Therapists in Medway, MA

Photo of Elizabeth Meyer, Clinical Social Work/Therapist in Medway, MA
Elizabeth Meyer
Clinical Social Work/Therapist, LICSW, CPCC
Verified Verified
Medway, MA 02053  (Online Only)
Are you trying to do it all and find yourself feeling overwhelmed, depressed, burnt out or depleted? Maybe you are experiencing conflict in your relationships, or worry and anxiety about the future. Maybe you are just feeling stuck, that your life isn't where you want it to be. My goal as a therapist is to create a warm, welcoming, safe space in which you can explore the areas you feel stuck. Together we can explore the thoughts, feelings and behaviors that serve you as well as identify those that don't. We can identify new options and help you make more empowered choices.
Are you trying to do it all and find yourself feeling overwhelmed, depressed, burnt out or depleted? Maybe you are experiencing conflict in your relationships, or worry and anxiety about the future. Maybe you are just feeling stuck, that your life isn't where you want it to be. My goal as a therapist is to create a warm, welcoming, safe space in which you can explore the areas you feel stuck. Together we can explore the thoughts, feelings and behaviors that serve you as well as identify those that don't. We can identify new options and help you make more empowered choices.
(774) 338-3260 View (774) 338-3260
Rachael Coffin Fahey
Counselor, MA, LMHC
Verified Verified
Medway, MA 02053
I specialize in the treatment of children, adolescents, and their families. I strive to provide a safe, respectful, nurturing, and non-judgmental environment where people can express themselves and explore their personal challenges. I use an integrated therapeutic approach, drawing upon evidence-based treatment interventions that are tailored to the individual's style and needs. I offer parent management training and collaborate with schools. It is important to me to provide treatment that allows for my clients to recognize their strengths, gain control of their behaviors, and reach their full potential.
I specialize in the treatment of children, adolescents, and their families. I strive to provide a safe, respectful, nurturing, and non-judgmental environment where people can express themselves and explore their personal challenges. I use an integrated therapeutic approach, drawing upon evidence-based treatment interventions that are tailored to the individual's style and needs. I offer parent management training and collaborate with schools. It is important to me to provide treatment that allows for my clients to recognize their strengths, gain control of their behaviors, and reach their full potential.
(508) 533-4141 View (508) 533-4141
Photo of Carly Baker Bettencourt, Clinical Social Work/Therapist in Medway, MA
Carly Baker Bettencourt
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Medway, MA 02053  (Online Only)
With over 20 years of experience, I bring a broad range of skills to my work with individuals, families, couples and groups. I'm a firm believer that therapy is not a "one size fits all" process. I work with my patients on their self-designed goals. I've developed what I consider to be a supportive but challenging approach to my work with people. I want to help folks get "unstuck" and move from surviving to thriving. My patients describe me as warm, down-to-earth, direct, interactive and empowering. We all deserve to create the best versions of ourselves and our relationships!
With over 20 years of experience, I bring a broad range of skills to my work with individuals, families, couples and groups. I'm a firm believer that therapy is not a "one size fits all" process. I work with my patients on their self-designed goals. I've developed what I consider to be a supportive but challenging approach to my work with people. I want to help folks get "unstuck" and move from surviving to thriving. My patients describe me as warm, down-to-earth, direct, interactive and empowering. We all deserve to create the best versions of ourselves and our relationships!
(508) 286-6775 View (508) 286-6775
Photo of Heather Hirsch, Counselor in Medway, MA
Heather Hirsch
Counselor, MEd, LMHC
Verified Verified
Medway, MA 02053
Life can be really challenging and if you feel overwhelmed by it all, you are not alone. Maybe the existing cracks in your “normal” world are now blown so wide open you cannot see the other side? Through my work in both inpatient and outpatient mental health settings I have witnessed first-hand how damaging stress, anxiety, depression, insecurities, loneliness, and low self-esteem can be. Often current coping measures are causing more harm than good, and new ways need to learned. Clients hold the expertise regarding their lives and they know what is helpful and what they are willing to try.
Life can be really challenging and if you feel overwhelmed by it all, you are not alone. Maybe the existing cracks in your “normal” world are now blown so wide open you cannot see the other side? Through my work in both inpatient and outpatient mental health settings I have witnessed first-hand how damaging stress, anxiety, depression, insecurities, loneliness, and low self-esteem can be. Often current coping measures are causing more harm than good, and new ways need to learned. Clients hold the expertise regarding their lives and they know what is helpful and what they are willing to try.
(774) 228-7412 View (774) 228-7412
Photo of Lisa D Delchamps, Counselor in Medway, MA
Lisa D Delchamps
Counselor, LMHC
Verified Verified
Medway, MA 02053
Not accepting new clients
I strive to help my clients grow toward greater fulfillment in their lives. The process of personal growth often involves making difficult changes and I collaborate with my clients to develop and use their inner resources to make these important changes. In psychotherapy I assist my clients in setting individualized goals for their treatment and work with them using an active therapeutic style.
I strive to help my clients grow toward greater fulfillment in their lives. The process of personal growth often involves making difficult changes and I collaborate with my clients to develop and use their inner resources to make these important changes. In psychotherapy I assist my clients in setting individualized goals for their treatment and work with them using an active therapeutic style.
(508) 928-5017 View (508) 928-5017
Barbara Annie Ford Geiger
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Medway, MA 02053
Life sometimes could be better. If you are trying to cope with difficult circumstances, trauma, anxiety, depression, medical concerns, changes in life, or are simply having a difficult time thriving, this is a moment when reaching out for help can be a relief and a bridge to resilience. Our work can help you establish a peaceful, joy filled life with right relationships, sense of purpose, resolution of trauma; and for those attempting success in an endeavor, help to achieve peak performance. Areas addressed include parenting with special needs. I work with individuals, couples, young adults, children, parents, families.
Life sometimes could be better. If you are trying to cope with difficult circumstances, trauma, anxiety, depression, medical concerns, changes in life, or are simply having a difficult time thriving, this is a moment when reaching out for help can be a relief and a bridge to resilience. Our work can help you establish a peaceful, joy filled life with right relationships, sense of purpose, resolution of trauma; and for those attempting success in an endeavor, help to achieve peak performance. Areas addressed include parenting with special needs. I work with individuals, couples, young adults, children, parents, families.
(774) 854-7073 View (774) 854-7073
Photo of Linda Standley: EMDR Intensives, Counselor in Medway, MA
Linda Standley: EMDR Intensives
Counselor, MA, LMHC
Verified Verified
Medway, MA 02053
Waitlist for new clients
As a Certified EMDR Clinician and an Approved EMDR Consultant, I specialize in working with busy career professionals who are seeking to feel unburdened by the past and who are motivated to live their best life. During much of my career I have worked with survivors of relational and complex trauma including sexual assault, domestic violence as well as with adult survivors of childhood trauma. I enjoy working with other helping professionals clinically as well as by providing clinical consultation and supervision.
As a Certified EMDR Clinician and an Approved EMDR Consultant, I specialize in working with busy career professionals who are seeking to feel unburdened by the past and who are motivated to live their best life. During much of my career I have worked with survivors of relational and complex trauma including sexual assault, domestic violence as well as with adult survivors of childhood trauma. I enjoy working with other helping professionals clinically as well as by providing clinical consultation and supervision.
(508) 618-4058 View (508) 618-4058
Photo of Susannah Barry, Clinical Social Work/Therapist in Medway, MA
Susannah Barry
Clinical Social Work/Therapist, LICSW
Verified Verified
Medway, MA 02053
Susannah received her Bachelor of Science degree from Northeastern University and went on to complete her Master of Social Work degree at Simmons College. She has experience working in a variety of clinical settings including community based mental health, residential treatment, and private practice. Susannah’s clinical training is in the treatment of complex trauma and she is trained in various trauma treatment models including Attachment, Regulation, and Competency (ARC), Sensory Motor Arousal Regulation Treatment (SMART) and Eye Movement Desensitization Reprocessing (EMDR).
Susannah received her Bachelor of Science degree from Northeastern University and went on to complete her Master of Social Work degree at Simmons College. She has experience working in a variety of clinical settings including community based mental health, residential treatment, and private practice. Susannah’s clinical training is in the treatment of complex trauma and she is trained in various trauma treatment models including Attachment, Regulation, and Competency (ARC), Sensory Motor Arousal Regulation Treatment (SMART) and Eye Movement Desensitization Reprocessing (EMDR).
(508) 306-8592 View (508) 306-8592
Photo of Carrie Vinson, Clinical Social Work/Therapist in Medway, MA
Carrie Vinson
Clinical Social Work/Therapist, LICSW
Verified Verified
Medway, MA 02053
Have you had a great idea, a POP,  only to talk yourself out of it?  Started a project but abandoned it, telling yourself it was too overwhelming or just not doable?  Wanted to try something new or different and been discouraged by your own thoughts or the words of others?  We all have, haven’t we?  I certainly have.  So what is the driver behind our stopping, getting distracted, being “too busy” and talking ourselves out of actions and desires that will lead to greater fulfillment or happiness?   Fear!  Fear stops us from all things possible, from opening up and receiving the brilliance that this lifetime offers!
Have you had a great idea, a POP,  only to talk yourself out of it?  Started a project but abandoned it, telling yourself it was too overwhelming or just not doable?  Wanted to try something new or different and been discouraged by your own thoughts or the words of others?  We all have, haven’t we?  I certainly have.  So what is the driver behind our stopping, getting distracted, being “too busy” and talking ourselves out of actions and desires that will lead to greater fulfillment or happiness?   Fear!  Fear stops us from all things possible, from opening up and receiving the brilliance that this lifetime offers!
(508) 886-3023 View (508) 886-3023
Photo of Cheryl Desautels, Counselor in Medway, MA
Cheryl Desautels
Counselor, LMHC
Verified Verified
Medway, MA 02053
Waitlist for new clients
Life is filled with challenges and sometimes we find ourselves not having the skills, knowledge, resources, or “neurology” to manage. I believe that counseling can help people identify the roadblocks which prevent them from feeling competent and hopeful. I view each person who chooses to work with me as unique and capable, and together we build a relationship where humor, trust, and compassion facilitates our work. Together we work towards removing or reducing roadblocks to help you reach your personal goals. It’s not always easy, but it is a journey that is often life changing. I feel honored to go on the journey with you.
Life is filled with challenges and sometimes we find ourselves not having the skills, knowledge, resources, or “neurology” to manage. I believe that counseling can help people identify the roadblocks which prevent them from feeling competent and hopeful. I view each person who chooses to work with me as unique and capable, and together we build a relationship where humor, trust, and compassion facilitates our work. Together we work towards removing or reducing roadblocks to help you reach your personal goals. It’s not always easy, but it is a journey that is often life changing. I feel honored to go on the journey with you.
(508) 593-1149 View (508) 593-1149
Photo of Amanda Jablonski, Counselor in Medway, MA
Amanda Jablonski
Counselor, LMHC
Verified Verified
Medway, MA 02053
Not accepting new clients
Offering individual, couples, and family therapy, with flexible evening and weekend availability. I have a wide range of experience treating anxiety, depression, adjustment to life changes, marital/family conflict, grief and loss, and beyond, supporting clients through the lifespan.
Offering individual, couples, and family therapy, with flexible evening and weekend availability. I have a wide range of experience treating anxiety, depression, adjustment to life changes, marital/family conflict, grief and loss, and beyond, supporting clients through the lifespan.
(631) 485-1410 View (631) 485-1410
Photo of Ed Geiger, Psychologist in Medway, MA
Ed Geiger
Psychologist, EdD, MS, LIC, PSY
Verified Verified
Medway, MA 02053
I have been practicing Mindfulness Based Psychotherapy for over 25 years. My goal is to help my clients thrive in both their personal and family domains as well as employment or school settings. The work is to free oneself from triggers which can lead to unhappiness, discomfort or anger. I work with adults, adolescents, couples and families.
I have been practicing Mindfulness Based Psychotherapy for over 25 years. My goal is to help my clients thrive in both their personal and family domains as well as employment or school settings. The work is to free oneself from triggers which can lead to unhappiness, discomfort or anger. I work with adults, adolescents, couples and families.
(508) 318-6843 View (508) 318-6843
Photo of Matt Counseling Services, Counselor in Medway, MA
Matt Counseling Services
Counselor, LMHC
Verified Verified
1 Endorsed
Medway, MA 02053
Waitlist for new clients
I would like to thank all of the people on the front line for risking their lives to save ours. I am certified in EMDR and prolonged exposure, both have been proven to do well with acute stress symptoms. If you work on the front lines (healthcare, grocery stores, construction, etc) please reach out so I can help you as much as possible. Currently, I am only accepting new clients that have a PTSD diagnosis. I apologize for any inconvenience. If you feel like I am great for you please reach out!
I would like to thank all of the people on the front line for risking their lives to save ours. I am certified in EMDR and prolonged exposure, both have been proven to do well with acute stress symptoms. If you work on the front lines (healthcare, grocery stores, construction, etc) please reach out so I can help you as much as possible. Currently, I am only accepting new clients that have a PTSD diagnosis. I apologize for any inconvenience. If you feel like I am great for you please reach out!
(508) 590-9896 View (508) 590-9896
Photo of Mary Gregory, Counselor in Medway, MA
Mary Gregory
Counselor, MEd, MBA, LMHC
Verified Verified
Medway, MA 02053
Waitlist for new clients
"Pain is the touchstone of all growth." --Bill Wilson. Using a wide range of therapeutic approaches in a safe, non-judgmental environment, my focus is on helping individuals and couples cope with difficult circumstances and challenges including anxiety, depression, anger, addiction/substance abuse, disordered eating, relational conflict, divorce, PTSD/trauma, grief, and life transitions. I seek to help clients address their problems and ineffective behavior by exploring, identifying and defining priorities, problems, values and goals in service of their healing and growth.
"Pain is the touchstone of all growth." --Bill Wilson. Using a wide range of therapeutic approaches in a safe, non-judgmental environment, my focus is on helping individuals and couples cope with difficult circumstances and challenges including anxiety, depression, anger, addiction/substance abuse, disordered eating, relational conflict, divorce, PTSD/trauma, grief, and life transitions. I seek to help clients address their problems and ineffective behavior by exploring, identifying and defining priorities, problems, values and goals in service of their healing and growth.
(508) 619-4486 View (508) 619-4486
Photo of Theresa M Brasier-Fragale, Psychologist in Medway, MA
Theresa M Brasier-Fragale
Psychologist, PsyD
Verified Verified
1 Endorsed
Medway, MA 02053
I would be a great match for clients who are looking to be more effective in their life. Clients who are suffering from anxiety, depression, mood issues, stress, relationship issues and find themselves repeating past patterns are the types of clients that I can help. Client who want to understand themselves better so they can live the life they want could be a great match. Please note the best way and preferred way to contact me is via the psychology today website email/message function.
I would be a great match for clients who are looking to be more effective in their life. Clients who are suffering from anxiety, depression, mood issues, stress, relationship issues and find themselves repeating past patterns are the types of clients that I can help. Client who want to understand themselves better so they can live the life they want could be a great match. Please note the best way and preferred way to contact me is via the psychology today website email/message function.
(508) 372-8659 View (508) 372-8659
Photo of Bridget Greenwald, Licensed Professional Counselor in Medway, MA
Bridget Greenwald
Licensed Professional Counselor, MA, LMHC
Verified Verified
Medway, MA 02053
Therapy can help you manage life's varied challenges and live a more fulfilled life. It can help you understand what you're feeling, why and how to cope. Just like visiting your doctor for regular wellness exams, or your dentist for checkups, meeting with a therapist can help keep your mental health in order. In our sessions, you will be offered a comfortable, safe and nurturing environment in which to understand your personal, emotional, spiritual and relational struggles.
Therapy can help you manage life's varied challenges and live a more fulfilled life. It can help you understand what you're feeling, why and how to cope. Just like visiting your doctor for regular wellness exams, or your dentist for checkups, meeting with a therapist can help keep your mental health in order. In our sessions, you will be offered a comfortable, safe and nurturing environment in which to understand your personal, emotional, spiritual and relational struggles.
(508) 444-9580 View (508) 444-9580
Photo of Jennifer Denaro, Psychologist in Medway, MA
Jennifer Denaro
Psychologist, PsyD
Verified Verified
1 Endorsed
Medway, MA 02053
Waitlist for new clients
My approach to treatment is empathetic and integrative. I have many years of experience as a psychologist. I provide a safe, warm, and supportive environment in therapy where one might effectively cultivate lasting change. I provide individual and family therapy in both short and long term modalities to people with a variety of presenting problems across the lifespan. I use evidenced-based treatments, taking into careful consideration the unique needs of each person. I am skilled in cognitive behavioral techniques, acceptance & commitment therapy (ACT), trauma-informed therapy (PE, ARC, TF-CBT), and DBT-informed interventions.
My approach to treatment is empathetic and integrative. I have many years of experience as a psychologist. I provide a safe, warm, and supportive environment in therapy where one might effectively cultivate lasting change. I provide individual and family therapy in both short and long term modalities to people with a variety of presenting problems across the lifespan. I use evidenced-based treatments, taking into careful consideration the unique needs of each person. I am skilled in cognitive behavioral techniques, acceptance & commitment therapy (ACT), trauma-informed therapy (PE, ARC, TF-CBT), and DBT-informed interventions.
(508) 433-3149 View (508) 433-3149
Photo of Amy W. B. Adams, Clinical Social Work/Therapist in Medway, MA
Amy W. B. Adams
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Medway, MA 02053
Due to a referral increase, please email me in lieu of phone calls. My role as a therapist is to provide a safe, supportive and non-judgmental environment in which to explore the issues creating difficulty for each individual or couple. I treat a range of issues, from depression, anxiety disorders, unresolved grief, adjustment problems, stress management, relationship concerns, GLBT issues, past trauma to an immediate crisis to a general feeling of dissatisfaction with the present state of your life. All of these issues cause a great deal of distress, but can also be opportunities for immense personal growth and change.
Due to a referral increase, please email me in lieu of phone calls. My role as a therapist is to provide a safe, supportive and non-judgmental environment in which to explore the issues creating difficulty for each individual or couple. I treat a range of issues, from depression, anxiety disorders, unresolved grief, adjustment problems, stress management, relationship concerns, GLBT issues, past trauma to an immediate crisis to a general feeling of dissatisfaction with the present state of your life. All of these issues cause a great deal of distress, but can also be opportunities for immense personal growth and change.
(508) 809-3485 View (508) 809-3485
Photo of Loriann Sarnosky, Clinical Social Work/Therapist in Medway, MA
Loriann Sarnosky
Clinical Social Work/Therapist, MSW, LICSW, CHT, WHEWC
Verified Verified
1 Endorsed
Medway, MA 02053  (Online Only)
Feeling stressed, stuck, or not living the healthiest version of YOU? My passion is to educate & empower women to live life with the highest level of awareness, conscious choice, self-acceptance, interconnectedness, love, meaning and purpose. Freedom, liberation, health, and wellness are the result of conscious choices & authentic living. Let's discover the relationship between your experiences, behaviors, mood, immune system, relationships & overall wellness; uncover conscious/unconscious patterns; gain clarity; learn tools to regulate your nervous system; and move towards optimal wellness of mind, body and soul.
Feeling stressed, stuck, or not living the healthiest version of YOU? My passion is to educate & empower women to live life with the highest level of awareness, conscious choice, self-acceptance, interconnectedness, love, meaning and purpose. Freedom, liberation, health, and wellness are the result of conscious choices & authentic living. Let's discover the relationship between your experiences, behaviors, mood, immune system, relationships & overall wellness; uncover conscious/unconscious patterns; gain clarity; learn tools to regulate your nervous system; and move towards optimal wellness of mind, body and soul.
(508) 231-4689 View (508) 231-4689
Photo of Michelle Brenhiser, Clinical Social Work/Therapist in Medway, MA
Michelle Brenhiser
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Medway, MA 02053  (Online Only)
I believe therapy is the best gift you can give yourself or someone you love. Like with most situations where you are mindful of the struggle but proud of the result, therapy requires vulnerability, connection, patience, honesty and hard work. It is true that you will get out of therapy what you put into it. I am an MSW/LICSW, telehealth social worker with over 20 years experience working with children, teenagers, young adults and families in various settings, including psychiatric settings, schools, home based work, mental health clinics and private practice.
I believe therapy is the best gift you can give yourself or someone you love. Like with most situations where you are mindful of the struggle but proud of the result, therapy requires vulnerability, connection, patience, honesty and hard work. It is true that you will get out of therapy what you put into it. I am an MSW/LICSW, telehealth social worker with over 20 years experience working with children, teenagers, young adults and families in various settings, including psychiatric settings, schools, home based work, mental health clinics and private practice.
(508) 794-7660 View (508) 794-7660

See more therapy options for Medway

How does your Therapist compare?

Number of Therapists in Medway, MA

50+

Average cost per session

$150

Therapists in Medway, MA who prioritize treating:

94% Anxiety
92% Depression
91% Self Esteem
87% Relationship Issues
81% Coping Skills
75% Trauma and PTSD
72% Family Conflict

Average years in practice

19 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
70% Optum
68% Harvard Pilgrim

How Therapists in Medway, MA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

87% Female
13% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Medway?

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.