Therapists in Flemington, NJ

Photo of Karen Boates, Clinical Social Work/Therapist in Flemington, NJ
Karen Boates
Clinical Social Work/Therapist, LCSW
Verified Verified
Flemington, NJ 08822
I have 25+ years of experience working with children, adolescents, adults, and older adults. I have worked with individuals as well as families and couples. The experience I have is multi-faceted. I have direct, clinical experience working in the areas of anxiety, depression, bipolar disorder, schizophrenia, substance abuse, Dementia, adoption and family systems. I have worked in an educational, community, and a psychiatric hospital setting.
I have 25+ years of experience working with children, adolescents, adults, and older adults. I have worked with individuals as well as families and couples. The experience I have is multi-faceted. I have direct, clinical experience working in the areas of anxiety, depression, bipolar disorder, schizophrenia, substance abuse, Dementia, adoption and family systems. I have worked in an educational, community, and a psychiatric hospital setting.
(908) 533-7064 View (908) 533-7064
Photo of Barbara Koziel, Clinical Social Work/Therapist in Flemington, NJ
Barbara Koziel
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
Flemington, NJ 08822  (Online Only)
Not accepting new clients
I strive to create an open and inclusive environment that allows each individual the opportunity to work towards their unique therapeutic goals. There is no one size fits all in therapy, therefore my treatment approach is integrative and strengths based. Drawing from many frameworks including mindfulness, motivational interviewing, DBT and CBT. Having a background working with both substance use and mental illness I feel comfortable working with a broad range of individuals but particularly those who have or have a loved one who has struggled with substance use.
I strive to create an open and inclusive environment that allows each individual the opportunity to work towards their unique therapeutic goals. There is no one size fits all in therapy, therefore my treatment approach is integrative and strengths based. Drawing from many frameworks including mindfulness, motivational interviewing, DBT and CBT. Having a background working with both substance use and mental illness I feel comfortable working with a broad range of individuals but particularly those who have or have a loved one who has struggled with substance use.
(908) 224-5138 View (908) 224-5138
Photo of Dr. Nicole Waldron, Psychologist in Flemington, NJ
Dr. Nicole Waldron
Psychologist, PsyD
Verified Verified
Flemington, NJ 08822  (Online Only)
New Horizons was founded by Nicole Waldron, Psy.D. and Ronald Gonzalez, MA, Ed.S., LPC. We offer both individual and group therapy for adults. Dr. Waldron specializes in treating Depression, Anxiety, Grief, Stress, Relationship issues, Forensic issues, and those in Crisis. Mr. Gonzalez specializes in Family Therapy and in treating Anger Issues, Substance Abuse Issues, Forensic Issues, and those in Crisis. We are also a welcoming and affirming practice for LGBTQ clients. We believe respect, compassion, and trust are cornerstones of every therapeutic relationship, and we will work to tailor treatment to our client's unique needs.
New Horizons was founded by Nicole Waldron, Psy.D. and Ronald Gonzalez, MA, Ed.S., LPC. We offer both individual and group therapy for adults. Dr. Waldron specializes in treating Depression, Anxiety, Grief, Stress, Relationship issues, Forensic issues, and those in Crisis. Mr. Gonzalez specializes in Family Therapy and in treating Anger Issues, Substance Abuse Issues, Forensic Issues, and those in Crisis. We are also a welcoming and affirming practice for LGBTQ clients. We believe respect, compassion, and trust are cornerstones of every therapeutic relationship, and we will work to tailor treatment to our client's unique needs.
(908) 428-8656 View (908) 428-8656
Photo of Kim Ann McKenzie, Licensed Professional Counselor in Flemington, NJ
Kim Ann McKenzie
Licensed Professional Counselor, MA, LPC
Verified Verified
Flemington, NJ 08822
" You can't live a positive life with a negative mind" As a solution focused therapist my focus is to assist you in learning skills to reach your truest potential and wellness. Unfortunately we cannot change the pains of the past or predict the future, but we can focus on making positive changes today. By applying a variety of techniques and taking a holistic approach toward wellness we can detect and address negative patterns or thinking and behavior that may be holding you back from a healthy, peaceful and well life.
" You can't live a positive life with a negative mind" As a solution focused therapist my focus is to assist you in learning skills to reach your truest potential and wellness. Unfortunately we cannot change the pains of the past or predict the future, but we can focus on making positive changes today. By applying a variety of techniques and taking a holistic approach toward wellness we can detect and address negative patterns or thinking and behavior that may be holding you back from a healthy, peaceful and well life.
(908) 360-2155 View (908) 360-2155
Photo of Guenther Therapeutic Services LLC, Psychologist in Flemington, NJ
Guenther Therapeutic Services LLC
Psychologist, PhD
Verified Verified
Flemington, NJ 08822
Clients with overlapping issues such as ADHD and mood disorders, Families in need of IEP and school advocacy. Individuals struggling with lingering effects of trauma.
Clients with overlapping issues such as ADHD and mood disorders, Families in need of IEP and school advocacy. Individuals struggling with lingering effects of trauma.
(908) 883-3541 View (908) 883-3541
Photo of Toni Caruso, Clinical Social Work/Therapist in Flemington, NJ
Toni Caruso
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Flemington, NJ 08822
"Life may not get easier or more forgiving, but we can get stronger and more resilient." Growing up in today's society comes with many pressures and challenges that can have an enormous impact on our youth. Through a collaborative relationship, I will assist my client in reaching realistic and attainable goals. Through healthy coping skills they will learn to better handle life's everyday stressors. I understand that the decision to pursue therapy can be a difficult process. It is my goal to provide a safe place for my clients so that they may bring out the best in themselves.
"Life may not get easier or more forgiving, but we can get stronger and more resilient." Growing up in today's society comes with many pressures and challenges that can have an enormous impact on our youth. Through a collaborative relationship, I will assist my client in reaching realistic and attainable goals. Through healthy coping skills they will learn to better handle life's everyday stressors. I understand that the decision to pursue therapy can be a difficult process. It is my goal to provide a safe place for my clients so that they may bring out the best in themselves.
(908) 219-6930 View (908) 219-6930
Photo of Dr. Lindsay A Scholz, Licensed Professional Counselor in Flemington, NJ
Dr. Lindsay A Scholz
Licensed Professional Counselor, PhD, LPC, NCC, CAIMHP
Verified Verified
1 Endorsed
Flemington, NJ 08822
At Supportive Space Counseling Center we strive to provide the highest possible quality group & individual mental health care services at affordable rates for all, entirely online. At SSCC we believe that no teen or adult should be barred from accessing the exceptional quality mental health care needed to establish & to continue to maintain a life of wellness. We work with children 10-years & up as well as with adults of all ages. SSCC believes that at the heart of sadness there is something missing in one's life. We are here to help you find your purpose & to get back on track to living the life you have always wanted to live.
At Supportive Space Counseling Center we strive to provide the highest possible quality group & individual mental health care services at affordable rates for all, entirely online. At SSCC we believe that no teen or adult should be barred from accessing the exceptional quality mental health care needed to establish & to continue to maintain a life of wellness. We work with children 10-years & up as well as with adults of all ages. SSCC believes that at the heart of sadness there is something missing in one's life. We are here to help you find your purpose & to get back on track to living the life you have always wanted to live.
(609) 745-1309 View (609) 745-1309
Photo of Ellie Mental Health Central NJ, Licensed Professional Counselor in Flemington, NJ
Ellie Mental Health Central NJ
Licensed Professional Counselor
Verified Verified
1 Endorsed
Flemington, NJ 08822
Ellie Mental Health Central NJ isn’t your average therapy clinic. We’ve created a comfy, judgment-free zone where you can be authentic, get real about where you’re at in your mental health, and receive the compassionate care you deserve. We strive to break down treatment barriers and provide you with customized counseling services that meet your therapy needs.
Ellie Mental Health Central NJ isn’t your average therapy clinic. We’ve created a comfy, judgment-free zone where you can be authentic, get real about where you’re at in your mental health, and receive the compassionate care you deserve. We strive to break down treatment barriers and provide you with customized counseling services that meet your therapy needs.
(908) 829-9388 View (908) 829-9388
Photo of Candice Hoffman, Counselor in Flemington, NJ
Candice Hoffman
Counselor, MA, LPC, NCC
Verified Verified
Flemington, NJ 08822
Not accepting new clients
Sometimes life can become difficult to navigate and can even seem overwhelming at times. Seeking counseling is a positive first step in working to overcome the obstacles that life throws in our paths. In a safe, comfortable, and supportive environment, I will help you recognize, celebrate, and build upon your strengths while exploring issues and behaviors that you wish to alter. Through therapy, you will get to know yourself better, understand your past, and set goals for the future. We will work together to develop healthy, more effective coping strategies to increase resiliency and promote change.
Sometimes life can become difficult to navigate and can even seem overwhelming at times. Seeking counseling is a positive first step in working to overcome the obstacles that life throws in our paths. In a safe, comfortable, and supportive environment, I will help you recognize, celebrate, and build upon your strengths while exploring issues and behaviors that you wish to alter. Through therapy, you will get to know yourself better, understand your past, and set goals for the future. We will work together to develop healthy, more effective coping strategies to increase resiliency and promote change.
(908) 365-0771 View (908) 365-0771
Photo of Caroline Swantkoski, Marriage & Family Therapist in Flemington, NJ
Caroline Swantkoski
Marriage & Family Therapist, MS, LMFT
Verified Verified
Flemington, NJ 08822  (Online Only)
Are you struggling with the transition to parenthood? Do you feel overwhelmed, stressed, anxious, and/or depressed? Are you worrying a lot or having a hard time sleeping? Do you feel like you are just not yourself? Whether you are just thinking about starting a family, trying to concieve, pregnant, struggling with grief/loss related to infertility, miscarriage, a difficult birth experience, or adjusting to your new life postpartum; your mental health is important. With help, you can and will feel better.
Are you struggling with the transition to parenthood? Do you feel overwhelmed, stressed, anxious, and/or depressed? Are you worrying a lot or having a hard time sleeping? Do you feel like you are just not yourself? Whether you are just thinking about starting a family, trying to concieve, pregnant, struggling with grief/loss related to infertility, miscarriage, a difficult birth experience, or adjusting to your new life postpartum; your mental health is important. With help, you can and will feel better.
(732) 781-0987 View (732) 781-0987
Photo of Daphney Rene, Clinical Social Work/Therapist in Flemington, NJ
Daphney Rene
Clinical Social Work/Therapist, LCSW, SIFI, PsyD
Verified Verified
Flemington, NJ 08822  (Online Only)
I am a New York State and New Jersey State Licensed Clinical Social Worker and Human and Organizational Psychologist. I received my BA in Psychology from The City College of New York, my MSW from The State University of New York at Stony Brook, and my PsyD from Touro University Worldwide.
I am a New York State and New Jersey State Licensed Clinical Social Worker and Human and Organizational Psychologist. I received my BA in Psychology from The City College of New York, my MSW from The State University of New York at Stony Brook, and my PsyD from Touro University Worldwide.
(908) 866-5976 View (908) 866-5976
Photo of Ella McAllister, Clinical Social Work/Therapist in Flemington, NJ
Ella McAllister
Clinical Social Work/Therapist, MSW, LCSW, LCADC, CCS
Verified Verified
3 Endorsed
Flemington, NJ 08822
Now that you have taken the first step in seeking help, together we can take the second step towards addressing the presenting problem. Let’s develop a deeper understanding of yourself through recognizing & understanding patterns that may be causing you emotional distress. Let's explore the thought-emotion-behavior connection so that you can rewrite the narrative, improve your emotional state, change your behavioral response, & improve upon coping skills. Therapeutic interventions include the evidence-based practices of: Cognitive Behavioral Therapy (Certified CBT Practitioner) and Motivational Interviewing.
Now that you have taken the first step in seeking help, together we can take the second step towards addressing the presenting problem. Let’s develop a deeper understanding of yourself through recognizing & understanding patterns that may be causing you emotional distress. Let's explore the thought-emotion-behavior connection so that you can rewrite the narrative, improve your emotional state, change your behavioral response, & improve upon coping skills. Therapeutic interventions include the evidence-based practices of: Cognitive Behavioral Therapy (Certified CBT Practitioner) and Motivational Interviewing.
(908) 628-0944 View (908) 628-0944
Photo of Marissa Mansueto, Licensed Professional Counselor in Flemington, NJ
Marissa Mansueto
Licensed Professional Counselor, MA, LPC, ACS
Verified Verified
Flemington, NJ 08822
Not accepting new clients
I am a Licensed Professional Counselor with over twenty years of therapeutic experience. I have extensive training in providing evidence-based practices to adolescents, adults, and families. My experience comes from working with individuals from diverse backgrounds struggling with various psychological and behavioral challenges.
I am a Licensed Professional Counselor with over twenty years of therapeutic experience. I have extensive training in providing evidence-based practices to adolescents, adults, and families. My experience comes from working with individuals from diverse backgrounds struggling with various psychological and behavioral challenges.
(908) 860-8462 View (908) 860-8462
Photo of Ingrid Hernandez, Clinical Social Work/Therapist in Flemington, NJ
Ingrid Hernandez
Clinical Social Work/Therapist, MEd, LCSW
Verified Verified
1 Endorsed
Flemington, NJ 08822
As a highly energetic individual who has extensive experience in establishing supportive, motivational and therapeutic relationships with clients, I offer my services as a therapist. With a great ability to ensure an environment of safety and security for clients with mental and substance problems. My therapeutic approach is a psycho-social intervention that aims to improve your mental health. We will focuses on challenging and changing unhelpful cognitive distortions and behaviors, improving emotional regulation, and the development of personal coping strategies that target solving current problems.
As a highly energetic individual who has extensive experience in establishing supportive, motivational and therapeutic relationships with clients, I offer my services as a therapist. With a great ability to ensure an environment of safety and security for clients with mental and substance problems. My therapeutic approach is a psycho-social intervention that aims to improve your mental health. We will focuses on challenging and changing unhelpful cognitive distortions and behaviors, improving emotional regulation, and the development of personal coping strategies that target solving current problems.
(609) 293-3654 View (609) 293-3654
Photo of Victoria Zagursky, Clinical Social Work/Therapist in Flemington, NJ
Victoria Zagursky
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Flemington, NJ 08822
Individuals who are facing various challenges and require support to improve their well-being and quality of life. Some common issues and needs that a client could be facing is mental health challenges, the client could be dealing with mental health disorders such as depression, anxiety, PTSD, emotional dysregulation. They may require assistances in managing their symptoms, accessing appropriate treatment, and develop coping skills. A client could potentially be an adolescent struggling with anxiety, depression, or emotional dysregulation. The goals of the client revolve around achieving stability, resilience, and self-sufficiency.
Individuals who are facing various challenges and require support to improve their well-being and quality of life. Some common issues and needs that a client could be facing is mental health challenges, the client could be dealing with mental health disorders such as depression, anxiety, PTSD, emotional dysregulation. They may require assistances in managing their symptoms, accessing appropriate treatment, and develop coping skills. A client could potentially be an adolescent struggling with anxiety, depression, or emotional dysregulation. The goals of the client revolve around achieving stability, resilience, and self-sufficiency.
(908) 829-9035 View (908) 829-9035
Photo of Pauline Pernini, Clinical Social Work/Therapist in Flemington, NJ
Pauline Pernini
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Flemington, NJ 08822
I am a Licensed Clinical Social Worker dedicated to providing the most effective treatment approaches to help my clients achieve their life goals and be the best that they can be. Over the past twenty years, I have been helping children, teens and adults face and overcome problems that may prevent them from reaching their fullest potential. These difficulties may include ADHD, depression, anxiety, trauma or adjustment problems related to life events such as a death or divorce. I will help you determine what may be underlying the problem and develop an effective treatment plan to address the issues and achieve your goals.
I am a Licensed Clinical Social Worker dedicated to providing the most effective treatment approaches to help my clients achieve their life goals and be the best that they can be. Over the past twenty years, I have been helping children, teens and adults face and overcome problems that may prevent them from reaching their fullest potential. These difficulties may include ADHD, depression, anxiety, trauma or adjustment problems related to life events such as a death or divorce. I will help you determine what may be underlying the problem and develop an effective treatment plan to address the issues and achieve your goals.
(908) 962-7135 View (908) 962-7135
Photo of Renee Weiss, Clinical Social Work/Therapist in Flemington, NJ
Renee Weiss
Clinical Social Work/Therapist, LCSW, LMFT, BCD
Verified Verified
Flemington, NJ 08822  (Online Only)
When I think of my work as a therapist, what lifts my spirit is the enormous potential of people for living a full life; a potential they are often unaware of. Everyone has strengths and weaknesses. Therapy helps to identify them and develop the tools to improve their lives. The goals: enhanced self-esteem, reduced tension, more expressiveness....a fuller life. Whether I work with the child, adolescent, adult, individual, couple or family, I find the work inspiring.
When I think of my work as a therapist, what lifts my spirit is the enormous potential of people for living a full life; a potential they are often unaware of. Everyone has strengths and weaknesses. Therapy helps to identify them and develop the tools to improve their lives. The goals: enhanced self-esteem, reduced tension, more expressiveness....a fuller life. Whether I work with the child, adolescent, adult, individual, couple or family, I find the work inspiring.
(973) 713-4278 View (973) 713-4278
Photo of Rev. Carrie May Price-Knospe, Pastoral Counselor in Flemington, NJ
Rev. Carrie May Price-Knospe
Pastoral Counselor, MA, Lic, Clinic, Pastor, Counsel
Verified Verified
1 Endorsed
Flemington, NJ 08822
Everyone needs a good counselor to process through their world. I dedicate myself in helping individuals, children and marriages improve their lives in ways that truly work. My own life struggles lead me to be a genuinely caring therapist who loves to see people set free and living their best life! Imagine better communication, thinking and freedom from strongholds that have been burdening you down? I am a Licensed Clinical Pastoral Counselor, licensed by the NCCA since 2009 in many different venues from in home crisis centered therapy, running a house for the state of NJ for adolescents and now my own private practice.
Everyone needs a good counselor to process through their world. I dedicate myself in helping individuals, children and marriages improve their lives in ways that truly work. My own life struggles lead me to be a genuinely caring therapist who loves to see people set free and living their best life! Imagine better communication, thinking and freedom from strongholds that have been burdening you down? I am a Licensed Clinical Pastoral Counselor, licensed by the NCCA since 2009 in many different venues from in home crisis centered therapy, running a house for the state of NJ for adolescents and now my own private practice.
(908) 325-5169 View (908) 325-5169
Photo of Heidi Smith, Clinical Social Work/Therapist in Flemington, NJ
Heidi Smith
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Flemington, NJ 08822
Are you feeling stuck? Often we get trapped in old patterns and habits that once worked for us but no longer do. My goal is to provide a place where you feel safe, understood, and respected. We will work together to explore and identify the areas of your life that you would like to understand better and develop plans to help you reach your goals. I have extensive experience with trauma, anxiety (including school, social anxiety, phobias and OCD) depression, stress management and parenting, among others. I offer children, teens and adults a non-judgmental place to come speak confidentially.
Are you feeling stuck? Often we get trapped in old patterns and habits that once worked for us but no longer do. My goal is to provide a place where you feel safe, understood, and respected. We will work together to explore and identify the areas of your life that you would like to understand better and develop plans to help you reach your goals. I have extensive experience with trauma, anxiety (including school, social anxiety, phobias and OCD) depression, stress management and parenting, among others. I offer children, teens and adults a non-judgmental place to come speak confidentially.
(908) 378-9894 View (908) 378-9894
Photo of Nadyne Busichio, Licensed Professional Counselor in Flemington, NJ
Nadyne Busichio
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Flemington, NJ 08822
Have you just found out that your partner has been cheating? Maybe you’re unsure if the relationship is worth fighting for. Are you thinking of leaving after discovering your partner’s infidelity? When an affair is discovered, couples are overcome by feelings of betrayal. If you are having difficulty trusting your partner and are not sure if the relationship can heal after the affair, now is the time to connect with someone who can help. Working together, we will develop a plan to help you heal and rebuild trust. Continue reading to learn how booking a couples therapy session today is the best decision for your marriage.
Have you just found out that your partner has been cheating? Maybe you’re unsure if the relationship is worth fighting for. Are you thinking of leaving after discovering your partner’s infidelity? When an affair is discovered, couples are overcome by feelings of betrayal. If you are having difficulty trusting your partner and are not sure if the relationship can heal after the affair, now is the time to connect with someone who can help. Working together, we will develop a plan to help you heal and rebuild trust. Continue reading to learn how booking a couples therapy session today is the best decision for your marriage.
(908) 916-3758 View (908) 916-3758

How does your Therapist compare?

Number of Therapists in Flemington, NJ

100+

Average cost per session

$150

Therapists in Flemington, NJ who prioritize treating:

95% Anxiety
91% Depression
83% Relationship Issues
78% Self Esteem
76% Coping Skills
72% Stress
67% Family Conflict

Average years in practice

18 Years

Top 3 insurances accepted

73% Aetna
63% Horizon Blue Cross and Blue Shield
56% UnitedHealthcare UHC | UBH

How Therapists in Flemington, NJ see their clients

70% In Person and Online
30% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Flemington?

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.