Therapists in West Chester, OH

Photo of Sandy M Kaplan, Marriage & Family Therapist in West Chester, OH
Sandy M Kaplan
Marriage & Family Therapist, IMFT
Verified Verified
West Chester, OH 45069
I specialize in couples counseling, blended families, gender dysphoria, adjustment to divorce, anxiety and depressive disorders and improving interpersonal relationships. I enjoy working with individuals ages 13 and over both in person and by telehealth. My aim is to support clients in reaching their individual goals to improve mood, strengthen communication skills, utilize healthy coping strategies to better manage all of life’s challenges and increase general functioning and wellbeing in an inviting and comfortable setting.
I specialize in couples counseling, blended families, gender dysphoria, adjustment to divorce, anxiety and depressive disorders and improving interpersonal relationships. I enjoy working with individuals ages 13 and over both in person and by telehealth. My aim is to support clients in reaching their individual goals to improve mood, strengthen communication skills, utilize healthy coping strategies to better manage all of life’s challenges and increase general functioning and wellbeing in an inviting and comfortable setting.
(513) 952-8443 View (513) 952-8443
Photo of Patricia Ann Guillory, Clinical Social Work/Therapist in West Chester, OH
Patricia Ann Guillory
Clinical Social Work/Therapist, LCSW, LISW, PhD
Verified Verified
1 Endorsed
West Chester, OH 45069  (Online Only)
My ideal therapy situation is working with a client who is hoping to explore options to resolve circumstances that are causing them pain and discomfort. This will undoubtedly involve personal change, so a willingness to look at self and the courage to take steps to move forward are necessary. Recognizing how difficult this can be, therapy requires a safe and brave space allowing the client to practice vulnerability which leads to openness to change. My person-centered approach places the client in the “driver’s seat”, allowing them to set the pace but with guidance and support to push forward.
My ideal therapy situation is working with a client who is hoping to explore options to resolve circumstances that are causing them pain and discomfort. This will undoubtedly involve personal change, so a willingness to look at self and the courage to take steps to move forward are necessary. Recognizing how difficult this can be, therapy requires a safe and brave space allowing the client to practice vulnerability which leads to openness to change. My person-centered approach places the client in the “driver’s seat”, allowing them to set the pace but with guidance and support to push forward.
(513) 643-8608 View (513) 643-8608
Photo of Taylor Koehler, Licensed Professional Counselor in West Chester, OH
Taylor Koehler
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
West Chester, OH 45069
Koehler Counseling provides a safe and nonjudgmental space for clients so we can work towards setting and achieving goals together. Whether you are struggling with anxiety, depression, a life transition such as a job change, a move, an end of a relationship, or simply the stress that life brings you, Koehler Counseling provides a listening ear so you don't have to take on this stress alone. Together we will develop knowledge and skills that will help towards making your life stressors more manageable. We will work together to help you towards reaching your individualized goals.
Koehler Counseling provides a safe and nonjudgmental space for clients so we can work towards setting and achieving goals together. Whether you are struggling with anxiety, depression, a life transition such as a job change, a move, an end of a relationship, or simply the stress that life brings you, Koehler Counseling provides a listening ear so you don't have to take on this stress alone. Together we will develop knowledge and skills that will help towards making your life stressors more manageable. We will work together to help you towards reaching your individualized goals.
(513) 270-2770 View (513) 270-2770
Photo of Natalie Meiszer, Licensed Professional Counselor in West Chester, OH
Natalie Meiszer
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
West Chester, OH 45069
Seeking help can be a rough and complicated process. A little about me as a counselor, I like to try and understand the person as a whole and work towards their goals through a collaborative process. Every human is unique, and I want to embrace that. I have had over 5 years of experience in the field of Addiction Treatment. Through this experience I learned to embrace the process of growth. I was able to see the profound impact mental health could have on an individual's life and became passionate about the field.
Seeking help can be a rough and complicated process. A little about me as a counselor, I like to try and understand the person as a whole and work towards their goals through a collaborative process. Every human is unique, and I want to embrace that. I have had over 5 years of experience in the field of Addiction Treatment. Through this experience I learned to embrace the process of growth. I was able to see the profound impact mental health could have on an individual's life and became passionate about the field.
(513) 647-6137 View (513) 647-6137
Photo of Ashton L Roach, Licensed Professional Counselor in West Chester, OH
Ashton L Roach
Licensed Professional Counselor, MS, LPC
Verified Verified
3 Endorsed
West Chester, OH 45069
Grief and loss affects all of us in our lifetimes, and those experiences can feel extremely isolating and overwhelming. As a dedicated and compassionate grief therapist, it is my goal to provide a safe and supportive environment for clients navigating the challenging journeys of grief and loss. I understand that grief is a unique and personal experience, and I am committed to helping my clients find their own personalized paths for moving forward.
Grief and loss affects all of us in our lifetimes, and those experiences can feel extremely isolating and overwhelming. As a dedicated and compassionate grief therapist, it is my goal to provide a safe and supportive environment for clients navigating the challenging journeys of grief and loss. I understand that grief is a unique and personal experience, and I am committed to helping my clients find their own personalized paths for moving forward.
(614) 714-6981 View (614) 714-6981
Photo of Beth Shaw, Licensed Professional Counselor in West Chester, OH
Beth Shaw
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
West Chester, OH 45069
Does life feel overwhelming right now? Do you feel as if you are struggling to move past disappointments or unmet expectations in your life? Do you find yourself dealing with a season of adversity or transition leaving you with feelings of anxiety or depression? You do not have to face your struggles alone….I can help! What is my approach? I will meet you where you are with no judgment, with compassion and authenticity. Together, we will create an emotionally safe space for you to find hope again, a place for you to process and heal so you can move forward. I am currently accepting clients ranging from teenager to older adult.
Does life feel overwhelming right now? Do you feel as if you are struggling to move past disappointments or unmet expectations in your life? Do you find yourself dealing with a season of adversity or transition leaving you with feelings of anxiety or depression? You do not have to face your struggles alone….I can help! What is my approach? I will meet you where you are with no judgment, with compassion and authenticity. Together, we will create an emotionally safe space for you to find hope again, a place for you to process and heal so you can move forward. I am currently accepting clients ranging from teenager to older adult.
(513) 951-1456 View (513) 951-1456
Photo of Kate Sloan, Licensed Professional Clinical Counselor in West Chester, OH
Kate Sloan
Licensed Professional Clinical Counselor, RN, BS, MA, LPCC
Verified Verified
1 Endorsed
West Chester, OH 45069
I've dedicated over 15 years to the mental health field, assisting children, teens, and adults in times of crisis. Witnessing clients transform into who they aspire to be is incredibly rewarding. My wealth of life experience, coupled with years in mental health, equips me with a diverse set of resources for client support. My expertise includes working with veterans dealing with PTSD and individuals of various ages struggling with anxiety and depression. I'm trained in EMDR and specialize in treating trauma, anxiety, depression, and PTSD. Congratulations on taking the first step toward becoming the best version of yourself.
I've dedicated over 15 years to the mental health field, assisting children, teens, and adults in times of crisis. Witnessing clients transform into who they aspire to be is incredibly rewarding. My wealth of life experience, coupled with years in mental health, equips me with a diverse set of resources for client support. My expertise includes working with veterans dealing with PTSD and individuals of various ages struggling with anxiety and depression. I'm trained in EMDR and specialize in treating trauma, anxiety, depression, and PTSD. Congratulations on taking the first step toward becoming the best version of yourself.
(513) 877-6638 View (513) 877-6638
Photo of Macks Psychology Group, Psychologist in West Chester, OH
Macks Psychology Group
Psychologist, PhD
Verified Verified
West Chester, OH 45069
At the Macks Psychology Group (MPG), we take pride in offering a wide range of psychological and speech-language testing and therapy services, and delivering outstanding care to meet the needs of the individuals and families with whom we work. Our providers are highly qualified, with backgrounds from hospitals, school districts, private practice, and community health. MPG works with nearly all ages from toddler through late adulthood. We look forward to working with you or your family.
At the Macks Psychology Group (MPG), we take pride in offering a wide range of psychological and speech-language testing and therapy services, and delivering outstanding care to meet the needs of the individuals and families with whom we work. Our providers are highly qualified, with backgrounds from hospitals, school districts, private practice, and community health. MPG works with nearly all ages from toddler through late adulthood. We look forward to working with you or your family.
(513) 204-5746 View (513) 204-5746
Photo of Dalenea C Giusti, Counselor in West Chester, OH
Dalenea C Giusti
Counselor, MA, LPCC-S, DARTT
Verified Verified
4 Endorsed
West Chester, OH 45069
Not accepting new clients
I do not believe in a one-size fits all therapeutic model. I believe that we were each created with unique characteristics and given circumstances that need individual attention. I am strategic in session planning and in helping clients based on their specific symptoms and needs. Since I believe in a holistic approach, I help my clients to create individualized treatment plans that will assist in breaking free from destructive thinking and behaviors while creating an increased sense of peace and balance in mental, physical, and spiritual health.
I do not believe in a one-size fits all therapeutic model. I believe that we were each created with unique characteristics and given circumstances that need individual attention. I am strategic in session planning and in helping clients based on their specific symptoms and needs. Since I believe in a holistic approach, I help my clients to create individualized treatment plans that will assist in breaking free from destructive thinking and behaviors while creating an increased sense of peace and balance in mental, physical, and spiritual health.
(513) 813-5174 View (513) 813-5174
Photo of Jennifer Utech - By The River Counseling, Licensed Professional Counselor in West Chester, OH
Jennifer Utech - By The River Counseling
Licensed Professional Counselor, MA, LPC, NCC, CCPS, CCES-c
Verified Verified
1 Endorsed
West Chester, OH 45069
Waitlist for new clients
Evening appointments available. My top priority is to create a judgement-free space where you can address any issue you are wrestling with; such as anxiety, depression, betrayal, trauma, life transitions, conflict, personal growth, and more. Your experiences and feelings are valid and worthy of being heard. I am a Certified Clinical Partner Specialist trained in the APSATS - Multidimensional Partner Trauma Model and the Early Recovery Couples Empathy Model (ERCEM). I have completed Level one of the Gottman Method Couples Therapy, am a certified SYMBIS facilitator (pre-marital counseling) and Brainspotting practitioner.
Evening appointments available. My top priority is to create a judgement-free space where you can address any issue you are wrestling with; such as anxiety, depression, betrayal, trauma, life transitions, conflict, personal growth, and more. Your experiences and feelings are valid and worthy of being heard. I am a Certified Clinical Partner Specialist trained in the APSATS - Multidimensional Partner Trauma Model and the Early Recovery Couples Empathy Model (ERCEM). I have completed Level one of the Gottman Method Couples Therapy, am a certified SYMBIS facilitator (pre-marital counseling) and Brainspotting practitioner.
(513) 449-9496 View (513) 449-9496
Photo of Suzanne Hoskin, Licensed Professional Clinical Counselor in West Chester, OH
Suzanne Hoskin
Licensed Professional Clinical Counselor, LPCC
Verified Verified
West Chester, OH 45069  (Online Only)
Suzanne Hoskin received her Master's degree in Mental Health Counseling at the University of Cincinnati and her Bachelor's degree in Psychology from Xavier University. She is a Licensed Professional Clinical Counselor and a Licensed Independent Chemical Dependency Counselor with experience in residential and IOP substance use disorders treatment. She has advanced training in Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), motivational interviewing, and working with gender non-conforming clients.
Suzanne Hoskin received her Master's degree in Mental Health Counseling at the University of Cincinnati and her Bachelor's degree in Psychology from Xavier University. She is a Licensed Professional Clinical Counselor and a Licensed Independent Chemical Dependency Counselor with experience in residential and IOP substance use disorders treatment. She has advanced training in Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), motivational interviewing, and working with gender non-conforming clients.
(513) 966-4190 View (513) 966-4190
Photo of Nia Beulah, Clinical Social Work/Therapist in West Chester, OH
Nia Beulah
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
1 Endorsed
West Chester, OH 45069  (Online Only)
You may not be sure when or how it happened, but suddenly you are starting to recognize your habits, patterns of thinking, or relationships are just not working. Maybe this happened as a result of grief, trauma, or any major life transition; either way, you know life could feel better than this. Using a client centered and strengths-based approach, I walk with my clients every step of the way to find healthier ways to manage life’s most challenging obstacles and pain. During your therapeutic journey, you will discover a new path to healing, strengthen your relationships, and build an emotionally healthier lifestyle.
You may not be sure when or how it happened, but suddenly you are starting to recognize your habits, patterns of thinking, or relationships are just not working. Maybe this happened as a result of grief, trauma, or any major life transition; either way, you know life could feel better than this. Using a client centered and strengths-based approach, I walk with my clients every step of the way to find healthier ways to manage life’s most challenging obstacles and pain. During your therapeutic journey, you will discover a new path to healing, strengthen your relationships, and build an emotionally healthier lifestyle.
(513) 463-5247 View (513) 463-5247
Photo of Dylan E Sullivan, Licensed Professional Counselor in West Chester, OH
Dylan E Sullivan
Licensed Professional Counselor, MA, LPC, CPRS
Verified Verified
1 Endorsed
West Chester, OH 45069
My ideal client is an individual 16 + or couples 18+ ,who regardless of their problems, can identify that they are not living up to their fullest potential, and want to figure out how to do so. They may be struggling with a behavior, infidelity, substance use/abuse, mental health concerns or trauma, and have some insight about what the problems may be, but have struggled to find the time or motivation to address them. The reason they want to address these issues may be due to internal insight, ongoing relationship issues or because of a negative impact to work , school or home life functioning.As noted couples are welcome as well!
My ideal client is an individual 16 + or couples 18+ ,who regardless of their problems, can identify that they are not living up to their fullest potential, and want to figure out how to do so. They may be struggling with a behavior, infidelity, substance use/abuse, mental health concerns or trauma, and have some insight about what the problems may be, but have struggled to find the time or motivation to address them. The reason they want to address these issues may be due to internal insight, ongoing relationship issues or because of a negative impact to work , school or home life functioning.As noted couples are welcome as well!
(513) 796-7945 View (513) 796-7945
Photo of Leigh Ann Brock, Licensed Professional Clinical Counselor in West Chester, OH
Leigh Ann Brock
Licensed Professional Clinical Counselor, MA, LPCC, LCDCIII
Verified Verified
West Chester, OH 45069
As your therapist, my goal would be to provide a safe, supportive, collaborative relationship with the client for growth and overall wellness. One of my primary goals is to empower my clients through awareness, education, and tools to increase self efficacy. I utilize an eclectic approach, incorporating strategies from a variety of different therapeutic orientations and incorporate these into treatment to meet the specific needs of the client. My focus is on the person's strengths and competencies by using a holistic approach to address the whole individual; emotional, physical, social and spiritual.
As your therapist, my goal would be to provide a safe, supportive, collaborative relationship with the client for growth and overall wellness. One of my primary goals is to empower my clients through awareness, education, and tools to increase self efficacy. I utilize an eclectic approach, incorporating strategies from a variety of different therapeutic orientations and incorporate these into treatment to meet the specific needs of the client. My focus is on the person's strengths and competencies by using a holistic approach to address the whole individual; emotional, physical, social and spiritual.
(513) 712-0676 x307 View (513) 712-0676 x307
Pinpoint Behavioral Health
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
West Chester, OH 45069
Pinpoint is a unique group of clinicians. We don't serve everyone. We serve those who serve others. We specialize in serving the first responder, military and veteran community with people that "get it". We are able to also treat children and work with individuals who suffer from grief and loss.
Pinpoint is a unique group of clinicians. We don't serve everyone. We serve those who serve others. We specialize in serving the first responder, military and veteran community with people that "get it". We are able to also treat children and work with individuals who suffer from grief and loss.
(513) 434-3054 View (513) 434-3054
Photo of Akemi Horii, Licensed Professional Counselor in West Chester, OH
Akemi Horii
Licensed Professional Counselor, LPC, NCC
Verified Verified
West Chester, OH 45069
Akemi is a Licensed Professional Counselor in the state of Ohio. She provides in-person and telehealth therapy to adult and adolescent clients who have depression and anxiety, and struggle to find a sense of purpose and fulfillment in life. Her person-centered therapeutic approach is influenced by Motivational Interviews, Mindfulness, Cognitive Behavioral Therapy, and Internal Family Systems, and other modalities, to help clients embrace who they are and feel empowered in their life. She's lived in San Francisco and Chicago, and abroad in Japan, the United Kingdom, and Jordan, working in finance, IT, and education previously.
Akemi is a Licensed Professional Counselor in the state of Ohio. She provides in-person and telehealth therapy to adult and adolescent clients who have depression and anxiety, and struggle to find a sense of purpose and fulfillment in life. Her person-centered therapeutic approach is influenced by Motivational Interviews, Mindfulness, Cognitive Behavioral Therapy, and Internal Family Systems, and other modalities, to help clients embrace who they are and feel empowered in their life. She's lived in San Francisco and Chicago, and abroad in Japan, the United Kingdom, and Jordan, working in finance, IT, and education previously.
(513) 845-1905 View (513) 845-1905
Photo of Elizabeth Ming, Licensed Professional Counselor in West Chester, OH
Elizabeth Ming
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
West Chester, OH 45069
Waitlist for new clients
My approach to therapy is as unique as you. I believe in building a strong therapeutic relationship by getting to know you, your story, what you value, and what you find meaningful. We work together to get to the core of the issue you’d like to address and listen for the deepest voice within you. I partner with you in helping you to navigate the realities and limitations of being human while also embracing the freedom to choose how to live your life, align with your values, live in the present, and find meaning.
My approach to therapy is as unique as you. I believe in building a strong therapeutic relationship by getting to know you, your story, what you value, and what you find meaningful. We work together to get to the core of the issue you’d like to address and listen for the deepest voice within you. I partner with you in helping you to navigate the realities and limitations of being human while also embracing the freedom to choose how to live your life, align with your values, live in the present, and find meaning.
(513) 986-0993 View (513) 986-0993
Photo of Valerie Allen, Counselor in West Chester, OH
Valerie Allen
Counselor, MEd, LPCC
Verified Verified
10 Endorsed
West Chester, OH 45069
I am currently only accepting new clients who are seeking help with issues related to infidelity. I bring years of life and counseling experience to the therapy process - and I connect with my clients on a personal level, while maintaining a professional therapeutic relationship. Please read the blog section of my website to see if I am the type of therapist with whom you can connect.
I am currently only accepting new clients who are seeking help with issues related to infidelity. I bring years of life and counseling experience to the therapy process - and I connect with my clients on a personal level, while maintaining a professional therapeutic relationship. Please read the blog section of my website to see if I am the type of therapist with whom you can connect.
(513) 972-4617 View (513) 972-4617
Photo of Janet K Nash, Clinical Social Work/Therapist in West Chester, OH
Janet K Nash
Clinical Social Work/Therapist, MSW, LISW-S, CCTP, C-IAYT
Verified Verified
West Chester, OH 45069
Waitlist for new clients
I am dedicated to working with clients grappling with anxiety, depression, trauma, women's issues and LGBTQIA concerns. My shared vocations of psychotherapist and yoga therapist/teacher enable me to take a broad view of healing. As such, I am dedicated to fostering opportunities of holistic wellness by offering evidence-based psychotherapy; and when traditional psychotherapeutic treatment is not sufficient, the embodiment of yoga may be an attractive adjunctive strategy.
I am dedicated to working with clients grappling with anxiety, depression, trauma, women's issues and LGBTQIA concerns. My shared vocations of psychotherapist and yoga therapist/teacher enable me to take a broad view of healing. As such, I am dedicated to fostering opportunities of holistic wellness by offering evidence-based psychotherapy; and when traditional psychotherapeutic treatment is not sufficient, the embodiment of yoga may be an attractive adjunctive strategy.
(513) 712-0733 View (513) 712-0733
Photo of Alexandra Marie Wolfe, Clinical Social Work/Therapist in West Chester, OH
Alexandra Marie Wolfe
Clinical Social Work/Therapist, LSW, BSW
Verified Verified
West Chester, OH 45069
Waitlist for new clients
Passionate and person-centered licensed social worker with 3 years of experience in providing evidence-based care to individuals and groups. Dedicated to taking a trauma-informed, anti- oppressive approach to therapy.
Passionate and person-centered licensed social worker with 3 years of experience in providing evidence-based care to individuals and groups. Dedicated to taking a trauma-informed, anti- oppressive approach to therapy.
(513) 855-6535 View (513) 855-6535

See more therapy options for West Chester

How does your Therapist compare?

Number of Therapists in West Chester, OH

100+

Average cost per session

$130

Therapists in West Chester, OH who prioritize treating:

92% Anxiety
87% Depression
76% Relationship Issues
74% Self Esteem
71% Trauma and PTSD
71% Coping Skills
67% Grief

Average years in practice

11 Years

Top 3 insurances accepted

75% Aetna
75% Anthem | Elevance
73% UnitedHealthcare UHC | UBH

How Therapists in West Chester, OH see their clients

88% In Person and Online
12% Online Only

Gender breakdown

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

How can I find a therapist in West Chester?

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.