intimidating but you are taking the first steps by seeking help. Whether you are looking for support navigating life challenges or wanting to develop new skills, you have come to the right place! Everyone deserves a safe space to openly express themselves without fear of judgment; and as a therapist trained in Accelerated Resolution Therapy (ART), Cognitive Behavioral Therapy (CBT), Play Therapy, etc., I am prepared to accompany you on your personal path.
Starting therapy can be intimidating but you are taking the first steps by seeking help. Whether you are looking for support navigating life challenges or wanting to develop new skills, you have come to the right place! Everyone deserves a safe space to openly express themselves without fear of judgment; and as a therapist trained in Accelerated Resolution Therapy (ART), Cognitive Behavioral Therapy (CBT), Play Therapy, etc., I am prepared to accompany you on your personal path.
(281) 666-2816 View (281) 666-2816
Photo of Amy-Noelle Shih, Licensed Professional Counselor in 77020, TX
Amy-Noelle Shih
Licensed Professional Counselor, MA, LPC, PLLC
Verified Verified
Houston, TX 77020
Hi, my name is Amy-Noelle. I am a relationship therapist and life coach. I have almost 15 years of experience working with couples. I help couples resolve the real issues and pain that drive a wedge in their relationship. I usually can know the health of couples' relationships just by looking at whether and how often they get into what I call the “trap” cycle. It looks like this: You cause more hurt by how issues are brought up than the issue itself. You never actually get to the real issue! The character assassination and blame prevent you from gaining understanding.
Hi, my name is Amy-Noelle. I am a relationship therapist and life coach. I have almost 15 years of experience working with couples. I help couples resolve the real issues and pain that drive a wedge in their relationship. I usually can know the health of couples' relationships just by looking at whether and how often they get into what I call the “trap” cycle. It looks like this: You cause more hurt by how issues are brought up than the issue itself. You never actually get to the real issue! The character assassination and blame prevent you from gaining understanding.
(832) 937-9661 View (832) 937-9661
Photo of Joan E Mullinax, Licensed Professional Counselor in 77020, TX
Joan E Mullinax
Licensed Professional Counselor, MEd, LPC
Verified Verified
Houston, TX 77020
Do you feel like your life is passing you by? Do you feel trapped in a career or in relationships that drain the life out of you? Do you feel it is impossible to make the changes you need to move forward? It would be my privilege to support you in getting in touch with the person you want to be and taking the steps to express that personality in your career, your life and your relationships. Don't wait to begin building the life you aspire to. Your time to move forward is now!
Do you feel like your life is passing you by? Do you feel trapped in a career or in relationships that drain the life out of you? Do you feel it is impossible to make the changes you need to move forward? It would be my privilege to support you in getting in touch with the person you want to be and taking the steps to express that personality in your career, your life and your relationships. Don't wait to begin building the life you aspire to. Your time to move forward is now!
(832) 529-2335 View (832) 529-2335
Photo of Jenet Dove, Licensed Professional Counselor in 77020, TX
Jenet Dove
Licensed Professional Counselor, MEd, LPC
Verified Verified
4 Endorsed
Houston, TX 77020  (Online Only)
My clients are recovering perfectionists and those who want to protect their peace (or maybe find it for the first time!). You were taught early on that with hard work and perfection comes acceptance and love. As a result, your self worth is tied to your achievements and with every accolade the goalpost is pushed back further. This creates a life that is deeply unfulfilling and exhausting. You may feel ashamed when you can't keep up with the superhuman demands you put on yourself. Perhaps chronic stress and burnout have been creeping in for a long time, and you don't know how to fight it anymore.
My clients are recovering perfectionists and those who want to protect their peace (or maybe find it for the first time!). You were taught early on that with hard work and perfection comes acceptance and love. As a result, your self worth is tied to your achievements and with every accolade the goalpost is pushed back further. This creates a life that is deeply unfulfilling and exhausting. You may feel ashamed when you can't keep up with the superhuman demands you put on yourself. Perhaps chronic stress and burnout have been creeping in for a long time, and you don't know how to fight it anymore.
(832) 906-7608 View (832) 906-7608
Photo of Alexandra Marshall, LPC Intern in 77020, TX
Alexandra Marshall
LPC Intern, MEd, LPC-I
Verified Verified
Houston, TX 77020
Do you find yourself feeling anxious and stressed? Do you feel that no matter what you try, you cannot experience true satisfaction and peace in your day to day life? Do you struggle with feelings of inadequacy or poor self-esteem? Is it hard for you to accept yourself and to feel deserving of care? Do you sometimes feel that you no longer recognize yourself as the person you used to be? If so, you might find it helpful to meet with someone who has experienced these feelings and understands how difficult it can be to manage these feelings.
Do you find yourself feeling anxious and stressed? Do you feel that no matter what you try, you cannot experience true satisfaction and peace in your day to day life? Do you struggle with feelings of inadequacy or poor self-esteem? Is it hard for you to accept yourself and to feel deserving of care? Do you sometimes feel that you no longer recognize yourself as the person you used to be? If so, you might find it helpful to meet with someone who has experienced these feelings and understands how difficult it can be to manage these feelings.
(832) 261-1499 View (832) 261-1499
Photo of Christina Kontos, Clinical Social Work/Therapist in 77020, TX
Christina Kontos
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77020
I am a therapist with over 20 years of experience specializing in Eating Disorders. Through my experience working with individuals, couples, and families, I have developed my skills blending cognitive behavioral therapy with psychodynamic therapy to create a healthy, healing environment. My goal for therapy is to create a trusting relationship between the client and clinician, allowing for open dialogue, communication, and change. I feel this approach can effectively address the treatment of anorexia, bulimia, binge eating disorder, body image disorder, depression, anxiety, and weight management and create well-being.
I am a therapist with over 20 years of experience specializing in Eating Disorders. Through my experience working with individuals, couples, and families, I have developed my skills blending cognitive behavioral therapy with psychodynamic therapy to create a healthy, healing environment. My goal for therapy is to create a trusting relationship between the client and clinician, allowing for open dialogue, communication, and change. I feel this approach can effectively address the treatment of anorexia, bulimia, binge eating disorder, body image disorder, depression, anxiety, and weight management and create well-being.
(713) 766-1176 View (713) 766-1176
Photo of Catherine Trinh, Licensed Professional Counselor in 77020, TX
Catherine Trinh
Licensed Professional Counselor, MS, LPC
Verified Verified
Houston, TX 77020  (Online Only)
Every experience is an opportunity for learning that continually develops throughout a lifespan. Therapy is work that can enlighten individuals thus and promote change. I believe that change starts from within and can have an impact on the rest of the world. If you are going through a life transition, having difficulty with depression, anxiety, trauma, or grief, I can provide services to help with coping, healing, and growth. You don't have to have a problem to come to therapy. Perhaps, you are exploring new interests, changes, and need help navigating those experiences for clarity.
Every experience is an opportunity for learning that continually develops throughout a lifespan. Therapy is work that can enlighten individuals thus and promote change. I believe that change starts from within and can have an impact on the rest of the world. If you are going through a life transition, having difficulty with depression, anxiety, trauma, or grief, I can provide services to help with coping, healing, and growth. You don't have to have a problem to come to therapy. Perhaps, you are exploring new interests, changes, and need help navigating those experiences for clarity.
(936) 213-6052 View (936) 213-6052
Photo of Steven LoShun Moon, Licensed Professional Counselor in 77020, TX
Steven LoShun Moon
Licensed Professional Counselor, MA, LPC, LCDC-I
Verified Verified
10 Endorsed
Houston, TX 77020
Trauma impacts our ability to foster and maintain relationships. It frequently impacts us in the domains of safety, trust, esteem, intimacy, and power & control. Resolving trauma through processing leads to the ability to live a more fulfilled life, which is my primary goal in therapy. I believe that we have the ability to choose how to resolve our own problems and can make our own decisions with the assistance of an empathetic facilitator. I also believe that self-awareness is key to developing purpose, direction, and motivation to change, and my approach will provide you with methods to solve problems utilizing your own strengths.
Trauma impacts our ability to foster and maintain relationships. It frequently impacts us in the domains of safety, trust, esteem, intimacy, and power & control. Resolving trauma through processing leads to the ability to live a more fulfilled life, which is my primary goal in therapy. I believe that we have the ability to choose how to resolve our own problems and can make our own decisions with the assistance of an empathetic facilitator. I also believe that self-awareness is key to developing purpose, direction, and motivation to change, and my approach will provide you with methods to solve problems utilizing your own strengths.
(832) 734-6484 View (832) 734-6484
Photo of J.Johnson Behavioral Health & Consulting Group LLC, Licensed Professional Counselor in 77020, TX
J.Johnson Behavioral Health & Consulting Group LLC
Licensed Professional Counselor, MEd NCC, LPC, BC-TMHC, CEAP, SAP
Verified Verified
1 Endorsed
Houston, TX 77020
I am a Licensed Professional Counselor in Georgia, Washington DC, and Texas with a decade of professional work experience ranging from adolescents to adults. I help clients with family conflicts, life transitions, parenting issues, mood disorders, depression, trauma, and anxiety. I work with clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. My goal is to collectively work with you to decrease behaviors and return to a prior level of functioning. The first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
I am a Licensed Professional Counselor in Georgia, Washington DC, and Texas with a decade of professional work experience ranging from adolescents to adults. I help clients with family conflicts, life transitions, parenting issues, mood disorders, depression, trauma, and anxiety. I work with clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. My goal is to collectively work with you to decrease behaviors and return to a prior level of functioning. The first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
(770) 628-0758 View (770) 628-0758
Photo of Maria D. Roehrkasse, Clinical Social Work/Therapist in 77020, TX
Maria D. Roehrkasse
Clinical Social Work/Therapist, MSSA, LCSW
Verified Verified
1 Endorsed
Houston, TX 77020
It's an act of bravery to seek support and engage in the therapeutic journey. To sit with pain, fear, and discomfort can be challenging, yet it can have a profound impact on our growth, healing and well-being. Your whole self is welcome in our work together. I strive to provide a safe, nonjudgmental environment while empowering you to reach your goals through developing your strengths and equipping you with practical psychoeducation and tools along the way. Rooted in an ecological systems framework, I integrate various evidence-based techniques, incorporating mindfulness and nervous system regulation strategies in particular.
It's an act of bravery to seek support and engage in the therapeutic journey. To sit with pain, fear, and discomfort can be challenging, yet it can have a profound impact on our growth, healing and well-being. Your whole self is welcome in our work together. I strive to provide a safe, nonjudgmental environment while empowering you to reach your goals through developing your strengths and equipping you with practical psychoeducation and tools along the way. Rooted in an ecological systems framework, I integrate various evidence-based techniques, incorporating mindfulness and nervous system regulation strategies in particular.
(346) 261-0815 View (346) 261-0815
Photo of Charla Owens, Licensed Professional Counselor in 77020, TX
Charla Owens
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77020  (Online Only)
Everyone wants to be heard and everyone can benefit from regular routine therapy. For those of us who want to check in from time to time due to life stressors such as work life balance, family dynamics, or life coaching. To those of us that seek to resolve trauma or decrease symptoms associated with mental health diagnosis. Counseling is for us all and should be a regular part of one’s life experience.
Everyone wants to be heard and everyone can benefit from regular routine therapy. For those of us who want to check in from time to time due to life stressors such as work life balance, family dynamics, or life coaching. To those of us that seek to resolve trauma or decrease symptoms associated with mental health diagnosis. Counseling is for us all and should be a regular part of one’s life experience.
(832) 862-3697 View (832) 862-3697
Photo of David James Grenn, Licensed Professional Counselor in 77020, TX
David James Grenn
Licensed Professional Counselor, EdS, NCC, LPC, CADC
Verified Verified
Houston, TX 77020
I have been working with individuals struggling with posttraumatic stress disorder, substance use, sexual addiction and mental health challenges for the past ten years. I have a real heart to walk alongside to encourage, support, and empower you to move forward in your recovery needs. I graduated from Liberty University in 2014 with a MA in Professional Counseling and completing a Doctoral level specialization in Community Care and Counseling specializing in treating trauma-related challenges. I approach recovery through the eyes of motivational interviewing and cognitive-behavioral therapy.
I have been working with individuals struggling with posttraumatic stress disorder, substance use, sexual addiction and mental health challenges for the past ten years. I have a real heart to walk alongside to encourage, support, and empower you to move forward in your recovery needs. I graduated from Liberty University in 2014 with a MA in Professional Counseling and completing a Doctoral level specialization in Community Care and Counseling specializing in treating trauma-related challenges. I approach recovery through the eyes of motivational interviewing and cognitive-behavioral therapy.
(956) 395-2279 View (956) 395-2279
Photo of Chelsea Adams, Clinical Social Work/Therapist in 77020, TX
Chelsea Adams
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Houston, TX 77020
Welcome! My name is Chelsea Adams, I am a Licensed Clinical Social Work Supervisor (LCSW-S) in the State of Texas. After receiving my Bachelor of Psychology from Texas A&M University, I earned my Master of Science in Social Work at the University of Texas in Austin. I completed my post-graduate training at Texas Children’s Center for Reproductive Psychiatry, where I worked with adult female clients suffering from postpartum depression and anxiety. I have trained and worked in various settings including Texas Children’s Hospital, UT Physician’s, and The Menninger Clinic.
Welcome! My name is Chelsea Adams, I am a Licensed Clinical Social Work Supervisor (LCSW-S) in the State of Texas. After receiving my Bachelor of Psychology from Texas A&M University, I earned my Master of Science in Social Work at the University of Texas in Austin. I completed my post-graduate training at Texas Children’s Center for Reproductive Psychiatry, where I worked with adult female clients suffering from postpartum depression and anxiety. I have trained and worked in various settings including Texas Children’s Hospital, UT Physician’s, and The Menninger Clinic.
(346) 456-4683 View (346) 456-4683
Photo of Susannah Smith, Psychologist in 77020, TX
Susannah Smith
Psychologist, PhD
Verified Verified
Houston, TX 77020
Waitlist for new clients
Susannah Smith, Ph.D., is an Executive Coach, Systems Consultant, and Clinical & Forensic Psychologist, with active licenses in Colorado, California, Mississippi, Texas, Louisiana, and Vir. She is a member of the National Register of Health Service Psychologists. Dr. Smith graduated with honors from Vassar College in Social Psychology; got her M.S. in Clinical Psychology at San Jose State University in California; and received her Ph.D. from the California School of Professional Psychology in San Diego, in psychology and organizational development.
Susannah Smith, Ph.D., is an Executive Coach, Systems Consultant, and Clinical & Forensic Psychologist, with active licenses in Colorado, California, Mississippi, Texas, Louisiana, and Vir. She is a member of the National Register of Health Service Psychologists. Dr. Smith graduated with honors from Vassar College in Social Psychology; got her M.S. in Clinical Psychology at San Jose State University in California; and received her Ph.D. from the California School of Professional Psychology in San Diego, in psychology and organizational development.
(970) 425-0899 View (970) 425-0899
Photo of Tara Roper, Marriage & Family Therapist in 77020, TX
Tara Roper
Marriage & Family Therapist, LMFT
Verified Verified
Houston, TX 77020  (Online Only)
It's important to find a space where your feelings are not just heard, but deeply understood and empathetically acknowledged. I am both naturally empathetic and curious; these two qualities create a strong desire to understand the inner workings of every person I meet. In therapy, I work adolescents (14 +), individuals (18+), families, and couples seeking help with anxiety, depression, ADHD, self-esteem, people- pleasing, life transitions, college issues, parenting concerns, interpersonal issues, young adult concerns, and relationship concerns to achieve overall wellness and wholeness.
It's important to find a space where your feelings are not just heard, but deeply understood and empathetically acknowledged. I am both naturally empathetic and curious; these two qualities create a strong desire to understand the inner workings of every person I meet. In therapy, I work adolescents (14 +), individuals (18+), families, and couples seeking help with anxiety, depression, ADHD, self-esteem, people- pleasing, life transitions, college issues, parenting concerns, interpersonal issues, young adult concerns, and relationship concerns to achieve overall wellness and wholeness.
(512) 270-2442 View (512) 270-2442
Photo of Maira Argomaniz, Clinical Social Work/Therapist in 77020, TX
Maira Argomaniz
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Houston, TX 77020  (Online Only)
My ideal client is one that seeks support in navigating the impacts of systemic oppression with a desire to heal from them. I can be your ally in exploring how existing systems have played a specific role in your life and impacted your health. Systemic injustices like racial trauma, intergenerational trauma, and the psychological toll of discrimination and marginalization can leave lasting impacts on our life that can leave us feeling ashamed, anxious, or depressed. Together we will take an intersectional approach to therapy so that you can begin to heal and engage in the process of personal and collective transformation.
My ideal client is one that seeks support in navigating the impacts of systemic oppression with a desire to heal from them. I can be your ally in exploring how existing systems have played a specific role in your life and impacted your health. Systemic injustices like racial trauma, intergenerational trauma, and the psychological toll of discrimination and marginalization can leave lasting impacts on our life that can leave us feeling ashamed, anxious, or depressed. Together we will take an intersectional approach to therapy so that you can begin to heal and engage in the process of personal and collective transformation.
(512) 361-4458 View (512) 361-4458
Photo of Kierra Pickens, Licensed Clinical Professional Counselor in 77020, TX
Kierra Pickens
Licensed Clinical Professional Counselor, MA, LCPC
Verified Verified
1 Endorsed
Houston, TX 77020  (Online Only)
As a clinician, my greatest satisfaction is derived from observing the progress of my clients. Let’s work together to create a comfortable and safe space that will allow you or family members/significant others to work towards issues and conflicts. My specialties include children and teens, relationship issues and mood disorders. Are you experiencing difficulty controlling emotions or behaviors? Do you feel that no one understands you? Have you been having a tough time with your child? Are you having relationship issues? My goal is to help individuals live healthy and stable lives through therapy.
As a clinician, my greatest satisfaction is derived from observing the progress of my clients. Let’s work together to create a comfortable and safe space that will allow you or family members/significant others to work towards issues and conflicts. My specialties include children and teens, relationship issues and mood disorders. Are you experiencing difficulty controlling emotions or behaviors? Do you feel that no one understands you? Have you been having a tough time with your child? Are you having relationship issues? My goal is to help individuals live healthy and stable lives through therapy.
(708) 586-8964 View (708) 586-8964
Photo of Adaptive Behavioral Health - Houston, Licensed Professional Counselor in 77020, TX
Adaptive Behavioral Health - Houston
Licensed Professional Counselor, MD, LPC, LCSW, PhD, RN
Verified Verified
Houston, TX 77020
Adaptive Behavioral Health is a comprehensive behavioral health agency that focuses on individual strengths and adaptive skill development. We understand that sometimes situations don’t change, so we help children, adolescents, adults and families build the adaptive skills needed to overcome life’s challenges and function at their highest potential.
Adaptive Behavioral Health is a comprehensive behavioral health agency that focuses on individual strengths and adaptive skill development. We understand that sometimes situations don’t change, so we help children, adolescents, adults and families build the adaptive skills needed to overcome life’s challenges and function at their highest potential.
(346) 205-0177 View (346) 205-0177

See more therapy options for 77020

How does your Therapist compare?

Number of Therapists in 77020

10+

Average cost per session

$125

Therapists in 77020 who prioritize treating:

95% Depression
95% Anxiety
74% Coping Skills
68% Self Esteem
63% Relationship Issues
63% Trauma and PTSD
58% Women's Issues

Average years in practice

9 Years

Top 3 insurances accepted

85% Cigna and Evernorth
77% UnitedHealthcare UHC | UBH
69% Aetna

How Therapists in 77020 see their clients

58% In Person and Online
42% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 77020?

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.