Therapists in Garfield County, CO

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Photo of Gary Schreiner, Marriage & Family Therapist, LMFT
Gary Schreiner
Marriage & Family Therapist, LMFT
Online Only
Gary Schreiner PhD LMFT. My approach is to strengthen the skills that already exist in you. To help you find the solutions to the issues that are troubling you with. I utilize a Cognitive approach that focuses on finding solutions to the issues that you are struggling with. My whole philosophy and training is in Systems theory, which incorporates working within the framework of our family of origin as well as current relationship dynamics.
Gary Schreiner PhD LMFT. My approach is to strengthen the skills that already exist in you. To help you find the solutions to the issues that are troubling you with. I utilize a Cognitive approach that focuses on finding solutions to the issues that you are struggling with. My whole philosophy and training is in Systems theory, which incorporates working within the framework of our family of origin as well as current relationship dynamics.
(303) 835-7031 View (303) 835-7031
Photo of Kersten Gwost - Kersten Wilson Counseling, LLC, MS, LPC, CIAYT
Kersten Wilson Counseling, LLC
Verified Verified
Carbondale, CO 81623
As a Licensed Professional Counselor & Certified Somatic-Yoga Therapist, together we will use the intelligence of your mind and the wisdom of your body to heal and grow. We are a brilliant species with abundant knowledge, yet easily default into old primitive programming. No matter what you have experienced in life, it is absolutely possible to rewire your brain and nervous system, to feel better and have healthier relationships. It is my passion to walk with you, as you learn and practice new skills. "You are the one you've been waiting for."
As a Licensed Professional Counselor & Certified Somatic-Yoga Therapist, together we will use the intelligence of your mind and the wisdom of your body to heal and grow. We are a brilliant species with abundant knowledge, yet easily default into old primitive programming. No matter what you have experienced in life, it is absolutely possible to rewire your brain and nervous system, to feel better and have healthier relationships. It is my passion to walk with you, as you learn and practice new skills. "You are the one you've been waiting for."
(970) 639-4093 View (970) 639-4093
Photo of Lacey L Satterfield - Pathways To Hope Therapy, Licensed Professional Counselor, LPCC
Pathways To Hope Therapy
Licensed Professional Counselor, LPCC
Parachute, CO 81635
Lacey specializes in individual, couples, and family counseling, catering to children, adolescents, teens, and adults. Her expertise spans a wide range of issues, including trauma/PTSD, grief, anxiety, depression, stress overload, parenting skills, relationship building, and more. Lacey's therapeutic approach is client-centered, meeting individuals where they are and collaboratively working towards building the life and skills they desire. Known for her warm and friendly demeanor, Lacey incorporates evidence-based therapeutic modalities into each session.
Lacey specializes in individual, couples, and family counseling, catering to children, adolescents, teens, and adults. Her expertise spans a wide range of issues, including trauma/PTSD, grief, anxiety, depression, stress overload, parenting skills, relationship building, and more. Lacey's therapeutic approach is client-centered, meeting individuals where they are and collaboratively working towards building the life and skills they desire. Known for her warm and friendly demeanor, Lacey incorporates evidence-based therapeutic modalities into each session.
(970) 425-8694 View (970) 425-8694
Photo of Erik Wardell, Licensed Professional Counselor Candidate, MA, LPCC
Erik Wardell
Licensed Professional Counselor Candidate, MA, LPCC
7 Endorsed
Carbondale, CO 81623
Being human is often messy and confusing, leaving us feeling lost, overwhelmed, or wounded. If you’re seeking guidance to reconnect with yourself and your innate inner wisdom, or if you're looking to heal from past wounds, you’ve come to the right place.
Being human is often messy and confusing, leaving us feeling lost, overwhelmed, or wounded. If you’re seeking guidance to reconnect with yourself and your innate inner wisdom, or if you're looking to heal from past wounds, you’ve come to the right place.
(970) 446-8799 View (970) 446-8799
Photo of Crystal E Forget, Clinical Social Work/Therapist
Crystal E Forget
Clinical Social Work/Therapist
1 Endorsed
Online Only
Feeling stuck, overwhelmed, or just not quite yourself? You're not alone—and you don’t have to figure it out alone. In our work together, we’ll gently slow things down so we can better understand what’s going on beneath the surface. In a space free of judgment, grounded in compassion and curiosity, we’ll explore the patterns, pain, and potential within your story. My approach is warm, collaborative, and rooted in evidence-based practices. I draw from a variety of therapeutic modalities—like mindfulness, CBT, EFT, IFS, somatic work, and attachment-based approaches—to tailor treatment to you.
Feeling stuck, overwhelmed, or just not quite yourself? You're not alone—and you don’t have to figure it out alone. In our work together, we’ll gently slow things down so we can better understand what’s going on beneath the surface. In a space free of judgment, grounded in compassion and curiosity, we’ll explore the patterns, pain, and potential within your story. My approach is warm, collaborative, and rooted in evidence-based practices. I draw from a variety of therapeutic modalities—like mindfulness, CBT, EFT, IFS, somatic work, and attachment-based approaches—to tailor treatment to you.
(970) 519-2009 View (970) 519-2009
Photo of Kathryn Hundertmark, Licensed Professional Counselor, LPC
Kathryn Hundertmark
Licensed Professional Counselor, LPC
Rifle, CO 81650
You don’t have to carry everything on your own. Maybe you feel overwhelmed, stuck in patterns you don’t fully understand, or quietly exhausted from holding it all together. You might look like you’re managing on the outside, but inside, something feels off. If that sounds familiar, you’re not alone, and you don’t have to figure it out by yourself. My style is relaxed, attuned, and non-judgmental. I draw from evidence-based approaches such as cognitive-behavioral therapy (CBT), dialectical behavioral therapy (DBT), and internal family systems (IFS), to support you in your growth and healing.
You don’t have to carry everything on your own. Maybe you feel overwhelmed, stuck in patterns you don’t fully understand, or quietly exhausted from holding it all together. You might look like you’re managing on the outside, but inside, something feels off. If that sounds familiar, you’re not alone, and you don’t have to figure it out by yourself. My style is relaxed, attuned, and non-judgmental. I draw from evidence-based approaches such as cognitive-behavioral therapy (CBT), dialectical behavioral therapy (DBT), and internal family systems (IFS), to support you in your growth and healing.
(970) 636-1215 View (970) 636-1215
Photo of Shawna Fishman, Marriage & Family Therapist, LMFT, LAC
Shawna Fishman
Marriage & Family Therapist, LMFT, LAC
Online Only
I am committed to working with those who suffer with deep emotional traumas, depression, anxiety, chronic illness, life transitions, and grief in ways that bring about relief and lasting change. I meet you where you are with no judgement or expectation. I believe that no one is an expert on your life except you. I take a collaborative approach to create goals and act as a resource, rather than an expert. I work from the perspective that we all have what we need inside of us to become who we want. I believe in your ability to heal and grow into the person you desire to be.
I am committed to working with those who suffer with deep emotional traumas, depression, anxiety, chronic illness, life transitions, and grief in ways that bring about relief and lasting change. I meet you where you are with no judgement or expectation. I believe that no one is an expert on your life except you. I take a collaborative approach to create goals and act as a resource, rather than an expert. I work from the perspective that we all have what we need inside of us to become who we want. I believe in your ability to heal and grow into the person you desire to be.
(720) 707-0336 View (720) 707-0336
Photo of Anna Keating, Licensed Professional Counselor Candidate, Anna, Keating, LPCC
Anna Keating
Licensed Professional Counselor Candidate, Anna, Keating, LPCC
Online Only
I'm glad that you're here! Therapy is a collaborative journey where we explore your strengths, challenges, and aspirations. By creating a strong therapeutic alliance, we can navigate difficult emotions, develop coping strategies, and empower you to lead a more fulfilling life. I have experience in, and enjoy, supporting individuals with issues in addiction, values exploration, anxiety, depression, social anxiety and trauma. I am trained in grief counseling and EMDR, a trauma-focused therapy.
I'm glad that you're here! Therapy is a collaborative journey where we explore your strengths, challenges, and aspirations. By creating a strong therapeutic alliance, we can navigate difficult emotions, develop coping strategies, and empower you to lead a more fulfilling life. I have experience in, and enjoy, supporting individuals with issues in addiction, values exploration, anxiety, depression, social anxiety and trauma. I am trained in grief counseling and EMDR, a trauma-focused therapy.
(970) 460-2198 View (970) 460-2198
Photo of Chelsea Smith, Clinical Social Work/Therapist, LCSW
Chelsea Smith
Clinical Social Work/Therapist, LCSW
1 Endorsed
Carbondale, CO 81623
Waitlist for new clients
You've got a big heart, and giving to others comes naturally to you, yet somehow you keep finding yourself drained or overextended. I am passionate about working with teachers, caregivers and parents who struggle with balance, boundaries and keeping it all together. Maybe you're in the helping profession and love your job, but continue to feel burnt out. Or perhaps you're a parent putting the needs of others first leaving you depleted with little time for yourself. If you struggle with boundaries in relationships or juggling the needs of others while caring for yourself, therapy can help.
You've got a big heart, and giving to others comes naturally to you, yet somehow you keep finding yourself drained or overextended. I am passionate about working with teachers, caregivers and parents who struggle with balance, boundaries and keeping it all together. Maybe you're in the helping profession and love your job, but continue to feel burnt out. Or perhaps you're a parent putting the needs of others first leaving you depleted with little time for yourself. If you struggle with boundaries in relationships or juggling the needs of others while caring for yourself, therapy can help.
(970) 592-5638 View (970) 592-5638
Photo of Amy M Vespa - Amy Vespa Counseling, LLC, Licensed Professional Counselor, MA, LPC, MAC
Amy Vespa Counseling, LLC
Licensed Professional Counselor, MA, LPC, MAC
Carbondale, CO 81623
With 22 years of experience as a Clinical Mental Health therapist and dual master's degrees in Clinical Mental Health and Addictions, I have dedicated my career to addressing diverse facets of mental health. While my main specialty lies in trauma and addictions, my practice extends beyond these realms. My approach is rooted in evidence-based practices, ensuring that the interventions I provide are supported by robust research. However, at the heart of my therapeutic philosophy is a focus on finding your essence of being human.
With 22 years of experience as a Clinical Mental Health therapist and dual master's degrees in Clinical Mental Health and Addictions, I have dedicated my career to addressing diverse facets of mental health. While my main specialty lies in trauma and addictions, my practice extends beyond these realms. My approach is rooted in evidence-based practices, ensuring that the interventions I provide are supported by robust research. However, at the heart of my therapeutic philosophy is a focus on finding your essence of being human.
(970) 489-7336 View (970) 489-7336
Photo of Diane Semerak, Licensed Professional Counselor, LPC, CMS-CHt
Diane Semerak
Licensed Professional Counselor, LPC, CMS-CHt
Glenwood Springs, CO 81601
Are you tense, jumpy or tearful, but not sure why? Do you have irritability, anxiety, depression, poor concentration, troubled sleep or flashbacks? Trauma—past or present—can affect many aspects of your life. I have specialized in treatment of survivors of childhood abuse or adult trauma for 20 years. I have found talk therapy is a start but if you have intrusive thoughts or images, intense emotional reactions, or loss of time, please consider Eye Movement Desensitization & Reprocessing (EMDR) therapy or Developmental Needs Meeting Strategy (DNMS) therapy for additional relief.
Are you tense, jumpy or tearful, but not sure why? Do you have irritability, anxiety, depression, poor concentration, troubled sleep or flashbacks? Trauma—past or present—can affect many aspects of your life. I have specialized in treatment of survivors of childhood abuse or adult trauma for 20 years. I have found talk therapy is a start but if you have intrusive thoughts or images, intense emotional reactions, or loss of time, please consider Eye Movement Desensitization & Reprocessing (EMDR) therapy or Developmental Needs Meeting Strategy (DNMS) therapy for additional relief.
(970) 436-9947 View (970) 436-9947
Photo of Jodi Hill, Licensed Professional Counselor, MS, LPC, EMDR
Jodi Hill
Licensed Professional Counselor, MS, LPC, EMDR
2 Endorsed
New Castle, CO 81647
In therapy, I offer a grounded, supportive space where you can feel truly seen and empowered to pursue the change you’re longing for. Drawing on EMDR and Internal Family Systems (IFS), we’ll gently explore the roots of your struggles, while building practical tools—emotional regulation, body awareness, and mindset shifts—to help you move through life with more clarity and resilience. You already hold the capacity for healing and growth; my role is to help you reconnect with that strength and take meaningful steps forward.
In therapy, I offer a grounded, supportive space where you can feel truly seen and empowered to pursue the change you’re longing for. Drawing on EMDR and Internal Family Systems (IFS), we’ll gently explore the roots of your struggles, while building practical tools—emotional regulation, body awareness, and mindset shifts—to help you move through life with more clarity and resilience. You already hold the capacity for healing and growth; my role is to help you reconnect with that strength and take meaningful steps forward.
(970) 459-5578 View (970) 459-5578
Photo of Alison Silcox, Licensed Professional Counselor, LPC
Alison Silcox
Licensed Professional Counselor, LPC
Online Only
Welcome! I look forward to meeting you. As a therapist, I help people untangle what’s not working and take steps toward something better. I specialize in working with clients navigating life transitions, stress and anxiety, low motivation, self-esteem, depression, and confidence struggles. My approach is warm and collaborative—I believe therapy works best when it feels like a conversation, not a chore. We’ll use reflection and practical tools to help you make meaningful, lasting change.
Welcome! I look forward to meeting you. As a therapist, I help people untangle what’s not working and take steps toward something better. I specialize in working with clients navigating life transitions, stress and anxiety, low motivation, self-esteem, depression, and confidence struggles. My approach is warm and collaborative—I believe therapy works best when it feels like a conversation, not a chore. We’ll use reflection and practical tools to help you make meaningful, lasting change.
(720) 669-7572 View (720) 669-7572
Photo of Anna Murphy, Counselor, MA, NCC, LPCC
Anna Murphy
Counselor, MA, NCC, LPCC
1 Endorsed
Glenwood Springs, CO 81601
Not accepting new clients
Sometimes in life, we need a helping hand. Fortunately, several options are available to you and I can be your guide and support through your own individualized healing process. At my office in Glenwood Springs, I enjoy working with children, teenagers, and adults who need ongoing support. I also offer online services if traveling is not an option. Chronic pain, both physical and emotional, can weigh us down but support is available. Through various interventions such as neurofeedback and sand tray, we can design a program that works best for you.
Sometimes in life, we need a helping hand. Fortunately, several options are available to you and I can be your guide and support through your own individualized healing process. At my office in Glenwood Springs, I enjoy working with children, teenagers, and adults who need ongoing support. I also offer online services if traveling is not an option. Chronic pain, both physical and emotional, can weigh us down but support is available. Through various interventions such as neurofeedback and sand tray, we can design a program that works best for you.
(970) 840-0962 View (970) 840-0962
Photo of Amelia Dotzenrod, Clinical Social Work/Therapist, MA, LCSW
Amelia Dotzenrod
Clinical Social Work/Therapist, MA, LCSW
1 Endorsed
Carbondale, CO 81623
Can we learn to embrace change? To live life with a deep sense of community, connection, and confidence? Can we relate to others from a place of calm and clarity rather than confusion and chaos? I believe we can. I believe you can. Let’s jump in together.
Can we learn to embrace change? To live life with a deep sense of community, connection, and confidence? Can we relate to others from a place of calm and clarity rather than confusion and chaos? I believe we can. I believe you can. Let’s jump in together.
(970) 557-7848 View (970) 557-7848
Photo of Rachel Zubek, Clinical Social Work/Therapist, LCSW, LCSW-C
Rachel Zubek
Clinical Social Work/Therapist, LCSW, LCSW-C
Glenwood Springs, CO 81601
Helping Anxious Women Heal from Perfectionism and Build Inner Peace. Hi there, I’m Rachel. I am a licensed clinical therapist who helps caring, anxious folks who feel stuck in people-pleasing, perfectionism, and self-doubt. Together, we’ll build stronger boundaries, quiet your inner critic, and help you feel more grounded and confident. My approach is warm, supportive, and rooted in self-compassion. Together, we’ll explore both the internal patterns and external systems that shape your stress and self-worth. My roots are Christian and I’m an affirming ally for the LGBTQIA+, BIPOC, and immigrant communities.
Helping Anxious Women Heal from Perfectionism and Build Inner Peace. Hi there, I’m Rachel. I am a licensed clinical therapist who helps caring, anxious folks who feel stuck in people-pleasing, perfectionism, and self-doubt. Together, we’ll build stronger boundaries, quiet your inner critic, and help you feel more grounded and confident. My approach is warm, supportive, and rooted in self-compassion. Together, we’ll explore both the internal patterns and external systems that shape your stress and self-worth. My roots are Christian and I’m an affirming ally for the LGBTQIA+, BIPOC, and immigrant communities.
(970) 318-7078 View (970) 318-7078
Photo of Debra Lyles, Clinical Social Work/Therapist, LCSW, BS FIN
Debra Lyles
Clinical Social Work/Therapist, LCSW, BS FIN
Online Only
You may look like you’re holding everything together, but privately feel anxious, overwhelmed, or unsure what to do next. I help high-functioning adults and couples reduce anxiety, communicate more clearly, set stronger boundaries, and make decisions with greater confidence.
You may look like you’re holding everything together, but privately feel anxious, overwhelmed, or unsure what to do next. I help high-functioning adults and couples reduce anxiety, communicate more clearly, set stronger boundaries, and make decisions with greater confidence.
(877) 269-3573 View (877) 269-3573
Photo of Michelle Doll - Western Slope Counseling Development Center LLC, Licensed Professional Counselor, LPC, LMFT, LAC, ACS, AAMFTAS
Western Slope Counseling Development Center LLC
Licensed Professional Counselor, LPC, LMFT, LAC, ACS, AAMFTAS
Online Only
I want to hear your story, your thoughts, feelings, and how you make meaning of your experience and relationships. This way, I can walk with and empower you to better manage stressors and improve satisfaction in your relationships, quality of life, and build resilience. Let me support you to improve how you are managing distress, in order to improve self-esteem and your relationships, and resolve those repeating patterns and stuck points that contribute to distress and pain.
I want to hear your story, your thoughts, feelings, and how you make meaning of your experience and relationships. This way, I can walk with and empower you to better manage stressors and improve satisfaction in your relationships, quality of life, and build resilience. Let me support you to improve how you are managing distress, in order to improve self-esteem and your relationships, and resolve those repeating patterns and stuck points that contribute to distress and pain.
(970) 659-0623 View (970) 659-0623
Photo of KJ Leuallen, Pre-Licensed Professional, MFT in
KJ Leuallen
Pre-Licensed Professional, MFT in
3 Endorsed
Rifle, CO 81650
Relationships can feel deeply rewarding - and deeply challenging. When communication breaks down or emotional pain takes over, couples and families often feel stuck and disconnected. I provide relational, compassionate therapy for children, couples, individuals, and families, helping clients rebuild trust, strengthen communication, and restore emotional connection. My approach is collaborative, trauma-informed, and deeply supportive, meeting each client where they are while fostering insight, healing, and meaningful change.
Relationships can feel deeply rewarding - and deeply challenging. When communication breaks down or emotional pain takes over, couples and families often feel stuck and disconnected. I provide relational, compassionate therapy for children, couples, individuals, and families, helping clients rebuild trust, strengthen communication, and restore emotional connection. My approach is collaborative, trauma-informed, and deeply supportive, meeting each client where they are while fostering insight, healing, and meaningful change.
(970) 550-2693 View (970) 550-2693
Photo of Leslie Pinaire, Licensed Professional Counselor Candidate, LPCC, RH(AHG), CCN
Leslie Pinaire
Licensed Professional Counselor Candidate, LPCC, RH(AHG), CCN
2 Endorsed
Online Only
I work with individuals and couples who are ready to better understand themselves, heal old wounds, and create meaningful, lasting change. Drawing from EMDR, Polyvagal-Informed Somatic Therapy, Internal Family Systems (IFS), Cognitive Behavioral Therapy (CBT), and Gottman Method Couples Therapy, I help clients move beyond simply managing symptoms to addressing the deeper patterns that keep them feeling stuck. Together, we’ll work to heal trauma, strengthen self-worth, regulate overwhelming emotions, improve communication and relationships, and cultivate a greater sense of safety, connection, and confidence.
I work with individuals and couples who are ready to better understand themselves, heal old wounds, and create meaningful, lasting change. Drawing from EMDR, Polyvagal-Informed Somatic Therapy, Internal Family Systems (IFS), Cognitive Behavioral Therapy (CBT), and Gottman Method Couples Therapy, I help clients move beyond simply managing symptoms to addressing the deeper patterns that keep them feeling stuck. Together, we’ll work to heal trauma, strengthen self-worth, regulate overwhelming emotions, improve communication and relationships, and cultivate a greater sense of safety, connection, and confidence.
(888) 539-6948 View (888) 539-6948

See more therapy options for Garfield County

How does your Therapist compare?

Number of Therapists in Garfield County, CO

100+

Average cost per session

$150

Therapists in Garfield County, CO who prioritize treating:

93% Anxiety
93% Social Anxiety
93% Health Anxiety
93% Driving Anxiety
87% Depression
73% Trauma and PTSD
73% Complex PTSD

Average years in practice

12 Years

Top 3 insurances accepted

86% Aetna
84% Cigna and Evernorth
73% Anthem

How Therapists in Garfield County, CO see their clients

61% In Person and Online
39% Online Only

Gender breakdown

81% Female
19% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Garfield County?

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.