Therapists in 96768

Photo of Ann Van Patten, Marriage & Family Therapist, LMFT
Ann Van Patten
Marriage & Family Therapist, LMFT
2 Endorsed
Makawao, HI 96768
Helping couples and individuals move from reactive survival patterns to secure, emotionally safe connection. Are you feeling stuck in recurring conflict, emotional distance, or patterns that leave you feeling misunderstood or disconnected from yourself? I support individuals & couples in Hawaii who want more secure relationships—both with their partners and within their own internal world. I offer attachment-based couples therapy and trauma-informed individual therapy. Using EFT and IFS/IFIO-informed approaches, I help clients understand the protective parts that drive disconnection and create space for compassion and connection.
Helping couples and individuals move from reactive survival patterns to secure, emotionally safe connection. Are you feeling stuck in recurring conflict, emotional distance, or patterns that leave you feeling misunderstood or disconnected from yourself? I support individuals & couples in Hawaii who want more secure relationships—both with their partners and within their own internal world. I offer attachment-based couples therapy and trauma-informed individual therapy. Using EFT and IFS/IFIO-informed approaches, I help clients understand the protective parts that drive disconnection and create space for compassion and connection.
(808) 518-4838 View (808) 518-4838
Photo of Lauren Wilson, Clinical Social Work/Therapist, MSW, LCSW, PMH-C
Lauren Wilson
Clinical Social Work/Therapist, MSW, LCSW, PMH-C
Makawao, HI 96768
Life is full of unexpected twists and turns. Some we can navigate on our own - others require a guide to light the way until we are able to regain our footing. It's been my honor to guide many through the twists and turns life throws our way. There is a positive way forward. Healing is possible.
Life is full of unexpected twists and turns. Some we can navigate on our own - others require a guide to light the way until we are able to regain our footing. It's been my honor to guide many through the twists and turns life throws our way. There is a positive way forward. Healing is possible.
(808) 518-4916 View (808) 518-4916
Photo of Li Hay, Pre-Licensed Professional, MS, MFT-I
Li Hay
Pre-Licensed Professional, MS, MFT-I
Makawao, HI 96768
Aloha. I’m Li, a relational psychotherapist based on Maui. I work with individuals, partners, and families who want to move beyond survival patterns into lives of deeper connection, purpose, and joy. I specialize in healing early attachment wounds, navigating intimacy blocks, and healing and integrating parts of self using Internal Family Systems (IFS), somatic awareness, and a trauma-informed lens. I create a safe space with warmth and depth where clients can reconnect with their inner wisdom, learn to trust their instincts, and love from wholeness.
Aloha. I’m Li, a relational psychotherapist based on Maui. I work with individuals, partners, and families who want to move beyond survival patterns into lives of deeper connection, purpose, and joy. I specialize in healing early attachment wounds, navigating intimacy blocks, and healing and integrating parts of self using Internal Family Systems (IFS), somatic awareness, and a trauma-informed lens. I create a safe space with warmth and depth where clients can reconnect with their inner wisdom, learn to trust their instincts, and love from wholeness.
(808) 736-0687 View (808) 736-0687
Photo of Loren Lapow, Pre-Licensed Professional, LCSW
Loren Lapow
Pre-Licensed Professional, LCSW
Makawao, HI 96768
Are you in the midst of a crisis, or feeling one coming on? Do you feel stuck, sad, anxious, uninspired, frustrated, angry, or confused? Then, the quickest way forward is to find professional help. For the past 26 years, I have been helping men and women in serious crisis find real happiness and peace. Even the strongest of us have a sensitive side, but usually we are not comfortable sharing that with just anyone. My proven techniques for change have even become a “national best practice." Together we can make a plan forward that feels right for you.
Are you in the midst of a crisis, or feeling one coming on? Do you feel stuck, sad, anxious, uninspired, frustrated, angry, or confused? Then, the quickest way forward is to find professional help. For the past 26 years, I have been helping men and women in serious crisis find real happiness and peace. Even the strongest of us have a sensitive side, but usually we are not comfortable sharing that with just anyone. My proven techniques for change have even become a “national best practice." Together we can make a plan forward that feels right for you.
(808) 468-9651 View (808) 468-9651
Photo of Andrea Marino, Counselor, LMHC
Andrea Marino
Counselor, LMHC
Makawao, HI 96768
Are you feeling overwhelmed? Stressed? Disconnected? Frustrated? Lost? Alone? I'd like to help you feel Alive, Centered, Connected, Grounded, Inspired. You deserve to thrive. With support, you can liberate yourself from past pain. You can explore patterns with self-compassion. You can discover new tools and insights and reclaim your life. You can tap into your powerful life-force and flourish. When you reconnect with yourself, you connect more deeply with people you love, with your passion & purpose. Same goes for kids navigating big feelings. Lacking tools causes shutdown or outbursts that are challenging for them and for you.
Are you feeling overwhelmed? Stressed? Disconnected? Frustrated? Lost? Alone? I'd like to help you feel Alive, Centered, Connected, Grounded, Inspired. You deserve to thrive. With support, you can liberate yourself from past pain. You can explore patterns with self-compassion. You can discover new tools and insights and reclaim your life. You can tap into your powerful life-force and flourish. When you reconnect with yourself, you connect more deeply with people you love, with your passion & purpose. Same goes for kids navigating big feelings. Lacking tools causes shutdown or outbursts that are challenging for them and for you.
(808) 736-3914 View (808) 736-3914
Photo of Anthea Iuorno, Marriage & Family Therapist, MA, LMFT, CSAC
Anthea Iuorno
Marriage & Family Therapist, MA, LMFT, CSAC
Makawao, HI 96768
Are you wanting to gain a more peaceful state of mind? Searching for a way to surf through the ups and downs in your life and maintain a calm inner core? I'm here to help you. My goal is to meet you where you are at this moment and accompany you in exploring, healing, and arriving where you want to be. The therapeutic journey is fluid and creative. I provide a safe space for the process to take place. I look forward to meeting you, and congratulations in taking the initiative to find the right therapist for you!
Are you wanting to gain a more peaceful state of mind? Searching for a way to surf through the ups and downs in your life and maintain a calm inner core? I'm here to help you. My goal is to meet you where you are at this moment and accompany you in exploring, healing, and arriving where you want to be. The therapeutic journey is fluid and creative. I provide a safe space for the process to take place. I look forward to meeting you, and congratulations in taking the initiative to find the right therapist for you!
(808) 793-5665 View (808) 793-5665
Photo of Gabrielle Galler-Rimm, MD, MD
Gabrielle Galler-Rimm
MD, MD
Makawao, HI 96768
Dr. Gabrielle Galler-Rimm ("Dr. Gabi") is a Developmental and Behavioral Pediatrician who has extensive experience in diagnosing and treating diverse conditions such as Autism Spectrum Disorder, Attention Deficit Hyperactivity Disorder, underachieving in school, aggression, defiance, obsessive behaviors, self-injurious behaviors, adjustment difficulties, depression, anxiety, as well as a range of other psychiatric, behavioral, and developmental disorders. She also specialize in Applied Behavioral Analysis (ABA) and works in conjunction with a board certified behavior analyst. She has been in practice for 32 years.
Dr. Gabrielle Galler-Rimm ("Dr. Gabi") is a Developmental and Behavioral Pediatrician who has extensive experience in diagnosing and treating diverse conditions such as Autism Spectrum Disorder, Attention Deficit Hyperactivity Disorder, underachieving in school, aggression, defiance, obsessive behaviors, self-injurious behaviors, adjustment difficulties, depression, anxiety, as well as a range of other psychiatric, behavioral, and developmental disorders. She also specialize in Applied Behavioral Analysis (ABA) and works in conjunction with a board certified behavior analyst. She has been in practice for 32 years.
(808) 518-4928 View (808) 518-4928
Photo of Beth Wylie, Marriage & Family Therapist, MA, LMFT
Beth Wylie
Marriage & Family Therapist, MA, LMFT
3 Endorsed
Makawao, HI 96768
I work with couples who are motivated to step up, take responsibility, and transform their dynamic. Together, we'll rekindle the positivity, abundance, and love that may feel distant right now, so you can start managing conflict in healthy, effective ways—and get back to dreaming about your future. And if you’re looking for something truly extraordinary, I also host couples intensives on the breathtaking island of Maui. Imagine a week in paradise, doing the hard work in a setting that’s both healing and
I work with couples who are motivated to step up, take responsibility, and transform their dynamic. Together, we'll rekindle the positivity, abundance, and love that may feel distant right now, so you can start managing conflict in healthy, effective ways—and get back to dreaming about your future. And if you’re looking for something truly extraordinary, I also host couples intensives on the breathtaking island of Maui. Imagine a week in paradise, doing the hard work in a setting that’s both healing and
(808) 215-4180 View (808) 215-4180
Photo of Lydee Ritchie, Marriage & Family Therapist, LMFT, CSAC, LLC
Lydee Ritchie
Marriage & Family Therapist, LMFT, CSAC, LLC
Makawao, HI 96768
I believe that the most important relationship is with your Self, which comprises many parts of you, and how you align these parts with some kind of Higher Power, which I call Good Orderly Direction. When you are Pono with your Self, then can we begin to do healing work on our relationships with others. For relationships will mirror parts of us that may hit raw spots caused by past hurts. We don't need to suffer. Happiness, joy, serenity, and peace are within each and everyone of us. It is our choice, our birthright. Let me help guide you back there. You will remember....
I believe that the most important relationship is with your Self, which comprises many parts of you, and how you align these parts with some kind of Higher Power, which I call Good Orderly Direction. When you are Pono with your Self, then can we begin to do healing work on our relationships with others. For relationships will mirror parts of us that may hit raw spots caused by past hurts. We don't need to suffer. Happiness, joy, serenity, and peace are within each and everyone of us. It is our choice, our birthright. Let me help guide you back there. You will remember....
(808) 757-1111 View (808) 757-1111
Photo of Crystal L Deichert, Licensed Professional Counselor, LMHC, LPC, MFT, EMDR
Crystal L Deichert
Licensed Professional Counselor, LMHC, LPC, MFT, EMDR
2 Endorsed
Makawao, HI 96768
Aloha! Are you feeling stuck, overwhelmed, or unsure of what comes next? You're not alone—and you don’t have to figure it out by yourself. I offer a grounded space for you to pause, reflect, and reconnect with your inner clarity.
Aloha! Are you feeling stuck, overwhelmed, or unsure of what comes next? You're not alone—and you don’t have to figure it out by yourself. I offer a grounded space for you to pause, reflect, and reconnect with your inner clarity.
(808) 818-5328 View (808) 818-5328
Photo of Christina Reichert, Marriage & Family Therapist, LMFT
Christina Reichert
Marriage & Family Therapist, LMFT
2 Endorsed
Makawao, HI 96768
Aloha! Seeking help for struggles can be difficult. Just know that you have made the most important step in creating your life the way you want it. Life can present many challenges; with the right support these can be incredible opportunities to grow. Starting therapy is the beginning of a journey to find a more connected and fulfilling relationship to ourselves, others and the world we live in. Each of us, deep down, hold our own answers to the issues we face. Sometimes we need an objective listener to ask new questions, suggest new skills, be supportive and coach us through tough times.
Aloha! Seeking help for struggles can be difficult. Just know that you have made the most important step in creating your life the way you want it. Life can present many challenges; with the right support these can be incredible opportunities to grow. Starting therapy is the beginning of a journey to find a more connected and fulfilling relationship to ourselves, others and the world we live in. Each of us, deep down, hold our own answers to the issues we face. Sometimes we need an objective listener to ask new questions, suggest new skills, be supportive and coach us through tough times.
(808) 201-0347 View (808) 201-0347
Photo of Ama Colón, Clinical Social Work/Therapist, LCSW
Ama Colón
Clinical Social Work/Therapist, LCSW
1 Endorsed
Makawao, HI 96768
You may have done years of therapy or self-work, yet still feel disconnected—from your body, your emotions, or your sense of direction. You may feel stuck in survival mode, carrying the effects of complex trauma (C-PTSD), childhood sexual abuse, or long-unresolved grief. I help adults who are ready to move beyond talking about their pain and begin feeling and transforming it. My approach blends somatic (body-based) therapy, Gestalt, and Internal Family Systems (IFS) within a mindful, compassionate, and spiritually grounded lens.
You may have done years of therapy or self-work, yet still feel disconnected—from your body, your emotions, or your sense of direction. You may feel stuck in survival mode, carrying the effects of complex trauma (C-PTSD), childhood sexual abuse, or long-unresolved grief. I help adults who are ready to move beyond talking about their pain and begin feeling and transforming it. My approach blends somatic (body-based) therapy, Gestalt, and Internal Family Systems (IFS) within a mindful, compassionate, and spiritually grounded lens.
View
Photo of Dr. Adrianna Flavin, Psychologist, PhD
Dr. Adrianna Flavin
Psychologist, PhD
1 Endorsed
Makawao, HI 96768
Are you interested in addressing, reducing, and/or eliminating symptoms of trauma; attention deficit; anxiety, phobias, or stress; romantic relationship or interpersonal concerns; depression, mania, or other mood patterns; grief and loss; or life transition difficulties? Are you exhausted from doing all you can to make progress in one or more of these areas? Are you curious to see if there are scientifically backed, evidence based strategies that can help you?
Are you interested in addressing, reducing, and/or eliminating symptoms of trauma; attention deficit; anxiety, phobias, or stress; romantic relationship or interpersonal concerns; depression, mania, or other mood patterns; grief and loss; or life transition difficulties? Are you exhausted from doing all you can to make progress in one or more of these areas? Are you curious to see if there are scientifically backed, evidence based strategies that can help you?
(808) 207-7369 View (808) 207-7369
Photo of Angie Schaeffer, Marriage & Family Therapist, LMFT
Angie Schaeffer
Marriage & Family Therapist, LMFT
Makawao, HI 96768
Are you navigating changes in your life, relationships, or within yourself? You notice things others miss, feel the weight of a room before anyone speaks, and absorb emotions around you. You've probably been told you're "too sensitive" but what if that sensitivity is a depth to be honored? You're ready to move beyond coping and reconnect with the abundance, joy, and freedom that already live within you. You don't have to face it alone. I specialize in guiding highly sensitive people (HSPs) back to themselves, led by their own inner wisdom.
Are you navigating changes in your life, relationships, or within yourself? You notice things others miss, feel the weight of a room before anyone speaks, and absorb emotions around you. You've probably been told you're "too sensitive" but what if that sensitivity is a depth to be honored? You're ready to move beyond coping and reconnect with the abundance, joy, and freedom that already live within you. You don't have to face it alone. I specialize in guiding highly sensitive people (HSPs) back to themselves, led by their own inner wisdom.
(808) 425-9257 View (808) 425-9257
Photo of Maria d'Avella, Marriage & Family Therapist, MFT
Maria d'Avella
Marriage & Family Therapist, MFT
Makawao, HI 96768
Depression, anxiety, trauma, and other negative influences can foster doubt and isolation. Fears usurp our natural capacity for joy. Life transitions are challenging and affect entire families. Don't go it alone. Psychotherapy can help evoke wholeness and health, renew relationships and perspective. Be the person you were born to be. Know yourself and make an informed change.
Depression, anxiety, trauma, and other negative influences can foster doubt and isolation. Fears usurp our natural capacity for joy. Life transitions are challenging and affect entire families. Don't go it alone. Psychotherapy can help evoke wholeness and health, renew relationships and perspective. Be the person you were born to be. Know yourself and make an informed change.
(808) 280-3431 View (808) 280-3431
Photo of Satoko Miki, Counselor, LMHC, NCC
Satoko Miki
Counselor, LMHC, NCC
Makawao, HI 96768
Are you feeling like you're losing a sense of direction or are stuck? Many things change in life, and it can be extremely difficult to feel adequately in control during the transition. Take a moment now to consider the positive impact counseling can have - no matter where you are in your journey - and that you don't have to be altogether depleted to benefit from it. Counseling is a dynamic, educational process that teaches you tools to help you feel healthier and more balanced. Remember, it's healthy to seek help for yourself. Actually, it's a sign of strength to take care of your needs!
Are you feeling like you're losing a sense of direction or are stuck? Many things change in life, and it can be extremely difficult to feel adequately in control during the transition. Take a moment now to consider the positive impact counseling can have - no matter where you are in your journey - and that you don't have to be altogether depleted to benefit from it. Counseling is a dynamic, educational process that teaches you tools to help you feel healthier and more balanced. Remember, it's healthy to seek help for yourself. Actually, it's a sign of strength to take care of your needs!
(808) 518-4950 View (808) 518-4950
Photo of Lynn Ann Sauler - Lynn Sauler Therapy LLC, Marriage & Family Therapist, LMFT
Lynn Sauler Therapy LLC
Marriage & Family Therapist, LMFT
Makawao, HI 96768
Aloha! I'm currently offering sessions via telehealth. As a therapist, my goal is to assist you in understanding all of the factors that have created your need for support at this time. With that understanding, I will work with you to heal past traumas and challenges, while supporting you in moving towards your desired outcome. I work with both individuals and couples. I have had great success with helping couples to move forward in their relationships with greater connection, communication, and clarity. I offer a fresh perspective and 100 % dedication to my clients.
Aloha! I'm currently offering sessions via telehealth. As a therapist, my goal is to assist you in understanding all of the factors that have created your need for support at this time. With that understanding, I will work with you to heal past traumas and challenges, while supporting you in moving towards your desired outcome. I work with both individuals and couples. I have had great success with helping couples to move forward in their relationships with greater connection, communication, and clarity. I offer a fresh perspective and 100 % dedication to my clients.
(808) 468-8106 View (808) 468-8106
Photo of Nicki Taylor, Counselor, MS, LMHC
Nicki Taylor
Counselor, MS, LMHC
Makawao, HI 96768
Are you feeling overwhelmed by your child's behavior, emotions, or struggles at school? Perhaps your teen is dealing with anxiety, low self-esteem, trauma, ADHD, or difficulties managing emotions. As a parent, it can be difficult to know how to help, especially when the strategies you've tried don't seem to be working. I work with children, adolescents, young adults, and parents who are struggling with ADHD, anxiety, trauma, behavioral challenges, emotional regulation, and life transitions. My goal is to create a safe, supportive environment where clients feel understood, valued, and empowered to make positive changes.
Are you feeling overwhelmed by your child's behavior, emotions, or struggles at school? Perhaps your teen is dealing with anxiety, low self-esteem, trauma, ADHD, or difficulties managing emotions. As a parent, it can be difficult to know how to help, especially when the strategies you've tried don't seem to be working. I work with children, adolescents, young adults, and parents who are struggling with ADHD, anxiety, trauma, behavioral challenges, emotional regulation, and life transitions. My goal is to create a safe, supportive environment where clients feel understood, valued, and empowered to make positive changes.
(808) 210-3041 View (808) 210-3041
Photo of Dr. Marlena Farm, Psychologist, PhD
Dr. Marlena Farm
Psychologist, PhD
Makawao, HI 96768
I am a licensed Clinical Psychologist experienced in assessment and treatment of behavioral health concerns through the life span (child to geriatric). My current practice focuses on Anxiety, Depression, and Trauma-related disorders, Perinatal concerns (PMH-C and ROSE group facilitator) and Phase of life transitions. My approach to therapy is humanistic and culturally sensitive with a merging of evidenced based strategies. I join you where you are in your self-exploration, value your intrinsic goodness and support your resilience through self-awareness and thoughtful actions.
I am a licensed Clinical Psychologist experienced in assessment and treatment of behavioral health concerns through the life span (child to geriatric). My current practice focuses on Anxiety, Depression, and Trauma-related disorders, Perinatal concerns (PMH-C and ROSE group facilitator) and Phase of life transitions. My approach to therapy is humanistic and culturally sensitive with a merging of evidenced based strategies. I join you where you are in your self-exploration, value your intrinsic goodness and support your resilience through self-awareness and thoughtful actions.
(808) 646-3049 View (808) 646-3049
Photo of David Dolan, Counselor, LMHC, CSAC
David Dolan
Counselor, LMHC, CSAC
Makawao, HI 96768
Aloha! I specialize in the treatment of substance abuse and addictions of all kinds, mental health issues, including anxiety, depression and life transitions, and trauma treatment with somatic healing and Attachment Focused EMDR. If you are struggling with a substance abuse issue and are looking to work with a counselor one-on-one who deeply understands the struggles of addiction and the triumphs of recovery, we may be a good fit. I have been in long term recovery myself for many years and my combined training in psychotherapy and my personal experience place me in a unique position to be of service.
Aloha! I specialize in the treatment of substance abuse and addictions of all kinds, mental health issues, including anxiety, depression and life transitions, and trauma treatment with somatic healing and Attachment Focused EMDR. If you are struggling with a substance abuse issue and are looking to work with a counselor one-on-one who deeply understands the struggles of addiction and the triumphs of recovery, we may be a good fit. I have been in long term recovery myself for many years and my combined training in psychotherapy and my personal experience place me in a unique position to be of service.
(808) 201-3816 View (808) 201-3816

See more therapy options for 96768

How does your Therapist compare?

Number of Therapists in 96768

60+

Average cost per session

$150

Therapists in 96768 who prioritize treating:

90% Anxiety
90% Social Anxiety
90% Health Anxiety
90% Driving Anxiety
85% Trauma and PTSD
85% Complex PTSD
85% Medical Trauma

Average years in practice

16 Years

Top 3 insurances accepted

83% Hawaii Medical Services Association
63% BlueCross and BlueShield
50% University Health Alliance

How Therapists in 96768 see their clients

70% In Person and Online
30% Online Only

Gender breakdown

81% Female
17% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 96768?

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.