Therapists in Cary, NC

Photo of Nadiya Miraki, Counselor in Cary, NC
Nadiya Miraki
Counselor, LCMHC, RPT
Verified Verified
1 Endorsed
Cary, NC 27519
Hi, I'm Nadiya! Growing up is a time of wonder and challenges. Sometimes these challenges need a little help from a child therapist. I approach therapy for young people as an opportunity for them to grow from the challenges of life, develop a stronger sense of self, and feel more secure and connected to themselves and the world around them. Through therapy, they can develop a toolbox within themselves, an anchor, to always come back to as they continue to grow and successfully take on challenges. I hope through their time in therapy, they honor their capacity and strengths.
Hi, I'm Nadiya! Growing up is a time of wonder and challenges. Sometimes these challenges need a little help from a child therapist. I approach therapy for young people as an opportunity for them to grow from the challenges of life, develop a stronger sense of self, and feel more secure and connected to themselves and the world around them. Through therapy, they can develop a toolbox within themselves, an anchor, to always come back to as they continue to grow and successfully take on challenges. I hope through their time in therapy, they honor their capacity and strengths.
(919) 343-9386 View (919) 343-9386
Photo of Kenneth ' Kc ' Ray, Licensed Clinical Mental Health Counselor in Cary, NC
Kenneth ' Kc ' Ray
Licensed Clinical Mental Health Counselor, LCMHC, MAC, MAPC
Verified Verified
9 Endorsed
Cary, NC 27518
Not accepting new clients
Some of my specialties include working with LGBTQ+ adults, couples, and polyamorous relationships; counseling related to sexual orientation, the "coming out" process, reconciling religious wounds, and other LGBTQIA+ issues. I also provide support with gender identity and mental health concerns for trans & gender non-conforming adults. I offer help in coping with depression, anxiety, panic attacks, and other mood disorders; as well as substance abuse treatment for adults with drug or alcohol problems, and sexual or other compulsive behaviors.
Some of my specialties include working with LGBTQ+ adults, couples, and polyamorous relationships; counseling related to sexual orientation, the "coming out" process, reconciling religious wounds, and other LGBTQIA+ issues. I also provide support with gender identity and mental health concerns for trans & gender non-conforming adults. I offer help in coping with depression, anxiety, panic attacks, and other mood disorders; as well as substance abuse treatment for adults with drug or alcohol problems, and sexual or other compulsive behaviors.
(919) 587-8810 View (919) 587-8810
Photo of Grace L Finkle, Psychologist in Cary, NC
Grace L Finkle
Psychologist, PhD
Verified Verified
Cary, NC 27511  (Online Only)
I am accepting new clients. I welcome women who would like to grow in ways productive and satisfying for their emotional and personal wellness. I am a clinical psychologist with over 40 years of experience with helping people with a wide range of issues, including issues of depression, anxiety, self-esteem, relationships, work and life stress, and family of origin stresses, including ACOA (adult children of alcoholic) issues. I have experience with helping women to cope better with a chronic illness, such as of the autoimmune type. I counsel women on Saturdays, Sundays, and some Mondays and Fridays.
I am accepting new clients. I welcome women who would like to grow in ways productive and satisfying for their emotional and personal wellness. I am a clinical psychologist with over 40 years of experience with helping people with a wide range of issues, including issues of depression, anxiety, self-esteem, relationships, work and life stress, and family of origin stresses, including ACOA (adult children of alcoholic) issues. I have experience with helping women to cope better with a chronic illness, such as of the autoimmune type. I counsel women on Saturdays, Sundays, and some Mondays and Fridays.
(919) 324-3020 View (919) 324-3020
Photo of Lori Marhefke, Counselor in Cary, NC
Lori Marhefke
Counselor, LCMHC, CRC
Verified Verified
Cary, NC 27513  (Online Only)
Accepting new clients (4/19/2024). Do you struggle with sleep? Are you often overwhelmed and anxious? Has trauma impacted you? If any of the above fit, I offer a safe space for you. I am a Licensed Clinical Mental Health Counselor serving NC, VA, and WI. I have practiced as a Licensed Clinical Mental Health Counselor in many different settings. I connect well with clients struggling with anxiety, grief, loss, trauma, shame, and substance use. I’m glad you’re here—it’s a brave step and takes courage. Please reach out. You’ll be accepted with warmth and compassion.
Accepting new clients (4/19/2024). Do you struggle with sleep? Are you often overwhelmed and anxious? Has trauma impacted you? If any of the above fit, I offer a safe space for you. I am a Licensed Clinical Mental Health Counselor serving NC, VA, and WI. I have practiced as a Licensed Clinical Mental Health Counselor in many different settings. I connect well with clients struggling with anxiety, grief, loss, trauma, shame, and substance use. I’m glad you’re here—it’s a brave step and takes courage. Please reach out. You’ll be accepted with warmth and compassion.
(984) 355-8886 View (984) 355-8886
Photo of Marcia Brown, Clinical Social Work/Therapist in Cary, NC
Marcia Brown
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27518
If you are exhausted and overwhelmed in your role as a parent, drained from the struggles of challenging child behavior, feeling anxious and second guessing your parenting approach, or simply want to get a handle on some current challenges before they turn into bigger issues, parent-child therapy can help. It is not uncommon to get to a point where you have tried so many different approaches, techniques, and books, that you aren't even sure what is working and what isn't anymore. Together we can focus on fundamental pieces that lead to real, lasting positive change for your child and your family.
If you are exhausted and overwhelmed in your role as a parent, drained from the struggles of challenging child behavior, feeling anxious and second guessing your parenting approach, or simply want to get a handle on some current challenges before they turn into bigger issues, parent-child therapy can help. It is not uncommon to get to a point where you have tried so many different approaches, techniques, and books, that you aren't even sure what is working and what isn't anymore. Together we can focus on fundamental pieces that lead to real, lasting positive change for your child and your family.
(919) 737-2271 View (919) 737-2271
Photo of Devin Malik, Clinical Social Work/Therapist in Cary, NC
Devin Malik
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Cary, NC 27511
Not accepting new clients
I specialize in working with teens and adults who have trauma histories. I also enjoy engaging with folks who live with depression, anxiety, mood disorders, stress, life transitions, and other mental health experiences. I have worked with diverse populations of various socioeconomic backgrounds, cultures, and beliefs. I enjoy meeting clients where they are and working collaboratively to move towards client-directed goals. Being a human is hard, and therapy can provide you with an invaluable environment to heal and grow within.
I specialize in working with teens and adults who have trauma histories. I also enjoy engaging with folks who live with depression, anxiety, mood disorders, stress, life transitions, and other mental health experiences. I have worked with diverse populations of various socioeconomic backgrounds, cultures, and beliefs. I enjoy meeting clients where they are and working collaboratively to move towards client-directed goals. Being a human is hard, and therapy can provide you with an invaluable environment to heal and grow within.
(919) 887-6061 View (919) 887-6061
Photo of Pamela I Hartsfield, Psychologist in Cary, NC
Pamela I Hartsfield
Psychologist, PhD
Verified Verified
2 Endorsed
Cary, NC 27511
People often seek psychotherapy when they face difficulties with their relationships, work, or mood. I strive to create a respectful and safe setting in which you may seek my guidance. My therapy style is interactive; I will give you feedback in addition to listening. I am happy to talk with you on the phone about how I may help. My approach is geared towards increasing your coping skills and insight regarding your problem. I use cognitive/behavioral, interpersonal, and psychodynamic approaches. I believe my empathy and respect for you as a person is as important as my intellecutual competence.
People often seek psychotherapy when they face difficulties with their relationships, work, or mood. I strive to create a respectful and safe setting in which you may seek my guidance. My therapy style is interactive; I will give you feedback in addition to listening. I am happy to talk with you on the phone about how I may help. My approach is geared towards increasing your coping skills and insight regarding your problem. I use cognitive/behavioral, interpersonal, and psychodynamic approaches. I believe my empathy and respect for you as a person is as important as my intellecutual competence.
(919) 885-1185 View (919) 885-1185
Photo of Bailey Toma Onuoha, Marriage & Family Therapist Associate in Cary, NC
Bailey Toma Onuoha
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Cary, NC 27513
Life can be confusing and painful at times. Unexpected situations can leave us barely managing instead of thriving. I often think of the quote from the show Sweet Magnolias when one of the main characters says, "Life is insane, I am holding it together by ducktape and happy thoughts and I am near out of both." In my own experience, seeking therapy can bring insight and healing for all different people and situations, it just takes one step of courage to decide to begin.
Life can be confusing and painful at times. Unexpected situations can leave us barely managing instead of thriving. I often think of the quote from the show Sweet Magnolias when one of the main characters says, "Life is insane, I am holding it together by ducktape and happy thoughts and I am near out of both." In my own experience, seeking therapy can bring insight and healing for all different people and situations, it just takes one step of courage to decide to begin.
(984) 217-5446 View (984) 217-5446
Photo of Meredith Wilson LCSW, PC, Clinical Social Work/Therapist in Cary, NC
Meredith Wilson LCSW, PC
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27511
Not accepting new clients
My treatment philosophy is to meet people where they are and work collaboratively to help define a more positive and joyful path forward. I look to my clients as experts on their situation, thought processes and experiences. It is through this shared work that I best utilize my clinical skills to help individuals identify unhelpful thinking patterns, self defeating behaviors, as well as any barriers to reaching identified goals. Once we identify what is standing in the way, I help my clients implement relevant strategies and coping skills to assist in independent emotional regulation.
My treatment philosophy is to meet people where they are and work collaboratively to help define a more positive and joyful path forward. I look to my clients as experts on their situation, thought processes and experiences. It is through this shared work that I best utilize my clinical skills to help individuals identify unhelpful thinking patterns, self defeating behaviors, as well as any barriers to reaching identified goals. Once we identify what is standing in the way, I help my clients implement relevant strategies and coping skills to assist in independent emotional regulation.
(919) 752-5459 View (919) 752-5459
Photo of Kathleen Moore, Counselor in Cary, NC
Kathleen Moore
Counselor, LCMHC
Verified Verified
Cary, NC 27518
Kathleen Moore is a Licensed Clinical Mental Health Counselor in North Carolina who has been practicing since 1984. She holds a Bachelor's Degree from The Pennsylvania State University in Rehabilitation Counseling and a Master's Degree in Counseling Psychology from Old Dominion University. If it's important to you, it is important! Kathleen delivers evidence-based interventions with compassion, genuineness, humor, and empathy. She will draw on your strengths to decrease distress, improve resilience, and work through barriers to experience wholeness.
Kathleen Moore is a Licensed Clinical Mental Health Counselor in North Carolina who has been practicing since 1984. She holds a Bachelor's Degree from The Pennsylvania State University in Rehabilitation Counseling and a Master's Degree in Counseling Psychology from Old Dominion University. If it's important to you, it is important! Kathleen delivers evidence-based interventions with compassion, genuineness, humor, and empathy. She will draw on your strengths to decrease distress, improve resilience, and work through barriers to experience wholeness.
(919) 328-3895 View (919) 328-3895
Photo of Jay Cook, Counselor in Cary, NC
Jay Cook
Counselor, LCMHCA
Verified Verified
Cary, NC 27511
Having a hard time with life’s hurts? Getting stuck in a cycle or hung up and can’t seem to get past something? Sometimes it feels like it’s all you can do to survive, and when that happens you don’t feel like you have the ability to deal with the deeper issues that are leading to your struggles. Counseling is a place where you can carve out that time to do the work that will change your life in deep and long lasting ways. I understand that reaching out for counseling can be a difficult and vulnerable step, and so I'm committed to creating a safe and supportive space for my clients to explore their thoughts and emotions.
Having a hard time with life’s hurts? Getting stuck in a cycle or hung up and can’t seem to get past something? Sometimes it feels like it’s all you can do to survive, and when that happens you don’t feel like you have the ability to deal with the deeper issues that are leading to your struggles. Counseling is a place where you can carve out that time to do the work that will change your life in deep and long lasting ways. I understand that reaching out for counseling can be a difficult and vulnerable step, and so I'm committed to creating a safe and supportive space for my clients to explore their thoughts and emotions.
(984) 409-7363 View (984) 409-7363
Photo of Jennifer Corinna, Licensed Clinical Mental Health Counselor in Cary, NC
Jennifer Corinna
Licensed Clinical Mental Health Counselor, MS, LCMHC, NCC
Verified Verified
Cary, NC 27511
Thank you for taking the time to read my profile. I am originally from Upstate NY but lived in the SF Bay/Los Angeles, CA areas before moving to Raleigh. I work with a wide variety of issues specializing in life transitions, grief, loss, and trauma as well as depression and anxiety. I have assisted people with issues surrounding divorce/relationships ending, death of a loved one, traumatic events, chronic illness, feelings of depression and/or anxiety, and a wide array of other difficult life situations. I would be happy to talk to you about your individual situation. It is important to me that you feel accepted and welcomed.
Thank you for taking the time to read my profile. I am originally from Upstate NY but lived in the SF Bay/Los Angeles, CA areas before moving to Raleigh. I work with a wide variety of issues specializing in life transitions, grief, loss, and trauma as well as depression and anxiety. I have assisted people with issues surrounding divorce/relationships ending, death of a loved one, traumatic events, chronic illness, feelings of depression and/or anxiety, and a wide array of other difficult life situations. I would be happy to talk to you about your individual situation. It is important to me that you feel accepted and welcomed.
(984) 207-5844 View (984) 207-5844
Photo of Peaceful Minds NC, LLC, LCSW Associate in Cary, NC
Peaceful Minds NC, LLC
LCSW Associate , LCSWA
Verified Verified
3 Endorsed
Cary, NC 27519
I have committed the last 27 years of my life to the mental health field working with adolescents and adults in a variety of settings. I provide quality care to enhance client’s life, make a difference and put a stop to negative debilitating thoughts. I provide a client centered approach; promoting an empathetic, safe and non-judgmental environment for clients to feel comfortable sharing their inner thoughts and feelings. One of the goals of therapy is to help clients achieve growth and relief from day-to-day struggles. I will assist clients in finding strengths within themselves by teaching positive coping skills and more.
I have committed the last 27 years of my life to the mental health field working with adolescents and adults in a variety of settings. I provide quality care to enhance client’s life, make a difference and put a stop to negative debilitating thoughts. I provide a client centered approach; promoting an empathetic, safe and non-judgmental environment for clients to feel comfortable sharing their inner thoughts and feelings. One of the goals of therapy is to help clients achieve growth and relief from day-to-day struggles. I will assist clients in finding strengths within themselves by teaching positive coping skills and more.
(336) 438-8076 View (336) 438-8076
Photo of Louise Carter, Counselor in Cary, NC
Louise Carter
Counselor, LCMHC, CRC
Verified Verified
2 Endorsed
Cary, NC 27518
Yes, I am currently taking new clients! Are you someone who usually loves to help others, but suddenly you are just so tired? Are you feeling burnt out? Exhausted? Overthinking and questioning everything? You may be struggling with issues like people-pleasing, anxiety, and perfectionism. I work with folks who want to find a better balance in their lives and rediscover who they truly are. My hope for you is that when you learn to live authentically, you can find relief, rest, and joy again.
Yes, I am currently taking new clients! Are you someone who usually loves to help others, but suddenly you are just so tired? Are you feeling burnt out? Exhausted? Overthinking and questioning everything? You may be struggling with issues like people-pleasing, anxiety, and perfectionism. I work with folks who want to find a better balance in their lives and rediscover who they truly are. My hope for you is that when you learn to live authentically, you can find relief, rest, and joy again.
(919) 568-5184 View (919) 568-5184
Photo of Ta Jhaneya Hines, Clinical Social Work/Therapist in Cary, NC
Ta Jhaneya Hines
Clinical Social Work/Therapist
Verified Verified
Cary, NC 27511
Ta’Jhaneya Hines is a Licensed Clinical Social Worker Associate (LCSW-A) in the state of North Carolina. She has over 2 years of experience working in diverse settings within community mental health. She has experience with all age populations.
Ta’Jhaneya Hines is a Licensed Clinical Social Worker Associate (LCSW-A) in the state of North Carolina. She has over 2 years of experience working in diverse settings within community mental health. She has experience with all age populations.
(919) 849-5077 View (919) 849-5077
Photo of Emily Platt in Cary, NC
Emily Platt
MS, LCMHCA, LCASA, NCC
Verified Verified
1 Endorsed
Cary, NC 27511  (Online Only)
Are you experiencing the Sunday scaries on more days than just Sundays? Anxiety can stem from a vast variety of underlying conditions, physical and mental. It can be challenging to even know where to begin, but I am here to help! If you're new to therapy or returning, I am so excited you're here in your mental health/recovery journey. I offer a safe & relaxing space with good vibes, positive energy and lots of crystals. Counseling is centered around you, so no two sessions are ever the same. We will work together to create goals that are unique to you and what you want to accomplish together! I use CBT, DBT, MI, art therapy, & more!
Are you experiencing the Sunday scaries on more days than just Sundays? Anxiety can stem from a vast variety of underlying conditions, physical and mental. It can be challenging to even know where to begin, but I am here to help! If you're new to therapy or returning, I am so excited you're here in your mental health/recovery journey. I offer a safe & relaxing space with good vibes, positive energy and lots of crystals. Counseling is centered around you, so no two sessions are ever the same. We will work together to create goals that are unique to you and what you want to accomplish together! I use CBT, DBT, MI, art therapy, & more!
(919) 351-8785 View (919) 351-8785
Photo of Cynthia Martin, Licensed Clinical Mental Health Counselor in Cary, NC
Cynthia Martin
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Cary, NC 27511
I work with people who have experienced trauma, especially narcissistic abuse. If you find yourself struggling to move forward and feel trapped in a relationship or feel as though you have lost your identity. I can help you navigate towards the path you want, instead of the path that was chosen for you. I have worked for several years as an EAP clinician helping people internationally who have anxiety, depression, PTSD, suicidal ideation, work stress, relationship issues, and so on.
I work with people who have experienced trauma, especially narcissistic abuse. If you find yourself struggling to move forward and feel trapped in a relationship or feel as though you have lost your identity. I can help you navigate towards the path you want, instead of the path that was chosen for you. I have worked for several years as an EAP clinician helping people internationally who have anxiety, depression, PTSD, suicidal ideation, work stress, relationship issues, and so on.
(984) 223-4144 View (984) 223-4144
Photo of Danelle Kubisiak-Louder, Licensed Clinical Mental Health Counselor in Cary, NC
Danelle Kubisiak-Louder
Licensed Clinical Mental Health Counselor, LMHMC
Verified Verified
Cary, NC 27518
Overwhelm has become a way of life lending to feelings of anxiety, depression and disconnect. This leads to disruptions relationally with others and ourselves. Understanding how we think, feel, and behave can begin better self worth, mood and relationships.
Overwhelm has become a way of life lending to feelings of anxiety, depression and disconnect. This leads to disruptions relationally with others and ourselves. Understanding how we think, feel, and behave can begin better self worth, mood and relationships.
(984) 266-2236 View (984) 266-2236
Photo of Stephanie J Lucas, Clinical Social Work/Therapist in Cary, NC
Stephanie J Lucas
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27518
I enjoy working with individuals and families to overcome barriers in communication, solve problems, and become more self-aware; with the overall goal of improving mental and physical well-being. I use a compassionate, accepting, and mindful approach to create a safe place where self-discovery and healing are possible. Working together will include goal setting and an exploration of the resources and tools available to help in meeting short and long term goals.
I enjoy working with individuals and families to overcome barriers in communication, solve problems, and become more self-aware; with the overall goal of improving mental and physical well-being. I use a compassionate, accepting, and mindful approach to create a safe place where self-discovery and healing are possible. Working together will include goal setting and an exploration of the resources and tools available to help in meeting short and long term goals.
(919) 343-0894 x1 View (919) 343-0894 x1
Photo of Felicia N Kelly, Psychological Associate in Cary, NC
Felicia N Kelly
Psychological Associate, LPA
Verified Verified
1 Endorsed
Cary, NC 27513
As a dedicated and compassionate psychologist, my mission is to empower individuals to navigate life's challenges and discover their true potential. With ample experience in clinical psychology and a genuine passion for helping others, I am committed to providing a safe and nurturing environment for clients to explore their thoughts, emotions, and behaviors.
As a dedicated and compassionate psychologist, my mission is to empower individuals to navigate life's challenges and discover their true potential. With ample experience in clinical psychology and a genuine passion for helping others, I am committed to providing a safe and nurturing environment for clients to explore their thoughts, emotions, and behaviors.
(984) 400-4464 View (984) 400-4464

How does your Therapist compare?

Number of Therapists in Cary, NC

900+

Average cost per session

$140

Therapists in Cary, NC who prioritize treating:

92% Anxiety
87% Depression
78% Relationship Issues
78% Self Esteem
72% Coping Skills
70% Stress
63% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
72% Aetna
53% Cigna and Evernorth

How Therapists in Cary, NC see their clients

70% In Person and Online
30% Online Only

Gender breakdown

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

How can I find a therapist in Cary?

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.