Therapists in Mechanicsburg, PA

Photo of Kelly Bishop, Counselor in Mechanicsburg, PA
Kelly Bishop
Counselor, LPC, LCPC
Verified Verified
3 Endorsed
Mechanicsburg, PA 17055
Now Accepting New Patients for In Person ONLY in PA. The journey through life is full of ups and downs and sometimes those downs can create barriers that make us feel stuck and can impact our ability to enjoy the ups. Though it might not feel like it, you have the power and strength to overcome those struggles; it just might take a little help, and hey, we ALL can use a little help navigating the curveballs of life! My mission is to provide that guidance to help unlock the answers within you to create that change you’ve been wishing for.
Now Accepting New Patients for In Person ONLY in PA. The journey through life is full of ups and downs and sometimes those downs can create barriers that make us feel stuck and can impact our ability to enjoy the ups. Though it might not feel like it, you have the power and strength to overcome those struggles; it just might take a little help, and hey, we ALL can use a little help navigating the curveballs of life! My mission is to provide that guidance to help unlock the answers within you to create that change you’ve been wishing for.
(717) 357-8230 View (717) 357-8230
Photo of Matthew Walters, Licensed Professional Counselor in Mechanicsburg, PA
Matthew Walters
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Mechanicsburg, PA 17050
Whether you are completely scared of the idea of counseling, or have been in therapy many times before, I want you to know that that the therapy process can, and does help. We all want and need a safe place to talk and process what is going on in our heads and all around us. You are here because you want help, and believe that there is hope. Together we can build upon that hope, and can take some concrete steps to make real change happen.
Whether you are completely scared of the idea of counseling, or have been in therapy many times before, I want you to know that that the therapy process can, and does help. We all want and need a safe place to talk and process what is going on in our heads and all around us. You are here because you want help, and believe that there is hope. Together we can build upon that hope, and can take some concrete steps to make real change happen.
(717) 952-9883 View (717) 952-9883
Photo of Donald D Anklam, Clinical Social Work/Therapist in Mechanicsburg, PA
Donald D Anklam
Clinical Social Work/Therapist, LCSW
Verified Verified
Mechanicsburg, PA 17050
Aiding others in examining their lives for areas of change has been the focus of my career for 10 + years. I have experience in many areas of mental health including crisis management, outpatient therapy, inpatient and partial hospitalizations. This experience has allowed me to utilize diverse approaches to therapy to assist clients in achieving their individual goals and desired results. I have treated a wide range of mental health diagnosis and conditions such as depression, anxiety, grief, ADHD, PTSD among others. I approach therapy from a trauma informed care aspect.
Aiding others in examining their lives for areas of change has been the focus of my career for 10 + years. I have experience in many areas of mental health including crisis management, outpatient therapy, inpatient and partial hospitalizations. This experience has allowed me to utilize diverse approaches to therapy to assist clients in achieving their individual goals and desired results. I have treated a wide range of mental health diagnosis and conditions such as depression, anxiety, grief, ADHD, PTSD among others. I approach therapy from a trauma informed care aspect.
(717) 219-9903 View (717) 219-9903
Photo of Brooke Serina, Licensed Professional Counselor in Mechanicsburg, PA
Brooke Serina
Licensed Professional Counselor, MA, LPC, NCC, CCATP
Verified Verified
1 Endorsed
Mechanicsburg, PA 17055
Brooke specializes in working with adolescents, teens & young adults. She enjoys building positive & empathetic relationships with her clients & supporting them in their own growth. Brooke offers a holistic, non-judgmental approach to therapy, focusing on each client's unique needs & goals. She meets clients where they are & collaborates with them to determine the most effective therapy for their individual journey. Through a client-center & strengths-based approach, individuals have the opportunity to tap into their potential, resilience, & sense of self-worth.
Brooke specializes in working with adolescents, teens & young adults. She enjoys building positive & empathetic relationships with her clients & supporting them in their own growth. Brooke offers a holistic, non-judgmental approach to therapy, focusing on each client's unique needs & goals. She meets clients where they are & collaborates with them to determine the most effective therapy for their individual journey. Through a client-center & strengths-based approach, individuals have the opportunity to tap into their potential, resilience, & sense of self-worth.
(717) 613-6304 View (717) 613-6304
Photo of Nicki Decker, Licensed Professional Counselor in Mechanicsburg, PA
Nicki Decker
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Mechanicsburg, PA 17055
Our lives are filled with challenges that impact us and those around us. It could be issues with work, school or family relationships that strain our mental health and have you feeling stressed, overwhelmed or anxious. No matter your issues, I believe that every client has the ability to make positive changes in their life. Together we can find a way to overcome them and live the life you desire.
Our lives are filled with challenges that impact us and those around us. It could be issues with work, school or family relationships that strain our mental health and have you feeling stressed, overwhelmed or anxious. No matter your issues, I believe that every client has the ability to make positive changes in their life. Together we can find a way to overcome them and live the life you desire.
(717) 899-9573 View (717) 899-9573
Photo of Olive Grove Wellness Counseling in Mechanicsburg, PA
Olive Grove Wellness Counseling
MA, CSC
Verified Verified
Mechanicsburg, PA 17055
Live a life that is fulfilling, balanced, and purposeful... Daily life can be challenging. My goal is to help individuals and families find peace and healing in difficult situations. I strive to provide you with support, education, and empowerment, so you can live a life that is fulfilling, balanced, and purposeful.
Live a life that is fulfilling, balanced, and purposeful... Daily life can be challenging. My goal is to help individuals and families find peace and healing in difficult situations. I strive to provide you with support, education, and empowerment, so you can live a life that is fulfilling, balanced, and purposeful.
(717) 897-6229 View (717) 897-6229
Photo of Alcove Counseling Services in Mechanicsburg, PA
Alcove Counseling Services
LCSW, LSW
Verified Verified
Mechanicsburg, PA 17055
Thanks for considering Alcove Counseling Services. We are a group of caring and competent professionals. Our desire is to use our knowledge base and skills to help you get through the various transitions involved in life. Most of our backgrounds are in Cognitive Behavioral Therapy. But we all have an eclectic approach based on your needs and interests. We hope to provide a safe nurturing environment where you will feel comfortable. Your health and well being are of primary concern to all of us, and we are eager to help you in your journey.
Thanks for considering Alcove Counseling Services. We are a group of caring and competent professionals. Our desire is to use our knowledge base and skills to help you get through the various transitions involved in life. Most of our backgrounds are in Cognitive Behavioral Therapy. But we all have an eclectic approach based on your needs and interests. We hope to provide a safe nurturing environment where you will feel comfortable. Your health and well being are of primary concern to all of us, and we are eager to help you in your journey.
(717) 691-1090 View (717) 691-1090
Photo of Dr. Marcelle Giovannetti, Licensed Professional Counselor in Mechanicsburg, PA
Dr. Marcelle Giovannetti
Licensed Professional Counselor, ACS, LPC, NCC, CADC, CCTP-II
Verified Verified
1 Endorsed
Mechanicsburg, PA 17055
I am a full-time Assistant Professor in Messiah University’s Graduate Counseling Program. I also works part-time as a clinician and am the owner of Courageous Hope Counseling LLC. I identify as an immigrant woman of Indian decent and have lived in several countries. I have a Bachelor’s degree in Psychology from Elizabethtown College, a Master’s degree in Clinical Mental Health Counseling from Shippensburg University, a doctoral degree from Shippensburg University in Counselor Education and Supervision. and a postgraduate certificate in Social Justice from Harvard University.
I am a full-time Assistant Professor in Messiah University’s Graduate Counseling Program. I also works part-time as a clinician and am the owner of Courageous Hope Counseling LLC. I identify as an immigrant woman of Indian decent and have lived in several countries. I have a Bachelor’s degree in Psychology from Elizabethtown College, a Master’s degree in Clinical Mental Health Counseling from Shippensburg University, a doctoral degree from Shippensburg University in Counselor Education and Supervision. and a postgraduate certificate in Social Justice from Harvard University.
(717) 775-6704 View (717) 775-6704
Photo of Elizabeth Brillon, Clinical Social Work/Therapist in Mechanicsburg, PA
Elizabeth Brillon
Clinical Social Work/Therapist, BASW, LCSW, C-DBT, CCTP
Verified Verified
Mechanicsburg, PA 17050  (Online Only)
Greetings and welcome. My name is Elizabeth Brillon and I am an expert in managing anxieties and trauma. Life doesn't seem to work out the way we expect it to, does it? Do you ever feel like sometimes it is just too much to handle? When you pause to take a moment to think, are you pondering why your connections with others aren't allowing you to gain the elements you need to be at peace? This disharmony can be difficult to balance. It can feel lonely when you feel overwhelmed by those things in life that you cannot control. You are deserving of peace, safety, and healing. Caring for our being includes nurturing our mental health.
Greetings and welcome. My name is Elizabeth Brillon and I am an expert in managing anxieties and trauma. Life doesn't seem to work out the way we expect it to, does it? Do you ever feel like sometimes it is just too much to handle? When you pause to take a moment to think, are you pondering why your connections with others aren't allowing you to gain the elements you need to be at peace? This disharmony can be difficult to balance. It can feel lonely when you feel overwhelmed by those things in life that you cannot control. You are deserving of peace, safety, and healing. Caring for our being includes nurturing our mental health.
(717) 884-0427 View (717) 884-0427
Photo of Evie R Telfer, Counselor in Mechanicsburg, PA
Evie R Telfer
Counselor, LPC
Verified Verified
1 Endorsed
Mechanicsburg, PA 17055  (Online Only)
People are lonelier now than any time in history. Relationships can be hard, and if you've had some painful experiences in the past, it may leave you feeling either desperate for connection or terrified of it . . . or maybe both. If you're feeling stuck there, I believe the science of attachment can offer a roadmap for healing. Put that roadmap together with the experience of someone in your corner who listens deeply to help you untangle the stuck places . . . and hope begins to emerge. My passion and goal is to offer that kind of listening and reflection to help you find a new way forward.
People are lonelier now than any time in history. Relationships can be hard, and if you've had some painful experiences in the past, it may leave you feeling either desperate for connection or terrified of it . . . or maybe both. If you're feeling stuck there, I believe the science of attachment can offer a roadmap for healing. Put that roadmap together with the experience of someone in your corner who listens deeply to help you untangle the stuck places . . . and hope begins to emerge. My passion and goal is to offer that kind of listening and reflection to help you find a new way forward.
(717) 739-6612 View (717) 739-6612
Photo of Rosemarie Holland, Licensed Professional Counselor in Mechanicsburg, PA
Rosemarie Holland
Licensed Professional Counselor, MA, LPC, NCC, CCMHC, BCPC
Verified Verified
Mechanicsburg, PA 17055
Are you overwhelmed with your life? Feeling like life is too much for you to handle?Do you feel helpless and alone with no where to turn? I'm here to help you overcome anxiety and depression using mindfulness based cognitive therapy and focusing on the whole person. Let me show you how to build on your strengths and manage life more successfully by removing the blocks that are preventing you from living the life you were meant to live! I'll show you how to make those shifts in a very private, confidential setting along the Yellow Breeches Creek.
Are you overwhelmed with your life? Feeling like life is too much for you to handle?Do you feel helpless and alone with no where to turn? I'm here to help you overcome anxiety and depression using mindfulness based cognitive therapy and focusing on the whole person. Let me show you how to build on your strengths and manage life more successfully by removing the blocks that are preventing you from living the life you were meant to live! I'll show you how to make those shifts in a very private, confidential setting along the Yellow Breeches Creek.
(717) 253-9792 View (717) 253-9792
Photo of Megan Cavanaugh, Licensed Professional Counselor in Mechanicsburg, PA
Megan Cavanaugh
Licensed Professional Counselor, LPC, CCTP
Verified Verified
3 Endorsed
Mechanicsburg, PA 17050  (Online Only)
Waitlist for new clients
Hi, I’m so glad you’re here! Regardless of what brings you to therapy, I am here to help you feel better, feel accepted, and feel heard. Finding the right fit between therapist and client is very important. I am a collaborative therapist that provides a safe and supportive space to learn about yourself, your relationships and how your life experiences impact you.
Hi, I’m so glad you’re here! Regardless of what brings you to therapy, I am here to help you feel better, feel accepted, and feel heard. Finding the right fit between therapist and client is very important. I am a collaborative therapist that provides a safe and supportive space to learn about yourself, your relationships and how your life experiences impact you.
(717) 563-7495 View (717) 563-7495
Photo of Eric Alnor Counseling, LLC, Licensed Professional Counselor in Mechanicsburg, PA
Eric Alnor Counseling, LLC
Licensed Professional Counselor, MS, LPC
Verified Verified
Mechanicsburg, PA 17050  (Online Only)
My life's passions include honest self-examination and personal betterment, and I am blessed to be able to exercise these passions every day when I work with my clients. The decision to seek counseling is often difficult as it involves being vulnerable and confronting sensitive issues. I pride myself in my natural ability to make my clients feel comfortable discussing such issues by providing a warm and nonjudgemental counseling environment. I focus on treating individuals with all levels of depression and anxiety, as well as relationship concerns, though I am experienced in treating a wide range of presenting issues.
My life's passions include honest self-examination and personal betterment, and I am blessed to be able to exercise these passions every day when I work with my clients. The decision to seek counseling is often difficult as it involves being vulnerable and confronting sensitive issues. I pride myself in my natural ability to make my clients feel comfortable discussing such issues by providing a warm and nonjudgemental counseling environment. I focus on treating individuals with all levels of depression and anxiety, as well as relationship concerns, though I am experienced in treating a wide range of presenting issues.
(844) 711-7005 View (844) 711-7005
Photo of Alyssa Drake, Pre-Licensed Professional in Mechanicsburg, PA
Alyssa Drake
Pre-Licensed Professional
Verified Verified
1 Endorsed
Mechanicsburg, PA 17055
Alyssa Drake is passionate about working with the child, adolescent, teen, & young adult population. She is dedicated to making her client's therapeutic experience a positive one. Alyssa works with clients to navigate through difficulties, explore and explain developmental processes, establish/enhance behavior management, adjust both socially and emotionally, and develop coping skills. She understands the importance of working with the family of the client as well, and she welcomes a collaborative approach to give clients and their families a sense of security and support. She ensures each client will feel seen, heard & accepted.
Alyssa Drake is passionate about working with the child, adolescent, teen, & young adult population. She is dedicated to making her client's therapeutic experience a positive one. Alyssa works with clients to navigate through difficulties, explore and explain developmental processes, establish/enhance behavior management, adjust both socially and emotionally, and develop coping skills. She understands the importance of working with the family of the client as well, and she welcomes a collaborative approach to give clients and their families a sense of security and support. She ensures each client will feel seen, heard & accepted.
(717) 930-2881 View (717) 930-2881
Photo of Emerge Counseling Ministries PA, Licensed Professional Counselor in Mechanicsburg, PA
Emerge Counseling Ministries PA
Licensed Professional Counselor, PhD, LPC, NCC, MDiv
Verified Verified
Mechanicsburg, PA 17055
Emerge Counseling Ministries PA accepts clients 8 yrs and older. We help those in need of marriage, couples, families or individual counseling. We help clients deal with many different mental health conditions from relationship and school-related issues to more specialized mental health issues. Our group is trained and skilled in the treatment of depression and anxiety-related disorders and multiple other mental health or life issues. We take most insurances. Please call us at (330)-867-5603 with any questions or send us an email.
Emerge Counseling Ministries PA accepts clients 8 yrs and older. We help those in need of marriage, couples, families or individual counseling. We help clients deal with many different mental health conditions from relationship and school-related issues to more specialized mental health issues. Our group is trained and skilled in the treatment of depression and anxiety-related disorders and multiple other mental health or life issues. We take most insurances. Please call us at (330)-867-5603 with any questions or send us an email.
(717) 219-5181 View (717) 219-5181
Photo of Dr. Shawn Geraty, Pastoral Counselor in Mechanicsburg, PA
Dr. Shawn Geraty
Pastoral Counselor, DMin, MA
Verified Verified
Mechanicsburg, PA 17055
Feeling worn down by constant overwhelm, stress, depression, or anxiety? It's frustrating when efforts for change don't stick, and negative thoughts persist. Certain situations keep triggering you, stealing your peace. You're left with emptiness and worry, feeling like life's slipping away. But here's the thing: it's time for a new journey. It takes courage to reach out again, to push past hopelessness. And guess what? There's hope, beyond the struggles and pain. Let's take this step together.
Feeling worn down by constant overwhelm, stress, depression, or anxiety? It's frustrating when efforts for change don't stick, and negative thoughts persist. Certain situations keep triggering you, stealing your peace. You're left with emptiness and worry, feeling like life's slipping away. But here's the thing: it's time for a new journey. It takes courage to reach out again, to push past hopelessness. And guess what? There's hope, beyond the struggles and pain. Let's take this step together.
(717) 931-7645 View (717) 931-7645
Photo of Holly Hampton, Licensed Professional Counselor in Mechanicsburg, PA
Holly Hampton
Licensed Professional Counselor, MS, LPC
Verified Verified
Mechanicsburg, PA 17050  (Online Only)
Are you having difficulty connecting with your child, wanting to improve your family relationships, or need help managing your stress more effectively? Come work with me, where I focus on improving relationships between caregiver and child, within the family, and any other important relationships in your life. During our work together, I want you to feel an improvement in your overall quality of life.
Are you having difficulty connecting with your child, wanting to improve your family relationships, or need help managing your stress more effectively? Come work with me, where I focus on improving relationships between caregiver and child, within the family, and any other important relationships in your life. During our work together, I want you to feel an improvement in your overall quality of life.
(717) 897-6563 View (717) 897-6563
Photo of Valley Counseling Center, Marriage & Family Therapist in Mechanicsburg, PA
Valley Counseling Center
Marriage & Family Therapist, LMFT
Verified Verified
6 Endorsed
Mechanicsburg, PA 17055
Life can be difficult. As a parent, you want your children to be happy and healthy so seeing them struggle can be difficult. Teenagers and young adults are faced with new challenges every day. Families can struggle to communicate and can feel disconnected. We strive to reduce the stress and stigma associated with mental health issues by creating a positive and up-beat learning environment where we can focus on one’s strengths to develop strategies to deal with challenges that you face. Through therapy, you’ll be able to find happiness in yourself, in relationships, and in your family to be empowered towards a bright future.
Life can be difficult. As a parent, you want your children to be happy and healthy so seeing them struggle can be difficult. Teenagers and young adults are faced with new challenges every day. Families can struggle to communicate and can feel disconnected. We strive to reduce the stress and stigma associated with mental health issues by creating a positive and up-beat learning environment where we can focus on one’s strengths to develop strategies to deal with challenges that you face. Through therapy, you’ll be able to find happiness in yourself, in relationships, and in your family to be empowered towards a bright future.
(717) 546-9541 View (717) 546-9541
Photo of Amanda Fenstermacher, Licensed Professional Counselor in Mechanicsburg, PA
Amanda Fenstermacher
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Mechanicsburg, PA 17055
Life brings new challenges everyday. Work, family, school, and relationships may have you feeling anxious, stressed, and overwhelmed. You might be feeling depressed or have been through a traumatic experience that has left you not feeling like yourself. Collaboratively, I'll help you to identify the root cause of your struggles and learn skills that can help you overcome these issues and live the life you want.
Life brings new challenges everyday. Work, family, school, and relationships may have you feeling anxious, stressed, and overwhelmed. You might be feeling depressed or have been through a traumatic experience that has left you not feeling like yourself. Collaboratively, I'll help you to identify the root cause of your struggles and learn skills that can help you overcome these issues and live the life you want.
(717) 444-8989 View (717) 444-8989
Photo of Chad Briggs, Clinical Social Work/Therapist in Mechanicsburg, PA
Chad Briggs
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Mechanicsburg, PA 17055
Kids and teenagers encounter new challenges every day. School, sports, activities, and family dynamics can lead to anxiety, stress, and even depression. They may feel overwhelmed and struggle to talk about what is going on. They may be scared, feel embarrassed, or feel unsure of who to talk about what they are feeling. You may have noticed changes in their behavior or mood as a result. I work with kids, teenagers, and families to identify and gain understanding of what has led to their struggles and collaboratively work on how to move forward. I bring a different energy to therapy.
Kids and teenagers encounter new challenges every day. School, sports, activities, and family dynamics can lead to anxiety, stress, and even depression. They may feel overwhelmed and struggle to talk about what is going on. They may be scared, feel embarrassed, or feel unsure of who to talk about what they are feeling. You may have noticed changes in their behavior or mood as a result. I work with kids, teenagers, and families to identify and gain understanding of what has led to their struggles and collaboratively work on how to move forward. I bring a different energy to therapy.
(717) 229-0564 View (717) 229-0564

See more therapy options for Mechanicsburg

How does your Therapist compare?

Number of Therapists in Mechanicsburg, PA

100+

Average cost per session

$125

Therapists in Mechanicsburg, PA who prioritize treating:

95% Anxiety
92% Depression
80% Coping Skills
80% Self Esteem
78% Relationship Issues
77% Trauma and PTSD
74% Stress

Average years in practice

11 Years

Top 3 insurances accepted

85% Highmark
72% Optum
71% Aetna

How Therapists in Mechanicsburg, PA see their clients

76% In Person and Online
24% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Mechanicsburg?

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.