Therapists in Elsmere, DE

Photo of Leland G Orlov - Leland G. Orlov, Ph.D., PhD, Psychologist
Leland G. Orlov, Ph.D.
Psychologist, PhD
Verified Verified
Elsmere, DE 19805
I offer a unique blend of longevity as a therapist as well as an integration of the latest trends in treatment. My own life experiences have included several challenging medical and family issues. Learning to deal with these effectively has expanded my awareness on many levels and has made me a more compassionate and creative therapist. I am very comfortable working with children, adolescents, families and stepfamilies, single adults, married couples and committed partners, and seniors.
I offer a unique blend of longevity as a therapist as well as an integration of the latest trends in treatment. My own life experiences have included several challenging medical and family issues. Learning to deal with these effectively has expanded my awareness on many levels and has made me a more compassionate and creative therapist. I am very comfortable working with children, adolescents, families and stepfamilies, single adults, married couples and committed partners, and seniors.
(302) 319-2493 View (302) 319-2493
Photo of Harris Finkelstein, PhD, Psychologist
Harris Finkelstein
Psychologist, PhD
Verified Verified
Elsmere, DE 19805
Issues with learning, behaving or feeling often have their roots in different ways of experiencing and processing the world. In over 30 years of working with children, teens and young adults, I have developed a variety of techniques to understand problems and identify solutions. A significant part of my practice involves testing for learning differences and attention issues. I work with children and teens to identify areas of strengths and weaknesses and to find strategies that will help them to achieve their goals. As a consultant to selected private schools, I also provide guidance to teachers and parents.
Issues with learning, behaving or feeling often have their roots in different ways of experiencing and processing the world. In over 30 years of working with children, teens and young adults, I have developed a variety of techniques to understand problems and identify solutions. A significant part of my practice involves testing for learning differences and attention issues. I work with children and teens to identify areas of strengths and weaknesses and to find strategies that will help them to achieve their goals. As a consultant to selected private schools, I also provide guidance to teachers and parents.
(302) 525-0313 View (302) 525-0313
Photo of Frann S Anderson, LCSW, CADC, Clinical Social Work/Therapist
Frann S Anderson
Clinical Social Work/Therapist, LCSW, CADC
Verified Verified
Elsmere, DE 19805  (Online Only)
Welcome to my practice. I am an LCSW, CADC in practice for over 40 years. My orientation to treatment is client centered meaning you, the client will guide and make decisions about your therapy experience. Success in treatment is determined by you and how supported you feel by me as your advocate and companion on the journey to recovery. Because my approach is person centered, I will help you work through whatever barriers to success may be your challenge. We work as a team. This is my commitment to everyone who may choose treatment in my practice. I provide online therapy only at this time.
Welcome to my practice. I am an LCSW, CADC in practice for over 40 years. My orientation to treatment is client centered meaning you, the client will guide and make decisions about your therapy experience. Success in treatment is determined by you and how supported you feel by me as your advocate and companion on the journey to recovery. Because my approach is person centered, I will help you work through whatever barriers to success may be your challenge. We work as a team. This is my commitment to everyone who may choose treatment in my practice. I provide online therapy only at this time.
(302) 865-7205 View (302) 865-7205

More Therapists Nearby

Photo of Marquisha Dunston - True Art of Serenity, LLC, LCSW, Clinical Social Work/Therapist
True Art of Serenity, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Wilmington, DE 19801  (Online Only)
Hi there, I'm Marquisha. Do the stigmas or fictional criteria to participate in therapy often get in the way of seeking help? Need some self-care tips? Are you a student-athlete or workout enthusiast struggling with balancing mental and physical wellness? Well, I have a mantra that says therapy is for everyone. It can be the ultimate self-care approach since it can be hard trying to find time to think of ways to balance our daily duties, emotional well-being and our relationships in healthy ways.
Hi there, I'm Marquisha. Do the stigmas or fictional criteria to participate in therapy often get in the way of seeking help? Need some self-care tips? Are you a student-athlete or workout enthusiast struggling with balancing mental and physical wellness? Well, I have a mantra that says therapy is for everyone. It can be the ultimate self-care approach since it can be hard trying to find time to think of ways to balance our daily duties, emotional well-being and our relationships in healthy ways.
(302) 303-9684 View (302) 303-9684
Photo of Misti Slaughter - Misti Slaughter - NOCD, LCPC, Counselor
Misti Slaughter - NOCD
Counselor, LCPC
Verified Verified
Wilmington, DE 19804  (Online Only)
For as long as I can remember, I have been deeply empathetic. As a child, I didn’t understand what this was, except that I cared and felt profoundly for everyone around me. This led to a desire to help others find joy and strength in themselves. Seeing the pieces start to come together for someone—to hear them express more comfort in their daily lives and believe in themselves—is, for me, the most fulfilling aspect of being a therapist. At NOCD, my team and I specialize in providing evidence-based treatment for people with OCD. Our deep understanding of the nuances of OCD enables us to properly diagnose and treat it.
For as long as I can remember, I have been deeply empathetic. As a child, I didn’t understand what this was, except that I cared and felt profoundly for everyone around me. This led to a desire to help others find joy and strength in themselves. Seeing the pieces start to come together for someone—to hear them express more comfort in their daily lives and believe in themselves—is, for me, the most fulfilling aspect of being a therapist. At NOCD, my team and I specialize in providing evidence-based treatment for people with OCD. Our deep understanding of the nuances of OCD enables us to properly diagnose and treat it.
(302) 204-0806 View (302) 204-0806
Photo of Everett Dickerson, PhD, LPC, LPCMH, LMHC
Everett Dickerson
Mental Health Counselor, PhD, LPC, LPCMH, LMHC
Verified Verified
Wilmington, DE 19805  (Online Only)
Dr. Everett Dickerson is a Psychologist based in Wilmington, Delaware. He holds a license in Delaware, New Jersey, Pennsylvania, Florida, and Massachusetts. He has over 15 years of training and experience and utilizes an eclectic mix of treatment approaches to provide services and consultation to individual, family, and institutional clients in a variety of mental health areas.
Dr. Everett Dickerson is a Psychologist based in Wilmington, Delaware. He holds a license in Delaware, New Jersey, Pennsylvania, Florida, and Massachusetts. He has over 15 years of training and experience and utilizes an eclectic mix of treatment approaches to provide services and consultation to individual, family, and institutional clients in a variety of mental health areas.
(302) 824-7361 View (302) 824-7361
Photo of Fayth Polite, LCSW, Clinical Social Work/Therapist
Fayth Polite
Clinical Social Work/Therapist, LCSW
Verified Verified
Wilmington, DE 19801  (Online Only)
In the realm of virtual life coaching and therapy, Fayth Polite Solutions, LLC Stands as a beacon of hope, support, and transformation, especially for couples and women navigating the intricate balance of work, family, and love.
In the realm of virtual life coaching and therapy, Fayth Polite Solutions, LLC Stands as a beacon of hope, support, and transformation, especially for couples and women navigating the intricate balance of work, family, and love.
(302) 927-1352 View (302) 927-1352
Photo of Jacklin Dibiaso, LPCMH, Counselor
Jacklin Dibiaso
Counselor, LPCMH
Verified Verified
Wilmington, DE 19804
Jacklin works with individuals who are looking to gain insight into themselves and improve their quality of life. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Jacklin believes that establishing a strong alliance with her clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, she partners with her clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
Jacklin works with individuals who are looking to gain insight into themselves and improve their quality of life. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Jacklin believes that establishing a strong alliance with her clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, she partners with her clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
(302) 200-4516 View (302) 200-4516
Photo of Stefanie Walker, LMHC, Counselor
Stefanie Walker
Counselor, LMHC
Verified Verified
Wilmington, DE 19805  (Online Only)
Hello! My name is Stefanie Walker and I am License Professional Counselor in the following states Delaware, Georgia and the state of Oklahoma via telehealth. I work with all populations from children, adolescents and adults specializing in trauma, anxiety, depression, self esteem and ADHD to name a few utilizing CBT Cognitive Behavioral Therapy and Mindfulness to assist with symptom reduction.
Hello! My name is Stefanie Walker and I am License Professional Counselor in the following states Delaware, Georgia and the state of Oklahoma via telehealth. I work with all populations from children, adolescents and adults specializing in trauma, anxiety, depression, self esteem and ADHD to name a few utilizing CBT Cognitive Behavioral Therapy and Mindfulness to assist with symptom reduction.
(302) 599-7865 View (302) 599-7865
Photo of Linda McWhorter, PhD, Psychologist
Linda McWhorter
Psychologist, PhD
Verified Verified
1 Endorsed
Wilmington, DE 19806  (Online Only)
Accepting Highmark Health Options DE! Accepting New Clients in DE/PA! Parenting young children can be a challenging job because as soon as you figure your kids out, they change. Do you have questions or concerns about your young child's behavior? emotions and worries? sleep? eating? toileting? sibling conflicts? handling critical or chronic illness or injury? Would you like help to bring out your child's best behavior and help your child feel lovable and capable? I work with parents and other primary caregivers to give you effective tools to set your child up for success! I help you raise resilient, flexible, confident children.
Accepting Highmark Health Options DE! Accepting New Clients in DE/PA! Parenting young children can be a challenging job because as soon as you figure your kids out, they change. Do you have questions or concerns about your young child's behavior? emotions and worries? sleep? eating? toileting? sibling conflicts? handling critical or chronic illness or injury? Would you like help to bring out your child's best behavior and help your child feel lovable and capable? I work with parents and other primary caregivers to give you effective tools to set your child up for success! I help you raise resilient, flexible, confident children.
(302) 564-2349 View (302) 564-2349
Photo of Elizabeth Paige Parsons - Elizabeth Paige Parsons, PhD, PhD, Psychologist
Elizabeth Paige Parsons, PhD
Psychologist, PhD
Verified Verified
Wilmington, DE 19802
Chronic or situational depression and/or anxiety can cause significant negative changes to your quality of life. Your symptoms can negatively impact your relationships, your work productivity and your health. If you're not feeling 'like yourself,' noticing changes in your sleep/appetite, losing interest in things you used to enjoy, or just going through difficult changes in your life, having someone to talk to can help. Usually, talking things through, practicing small lifestyle changes, learning a few coping tips, and doing some problem solving together can make all the difference.
Chronic or situational depression and/or anxiety can cause significant negative changes to your quality of life. Your symptoms can negatively impact your relationships, your work productivity and your health. If you're not feeling 'like yourself,' noticing changes in your sleep/appetite, losing interest in things you used to enjoy, or just going through difficult changes in your life, having someone to talk to can help. Usually, talking things through, practicing small lifestyle changes, learning a few coping tips, and doing some problem solving together can make all the difference.
(518) 636-1933 View (518) 636-1933
Photo of Christine Byma Gonzalez, MA, ATR-BC, LPAT, Art Therapist
Christine Byma Gonzalez
Art Therapist, MA, ATR-BC, LPAT
Verified Verified
New Castle, DE 19720  (Online Only)
I work with clients who are looking to live more creatively and authentically and engage in self-reflection through making art. No previous art experience is necessary to engage in the art therapy process, only a desire to create.
I work with clients who are looking to live more creatively and authentically and engage in self-reflection through making art. No previous art experience is necessary to engage in the art therapy process, only a desire to create.
(302) 464-8661 View (302) 464-8661
Photo of Carrie Stofanak, MA, LCPC, LPCMH, ICAADC, Counselor
Carrie Stofanak
Counselor, MA, LCPC, LPCMH, ICAADC
Verified Verified
1 Endorsed
Wilmington, DE 19805  (Online Only)
Waitlist for new clients
I am an out and proud member of the LGBTQ+ community! I am also a pagan therapist who enjoys utilizing tarot, crystals, and brainspotting in my practice. The question I get asked the most is, "isn't pagan evil?" The easy answer is no; pagan is a term used for anyone who does not subscribe to a "traditional" religion. I prefer nature-based practices, and while I am open to working with anyone, I enjoy working with those who are open-minded and looking for a new experience with therapy. If you have questions send me an email I would love to discuss incorporating alternative therapies.
I am an out and proud member of the LGBTQ+ community! I am also a pagan therapist who enjoys utilizing tarot, crystals, and brainspotting in my practice. The question I get asked the most is, "isn't pagan evil?" The easy answer is no; pagan is a term used for anyone who does not subscribe to a "traditional" religion. I prefer nature-based practices, and while I am open to working with anyone, I enjoy working with those who are open-minded and looking for a new experience with therapy. If you have questions send me an email I would love to discuss incorporating alternative therapies.
(302) 405-3678 View (302) 405-3678
Photo of Azhar Waheed, MSW, LSW, LCSW, Clinical Social Work/Therapist
Azhar Waheed
Clinical Social Work/Therapist, MSW, LSW, LCSW
Verified Verified
Wilmington, DE 19801
Azhar is a Masters Level Licensed Clinical Social Worker. She believes in second chances and that with support, every human being has the potential to bounce back from adversity. Azhar graduated from Temple University with a Bachelors degree in Recreation Therapy and a Masters degree in Social Work. She has over 14 years of experience working in mental health. She has worked in adult partial hospitalization programs, outpatient mental health programs and inpatient psychiatric hospital settings.
Azhar is a Masters Level Licensed Clinical Social Worker. She believes in second chances and that with support, every human being has the potential to bounce back from adversity. Azhar graduated from Temple University with a Bachelors degree in Recreation Therapy and a Masters degree in Social Work. She has over 14 years of experience working in mental health. She has worked in adult partial hospitalization programs, outpatient mental health programs and inpatient psychiatric hospital settings.
(302) 665-1848 View (302) 665-1848
Photo of Shannon Tarolli, LPCMH, NCC
Shannon Tarolli
Mental Health Counselor, LPCMH, NCC
Verified Verified
Wilmington, DE 19801
Sometimes experiencing anxiety feels worse than anything else. You may feel overwhelmed, frustrated, irritable, worried about the uncertainty of life, and completely isolated from the world. Anxiety can lead to intrusive thoughts, avoidance of one or more situations, and reassurance-seeking from family and friends. Maybe anxiety causes you to obsess over things like- "Did I make the right choice? What if something bad happens?" Anxiety is uncomfortable, physically and mentally draining, and, at times, depressing. You might feel a complete lack of control and find it hard to cope on a day to day basis.
Sometimes experiencing anxiety feels worse than anything else. You may feel overwhelmed, frustrated, irritable, worried about the uncertainty of life, and completely isolated from the world. Anxiety can lead to intrusive thoughts, avoidance of one or more situations, and reassurance-seeking from family and friends. Maybe anxiety causes you to obsess over things like- "Did I make the right choice? What if something bad happens?" Anxiety is uncomfortable, physically and mentally draining, and, at times, depressing. You might feel a complete lack of control and find it hard to cope on a day to day basis.
(302) 286-9124 View (302) 286-9124
Photo of Shaynelle Bordley-Barnes - Purpose-Driven Therapeutic Services, LLC., LPCMH, ICADC, ICPS, NCC, CCHP, Licensed Professional Counselor
Purpose-Driven Therapeutic Services, LLC.
Licensed Professional Counselor, LPCMH, ICADC, ICPS, NCC, CCHP
Verified Verified
1 Endorsed
Wilmington, DE 19802  (Online Only)
As a LPC in the State of DE and District of Columbia, I have an extensive history of working with high-risk, detained adolescents, and young adults who present with co-occurring disorders and a significant number of economic barriers. I believe in rehabilitation and that we all have innate drives to become successful. We can find this success with support, resources, and identifying our life's purpose. I am the CEO of Purpose-Driven Therapeutic Services, a professional counseling firm that specializes in helping clients overcome their challenges by finding their life’s purpose; while improving competence, capacity, and productivity.
As a LPC in the State of DE and District of Columbia, I have an extensive history of working with high-risk, detained adolescents, and young adults who present with co-occurring disorders and a significant number of economic barriers. I believe in rehabilitation and that we all have innate drives to become successful. We can find this success with support, resources, and identifying our life's purpose. I am the CEO of Purpose-Driven Therapeutic Services, a professional counseling firm that specializes in helping clients overcome their challenges by finding their life’s purpose; while improving competence, capacity, and productivity.
(302) 303-9069 View (302) 303-9069
Photo of Love Them - TheyLoveThem LLC, MS, MT-BC
TheyLoveThem LLC
MS, MT-BC
Verified Verified
1 Endorsed
Wilmington, DE 19801
Hello there! My name is Love! I practice with empathy, honor, and flexibility for someone's needs. I offer Expressive Music Journaling, voice training, trauma-informed person-centered psychotherapy with clients from all walks of life, and vocal music therapy/improvisation. I am also open to putting on favorite music and exploring memories that arise, and discussing them, meditation, or working in expressive arts! My prices are a sliding scale of $100-140 per session, but financial need (case by case basis) can bring prices as low as $60. Please reach out, and let's work together!
Hello there! My name is Love! I practice with empathy, honor, and flexibility for someone's needs. I offer Expressive Music Journaling, voice training, trauma-informed person-centered psychotherapy with clients from all walks of life, and vocal music therapy/improvisation. I am also open to putting on favorite music and exploring memories that arise, and discussing them, meditation, or working in expressive arts! My prices are a sliding scale of $100-140 per session, but financial need (case by case basis) can bring prices as low as $60. Please reach out, and let's work together!
(484) 218-2301 View (484) 218-2301
Photo of Ben Alfano, PsyD, Psychologist
Ben Alfano
Psychologist, PsyD
Verified Verified
Wilmington, DE 19805
I am a licensed psychologist in Delaware and Pennsylvania and a graduate of Institute of Graduate Clinical Psychology at Widener University. I approach psychotherapy as a collaborative effort to help foster insight, build skills, and promote growth. Therapeutic work begins with the relationship and I strive to create a safe, therapeutic environment where we can begin to identify problematic patterns in your life and work towards change.
I am a licensed psychologist in Delaware and Pennsylvania and a graduate of Institute of Graduate Clinical Psychology at Widener University. I approach psychotherapy as a collaborative effort to help foster insight, build skills, and promote growth. Therapeutic work begins with the relationship and I strive to create a safe, therapeutic environment where we can begin to identify problematic patterns in your life and work towards change.
(302) 566-1077 View (302) 566-1077
Photo of Dr. Kietra Winn, DSW, LCSW, Clinical Social Work/Therapist
Dr. Kietra Winn
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
2 Endorsed
Wilmington, DE 19805  (Online Only)
If there were no limits, what would you accomplish? Has anger or anxiety gotten in the way of your dreams? Are you having a difficult time recovering from or letting go of an unhealthy relationship? Is your past preventing you from moving forward? Just know that you have everything within you to overcome your past hurts. More importantly, it is never too late to start over. I use a holistic, non-judgmental, empowerment centered approach to help you face your fears and begin your journey towards self-acceptance and goal achievement.
If there were no limits, what would you accomplish? Has anger or anxiety gotten in the way of your dreams? Are you having a difficult time recovering from or letting go of an unhealthy relationship? Is your past preventing you from moving forward? Just know that you have everything within you to overcome your past hurts. More importantly, it is never too late to start over. I use a holistic, non-judgmental, empowerment centered approach to help you face your fears and begin your journey towards self-acceptance and goal achievement.
(302) 231-2786 View (302) 231-2786
Photo of Connie Fazzio, LMSW, Pre-Licensed Professional
Connie Fazzio
Pre-Licensed Professional, LMSW
Verified Verified
Wilmington, DE 19805
Waitlist for new clients
I have deep appreciation and curiosity about how we show up in life—how we live, love, and deal with the inevitable challenges that come with being human. My approach is integrative, bringing in a variety of trainings and influences, adjusting for what works best for each client. My specialized areas of study are attachment, PTSD, developmental and complex trauma, dissociation, receiving an Advanced Certificate in Complex Trauma and Dissociation from the ISSTD. I welcome and enjoy working with a wide variety of people and issues, with additional focus on those who identify as LGBTQIA2S+, neurodiverse, plural.
I have deep appreciation and curiosity about how we show up in life—how we live, love, and deal with the inevitable challenges that come with being human. My approach is integrative, bringing in a variety of trainings and influences, adjusting for what works best for each client. My specialized areas of study are attachment, PTSD, developmental and complex trauma, dissociation, receiving an Advanced Certificate in Complex Trauma and Dissociation from the ISSTD. I welcome and enjoy working with a wide variety of people and issues, with additional focus on those who identify as LGBTQIA2S+, neurodiverse, plural.
(302) 214-5368 View (302) 214-5368

See more therapy options for Elsmere

How does your Therapist compare?

Number of Therapists in Elsmere, DE

< 10

Therapists in Elsmere, DE who prioritize treating:

100% Depression
100% Anxiety
67% Relationship Issues
67% ADHD
67% Trauma and PTSD
67% Other
67% Divorce

Average years in practice

37 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in Elsmere, DE see their clients

67% In Person and Online
33% Online Only

Gender breakdown

66% Male
34% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Elsmere?

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.