Therapists in Leesburg, VA

Photo of Monica Kelley, Pre-Licensed Professional in Leesburg, VA
Monica Kelley
Pre-Licensed Professional, MA, NCC
Verified Verified
1 Endorsed
Leesburg, VA 20176
We are not meant to navigate life’s tumultuous ups and downs alone. I commend you for exploring what is out there in terms of getting the support you deserve. Here in the therapy room, I offer a safe and non-judgmental space for you to unpack what is bothering you or keeping you from a more fulfilling life so we can explore, together, what freeing that space might look like for you. I encourage curiosity and non-judgement so that we may get to know how these aspects of you came to develop and work to create change that compliments who you are today and where you envision heading. Whether it is a recent life transition,
We are not meant to navigate life’s tumultuous ups and downs alone. I commend you for exploring what is out there in terms of getting the support you deserve. Here in the therapy room, I offer a safe and non-judgmental space for you to unpack what is bothering you or keeping you from a more fulfilling life so we can explore, together, what freeing that space might look like for you. I encourage curiosity and non-judgement so that we may get to know how these aspects of you came to develop and work to create change that compliments who you are today and where you envision heading. Whether it is a recent life transition,
(571) 200-8618 View (571) 200-8618
Photo of Jacqueline Bitanga, Licensed Professional Counselor in Leesburg, VA
Jacqueline Bitanga
Licensed Professional Counselor, LPC
Verified Verified
Leesburg, VA 20176
We all need support, validation, and empathy in the midst of conflict and everyday struggles. Jacque has over 15 years of experience working as a psychotherapist and a diagnostic assessment specialist licensed at the master's level. She has completed half of her coursework in the doctoral program in educational psychology from the American School of Psychology at Argosy University. She has helped adults, families, children, and adolescents of diverse backgrounds and concerns. Jacque's approach to counseling is warm and empathetic. She prides herself on treating everyone with kindness, respect, and sensitivity.
We all need support, validation, and empathy in the midst of conflict and everyday struggles. Jacque has over 15 years of experience working as a psychotherapist and a diagnostic assessment specialist licensed at the master's level. She has completed half of her coursework in the doctoral program in educational psychology from the American School of Psychology at Argosy University. She has helped adults, families, children, and adolescents of diverse backgrounds and concerns. Jacque's approach to counseling is warm and empathetic. She prides herself on treating everyone with kindness, respect, and sensitivity.
(540) 712-8465 View (540) 712-8465
Photo of Sofia Graham, Psychologist in Leesburg, VA
Sofia Graham
Psychologist, PsyD, LCP
Verified Verified
3 Endorsed
Leesburg, VA 20175
We are all human, and as part of the human experience, we all encounter challenges at different points in our lives. Dealing with these challenges can be a difficult and complex process, and may provoke feelings of isolation and helplessness. Whether you are faced with issues related to depression, anxiety, trauma, stress, relationship problems, or difficulty coping with change, I want to help facilitate a solution for you. My purpose is to help you succeed by providing you with the support and tools you need to overcome challenges and build a purposeful and enjoyable life for yourself.
We are all human, and as part of the human experience, we all encounter challenges at different points in our lives. Dealing with these challenges can be a difficult and complex process, and may provoke feelings of isolation and helplessness. Whether you are faced with issues related to depression, anxiety, trauma, stress, relationship problems, or difficulty coping with change, I want to help facilitate a solution for you. My purpose is to help you succeed by providing you with the support and tools you need to overcome challenges and build a purposeful and enjoyable life for yourself.
(703) 293-5263 View (703) 293-5263
Photo of Jenny Sexton, Drug & Alcohol Counselor in Leesburg, VA
Jenny Sexton
Drug & Alcohol Counselor, MA, CSAC, QMHP, FAC, CSAM
Verified Verified
Leesburg, VA 20176
As a substance abuse counselor & certified interventionist, who specializes in treatment services for adolescents & adults, it is my goal to address the individual's addiction, identify their needs, & goals for long-term success. As a clinician, it is important to understand the full spectrum of the individual's substance use, the impact their use has had on their family members, and identify goals to ensure their long-term success. It is important to address one issue at a time & help the individual understand the road to recovery is long & challenging but with diligence, will be met with success & freedom from addiction.
As a substance abuse counselor & certified interventionist, who specializes in treatment services for adolescents & adults, it is my goal to address the individual's addiction, identify their needs, & goals for long-term success. As a clinician, it is important to understand the full spectrum of the individual's substance use, the impact their use has had on their family members, and identify goals to ensure their long-term success. It is important to address one issue at a time & help the individual understand the road to recovery is long & challenging but with diligence, will be met with success & freedom from addiction.
(571) 620-5624 View (571) 620-5624
Photo of Alexandre Fleche, Clinical Social Work/Therapist in Leesburg, VA
Alexandre Fleche
Clinical Social Work/Therapist, LCSW
Verified Verified
Leesburg, VA 20175
Alex Fleche, Licensed Clinical Social Worker (LCSW), has gained extensive experience since 2010 in working with adolescents, adults, and families in individual, group, and family therapy settings. Alex has come to believe in the inherent value and worth of all individuals, and the incredible ability of all people to persevere and thrive in the face of great challenges. Currently Alex specializes in Cognitive Behavioral Therapy for the treatment of anxiety disorders including anxiety, panic, phobias and OCD, as well as depression, bipolar disorder, and general life stress and transitions.
Alex Fleche, Licensed Clinical Social Worker (LCSW), has gained extensive experience since 2010 in working with adolescents, adults, and families in individual, group, and family therapy settings. Alex has come to believe in the inherent value and worth of all individuals, and the incredible ability of all people to persevere and thrive in the face of great challenges. Currently Alex specializes in Cognitive Behavioral Therapy for the treatment of anxiety disorders including anxiety, panic, phobias and OCD, as well as depression, bipolar disorder, and general life stress and transitions.
(540) 502-3436 View (540) 502-3436
Photo of Talk Time Therapy, Licensed Professional Counselor in Leesburg, VA
Talk Time Therapy
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Leesburg, VA 20175  (Online Only)
Since 2010, I have been in private practice helping women and adolescents work through anxiety, depression, bipolar disorder, OCD, relationship issues, trauma, chronic health issues, everyday stressors and adjustments to life’s everchanging dynamics. I am trained in EMDR therapy through EMDRIA and can provide this effectively via telehealth. Together, with the client, we work as a team to achieve their desired goals.
Since 2010, I have been in private practice helping women and adolescents work through anxiety, depression, bipolar disorder, OCD, relationship issues, trauma, chronic health issues, everyday stressors and adjustments to life’s everchanging dynamics. I am trained in EMDR therapy through EMDRIA and can provide this effectively via telehealth. Together, with the client, we work as a team to achieve their desired goals.
(571) 200-0797 View (571) 200-0797
Photo of Victoria Scott, Licensed Professional Counselor in Leesburg, VA
Victoria Scott
Licensed Professional Counselor, LPC
Verified Verified
Leesburg, VA 20175
Victoria Scott is a Licensed Professional Counselor, who has been practicing for over 5 years in the state of Virginia. She graduated with a Master of Education degree in Marriage and Family Counseling from East Tennessee State University. Victoria's background in Family Systems Therapy allows her to provide therapy to both individuals, couples, and families.
Victoria Scott is a Licensed Professional Counselor, who has been practicing for over 5 years in the state of Virginia. She graduated with a Master of Education degree in Marriage and Family Counseling from East Tennessee State University. Victoria's background in Family Systems Therapy allows her to provide therapy to both individuals, couples, and families.
(540) 766-5465 View (540) 766-5465
Photo of Kendall McCarthy, Licensed Professional Counselor in Leesburg, VA
Kendall McCarthy
Licensed Professional Counselor, LPC, CSAC
Verified Verified
2 Endorsed
Leesburg, VA 20176
I work with adults who have been impacted by trauma and want to move "past the past" to be more successful in their lives and relationships. You may feel like you are repeating the same patterns in your life; having the same fights with your partner, feeling disconnected with your children or a lack of grounding in your job or relationships. You may feel anger that the things that happened in the past are still impacting you. As adults, we are often re-triggered by the things that happened in the past, even in childhood. If this sounds like you, I may be able to help.
I work with adults who have been impacted by trauma and want to move "past the past" to be more successful in their lives and relationships. You may feel like you are repeating the same patterns in your life; having the same fights with your partner, feeling disconnected with your children or a lack of grounding in your job or relationships. You may feel anger that the things that happened in the past are still impacting you. As adults, we are often re-triggered by the things that happened in the past, even in childhood. If this sounds like you, I may be able to help.
(703) 215-1223 View (703) 215-1223
Photo of Karyn O'Leary, Clinical Social Work/Therapist in Leesburg, VA
Karyn O'Leary
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Leesburg, VA 20176
I believe that children have the natural ability to heal. Through expressive therapy I find that children are given a voice to express what they often times cannot through words. I am a Virginia State Licensed Clinical Social Worker with over 10 years of experience working in the field, and have specialized training in working with children and their families, play therapy, and the expressive therapies. My areas of expertise include working with parents of challenging children, trauma, sexual/physical/emotional abuse, mood, anxiety, emotional difficulties, behavioral problems, grief and loss, and children of divorced parents.
I believe that children have the natural ability to heal. Through expressive therapy I find that children are given a voice to express what they often times cannot through words. I am a Virginia State Licensed Clinical Social Worker with over 10 years of experience working in the field, and have specialized training in working with children and their families, play therapy, and the expressive therapies. My areas of expertise include working with parents of challenging children, trauma, sexual/physical/emotional abuse, mood, anxiety, emotional difficulties, behavioral problems, grief and loss, and children of divorced parents.
(978) 961-0339 View (978) 961-0339
Photo of Shelby Brownlee, Licensed Professional Counselor in Leesburg, VA
Shelby Brownlee
Licensed Professional Counselor, LPC
Verified Verified
Leesburg, VA 20175
Shelby Brownlee is a Licensed Professional Counselor in Virginia who has been practicing since 2002. Shelby wants clients to feel that counseling is a mutual exploration to seek solutions to their concerns. Shelby wants to offer increased hope and motivation to help clients reach greater satisfaction in life. Shelby offers willingness to include faith-based strategies to clients who express desire for that. Shelby is curious and offers cross cultural awareness and wants to learn from clients as well. Shelby loves hiking and being outdoors with nature and enjoys music and singing, as well as viewing art and cultural exhibits.
Shelby Brownlee is a Licensed Professional Counselor in Virginia who has been practicing since 2002. Shelby wants clients to feel that counseling is a mutual exploration to seek solutions to their concerns. Shelby wants to offer increased hope and motivation to help clients reach greater satisfaction in life. Shelby offers willingness to include faith-based strategies to clients who express desire for that. Shelby is curious and offers cross cultural awareness and wants to learn from clients as well. Shelby loves hiking and being outdoors with nature and enjoys music and singing, as well as viewing art and cultural exhibits.
(540) 573-2282 View (540) 573-2282
Photo of Roberta Quirk, Clinical Social Work/Therapist in Leesburg, VA
Roberta Quirk
Clinical Social Work/Therapist, LCSW
Verified Verified
Leesburg, VA 20175  (Online Only)
Not accepting new clients
Congratulations on taking the first step toward healing and change! You may have experienced a recent event that has immobilized you. Or perhaps you have been feeling this way for quite sometime. The emotions you are experiencing may be the result of the death of loved one, infertility experiences, pregnancy loss, adoption experiences, chronic or terminal illnesses, divorce, job loss or retirement, or other life transitions. You may be feeling as though others don't understand. Together we will create a meaningful therapeutic connection; together we will explore your feelings - in a non-judgmental, open and safe space.
Congratulations on taking the first step toward healing and change! You may have experienced a recent event that has immobilized you. Or perhaps you have been feeling this way for quite sometime. The emotions you are experiencing may be the result of the death of loved one, infertility experiences, pregnancy loss, adoption experiences, chronic or terminal illnesses, divorce, job loss or retirement, or other life transitions. You may be feeling as though others don't understand. Together we will create a meaningful therapeutic connection; together we will explore your feelings - in a non-judgmental, open and safe space.
(571) 293-6933 View (571) 293-6933
Photo of Alexis Paice Winegar, Licensed Professional Counselor in Leesburg, VA
Alexis Paice Winegar
Licensed Professional Counselor, MEd
Verified Verified
Leesburg, VA 20176
Are you going through a transition in life? Are you struggling with navigating feelings, decisions or conflicts? Well, you have made a courageous first step by seeking help! My goal is to provide a safe space for you to realize your strengths, identify and process your emotions, and work through things in life that are keeping you "stuck." I take a person-centered approach to therapy, using techniques and theories from a number of approaches to help you adjust and grow through your unique experiences. Although I value clinical interventions, creating an environment that feels safe and welcoming is my top priority.
Are you going through a transition in life? Are you struggling with navigating feelings, decisions or conflicts? Well, you have made a courageous first step by seeking help! My goal is to provide a safe space for you to realize your strengths, identify and process your emotions, and work through things in life that are keeping you "stuck." I take a person-centered approach to therapy, using techniques and theories from a number of approaches to help you adjust and grow through your unique experiences. Although I value clinical interventions, creating an environment that feels safe and welcoming is my top priority.
(540) 502-4205 View (540) 502-4205
Photo of Corinne Hunter, Licensed Professional Counselor in Leesburg, VA
Corinne Hunter
Licensed Professional Counselor, MA, LPC, RPT
Verified Verified
Leesburg, VA 20175
Waitlist for new clients
Life can be challenging, uncertain, and just plain hard. We all go through difficult changes, unplanned circumstances, disappointments, and, sometimes, intense pain and suffering. Our past experiences shape our behaviors, relationships, and how we function in the world. You are not your behaviors. There is always hope for healing, growth, and change in the future from the bottom-up and the inside-out. We are all on this journey together. You are not alone. I offer help to children, teens, adults, and parents who are in need of a place to heal, grow, and become the best version of themselves.
Life can be challenging, uncertain, and just plain hard. We all go through difficult changes, unplanned circumstances, disappointments, and, sometimes, intense pain and suffering. Our past experiences shape our behaviors, relationships, and how we function in the world. You are not your behaviors. There is always hope for healing, growth, and change in the future from the bottom-up and the inside-out. We are all on this journey together. You are not alone. I offer help to children, teens, adults, and parents who are in need of a place to heal, grow, and become the best version of themselves.
(571) 200-2087 View (571) 200-2087
Photo of Cathy Wanamaker, Psychologist in Leesburg, VA
Cathy Wanamaker
Psychologist, PhD
Verified Verified
1 Endorsed
Leesburg, VA 20175
I have been a licensed therapist since 1994. You will find that I am a down-to-earth person who understands the issues that face people in the current day and age. In treatment, I am comfortable giving the feedback and direction you need to help you make the changes you want in your life. While therapy can be difficult, I believe it also can be enjoyable. To that end, I use humor, playfulness, and creativity, along with psychoeducation and traditional psychotherapy practices. You will find that I will do all I can to support guide you as you go through this process.
I have been a licensed therapist since 1994. You will find that I am a down-to-earth person who understands the issues that face people in the current day and age. In treatment, I am comfortable giving the feedback and direction you need to help you make the changes you want in your life. While therapy can be difficult, I believe it also can be enjoyable. To that end, I use humor, playfulness, and creativity, along with psychoeducation and traditional psychotherapy practices. You will find that I will do all I can to support guide you as you go through this process.
(703) 291-3700 View (703) 291-3700
Photo of Alexandra L. Roberts, Licensed Professional Counselor in Leesburg, VA
Alexandra L. Roberts
Licensed Professional Counselor, MA
Verified Verified
1 Endorsed
Leesburg, VA 20176
Emotions aren't meant to be feared. Trying to navigate through distressing thoughts, experiences, and memories can be overwhelming. My goal is to help you feel on top of life’s challenges, take on those struggles with ease, make connections, and gain more clarity of yourself in the process. Whether you are facing trauma, anxiety, grief, life adjustments, relationship concerns, or learning to achieve overall wellness for yourself, it would be a privilege to be a part of the journey with you.
Emotions aren't meant to be feared. Trying to navigate through distressing thoughts, experiences, and memories can be overwhelming. My goal is to help you feel on top of life’s challenges, take on those struggles with ease, make connections, and gain more clarity of yourself in the process. Whether you are facing trauma, anxiety, grief, life adjustments, relationship concerns, or learning to achieve overall wellness for yourself, it would be a privilege to be a part of the journey with you.
(571) 554-6881 View (571) 554-6881
Photo of Alison Fincham, Licensed Professional Counselor in Leesburg, VA
Alison Fincham
Licensed Professional Counselor, LPC, MEd
Verified Verified
1 Endorsed
Leesburg, VA 20175
Welcome. Our journey in life can be incredibly rewarding but sometimes life experiences can cause stress, anxiety, or depression. Therapy can help to identify the cause of these feelings and help you move toward your goal of a more fulfilling life. Beginning or returning to therapy is a courageous step and my role as your therapist is to help you begin to navigate the journey and help you overcome difficult life experiences and the resulting impact on your mental health and wellbeing.
Welcome. Our journey in life can be incredibly rewarding but sometimes life experiences can cause stress, anxiety, or depression. Therapy can help to identify the cause of these feelings and help you move toward your goal of a more fulfilling life. Beginning or returning to therapy is a courageous step and my role as your therapist is to help you begin to navigate the journey and help you overcome difficult life experiences and the resulting impact on your mental health and wellbeing.
(540) 792-3703 View (540) 792-3703
Photo of Ana Maria Lastra, Licensed Professional Counselor in Leesburg, VA
Ana Maria Lastra
Licensed Professional Counselor, LPC
Verified Verified
Leesburg, VA 20176
Waitlist for new clients
We all want the same thing; to feel loved, secure, stable and, in one word, GOOD. When life throws us a curveball, or we feel stuck and are hurting it may be the time to reach out for support in a setting that feels safe, judgement free and confidential.
We all want the same thing; to feel loved, secure, stable and, in one word, GOOD. When life throws us a curveball, or we feel stuck and are hurting it may be the time to reach out for support in a setting that feels safe, judgement free and confidential.
(540) 307-0953 View (540) 307-0953
Photo of Phyllis Brodie, Psychologist in Leesburg, VA
Phyllis Brodie
Psychologist, PsyD
Verified Verified
Leesburg, VA 20175
Dr. Phyllis Brodie is a Licensed Clinical Psychologist in Virginia who has been practicing since 2005. She earned a PhD at George Mason University. Dr. Brodie will walk beside you and hold the lantern on the journey toward achieving your goals.
Dr. Phyllis Brodie is a Licensed Clinical Psychologist in Virginia who has been practicing since 2005. She earned a PhD at George Mason University. Dr. Brodie will walk beside you and hold the lantern on the journey toward achieving your goals.
(540) 501-7213 View (540) 501-7213
Photo of Dylan Beckner, Clinical Social Work/Therapist in Leesburg, VA
Dylan Beckner
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
5 Endorsed
Leesburg, VA 20175
I have a passion for treating clients motivated in overcoming symptoms related to anxiety, depression, trauma, and eating disorders (utilizing the Health At Every Size and All Foods Fit approach). While therapy isn't always easy, I like to take a friendly and casual, yet professional approach to our therapeutic relationship. I want your experience in therapy to be a positive one. I enjoy working with people of all ages, and do particularly well with adolescents and young adults!
I have a passion for treating clients motivated in overcoming symptoms related to anxiety, depression, trauma, and eating disorders (utilizing the Health At Every Size and All Foods Fit approach). While therapy isn't always easy, I like to take a friendly and casual, yet professional approach to our therapeutic relationship. I want your experience in therapy to be a positive one. I enjoy working with people of all ages, and do particularly well with adolescents and young adults!
(571) 473-5352 View (571) 473-5352
Photo of Lynn Blycher, Licensed Professional Counselor in Leesburg, VA
Lynn Blycher
Licensed Professional Counselor, MEd, LPC
Verified Verified
4 Endorsed
Leesburg, VA 20175
Not accepting new clients
Deciding to go to a therapist is a courageous step. For some people, it is because a life-altering event has disrupted their world. For others, long-term symptoms have become increasingly more difficult. Wherever you find yourself now, finding the right fit for your needs is important. I use a holistic approach in my work with adolescents and adults who are struggling with a variety of difficulties including anxiety, depression, relationship/family issues, life transitions, substance abuse, and trauma. I have worked with teens and adults in a community agency, schools, and private practice.
Deciding to go to a therapist is a courageous step. For some people, it is because a life-altering event has disrupted their world. For others, long-term symptoms have become increasingly more difficult. Wherever you find yourself now, finding the right fit for your needs is important. I use a holistic approach in my work with adolescents and adults who are struggling with a variety of difficulties including anxiety, depression, relationship/family issues, life transitions, substance abuse, and trauma. I have worked with teens and adults in a community agency, schools, and private practice.
(703) 477-6649 View (703) 477-6649

How does your Therapist compare?

Number of Therapists in Leesburg, VA

300+

Average cost per session

$150

Therapists in Leesburg, VA who prioritize treating:

94% Anxiety
90% Depression
75% Self Esteem
73% Coping Skills
71% Relationship Issues
64% Trauma and PTSD
58% Grief

Average years in practice

12 Years

Top 3 insurances accepted

67% Cigna and Evernorth
66% BlueCross and BlueShield
64% Aetna

How Therapists in Leesburg, VA see their clients

66% In Person and Online
34% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Leesburg?

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.