Therapists in Rockville, MD

Photo of Garcia Therapy Services, LLC, Clinical Social Work/Therapist in Rockville, MD
Garcia Therapy Services, LLC
Clinical Social Work/Therapist, LCSW-C, BCD
Verified Verified
1 Endorsed
Rockville, MD 20850  (Online Only)
Mr. Israel Garcia is a Licensed Clinical Social Worker and a Board Certified Diplomate in Clinical Social Work. He has a Master of Science in Social Work from Columbia University School of Social Work. He is an active duty officer with U.S. Public Health Service, and a former guest provider at Walter Reed National Military Medical Center. He guides individuals, families, and couples to transform difficult experiences and emotions into powerful therapeutic tools to find healing. He is trained in Clinical Trauma, Mindful Anger, Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Structural Family Therapy, ADHD.
Mr. Israel Garcia is a Licensed Clinical Social Worker and a Board Certified Diplomate in Clinical Social Work. He has a Master of Science in Social Work from Columbia University School of Social Work. He is an active duty officer with U.S. Public Health Service, and a former guest provider at Walter Reed National Military Medical Center. He guides individuals, families, and couples to transform difficult experiences and emotions into powerful therapeutic tools to find healing. He is trained in Clinical Trauma, Mindful Anger, Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Structural Family Therapy, ADHD.
(240) 384-4787 View (240) 384-4787
Photo of Dr. Ida DeLiberis, Psychologist in Rockville, MD
Dr. Ida DeLiberis
Psychologist, PsyD
Verified Verified
Rockville, MD 20852
People come to therapy for many different reasons at various times during their lives. Whether you are taking your first steps in seeking therapy or have received mental health treatment, reaching out to a new Provider can be difficult or anxiety-provoking. Connecting with the right clinician is both relieving and rewarding. Wherever you are in your journey, and however you are feeling, I am privileged to support you at this important part of your life. I provide evidence-based psychotherapy for teens and adults, ages 13 years-old and above.
People come to therapy for many different reasons at various times during their lives. Whether you are taking your first steps in seeking therapy or have received mental health treatment, reaching out to a new Provider can be difficult or anxiety-provoking. Connecting with the right clinician is both relieving and rewarding. Wherever you are in your journey, and however you are feeling, I am privileged to support you at this important part of your life. I provide evidence-based psychotherapy for teens and adults, ages 13 years-old and above.
(301) 857-5088 View (301) 857-5088
Photo of Maryland Wellness Psychotherapy, LLC, Clinical Social Work/Therapist in Rockville, MD
Maryland Wellness Psychotherapy, LLC
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Rockville, MD 20850
Welcome to Maryland Wellness Psychotherapy, where our team of experienced Licensed Clinical Social Workers specializes in personalized counseling sessions tailored to address anxiety, depression, relationship challenges, life transitions among other issues. We understand that during times of stress, life can feel overwhelming. Our mission is to guide individuals towards collaborative healing and happiness to increase coping skills in dealing with life’s challenges.
Welcome to Maryland Wellness Psychotherapy, where our team of experienced Licensed Clinical Social Workers specializes in personalized counseling sessions tailored to address anxiety, depression, relationship challenges, life transitions among other issues. We understand that during times of stress, life can feel overwhelming. Our mission is to guide individuals towards collaborative healing and happiness to increase coping skills in dealing with life’s challenges.
(301) 450-8651 View (301) 450-8651
Photo of Mark W Heaney, Counselor in Rockville, MD
Mark W Heaney
Counselor, LGPC, CPT
Verified Verified
Rockville, MD 20850  (Online Only)
I am currently accepting new clients. Is something holding you back from the change you need? You don’t have to do it alone. Together, we can explore the roots of what is bothering you in a safe and illuminating way and develop a strategy to overcome it. Along the way, we will reinforce your strengths and build new skills as needed. I will be with you throughout your journey to cheer you on while holding you accountable to your highest aspirations. Using a structured approach, we will set SMART goals and continuously measure your progress to make sure you achieve them.
I am currently accepting new clients. Is something holding you back from the change you need? You don’t have to do it alone. Together, we can explore the roots of what is bothering you in a safe and illuminating way and develop a strategy to overcome it. Along the way, we will reinforce your strengths and build new skills as needed. I will be with you throughout your journey to cheer you on while holding you accountable to your highest aspirations. Using a structured approach, we will set SMART goals and continuously measure your progress to make sure you achieve them.
(240) 647-9313 View (240) 647-9313
Photo of Vincent Del Balzo, Clinical Social Work/Therapist in Rockville, MD
Vincent Del Balzo
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Rockville, MD 20850
Not accepting new clients
(I am not currently accepting new clients into my practice.) I'm very comfortable working with adolescents and have been able to provide them with a safe, supportive and non-judgmental setting in which to explore their conflicts around family, school, and relationships as well as to consider their hopes and anxieties about the future. Typically, my clients enter therapy to work on mood and relationship issues, school/work performance problems (including motivation), and anger issues. I also have a great deal of experience working with adults in individual, family, and couples' therapy, and I offer parenting guidance.
(I am not currently accepting new clients into my practice.) I'm very comfortable working with adolescents and have been able to provide them with a safe, supportive and non-judgmental setting in which to explore their conflicts around family, school, and relationships as well as to consider their hopes and anxieties about the future. Typically, my clients enter therapy to work on mood and relationship issues, school/work performance problems (including motivation), and anger issues. I also have a great deal of experience working with adults in individual, family, and couples' therapy, and I offer parenting guidance.
(301) 918-5277 View (301) 918-5277
Photo of Sarah Puskavich, Counselor in Rockville, MD
Sarah Puskavich
Counselor, LCPC, NCC, CRC
Verified Verified
4 Endorsed
Rockville, MD 20855
Are you struggling with mood dysregulation, loss of motivation, self-esteem issues, unmanaged stress, substance abuse, or just feeling unlike yourself? You are not alone dealing with these issues and it's okay to ask for help. These issues can occur at any point in life and can be difficult to manage on your own. Working from a perspective that aims to empower you and use your strengths for change, therapy can assist you in navigating through these issues while exploring the impact on your relationships, sense of self, and quality of life.
Are you struggling with mood dysregulation, loss of motivation, self-esteem issues, unmanaged stress, substance abuse, or just feeling unlike yourself? You are not alone dealing with these issues and it's okay to ask for help. These issues can occur at any point in life and can be difficult to manage on your own. Working from a perspective that aims to empower you and use your strengths for change, therapy can assist you in navigating through these issues while exploring the impact on your relationships, sense of self, and quality of life.
(240) 209-9775 View (240) 209-9775
Photo of Julie Yook, Art Therapist in Rockville, MD
Julie Yook
Art Therapist, MA, LCPAT, ATR-BC
Verified Verified
Rockville, MD 20855  (Online Only)
우리는 과거를 돌이킬 수는 없지만 고통스러운 기억에서 자유로울 수는 있습니다. 우리의 뇌는 스스로 치유하는 능력을 가지고 있습니다. We as human beings, may encounter overwhelming challenges that can leave us feeling powerless or hopeless. The current emotional disturbance and negative thoughts often come from old self-beliefs, deeply rooted emotions from unresolved past experiences that are adverse or even traumatic. we all have inherent ability to build resilience and embrace challenges into growth and healing. I help my clients to reconnect with their resilience, improve insight into their issues, to ultimately find their own path to happiness, hope and a sense of wholeness.
우리는 과거를 돌이킬 수는 없지만 고통스러운 기억에서 자유로울 수는 있습니다. 우리의 뇌는 스스로 치유하는 능력을 가지고 있습니다. We as human beings, may encounter overwhelming challenges that can leave us feeling powerless or hopeless. The current emotional disturbance and negative thoughts often come from old self-beliefs, deeply rooted emotions from unresolved past experiences that are adverse or even traumatic. we all have inherent ability to build resilience and embrace challenges into growth and healing. I help my clients to reconnect with their resilience, improve insight into their issues, to ultimately find their own path to happiness, hope and a sense of wholeness.
(240) 896-1547 View (240) 896-1547
Photo of Growing Minds Early Childhood - Adolescence Parenting Support, Clinical Social Work/Therapist in Rockville, MD
Growing Minds Early Childhood - Adolescence Parenting Support
Clinical Social Work/Therapist, LCSW-C, PhD, LCPC, RPT-S, CLS
Verified Verified
2 Endorsed
Rockville, MD 20852
We provide TELETHERAPY and IN-PERSON therapy. Growing Minds offers expertise in social-emotional development for early childhood through adolescence as well as parenting support. Our playful, expressive and evidence-based approach will engage your child and deepen your insight into your child's behaviors and inner-world. We provide guidance in concrete parenting strategies to both manage challenges and build your family's resilience. Our integrative methods focus on the whole-child through individual, family, and group therapy modalities, along with collaboration with schools, specialists, and community resources.
We provide TELETHERAPY and IN-PERSON therapy. Growing Minds offers expertise in social-emotional development for early childhood through adolescence as well as parenting support. Our playful, expressive and evidence-based approach will engage your child and deepen your insight into your child's behaviors and inner-world. We provide guidance in concrete parenting strategies to both manage challenges and build your family's resilience. Our integrative methods focus on the whole-child through individual, family, and group therapy modalities, along with collaboration with schools, specialists, and community resources.
(301) 888-5258 View (301) 888-5258
Photo of Ryanne Rosier, Psychological Associate in Rockville, MD
Ryanne Rosier
Psychological Associate, PhD
Verified Verified
Rockville, MD 20852
Investing in your mental health can but daunting, but it's one of the most important and rewarding things you can do to improve your quality of life. As a therapist serving the Washington DC area, I excel in supporting those who find themselves struggling to manage anxiety, depression, trauma, ADHD, stress, relationships, self-advocacy or self-esteem.
Investing in your mental health can but daunting, but it's one of the most important and rewarding things you can do to improve your quality of life. As a therapist serving the Washington DC area, I excel in supporting those who find themselves struggling to manage anxiety, depression, trauma, ADHD, stress, relationships, self-advocacy or self-esteem.
(301) 368-6461 View (301) 368-6461
Photo of Aubrey Berry, Counselor in Rockville, MD
Aubrey Berry
Counselor, LGPC
Verified Verified
1 Endorsed
Rockville, MD 20852
I am so happy you’re here! As a client-centered counselor who specializes in trauma, anxiety, & relationships, my therapy focuses on providing a safe, supportive environment for you to express & explore your emotions while gaining practical coping skills. While working with me, you will receive a non-judgmental approach that is individually tailored to meet your specific needs & goals. My goal as a counselor is to partner with you to help you feel heard as we work to remove the obstacles and barriers in our lives and relationships that leave us feeling stuck and unfulfilled. All are welcome here: this is a nondiscriminatory space :)
I am so happy you’re here! As a client-centered counselor who specializes in trauma, anxiety, & relationships, my therapy focuses on providing a safe, supportive environment for you to express & explore your emotions while gaining practical coping skills. While working with me, you will receive a non-judgmental approach that is individually tailored to meet your specific needs & goals. My goal as a counselor is to partner with you to help you feel heard as we work to remove the obstacles and barriers in our lives and relationships that leave us feeling stuck and unfulfilled. All are welcome here: this is a nondiscriminatory space :)
(443) 377-5963 View (443) 377-5963
Photo of Edward Spector, Psychologist in Rockville, MD
Edward Spector
Psychologist, PsyD
Verified Verified
1 Endorsed
Rockville, MD 20850
Dr. Spector is a licensed psychologist with expertise in helping children, adolescents, and adults in individual and group therapy. Dr. Spector has a comprehensive knowledge of video games, computer games, smart phones, and the Internet. He has helped many clients change how they use technology. Media appearances focusing on the healthy use of technology include: Good Morning America, NPR's the Diane Rehm Show, NBC4 and Fox5 News, Matter of Fact with Solidad O'Brien, Bethesda Magazine, and Voice of America.
Dr. Spector is a licensed psychologist with expertise in helping children, adolescents, and adults in individual and group therapy. Dr. Spector has a comprehensive knowledge of video games, computer games, smart phones, and the Internet. He has helped many clients change how they use technology. Media appearances focusing on the healthy use of technology include: Good Morning America, NPR's the Diane Rehm Show, NBC4 and Fox5 News, Matter of Fact with Solidad O'Brien, Bethesda Magazine, and Voice of America.
(202) 524-8606 View (202) 524-8606
Photo of Karen Epstein, Licensed Clinical Professional Counselor in Rockville, MD
Karen Epstein
Licensed Clinical Professional Counselor, LCPC, NCC, EMDR-C
Verified Verified
5 Endorsed
Rockville, MD 20852
We all experience ups and downs in our life. At times, though, our challenges become overwhelming and difficult to manage alone. Unresolved trauma may be affecting your overall mental and physical wellness. Or, you may be struggling with relationship and marital challenges; grief; facing difficult life transitions; or dealing with symptoms related to anxiety or depression. It is important to know, however, that you are resilient and you have ability to heal, improve self-awareness, and make healthier and positive changes in your life.
We all experience ups and downs in our life. At times, though, our challenges become overwhelming and difficult to manage alone. Unresolved trauma may be affecting your overall mental and physical wellness. Or, you may be struggling with relationship and marital challenges; grief; facing difficult life transitions; or dealing with symptoms related to anxiety or depression. It is important to know, however, that you are resilient and you have ability to heal, improve self-awareness, and make healthier and positive changes in your life.
(240) 753-6590 View (240) 753-6590
Photo of Jamie West, Clinical Social Work/Therapist in Rockville, MD
Jamie West
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Rockville, MD 20852
Waitlist for new clients
I began my journey to social work through several years as an educator in both Montessori and Special Education and then served as a social worker in public and private schools. In that position I worked with a diverse population of children, young adults, and parents to address trauma, anxiety, depression, maladaptive behaviors and regulating emotions. I also enjoy working with adults as they navigate through various life challenges. As a former military spouse and mother of three, I have first hand knowledge of the sacrifice made by both the servicemember and the family left behind.
I began my journey to social work through several years as an educator in both Montessori and Special Education and then served as a social worker in public and private schools. In that position I worked with a diverse population of children, young adults, and parents to address trauma, anxiety, depression, maladaptive behaviors and regulating emotions. I also enjoy working with adults as they navigate through various life challenges. As a former military spouse and mother of three, I have first hand knowledge of the sacrifice made by both the servicemember and the family left behind.
(301) 804-2045 View (301) 804-2045
Photo of Aimee Block, Clinical Social Work/Therapist in Rockville, MD
Aimee Block
Clinical Social Work/Therapist, LCSW
Verified Verified
Rockville, MD 20852
We all feel stuck at times as we navigate life’s challenges. Therapy provides the opportunity to gain insight and skills needed to make the changes you want in your life. My goal is to provide a welcoming, nonjudgmental, and compassionate space to guide you in exploring and adjusting patterns of thinking, feeling, and relating that interfere with living more fully and freely. My holistic approach integrates techniques for mind, body, and spirit that build upon your unique strengths, to progress towards the positive changes you envision.
We all feel stuck at times as we navigate life’s challenges. Therapy provides the opportunity to gain insight and skills needed to make the changes you want in your life. My goal is to provide a welcoming, nonjudgmental, and compassionate space to guide you in exploring and adjusting patterns of thinking, feeling, and relating that interfere with living more fully and freely. My holistic approach integrates techniques for mind, body, and spirit that build upon your unique strengths, to progress towards the positive changes you envision.
(240) 839-6896 View (240) 839-6896
Photo of Rebecca Austin, Clinical Social Work/Therapist in Rockville, MD
Rebecca Austin
Clinical Social Work/Therapist, LCSW
Verified Verified
Rockville, MD 20850
I am a Licensed Social Worker with a passion for decreasing the stigma surrounding mental health and promoting the health and well being of my clients. For my undergraduate degree, I moved from Central Jersey (Yes! It exists!) to South Jersey to attend Stockton University. I received a Bachelor of Science Degree in Social Work with a Minor in Behavioral Neuroscience from Stockton, and then moved on to attend graduate school in Philadelphia. I received my Master of Social Work Degree with a clinical concentration from the University of Pennsylvania’s School of Social Policy and Practice in May of 2020.
I am a Licensed Social Worker with a passion for decreasing the stigma surrounding mental health and promoting the health and well being of my clients. For my undergraduate degree, I moved from Central Jersey (Yes! It exists!) to South Jersey to attend Stockton University. I received a Bachelor of Science Degree in Social Work with a Minor in Behavioral Neuroscience from Stockton, and then moved on to attend graduate school in Philadelphia. I received my Master of Social Work Degree with a clinical concentration from the University of Pennsylvania’s School of Social Policy and Practice in May of 2020.
(240) 433-5896 View (240) 433-5896
Photo of Ling Loui Wu, Psychologist in Rockville, MD
Ling Loui Wu
Psychologist, PsyD
Verified Verified
Rockville, MD 20855  (Online Only)
My focus is to help you reduce symptoms, become self-reliant, improve relationships, and explore all the possibilities that may lead you to functioning at a higher level. Most importantly, before finding a solution, we will work together to identify and confirm the problem and its resources.
My focus is to help you reduce symptoms, become self-reliant, improve relationships, and explore all the possibilities that may lead you to functioning at a higher level. Most importantly, before finding a solution, we will work together to identify and confirm the problem and its resources.
(240) 392-1293 View (240) 392-1293
Photo of Healing Waters Psychotherapy, Clinical Social Work/Therapist in Rockville, MD
Healing Waters Psychotherapy
Clinical Social Work/Therapist, LCSW-C
Verified Verified
3 Endorsed
Rockville, MD 20850
Healing Waters has psychotherapists who are empathetic, encouraging, and passionate about working alongside clients to overcome obstacles. We would love to work with you to help heal from trauma, improve self-esteem, reduce anxiety, relax and cope with stress, and learn to better control anger.
Healing Waters has psychotherapists who are empathetic, encouraging, and passionate about working alongside clients to overcome obstacles. We would love to work with you to help heal from trauma, improve self-esteem, reduce anxiety, relax and cope with stress, and learn to better control anger.
View
Photo of Courtney Schaefer, Clinical Social Work/Therapist in Rockville, MD
Courtney Schaefer
Clinical Social Work/Therapist, MSW, LCSW, RPT
Verified Verified
Rockville, MD 20852  (Online Only)
Are you looking for support for a young person or need your own support? Does your person have trouble finding people and or places who get them? Do you need support wading through the educational processes required to make sure your child's needs. I am honored to have worked for more than thirty years supporting skill development for dealing with a variety of emotional and developmental issues, while at the same time supporting families. I also have a unique understanding of special education from both inside the system (Special Education Social Worker) and as a parent of a student with a neurodifferent brain.
Are you looking for support for a young person or need your own support? Does your person have trouble finding people and or places who get them? Do you need support wading through the educational processes required to make sure your child's needs. I am honored to have worked for more than thirty years supporting skill development for dealing with a variety of emotional and developmental issues, while at the same time supporting families. I also have a unique understanding of special education from both inside the system (Special Education Social Worker) and as a parent of a student with a neurodifferent brain.
(301) 900-5987 View (301) 900-5987
Photo of Carly Blackstone, Psychologist in Rockville, MD
Carly Blackstone
Psychologist, PsyD
Verified Verified
Rockville, MD 20850
Today you or your family are one step closer to a new you, where you feel empowered and on a positive path to growth and well-being. I see therapy (individual, couples and family) as a collaborative effort to figure out what obstacles are getting in the way of you and your family's happiness. We explore past and current behaviors, thoughts, relationships, and make connections between past and current experiences to help create change. We can work together to create a new experience that not only gets you through the storm to the calm, but can help you or your family thrive.
Today you or your family are one step closer to a new you, where you feel empowered and on a positive path to growth and well-being. I see therapy (individual, couples and family) as a collaborative effort to figure out what obstacles are getting in the way of you and your family's happiness. We explore past and current behaviors, thoughts, relationships, and make connections between past and current experiences to help create change. We can work together to create a new experience that not only gets you through the storm to the calm, but can help you or your family thrive.
(240) 213-3117 View (240) 213-3117
Photo of Patrick E Connealy, Clinical Social Work/Therapist in Rockville, MD
Patrick E Connealy
Clinical Social Work/Therapist, LCSW-C, EDPNA
Verified Verified
1 Endorsed
Rockville, MD 20852
Not accepting new clients
I've been a therapist for 35 years. I've worked in the public and private sectors with those suffering from Post Traumatic Stress Disorder, Depression, Anxiety, Addictions, Personality Disorders, and those with serious mental illness.
I've been a therapist for 35 years. I've worked in the public and private sectors with those suffering from Post Traumatic Stress Disorder, Depression, Anxiety, Addictions, Personality Disorders, and those with serious mental illness.
(301) 962-2787 View (301) 962-2787

How does your Therapist compare?

Number of Therapists in Rockville, MD

900+

Average cost per session

$175

Therapists in Rockville, MD who prioritize treating:

95% Anxiety
91% Depression
78% Relationship Issues
78% Self Esteem
72% Coping Skills
67% Trauma and PTSD
67% Stress

Average years in practice

13 Years

Top 3 insurances accepted

78% BlueCross and BlueShield
75% CareFirst
57% Cigna and Evernorth

How Therapists in Rockville, MD see their clients

63% In Person and Online
37% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Rockville?

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.