Therapists in Omaha, NE

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Misty Warren
Counselor, MS, NCC, LIMHP, TLMHC
Verified Verified
Omaha, NE 68135
"Life’s difficulties can be overwhelming and at times feel unmanageable. Utilizing aspects of Cognitive Behavioral Therapy, Solution Focused Therapy, and Mindfulness techniques, I can assist you in learning skills to manage life’s stressors and decrease that overwhelming feeling. Together, we can navigate through the therapeutic process and find what is comfortable for you. I assist individuals to address things such as relationships, depression, anxiety, self-esteem, trauma, and behaviors. I provide therapy for ages five and up for individuals, couples, families and groups. We also offer teen, adult male and female groups.
"Life’s difficulties can be overwhelming and at times feel unmanageable. Utilizing aspects of Cognitive Behavioral Therapy, Solution Focused Therapy, and Mindfulness techniques, I can assist you in learning skills to manage life’s stressors and decrease that overwhelming feeling. Together, we can navigate through the therapeutic process and find what is comfortable for you. I assist individuals to address things such as relationships, depression, anxiety, self-esteem, trauma, and behaviors. I provide therapy for ages five and up for individuals, couples, families and groups. We also offer teen, adult male and female groups.
(531) 233-1169 View (531) 233-1169
Photo of Shawn M DeVries, Counselor in Omaha, NE
Shawn M DeVries
Counselor, MS, LIMHP, LMHP, LADC
Verified Verified
Omaha, NE 68154
I am a licensed Independent Mental Health Practitioner and an Alcohol and Drug Counselor. I am a registered service provider with Nebraska Probation. I have 14 years of experience working in the mental health field. I worked for 8 years in a facility providing mental health and substance abuse treatment at the inpatient, intensive outpatient, and outpatient levels of care. I use a variety of tools to help you meet your individualized goals. I work with individuals on a variety of issues including anger, depression, anxiety, substance abuse, and self-esteem. I provide substance abuse evaluations for $200 or a probation voucher.
I am a licensed Independent Mental Health Practitioner and an Alcohol and Drug Counselor. I am a registered service provider with Nebraska Probation. I have 14 years of experience working in the mental health field. I worked for 8 years in a facility providing mental health and substance abuse treatment at the inpatient, intensive outpatient, and outpatient levels of care. I use a variety of tools to help you meet your individualized goals. I work with individuals on a variety of issues including anger, depression, anxiety, substance abuse, and self-esteem. I provide substance abuse evaluations for $200 or a probation voucher.
(402) 809-5183 View (402) 809-5183
Photo of Sara Pattavina Moulton, LIMHP, P.C., Clinical Social Work/Therapist in Omaha, NE
Sara Pattavina Moulton, LIMHP, P.C.
Clinical Social Work/Therapist, LCSW, LIMHP
Verified Verified
Omaha, NE 68144
Are you seeking solutions to patterns of unhealthy behavior and thoughts to find real, lasting relief? I take a dynamic approach evaluating and focusing on all of the dimensions of what makes you who you are. We explore physical, mental, emotional and spiritual aspects of your life and find areas for potential growth. One of the most beautiful experiences in therapy is realizing that some of the things we once believed about ourselves may not be true at all. These untruths create repetitive unhealthy patterns. I cannot promise therapy will always feel good, but investing in meaningful change for yourself provides endless rewards.
Are you seeking solutions to patterns of unhealthy behavior and thoughts to find real, lasting relief? I take a dynamic approach evaluating and focusing on all of the dimensions of what makes you who you are. We explore physical, mental, emotional and spiritual aspects of your life and find areas for potential growth. One of the most beautiful experiences in therapy is realizing that some of the things we once believed about ourselves may not be true at all. These untruths create repetitive unhealthy patterns. I cannot promise therapy will always feel good, but investing in meaningful change for yourself provides endless rewards.
(402) 312-0177 View (402) 312-0177
Photo of Brian Shaw Psychotherapy, Clinical Social Work/Therapist in Omaha, NE
Brian Shaw Psychotherapy
Clinical Social Work/Therapist, MSW, LIMHP, LISW, LICSW, CST
Verified Verified
1 Endorsed
Omaha, NE 68102
As a psychotherapist, I can assist you in unlocking your innate potential. In our busy lives we tend to lose perspective and neglect caring for the body, mind and inner self. In psychotherapy, you are assessed in a holistic manner using a biopsychosocial approach and together we work on areas of your life that are in need of examination and healing. You will feel safe and supported on your journey and will never be judged for being who you are. I enjoy working with clients from a diverse background and embrace diversity in my practice. I'm open-minded, compassionate, experienced (but not stuffy), and have a sense of humor.
As a psychotherapist, I can assist you in unlocking your innate potential. In our busy lives we tend to lose perspective and neglect caring for the body, mind and inner self. In psychotherapy, you are assessed in a holistic manner using a biopsychosocial approach and together we work on areas of your life that are in need of examination and healing. You will feel safe and supported on your journey and will never be judged for being who you are. I enjoy working with clients from a diverse background and embrace diversity in my practice. I'm open-minded, compassionate, experienced (but not stuffy), and have a sense of humor.
(402) 552-8525 View (402) 552-8525
Photo of Nika George, Psychologist in Omaha, NE
Nika George
Psychologist, PhD
Verified Verified
3 Endorsed
Omaha, NE 68154  (Online Only)
My name is Dr. Nika George and I am a therapist with my PhD in clinical psychology. Clients typically visit my practice to receive specialized care for high achieving adults who experience perfectionism, and burnout. I also specialize in treating people with PTSD, complex PTSD, and trauma in childhood such as emotional abuse and neglect. In addition, I frequently work with clients who are experiencing depression, anxiety, life transitions (divorce, moving, relationship issues, setting boundaries, assertiveness training), career stress, or postpartum mood changes.
My name is Dr. Nika George and I am a therapist with my PhD in clinical psychology. Clients typically visit my practice to receive specialized care for high achieving adults who experience perfectionism, and burnout. I also specialize in treating people with PTSD, complex PTSD, and trauma in childhood such as emotional abuse and neglect. In addition, I frequently work with clients who are experiencing depression, anxiety, life transitions (divorce, moving, relationship issues, setting boundaries, assertiveness training), career stress, or postpartum mood changes.
(402) 526-5398 View (402) 526-5398
Photo of Eva Doescher, Clinical Social Work/Therapist in Omaha, NE
Eva Doescher
Clinical Social Work/Therapist, LCSW, MPA
Verified Verified
Omaha, NE 68105
The acceptance and love of our own identity can be an indicator of how well we process change, especially for people of color, mixed identities, LGBTQIA+ identities, youth/young adults, or any differing identity from the ‘status quo.’ Change is inevitable and constant in a human being's life, so working to heal our stress-responses to change is beneficial to living more peaceful days. Building from my personal experience with this, I can support and guide you on your journey to more peace.
The acceptance and love of our own identity can be an indicator of how well we process change, especially for people of color, mixed identities, LGBTQIA+ identities, youth/young adults, or any differing identity from the ‘status quo.’ Change is inevitable and constant in a human being's life, so working to heal our stress-responses to change is beneficial to living more peaceful days. Building from my personal experience with this, I can support and guide you on your journey to more peace.
(402) 307-8270 View (402) 307-8270
Photo of Loren P. Conaway, Ph.D., LLC, Psychologist in Omaha, NE
Loren P. Conaway, Ph.D., LLC
Psychologist, PhD
Verified Verified
1 Endorsed
Omaha, NE 68144
Waitlist for new clients
I am a clinical psychologist specializing in the treatment of anxiety disorders and related issues. I focus on cognitive-behavioral therapy to address worry, stress, and anxiety. I have specialized training in evidence based treatment of obsessive-compulsive disorder, body focused repetitive behaviors (trichotillomania - hair pulling - and skin picking/lip chewing), panic disorders, phobias, social anxiety and generalized worries. Virtual reality is available for the treatment of specific phobias. I work with children, adolescents and adults. I am a member of PSYPACT, an interstate compact facilitating telepsychology.
I am a clinical psychologist specializing in the treatment of anxiety disorders and related issues. I focus on cognitive-behavioral therapy to address worry, stress, and anxiety. I have specialized training in evidence based treatment of obsessive-compulsive disorder, body focused repetitive behaviors (trichotillomania - hair pulling - and skin picking/lip chewing), panic disorders, phobias, social anxiety and generalized worries. Virtual reality is available for the treatment of specific phobias. I work with children, adolescents and adults. I am a member of PSYPACT, an interstate compact facilitating telepsychology.
(402) 235-8128 View (402) 235-8128
Photo of Tyler Byrd, Counselor in Omaha, NE
Tyler Byrd
Counselor, LIMHP
Verified Verified
3 Endorsed
Omaha, NE 68144
It is our perception that creates our reality. Therapy allows individuals the unique opportunity to explore their perceptions within daily life. I believe connecting the mind to positive thinking, understanding emotions, and gaining self-awareness assists youth in developing healthy coping strategies. I focus the majority of my practice in offering a warm, comfortable environment for youth and adolescents to achieve these three attributes.
It is our perception that creates our reality. Therapy allows individuals the unique opportunity to explore their perceptions within daily life. I believe connecting the mind to positive thinking, understanding emotions, and gaining self-awareness assists youth in developing healthy coping strategies. I focus the majority of my practice in offering a warm, comfortable environment for youth and adolescents to achieve these three attributes.
(402) 281-9187 View (402) 281-9187
Photo of Teagan MacKnight, Counselor in Omaha, NE
Teagan MacKnight
Counselor, MA, LPC, LIMHP
Verified Verified
Omaha, NE 68154
Hello, I am happy you are here. My name is Teagan MacKnight, a Clinical Mental Health Therapist with MH Counseling, LLC. I am passionate about helping individuals navigate their journey towards healing, growth, and freedom. I work primarily with individuals, specializing in working with middle schoolers, college aged individuals, and adults. I see each client as an individual and find that an integrative, client-centered approach is necessary to best serve each client. Together, we'll work towards your goals, fostering growth and health in your life.
Hello, I am happy you are here. My name is Teagan MacKnight, a Clinical Mental Health Therapist with MH Counseling, LLC. I am passionate about helping individuals navigate their journey towards healing, growth, and freedom. I work primarily with individuals, specializing in working with middle schoolers, college aged individuals, and adults. I see each client as an individual and find that an integrative, client-centered approach is necessary to best serve each client. Together, we'll work towards your goals, fostering growth and health in your life.
(402) 741-6310 View (402) 741-6310
Photo of Mollie Stehl, Counselor in Omaha, NE
Mollie Stehl
Counselor, MS, PLMHP, PLADC
Verified Verified
Omaha, NE 68154
“The truest story – the one that will always be truest – is that I am a human being, being human. Sometimes, I am my best self. Sometimes, not so much. But goshdarn, I am trying to do better. I am always trying to do better. My guess is that you are, too.” – Laura McKowen. Life is a mixed bag of wonderful and weird. I believe therapy is a collaborative effort between client and clinician that consists of making sense of past experiences and being able to “re-story” our lives. You are the expert in your own life, and I am honored to be on this journey with you.
“The truest story – the one that will always be truest – is that I am a human being, being human. Sometimes, I am my best self. Sometimes, not so much. But goshdarn, I am trying to do better. I am always trying to do better. My guess is that you are, too.” – Laura McKowen. Life is a mixed bag of wonderful and weird. I believe therapy is a collaborative effort between client and clinician that consists of making sense of past experiences and being able to “re-story” our lives. You are the expert in your own life, and I am honored to be on this journey with you.
(402) 923-8819 View (402) 923-8819
Photo of ProSightful Counseling and Consulting, Counselor in Omaha, NE
ProSightful Counseling and Consulting
Counselor, LIMHP, NCC
Verified Verified
Omaha, NE 68104  (Online Only)
I provide online therapy individuals and families looking to overcome personal challenges, such as marital issues, grief, depression, anxiety, anger, sex therapy, relationship issues, a major life transition or spirituality issues. I've spent nearly 2 decades in ministry-helping kids, teens, adults, parents, groups, and families navigate their unique situations. I have over 8 years of military service, traveled the world and embrace all peoples, cultures, and beliefs. I use a holistic, nonjudgment, and multicultural approach to counseling. I am here to journey with you and to help you achieve your counseling goals if you let me.
I provide online therapy individuals and families looking to overcome personal challenges, such as marital issues, grief, depression, anxiety, anger, sex therapy, relationship issues, a major life transition or spirituality issues. I've spent nearly 2 decades in ministry-helping kids, teens, adults, parents, groups, and families navigate their unique situations. I have over 8 years of military service, traveled the world and embrace all peoples, cultures, and beliefs. I use a holistic, nonjudgment, and multicultural approach to counseling. I am here to journey with you and to help you achieve your counseling goals if you let me.
(402) 415-2052 View (402) 415-2052
Photo of Angie Chartier, Counselor in Omaha, NE
Angie Chartier
Counselor, LIMHP
Verified Verified
3 Endorsed
Omaha, NE 68130
Are you frustrated with your child/teens behaviors? Is life getting you down? Have you or a family member experienced trauma? I can help! I enjoy working with children, teens, and families when they are in situations that may feel hopeless. I believe the therapeutic relationship is an integral part of the process, and I strive to help my clients feel hopeful and safe. I specialize in behavioral therapies, trauma therapy, and reality-based therapy.
Are you frustrated with your child/teens behaviors? Is life getting you down? Have you or a family member experienced trauma? I can help! I enjoy working with children, teens, and families when they are in situations that may feel hopeless. I believe the therapeutic relationship is an integral part of the process, and I strive to help my clients feel hopeful and safe. I specialize in behavioral therapies, trauma therapy, and reality-based therapy.
(531) 208-1971 View (531) 208-1971
Photo of Madison Davis, Counselor in Omaha, NE
Madison Davis
Counselor, LCSW
Verified Verified
1 Endorsed
Omaha, NE 68144
Not accepting new clients
I approach therapy with a laid back and non-judgmental attitude, meeting each client where they are. I walk alongside the client, taking a holistic approach to healing and supporting each individual’s unique goals. Previously, I’ve worked with young adults, families, and children navigating a variety of life’s challenges and transitions. I especially enjoy working with young adults exploring careers or different pathways in life.
I approach therapy with a laid back and non-judgmental attitude, meeting each client where they are. I walk alongside the client, taking a holistic approach to healing and supporting each individual’s unique goals. Previously, I’ve worked with young adults, families, and children navigating a variety of life’s challenges and transitions. I especially enjoy working with young adults exploring careers or different pathways in life.
(402) 986-6369 View (402) 986-6369
Photo of Meghan R Herek, Counselor in Omaha, NE
Meghan R Herek
Counselor, LIMHP, LICSW
Verified Verified
Omaha, NE 68144
I have a unique style that blends multiple theories. I’m able to adapt to your needs and your style in a way that is most effective for your individuality. I am an honest, down-to-earth, funny, caring therapist. I keep it very real! I’ve been a mental health therapist for 12 years now and have been working with individuals, couples, and families for over 25 years. Does that make me sound old? Or experienced :)
I have a unique style that blends multiple theories. I’m able to adapt to your needs and your style in a way that is most effective for your individuality. I am an honest, down-to-earth, funny, caring therapist. I keep it very real! I’ve been a mental health therapist for 12 years now and have been working with individuals, couples, and families for over 25 years. Does that make me sound old? Or experienced :)
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Photo of Sara Chavez, Counselor in Omaha, NE
Sara Chavez
Counselor, LIMHP, LCSW, LADC
Verified Verified
1 Endorsed
Omaha, NE 68105  (Online Only)
You are not your trauma. You are a thriving, valuable survivor. In therapy with me, we will tap into your strengths to help create new standards of healthy living. When you say to yourself, "I am bad, or I am unloveable" those are messages that were taught to you and can be unlearned. Through the use of evidenced based treatment models, we will work together to help you heal from traumatic experiences.
You are not your trauma. You are a thriving, valuable survivor. In therapy with me, we will tap into your strengths to help create new standards of healthy living. When you say to yourself, "I am bad, or I am unloveable" those are messages that were taught to you and can be unlearned. Through the use of evidenced based treatment models, we will work together to help you heal from traumatic experiences.
(402) 765-4985 x05 View (402) 765-4985 x05
Photo of Courtney Liester, Counselor in Omaha, NE
Courtney Liester
Counselor, MS, LMHP, LIMHP, CPC
Verified Verified
1 Endorsed
Omaha, NE 68127
My name is Courtney Liester and I am a Licensed Independent Mental Health Practitioner. I am licensed in both Nebraska and Colorado. I am passionate about providing person-centered integrative therapy to those who wish to create positive and lasting change in their lives.
My name is Courtney Liester and I am a Licensed Independent Mental Health Practitioner. I am licensed in both Nebraska and Colorado. I am passionate about providing person-centered integrative therapy to those who wish to create positive and lasting change in their lives.
(531) 208-1854 View (531) 208-1854
Photo of Tosh Counseling Services, LLC, Counselor in Omaha, NE
Tosh Counseling Services, LLC
Counselor, MS, LIMHP, CPC
Verified Verified
Omaha, NE 68154
Our mental health is no less vital than our physical health, but one area many of us choose to ignore. Often, we become out of balance with our emotions, career and relationships. We may lose a sense of control and only hope to numb the pain. Although life can feel complicated, what isn't complicated is our need to feel loved, respected and that we matter. Caring for yourself is a good place to start.
Our mental health is no less vital than our physical health, but one area many of us choose to ignore. Often, we become out of balance with our emotions, career and relationships. We may lose a sense of control and only hope to numb the pain. Although life can feel complicated, what isn't complicated is our need to feel loved, respected and that we matter. Caring for yourself is a good place to start.
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Photo of Mackenzie Burt, Clinical Social Work/Therapist in Omaha, NE
Mackenzie Burt
Clinical Social Work/Therapist, LMHP, LCSW
Verified Verified
1 Endorsed
Omaha, NE 68154
As a mental health therapist, I am deeply passionate about helping you achieve the goals and success you are striving for on your life journey. I truly enjoy working with clients to recognize their strongest and truest potential, to find success and positive change while identifying strategies that work best for them to break through barriers holding them back. Through a dedicated therapeutic relationship, I hope to offer support, guidance and empowerment in a safe and confidential space meant for growth and change. I have specialized training in EMDR to work with clients. I utilize cognitive behavioral, motivational interviewi
As a mental health therapist, I am deeply passionate about helping you achieve the goals and success you are striving for on your life journey. I truly enjoy working with clients to recognize their strongest and truest potential, to find success and positive change while identifying strategies that work best for them to break through barriers holding them back. Through a dedicated therapeutic relationship, I hope to offer support, guidance and empowerment in a safe and confidential space meant for growth and change. I have specialized training in EMDR to work with clients. I utilize cognitive behavioral, motivational interviewi
(402) 251-2703 View (402) 251-2703
Photo of Asa Nathanael Russell, Counselor in Omaha, NE
Asa Nathanael Russell
Counselor, PLMHP, LCPCC, NCC
Verified Verified
Omaha, NE 68131  (Online Only)
I take a collaborative approach to therapy and believe you carry with you the answers necessary to move toward change and healing. Whether we are working toward a particular goal or engaging in a broader process of self-discovery, it is my job to facilitate, engage and empower. Your role is to bring your whole self and be open to the process as we build skills, increase internal motivation, and work toward a newly imagined future experience.
I take a collaborative approach to therapy and believe you carry with you the answers necessary to move toward change and healing. Whether we are working toward a particular goal or engaging in a broader process of self-discovery, it is my job to facilitate, engage and empower. Your role is to bring your whole self and be open to the process as we build skills, increase internal motivation, and work toward a newly imagined future experience.
(402) 207-5942 View (402) 207-5942
Photo of Affinity Counseling, LLC, Counselor in Omaha, NE
Affinity Counseling, LLC
Counselor, MS, LIMHP, LADC
Verified Verified
Omaha, NE 68105
Are you or your struggling with the simple task of day to day living? Do you or your child become easily overwhelmed with little tasks? I am committed to helping you. I believe that therapy is a way to find a path in life and is highly important that children and adults should be able to process their issues in a safe environment. I believe every client should be treated as an individual and I am here to work with you in a collaborative process in which we create treatment goals to address your and/or your child's issues and concerns in a manner that works specifically for you or them as every person/child is an individual.
Are you or your struggling with the simple task of day to day living? Do you or your child become easily overwhelmed with little tasks? I am committed to helping you. I believe that therapy is a way to find a path in life and is highly important that children and adults should be able to process their issues in a safe environment. I believe every client should be treated as an individual and I am here to work with you in a collaborative process in which we create treatment goals to address your and/or your child's issues and concerns in a manner that works specifically for you or them as every person/child is an individual.
(402) 600-0335 View (402) 600-0335

How does your Therapist compare?

Number of Therapists in Omaha, NE

900+

Average cost per session

$150

Therapists in Omaha, NE who prioritize treating:

93% Anxiety
91% Depression
79% Self Esteem
77% Relationship Issues
76% Trauma and PTSD
74% Coping Skills
68% Stress

Average years in practice

10 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
69% UnitedHealthcare UHC | UBH
67% Aetna

How Therapists in Omaha, NE see their clients

86% In Person and Online
14% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Omaha?

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.