Therapists in Cleveland Heights, OH

Photo of Christopher Zalewski, Clinical Social Work/Therapist in Cleveland Heights, OH
Christopher Zalewski
Clinical Social Work/Therapist, MSW, LSCSW, LISW-S
Verified Verified
Cleveland Heights, OH 44106  (Online Only)
"The only thing constant is change." Life is full of moments that require major adjustments to how we live, think, and act in the world. These times of adjustment can often be stressful, even painful. On the other hand, there exists enormous opportunity for growth during these times of change.
"The only thing constant is change." Life is full of moments that require major adjustments to how we live, think, and act in the world. These times of adjustment can often be stressful, even painful. On the other hand, there exists enormous opportunity for growth during these times of change.
(216) 930-1672 View (216) 930-1672
Photo of Otimbum Wilson Jr, Counselor in Cleveland Heights, OH
Otimbum Wilson Jr
Counselor, MA, LPCC
Verified Verified
Cleveland Heights, OH 44118
Thank you for taking the time to read my profile! This means that you are contemplating the beginning of your therapeutic journey, and this is a beautiful first step. I am a firm believer that ANYBODY can benefit from therapy no matter one's age, gender or race. I have experience working in a multitude of settings such as school based counseling, Methadone clinic, community agency work, and private practice. I have experience working with individuals (children, teenagers and adults), families, and couples. I have experience serving diverse populations with a wide range of mental health concern.
Thank you for taking the time to read my profile! This means that you are contemplating the beginning of your therapeutic journey, and this is a beautiful first step. I am a firm believer that ANYBODY can benefit from therapy no matter one's age, gender or race. I have experience working in a multitude of settings such as school based counseling, Methadone clinic, community agency work, and private practice. I have experience working with individuals (children, teenagers and adults), families, and couples. I have experience serving diverse populations with a wide range of mental health concern.
(216) 284-6369 View (216) 284-6369
Photo of Drew Friedman, Clinical Social Work/Therapist in Cleveland Heights, OH
Drew Friedman
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Cleveland Heights, OH 44106
Healing children and adolescents is the focus of my practice. I believe therapy is a collaborative process that helps kids grow and adapt to change. My practice focuses on aiding children in developing skills to adapt to change, process stressful life events, and increase functioning in daily life.
Healing children and adolescents is the focus of my practice. I believe therapy is a collaborative process that helps kids grow and adapt to change. My practice focuses on aiding children in developing skills to adapt to change, process stressful life events, and increase functioning in daily life.
(216) 616-4660 View (216) 616-4660
Photo of Sonji I Kenyatta, Counselor in Cleveland Heights, OH
Sonji I Kenyatta
Counselor, PhD, LPCC, MA
Verified Verified
Cleveland Heights, OH 44118  (Online Only)
I focus on providing a safe and confidential environment that promotes the healing process. I want to provide you with the tools you need to be productive. My approach is holistic and direct in order to jumpstart your journey of self-discovery and healing. We will explore thoughts, feelings, and behaviors that are positive or negative to your well-being. I have over a decade of experience in providing mental health counseling to adults, children, couples, and families.
I focus on providing a safe and confidential environment that promotes the healing process. I want to provide you with the tools you need to be productive. My approach is holistic and direct in order to jumpstart your journey of self-discovery and healing. We will explore thoughts, feelings, and behaviors that are positive or negative to your well-being. I have over a decade of experience in providing mental health counseling to adults, children, couples, and families.
(216) 259-8381 View (216) 259-8381
Photo of Ashley Dudinsky, Clinical Social Work/Therapist in Cleveland Heights, OH
Ashley Dudinsky
Clinical Social Work/Therapist, MSSA, ADN, LSW
Verified Verified
1 Endorsed
Cleveland Heights, OH 44118  (Online Only)
My foundation in therapy has always been working with children, teens, families and women's mental health. Each person is unique, and each situation is different. My purpose is to help you design a plan to address whatever it may be that you are wanting to work on. I love to incorporate different methods and approaches such as bringing in art interventions, games, music, reading to accompany traditional treatment perspectives. One quote I love is- It's not about what it is, it's about what it can become- Dr. Seuss. I love to explore the past, present and then develop a beautiful future vision.
My foundation in therapy has always been working with children, teens, families and women's mental health. Each person is unique, and each situation is different. My purpose is to help you design a plan to address whatever it may be that you are wanting to work on. I love to incorporate different methods and approaches such as bringing in art interventions, games, music, reading to accompany traditional treatment perspectives. One quote I love is- It's not about what it is, it's about what it can become- Dr. Seuss. I love to explore the past, present and then develop a beautiful future vision.
(216) 340-9915 View (216) 340-9915
Photo of Joanna Hardis, LISW-S, LLC, Clinical Social Work/Therapist in Cleveland Heights, OH
Joanna Hardis, LISW-S, LLC
Clinical Social Work/Therapist, LISW-S
Verified Verified
2 Endorsed
Cleveland Heights, OH 44106
Is it hard to turn off your worries? Are your thoughts intrusive and distressing? Do you feel they control you? Everyone worries at some point, of course, but it’s when the thoughts won’t go away, or you find yourself stuck in them, I can help you. Having anxiety isn’t a hopeless situation (no matter what your head may be telling you.) Far from it. My specialties and expertise are focused on treating adults and children who have anxiety disorders, obsessive compulsive spectrum disorders, are going through life transitions (like life after divorce), or who would like help with their parenting skills.
Is it hard to turn off your worries? Are your thoughts intrusive and distressing? Do you feel they control you? Everyone worries at some point, of course, but it’s when the thoughts won’t go away, or you find yourself stuck in them, I can help you. Having anxiety isn’t a hopeless situation (no matter what your head may be telling you.) Far from it. My specialties and expertise are focused on treating adults and children who have anxiety disorders, obsessive compulsive spectrum disorders, are going through life transitions (like life after divorce), or who would like help with their parenting skills.
(216) 208-7403 View (216) 208-7403
Photo of Samantha Hoch, Counselor in Cleveland Heights, OH
Samantha Hoch
Counselor, LPCC-S
Verified Verified
1 Endorsed
Cleveland Heights, OH 44118  (Online Only)
Waitlist for new clients
I am a Licensed Professional Clinical Counselor and I provide teletherapy to adults of all genders who live in the state of Ohio. Therapy can feel uncomfortable at times because change is difficult, so my hope is to create an environment where you can be authentic and share your thoughts and feelings. My approach to therapy is warm and person-centered with a trauma-informed perspective to learn about how your past experiences have impacted you. I offer therapy that is LGBTQ+ affirming.
I am a Licensed Professional Clinical Counselor and I provide teletherapy to adults of all genders who live in the state of Ohio. Therapy can feel uncomfortable at times because change is difficult, so my hope is to create an environment where you can be authentic and share your thoughts and feelings. My approach to therapy is warm and person-centered with a trauma-informed perspective to learn about how your past experiences have impacted you. I offer therapy that is LGBTQ+ affirming.
(216) 666-5653 View (216) 666-5653
Photo of Leslie LaFleur, Psychologist in Cleveland Heights, OH
Leslie LaFleur
Psychologist, PsyD, ATR
Verified Verified
3 Endorsed
Cleveland Heights, OH 44106
Individual therapy offers a non-judgemental space for you to learn more about yourself and the issues that are troubling to you. Central to my practice is a supportive and trusting relationship in which you can feel valued, respected, and worthy. I will be with you throughout the process, offering my support, encouragement, and candid observations. Facing these issues can be intimidating and seeking help takes courage. Whether you work with me or another professional, I am glad you are beginning this journey.
Individual therapy offers a non-judgemental space for you to learn more about yourself and the issues that are troubling to you. Central to my practice is a supportive and trusting relationship in which you can feel valued, respected, and worthy. I will be with you throughout the process, offering my support, encouragement, and candid observations. Facing these issues can be intimidating and seeking help takes courage. Whether you work with me or another professional, I am glad you are beginning this journey.
(216) 303-8964 View (216) 303-8964
Photo of Wild Hope Therapy - Cleveland , Clinical Social Work/Therapist in Cleveland Heights, OH
Wild Hope Therapy - Cleveland
Clinical Social Work/Therapist, LISW
Verified Verified
Cleveland Heights, OH 44118
At Wild Hope Therapy, we believe that therapy can be impactful and enriching while still feeling down-to-earth and accessible. We value collaboration, cultural humility, and seeing you as the expert of your own experience. Our style is warm and relaxed, but we will always be working diligently with you to develop the tools you need to meet your self-defined goals. We intend to create a space where you feel like you can be yourself, and trust us to hold you to whatever values and objectives we uncover.
At Wild Hope Therapy, we believe that therapy can be impactful and enriching while still feeling down-to-earth and accessible. We value collaboration, cultural humility, and seeing you as the expert of your own experience. Our style is warm and relaxed, but we will always be working diligently with you to develop the tools you need to meet your self-defined goals. We intend to create a space where you feel like you can be yourself, and trust us to hold you to whatever values and objectives we uncover.
(216) 677-6886 View (216) 677-6886
Photo of Alan Federman, Clinical Social Work/Therapist in Cleveland Heights, OH
Alan Federman
Clinical Social Work/Therapist, MA
Verified Verified
1 Endorsed
Cleveland Heights, OH 44106
Does is feel like life is a treadmill and you're going over and over the same territory but never getting anywhere? Whether it's an intimate relationship that is stuck on the same issues, an addictive behavior that you can't seem to break out of, or a neurotic pattern of depression or anxiety that robes life of its joy, sometimes life can be discouraging, and trying harder in the same way brings only more frustration.
Does is feel like life is a treadmill and you're going over and over the same territory but never getting anywhere? Whether it's an intimate relationship that is stuck on the same issues, an addictive behavior that you can't seem to break out of, or a neurotic pattern of depression or anxiety that robes life of its joy, sometimes life can be discouraging, and trying harder in the same way brings only more frustration.
(440) 549-0998 View (440) 549-0998
Photo of Shirley Zhao, Clinical Social Work/Therapist in Cleveland Heights, OH
Shirley Zhao
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Cleveland Heights, OH 44106
Hello, there. I want to express how glad I am that you have taken this important step toward improving your mental and emotional well-being, and I would be genuinely happy to join you on your journey. Throughout my years as a therapist, I have had the opportunity to work with many individuals who have experienced mental health challenges related to sexual abuse, anxiety, depression and PTSD. And it has absolutely become my passion to work with each of you for these issues. If you would like to, please go to my website I posted under my profile picture to learn more about me.
Hello, there. I want to express how glad I am that you have taken this important step toward improving your mental and emotional well-being, and I would be genuinely happy to join you on your journey. Throughout my years as a therapist, I have had the opportunity to work with many individuals who have experienced mental health challenges related to sexual abuse, anxiety, depression and PTSD. And it has absolutely become my passion to work with each of you for these issues. If you would like to, please go to my website I posted under my profile picture to learn more about me.
(216) 677-3930 View (216) 677-3930
Photo of Nancy L Rubel, Psychologist in Cleveland Heights, OH
Nancy L Rubel
Psychologist, PhD, LLC
Verified Verified
Cleveland Heights, OH 44121  (Online Only)
Life can be a challenging journey. If you are seeking a therapist with a warm, supportive, direct style, consider calling me for a free phone consultation. Mindful awareness, new perspectives, and hope are what I offer in the process of honest exploration of difficult issues and life experiences in psychotherapy. I believe it is my job to be open and non-judgemental as I assist you to find more ease in your life. Through careful listening and advising, I will support you toward sorting through your life struggles. We will use Zoom for our sessions, which offers considerable flexibility in scheduling.
Life can be a challenging journey. If you are seeking a therapist with a warm, supportive, direct style, consider calling me for a free phone consultation. Mindful awareness, new perspectives, and hope are what I offer in the process of honest exploration of difficult issues and life experiences in psychotherapy. I believe it is my job to be open and non-judgemental as I assist you to find more ease in your life. Through careful listening and advising, I will support you toward sorting through your life struggles. We will use Zoom for our sessions, which offers considerable flexibility in scheduling.
(216) 452-7172 View (216) 452-7172
Photo of Michael A Miller, Licensed Professional Counselor in Cleveland Heights, OH
Michael A Miller
Licensed Professional Counselor, LPC
Verified Verified
Cleveland Heights, OH 44118
Not accepting new clients
You know you want to make changes, yet you’re not sure how. You’re grappling with pain and suffering, indecision and uncertainty. In our work together we will identify what works well for you and uncover leftover habits that were once very functional, even lifesaving, but no longer serve you and are keeping you stuck. We’ll find new ways of being and doing so you can be free of old habits and patterns, so you can step into the rest of your life being the person you were born to be.
You know you want to make changes, yet you’re not sure how. You’re grappling with pain and suffering, indecision and uncertainty. In our work together we will identify what works well for you and uncover leftover habits that were once very functional, even lifesaving, but no longer serve you and are keeping you stuck. We’ll find new ways of being and doing so you can be free of old habits and patterns, so you can step into the rest of your life being the person you were born to be.
(216) 284-3583 View (216) 284-3583
Photo of Donna Murray, Licensed Professional Clinical Counselor in Cleveland Heights, OH
Donna Murray
Licensed Professional Clinical Counselor, LPCC-S
Verified Verified
Cleveland Heights, OH 44118  (Online Only)
Hello! My name is Donna Murray and I look forward to connecting with you. I’ve had the joy of working in the counseling field for over 25 years in multiple settings including: private practice, inpatient and outpatient, home-based, school-based and residential detox. I am a Licensed Professional Clinical Counselor in the states of Ohio, West Virginia and North Carolina and have been offering counseling services since 1996. Currently, I also serve on the West Virginia Certification Board for Addiction & Prevention Professionals.
Hello! My name is Donna Murray and I look forward to connecting with you. I’ve had the joy of working in the counseling field for over 25 years in multiple settings including: private practice, inpatient and outpatient, home-based, school-based and residential detox. I am a Licensed Professional Clinical Counselor in the states of Ohio, West Virginia and North Carolina and have been offering counseling services since 1996. Currently, I also serve on the West Virginia Certification Board for Addiction & Prevention Professionals.
(216) 677-2386 View (216) 677-2386
Photo of Jessica C. McDonough, Licensed Professional Counselor in Cleveland Heights, OH
Jessica C. McDonough
Licensed Professional Counselor, LPC, AT, CMP, C-DBT
Verified Verified
Cleveland Heights, OH 44118
By utilizing techniques in cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT), I combine logic, intuition, creativity, and empathy to reflect my unique approach, based in humanism, holism, and existentialism, and assist with achievement of therapeutic goals. I help with challenges such as developing behavioral and emotional self-awareness, learning and implementing adaptive responses to stressors, building effective interpersonal skills, establishing healthy expectations and boundaries, and instilling a sense of empowerment and resilience.
By utilizing techniques in cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT), I combine logic, intuition, creativity, and empathy to reflect my unique approach, based in humanism, holism, and existentialism, and assist with achievement of therapeutic goals. I help with challenges such as developing behavioral and emotional self-awareness, learning and implementing adaptive responses to stressors, building effective interpersonal skills, establishing healthy expectations and boundaries, and instilling a sense of empowerment and resilience.
(216) 208-8074 View (216) 208-8074
Photo of Caitlin O'Connor, Clinical Social Work/Therapist in Cleveland Heights, OH
Caitlin O'Connor
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Cleveland Heights, OH 44118
Not accepting new clients
Hello! I am a clinical social worker specializing in self-compassion, empowerment, and trauma informed practices. I have experience working with survivors of domestic and sexual abuse as well as over 5 years of experience working in reproductive healthcare. My areas of treatment include anxiety; life transitions; OCD; Borderline Personality Disorder; pre and post abortion counseling; domestic and sexual violence; harm reduction; gender identity and sexuality; eating disorders; and body dysmorphia.
Hello! I am a clinical social worker specializing in self-compassion, empowerment, and trauma informed practices. I have experience working with survivors of domestic and sexual abuse as well as over 5 years of experience working in reproductive healthcare. My areas of treatment include anxiety; life transitions; OCD; Borderline Personality Disorder; pre and post abortion counseling; domestic and sexual violence; harm reduction; gender identity and sexuality; eating disorders; and body dysmorphia.
(216) 279-7379 View (216) 279-7379
Photo of Yvette The Coach M.A., CMLC | Narcissistic Abuse in Cleveland Heights, OH
Yvette The Coach M.A., CMLC | Narcissistic Abuse
MA, CMLC, CDC, CHC
Verified Verified
Cleveland Heights, OH 44106
NARCISSISTIC EMOTIONAL/Psychological abuse & IPV! Dealing with an abusive, hostile, high-profile professional, threatening the entire ecological system of yr life? Your partner, spouse, boss, co-worker, family member? Putting you down and/or threatening you & in the next breath telling you how much they love you? Are you drained, devalued, debilitated to exhaustion? Trivial demands? Isolation? Are you smothered? Is your hair falling out? Are your adrenals pumping? Are you denied sleep? Devouring your will is what the abuser wants so they can control. You must not have any space or feel emotion in the relationship: especially anger.
NARCISSISTIC EMOTIONAL/Psychological abuse & IPV! Dealing with an abusive, hostile, high-profile professional, threatening the entire ecological system of yr life? Your partner, spouse, boss, co-worker, family member? Putting you down and/or threatening you & in the next breath telling you how much they love you? Are you drained, devalued, debilitated to exhaustion? Trivial demands? Isolation? Are you smothered? Is your hair falling out? Are your adrenals pumping? Are you denied sleep? Devouring your will is what the abuser wants so they can control. You must not have any space or feel emotion in the relationship: especially anger.
(216) 284-6178 View (216) 284-6178
Photo of Mind Trek Counseling LLC, Clinical Social Work/Therapist in Cleveland Heights, OH
Mind Trek Counseling LLC
Clinical Social Work/Therapist, LISW-S, LPC
Verified Verified
1 Endorsed
Cleveland Heights, OH 44106
We believe you can change by focusing on what is important to you, and your strengths. Our expertise is working with ADHD, Anxiety, Addiction, Depression, Childhood & Adulthood Trauma, Relationship, Couple’s issues, Racial identity, and other Identities. (Our website provides much more information about us: www.mindtrekcounseling.com)
We believe you can change by focusing on what is important to you, and your strengths. Our expertise is working with ADHD, Anxiety, Addiction, Depression, Childhood & Adulthood Trauma, Relationship, Couple’s issues, Racial identity, and other Identities. (Our website provides much more information about us: www.mindtrekcounseling.com)
(216) 616-7563 View (216) 616-7563
Photo of Karen Tenreiro, Psychologist in Cleveland Heights, OH
Karen Tenreiro
Psychologist, PsyD
Verified Verified
1 Endorsed
Cleveland Heights, OH 44106
I am currently seeing NY residents by video and OH residents in person or by video. I specialize in working with adults and adolescents who want help with disordered eating, anxiety, and/or depression. Exploring conscious and less conscious thoughts and feelings helps to bring internal conflicts to light and resolve emotional pain. I have a supportive and calm demeanor that helps people open up about their inner life and find new ways to cope. I often recommend use of nutritionists, physicians and other professionals to best address the whole person and reduce uncomfortable and relentless symptoms.
I am currently seeing NY residents by video and OH residents in person or by video. I specialize in working with adults and adolescents who want help with disordered eating, anxiety, and/or depression. Exploring conscious and less conscious thoughts and feelings helps to bring internal conflicts to light and resolve emotional pain. I have a supportive and calm demeanor that helps people open up about their inner life and find new ways to cope. I often recommend use of nutritionists, physicians and other professionals to best address the whole person and reduce uncomfortable and relentless symptoms.
(917) 526-0568 View (917) 526-0568
Photo of Cerina N Woodall, Clinical Social Work/Therapist in Cleveland Heights, OH
Cerina N Woodall
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Cleveland Heights, OH 44118  (Online Only)
I believe that everyone deserves the opportunity to be empowered by life's obstacles which we all must face. No one should feel alone in a storm. I understand that clients want to feel heard with a sense of empathy and understanding. I have provided trauma-focused Cognitive Behavioral therapy, behavioral modification, and emotional support for managing mental health symptoms. I create a safe space for my clients to express their feelings and I provide positive feedback.
I believe that everyone deserves the opportunity to be empowered by life's obstacles which we all must face. No one should feel alone in a storm. I understand that clients want to feel heard with a sense of empathy and understanding. I have provided trauma-focused Cognitive Behavioral therapy, behavioral modification, and emotional support for managing mental health symptoms. I create a safe space for my clients to express their feelings and I provide positive feedback.
(216) 677-1798 View (216) 677-1798

See more therapy options for Cleveland Heights

How does your Therapist compare?

Number of Therapists in Cleveland Heights, OH

100+

Average cost per session

$140

Therapists in Cleveland Heights, OH who prioritize treating:

94% Anxiety
87% Depression
76% Trauma and PTSD
75% Relationship Issues
70% Self Esteem
66% Stress
65% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

85% Medical Mutual
71% Aetna
70% UnitedHealthcare UHC | UBH

How Therapists in Cleveland Heights, OH see their clients

74% In Person and Online
26% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Cleveland Heights?

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.