Therapists in Lewes, DE

Photo of Toni M Ballas Rowe, LCSW, Clinical Social Work/Therapist
Toni M Ballas Rowe
Clinical Social Work/Therapist, LCSW
Verified Verified
Lewes, DE 19958
As an experienced Therapist of many years I have worked with children, adolescents and adults who have struggled with issues of abuse, bereavement, divorce, parent/ child-adolescent conflict, ADHD, depression and anxiety. My knowledge and experience with patients has given me a wealth of resources and tools to use in helping children, adults and families to cope with life challenges and tragedies. I have a passion for my work and hope that those who work with me eventually leave therapy with a better feeling about themselves and life.
As an experienced Therapist of many years I have worked with children, adolescents and adults who have struggled with issues of abuse, bereavement, divorce, parent/ child-adolescent conflict, ADHD, depression and anxiety. My knowledge and experience with patients has given me a wealth of resources and tools to use in helping children, adults and families to cope with life challenges and tragedies. I have a passion for my work and hope that those who work with me eventually leave therapy with a better feeling about themselves and life.
(302) 450-1188 View (302) 450-1188
Photo of Catherine Rose - Anxiety Treatment Services of Delmarva, LPCMH, NCC, Counselor
Anxiety Treatment Services of Delmarva
Counselor, LPCMH, NCC
Verified Verified
Lewes, DE 19958
Not accepting new clients
I am a Board Certified Licensed Professional Counselor with 20 years experience providing individual and family therapy for adolescents and adults with a variety of problems. The focus of my practice is to provide evidence based strategies for my clients to face the challenges symptoms of anxiety, depression and trauma have created in their lives.
I am a Board Certified Licensed Professional Counselor with 20 years experience providing individual and family therapy for adolescents and adults with a variety of problems. The focus of my practice is to provide evidence based strategies for my clients to face the challenges symptoms of anxiety, depression and trauma have created in their lives.
(302) 200-4077 View (302) 200-4077
Photo of Cid Vordenbaum, LCSW, Clinical Social Work/Therapist
Cid Vordenbaum
Clinical Social Work/Therapist, LCSW
Verified Verified
Lewes, DE 19958
Waitlist for new clients
I am a licensed clinical social worker with over twenty-five years of experience and work with a wide range of clients. My approach to psychotherapy is goal-oriented and it is honest, direct and respectful, offering clients non-judgmental guidance in a safe environment. Within these parameters my approach to therapy is adjusted based on the needs of an individual client.
I am a licensed clinical social worker with over twenty-five years of experience and work with a wide range of clients. My approach to psychotherapy is goal-oriented and it is honest, direct and respectful, offering clients non-judgmental guidance in a safe environment. Within these parameters my approach to therapy is adjusted based on the needs of an individual client.
(302) 208-4592 View (302) 208-4592
Photo of Alisha Fletcher, DSW, LCSW, Clinical Social Work/Therapist
Alisha Fletcher
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
Lewes, DE 19958  (Online Only)
Hi there, I'm Alisha, and I have extensive experience working with autistic clients from stages of early identification and diagnosis throughout the life span. I specialize in parent coaching and education to help foster goal achievement related to parenting. I use psychoeducation and evidence-based strategy to navigate ways to best support individual needs.
Hi there, I'm Alisha, and I have extensive experience working with autistic clients from stages of early identification and diagnosis throughout the life span. I specialize in parent coaching and education to help foster goal achievement related to parenting. I use psychoeducation and evidence-based strategy to navigate ways to best support individual needs.
(302) 732-2275 View (302) 732-2275
Photo of Jamie L Hummell, NCC, LPCMH, Counselor
Jamie L Hummell
Counselor, NCC, LPCMH
Verified Verified
1 Endorsed
Lewes, DE 19958
I’ve been in private practice for 18 years and I believe that everyone has unique challenges and needs. I approach counseling with this mindset, and therefore each and every client is treated as an individual, not a number. Clients are encouraged to participate in their treatment outside of the session via "homework" to assist them in focusing on their goals. A holistic approach to counseling is followed, and I believe physical health and mental health go hand in hand. Therapy is best when one's strengths are utilized to assist them in achieving their goals.
I’ve been in private practice for 18 years and I believe that everyone has unique challenges and needs. I approach counseling with this mindset, and therefore each and every client is treated as an individual, not a number. Clients are encouraged to participate in their treatment outside of the session via "homework" to assist them in focusing on their goals. A holistic approach to counseling is followed, and I believe physical health and mental health go hand in hand. Therapy is best when one's strengths are utilized to assist them in achieving their goals.
(302) 200-5978 View (302) 200-5978
Photo of Kathy King, LPC, NCC, Licensed Professional Counselor
Kathy King
Licensed Professional Counselor, LPC, NCC
Verified Verified
Lewes, DE 19958
I work with individuals, couples, and groups. My passion is reading and learning more about the differences between men and women and how the differences create conflict in relationships. My mission is to use this knowledge to help individuals, couples, and families improve their communication skills and increase their love, commitment, and happiness in each and every relationship. My motto is: Truth + Love +Time = Growth.
I work with individuals, couples, and groups. My passion is reading and learning more about the differences between men and women and how the differences create conflict in relationships. My mission is to use this knowledge to help individuals, couples, and families improve their communication skills and increase their love, commitment, and happiness in each and every relationship. My motto is: Truth + Love +Time = Growth.
(302) 526-1934 View (302) 526-1934
Photo of Kristy Notarangelo, LCSW, MBA, A-CBT, Clinical Social Work/Therapist
Kristy Notarangelo
Clinical Social Work/Therapist, LCSW, MBA, A-CBT
Verified Verified
Lewes, DE 19958  (Online Only)
Waitlist for new clients
Stuck or not moving on the cycle of change? Wondering why you continue to repeat unhealthy patterns throughout your life? Kristy can help you move through each different stage of life, each presenting a unique set of challenges. Psychotherapy is provided in conjunction with or without use of psychopharmacology. Psychotherapy modalities include Cognitive Behavioral Therapy, Motivational Therapy, Supportive Therapy and Insight Oriented approaches. Together we can overcome obstacles and reach important milestones to help achieve your goals.
Stuck or not moving on the cycle of change? Wondering why you continue to repeat unhealthy patterns throughout your life? Kristy can help you move through each different stage of life, each presenting a unique set of challenges. Psychotherapy is provided in conjunction with or without use of psychopharmacology. Psychotherapy modalities include Cognitive Behavioral Therapy, Motivational Therapy, Supportive Therapy and Insight Oriented approaches. Together we can overcome obstacles and reach important milestones to help achieve your goals.
(302) 246-7042 View (302) 246-7042
Photo of Julie Zaniewski, LPCMH, Counselor
Julie Zaniewski
Counselor, LPCMH
Verified Verified
Lewes, DE 19958
I see myself as a tool used to support and facilitate change in the client on their journey towards self-improvement. I have a diverse background working with children, adolescents, couples, and the LGBTQIA+ population. Influenced by cognitive, behavioral, client-centered, solution-focused, and existential theories; I use an eclectic approach tailored to fit each client's needs. I currently offer in-office appointments (DE only) and teletherapy sessions (DE & MD) via a secure online platform.
I see myself as a tool used to support and facilitate change in the client on their journey towards self-improvement. I have a diverse background working with children, adolescents, couples, and the LGBTQIA+ population. Influenced by cognitive, behavioral, client-centered, solution-focused, and existential theories; I use an eclectic approach tailored to fit each client's needs. I currently offer in-office appointments (DE only) and teletherapy sessions (DE & MD) via a secure online platform.
(410) 734-2291 View (410) 734-2291
Photo of Mike Adkins, M Ed, LPCMH, NCC, BC-TMH, Counselor
Mike Adkins
Counselor, M Ed, LPCMH, NCC, BC-TMH
Verified Verified
Lewes, DE 19958  (Online Only)
I specialize in treating anxiety, depression, attention-deficit and compulsive disorders. I work primarily with adults to develop resilience to overcome adversity. Clients can expect to develop a rigorous practice of self-acceptance. Psychoeducation is used to increase understanding of the complex abilities of the brain and how we can harness the brain's abilities to achieve goals established through the therapeutic alliance.
I specialize in treating anxiety, depression, attention-deficit and compulsive disorders. I work primarily with adults to develop resilience to overcome adversity. Clients can expect to develop a rigorous practice of self-acceptance. Psychoeducation is used to increase understanding of the complex abilities of the brain and how we can harness the brain's abilities to achieve goals established through the therapeutic alliance.
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Photo of Georgette Barkala, LPCMH, NCC, Counselor
Georgette Barkala
Counselor, LPCMH, NCC
Verified Verified
Lewes, DE 19958
Therapy is a journey worth taking and I would be honored to take that journey with you. No matter where you are at this particular time in your life, know that you will not always be in this place. Change is the one thing we can surely count on. Whether you were the one who initiated the change or it was forced on you, the way you cope with change can affect your well-being. Unresolved feelings about the loss that naturally comes with change can lead to anxiety and depression. Having the support of a non-judgmental listener to help sort things out can make all the difference.
Therapy is a journey worth taking and I would be honored to take that journey with you. No matter where you are at this particular time in your life, know that you will not always be in this place. Change is the one thing we can surely count on. Whether you were the one who initiated the change or it was forced on you, the way you cope with change can affect your well-being. Unresolved feelings about the loss that naturally comes with change can lead to anxiety and depression. Having the support of a non-judgmental listener to help sort things out can make all the difference.
(302) 291-1515 View (302) 291-1515
Photo of Hannah Whiddon, LCSW, LCSW-C, Clinical Social Work/Therapist
Hannah Whiddon
Clinical Social Work/Therapist, LCSW, LCSW-C
Verified Verified
Lewes, DE 19958
As a mental health therapist, I am deeply committed to guiding individuals on their journey towards self-acceptance and emotional well-being. With a strong belief in the power of insight-oriented therapy and the transformative potential of mindfulness practices, I strive to create a safe and compassionate space where clients can explore their inner world and cultivate a deeper understanding of themselves. I support my clients in their journey towards self-discovery, growth, and healing. My goal is to empower individuals to embrace their authentic selves, cultivate resilience, and live more fully in alignment with their values.
As a mental health therapist, I am deeply committed to guiding individuals on their journey towards self-acceptance and emotional well-being. With a strong belief in the power of insight-oriented therapy and the transformative potential of mindfulness practices, I strive to create a safe and compassionate space where clients can explore their inner world and cultivate a deeper understanding of themselves. I support my clients in their journey towards self-discovery, growth, and healing. My goal is to empower individuals to embrace their authentic selves, cultivate resilience, and live more fully in alignment with their values.
(302) 216-9484 View (302) 216-9484
Photo of Anthony D Bozzi, MS, CTRP, CADC, Drug & Alcohol Counselor
Anthony D Bozzi
Drug & Alcohol Counselor, MS, CTRP, CADC
Verified Verified
Lewes, DE 19958
As a Certified Drug and Alcohol Counselor specializing in substance abuse counseling, I will work with you to develop a plan that meets your needs, and where you are on your path to recovery without any judgment or shame. Together, we will work towards reaching your goals realistically, practically, and effectively. You will learn more about yourself and gain critical insight into your motivations. We can work individually with each other, or we can work as a collaborative team with you and your family.
As a Certified Drug and Alcohol Counselor specializing in substance abuse counseling, I will work with you to develop a plan that meets your needs, and where you are on your path to recovery without any judgment or shame. Together, we will work towards reaching your goals realistically, practically, and effectively. You will learn more about yourself and gain critical insight into your motivations. We can work individually with each other, or we can work as a collaborative team with you and your family.
(302) 200-3695 View (302) 200-3695
Tracy Hansen
Marriage & Family Therapist, LMFT
Verified Verified
Lewes, DE 19958
Straightforward, proactive, and empowering are descriptors of my therapeutic style. I am a Licensed Clinical Marriage & Family Therapist who strives for resolution and attainable therapeutic goals for clients. I specialize in helping solve tension and conflict within marital and family relationships. Ineffective communication, Intimacy, and Infidelity are the primary focus of my marital work. Boundaries, Independence, and Ineffective communication are the focus of my family therapy work. If you have questions about my services or area of expertise, please feel free to contact me. I look forward to working with you.
Straightforward, proactive, and empowering are descriptors of my therapeutic style. I am a Licensed Clinical Marriage & Family Therapist who strives for resolution and attainable therapeutic goals for clients. I specialize in helping solve tension and conflict within marital and family relationships. Ineffective communication, Intimacy, and Infidelity are the primary focus of my marital work. Boundaries, Independence, and Ineffective communication are the focus of my family therapy work. If you have questions about my services or area of expertise, please feel free to contact me. I look forward to working with you.
(302) 966-9938 View (302) 966-9938
Photo of Kathleen Honeywell, LCPC , LPCMH , NCC, Counselor
Kathleen Honeywell
Counselor, LCPC , LPCMH , NCC
Verified Verified
Lewes, DE 19958
Waitlist for new clients
Katie has worked as a licensed counselor for over 10 years. She is an EMDRIA certified therapist and a consultant-in-training for EMDR. She enjoys working with individuals of all ages. Katie specializes in trauma. She supports parents and families in finding more connected relationships. Katie has a special interest in complex trauma, attachment, dissociation, perinatal trauma, supporting mother’s pregnancy and postpartum needs and LGBTQ affirming care. She incorporates a strength based lens, partnership, creativity and humor into her work.
Katie has worked as a licensed counselor for over 10 years. She is an EMDRIA certified therapist and a consultant-in-training for EMDR. She enjoys working with individuals of all ages. Katie specializes in trauma. She supports parents and families in finding more connected relationships. Katie has a special interest in complex trauma, attachment, dissociation, perinatal trauma, supporting mother’s pregnancy and postpartum needs and LGBTQ affirming care. She incorporates a strength based lens, partnership, creativity and humor into her work.
(302) 924-8576 View (302) 924-8576
Photo of Darlene Browning, LCSW, THTC, Clinical Social Work/Therapist
Darlene Browning
Clinical Social Work/Therapist, LCSW, THTC
Verified Verified
1 Endorsed
Lewes, DE 19958  (Online Only)
Seeking help for your mental health is the most important decision that you will make in your life with long-lasting results. It is my vision that everyone should live free of judgment, distress, discomfort, and free of emotional turmoil. As a society, we have become conditioned to sit in our lives, to accept our circumstances, however unpleasant they are. Therapy can help overcome those circumstances. Together this can be achieved. I will stick by you and help you live the life you want. I use motivational interviewing techniques, CBT methods and my therapeutic modality is based on a psychodynamic /psychoanalytic foundation.
Seeking help for your mental health is the most important decision that you will make in your life with long-lasting results. It is my vision that everyone should live free of judgment, distress, discomfort, and free of emotional turmoil. As a society, we have become conditioned to sit in our lives, to accept our circumstances, however unpleasant they are. Therapy can help overcome those circumstances. Together this can be achieved. I will stick by you and help you live the life you want. I use motivational interviewing techniques, CBT methods and my therapeutic modality is based on a psychodynamic /psychoanalytic foundation.
(718) 571-8329 View (718) 571-8329
Photo of Kathy Madden, LCSW, Clinical Social Work/Therapist
Kathy Madden
Clinical Social Work/Therapist, LCSW
Verified Verified
Lewes, DE 19958
Healing from the inside out. Connecting with your soul and spirit for long term change. Finding mission and purpose. I have been providing counseling (therapy) for more than 20 years. I am licensed in Delaware and Pennsylvania. We work together to incorporate specific tools that assist individuals during the journey of change, transition, and mission and purpose in life. These techniques and tools become resources to reduce anxiety and symptoms of depression. We work together to move from the overwhelming feelings of being stuck in the same old cycles to new strategies and long term life change. Quality of life is the goal.
Healing from the inside out. Connecting with your soul and spirit for long term change. Finding mission and purpose. I have been providing counseling (therapy) for more than 20 years. I am licensed in Delaware and Pennsylvania. We work together to incorporate specific tools that assist individuals during the journey of change, transition, and mission and purpose in life. These techniques and tools become resources to reduce anxiety and symptoms of depression. We work together to move from the overwhelming feelings of being stuck in the same old cycles to new strategies and long term life change. Quality of life is the goal.
(302) 284-6075 View (302) 284-6075
Photo of Dr. Ellen Marshall, PhD, PA, LMSW, Pre-Licensed Professional
Dr. Ellen Marshall
Pre-Licensed Professional, PhD, PA, LMSW
Verified Verified
Lewes, DE 19958
Hi! My name is Dr. Ellen Marshall. I'm an 'older' clinician (over 60). I strive to help my clients manage a variety of issues including trauma, anxiety, depression, PTSD, grief & loss, aging, domestic violence, sexual assault, stress/anxiety management, emergency services trauma, and other difficulties that may be impeding your happiness and peace of mind. I incorporate a variety of therapeutic approaches including EMDR. I'm a certified Victim Services & Domestic Violence Specialist. I'm currently being supervised by a licensed psychologist while I complete my clinical hours. I'm a licensed Psychologist Asst. & Master Social Worker.
Hi! My name is Dr. Ellen Marshall. I'm an 'older' clinician (over 60). I strive to help my clients manage a variety of issues including trauma, anxiety, depression, PTSD, grief & loss, aging, domestic violence, sexual assault, stress/anxiety management, emergency services trauma, and other difficulties that may be impeding your happiness and peace of mind. I incorporate a variety of therapeutic approaches including EMDR. I'm a certified Victim Services & Domestic Violence Specialist. I'm currently being supervised by a licensed psychologist while I complete my clinical hours. I'm a licensed Psychologist Asst. & Master Social Worker.
(302) 567-4685 View (302) 567-4685
Photo of Marisa Maguire, LPCMH, NCC, Counselor
Marisa Maguire
Counselor, LPCMH, NCC
Verified Verified
Lewes, DE 19958
Do you ever feel like you’re wearing a mask each day, appearing outwardly calm and motivated, when inside you are feeling trapped, anxious, and alone, itching to crawl out of your own skin? You are constantly trying to keep up with the world around you, yet always managing to fall short. As you compare yourself to others you start to doubt yourself, wondering, “am I good enough,” or “why can’t I be more like them.” These thoughts start to eat away at you as you walk into every situation worrying about what others think of you, desperate to crawl back into your shell and give up.
Do you ever feel like you’re wearing a mask each day, appearing outwardly calm and motivated, when inside you are feeling trapped, anxious, and alone, itching to crawl out of your own skin? You are constantly trying to keep up with the world around you, yet always managing to fall short. As you compare yourself to others you start to doubt yourself, wondering, “am I good enough,” or “why can’t I be more like them.” These thoughts start to eat away at you as you walk into every situation worrying about what others think of you, desperate to crawl back into your shell and give up.
(302) 231-0132 View (302) 231-0132
Photo of Paula Louise Kovarcik, MS, LPCMH, NCC, CADC, Counselor
Paula Louise Kovarcik
Counselor, MS, LPCMH, NCC, CADC
Verified Verified
Lewes, DE 19958  (Online Only)
I work with two private practices: Delaware Psychologist Services 302-703-6332 and Atlantic Psych Associates 302-448-4266. Please contact one of these to schedule first session, they verify insurance & provide intake forms. I provide Tele-Therapy, Phone sessions. Obtaining balance in our lives improves our functioning and elevates our quality of life. We can explore what a balanced life means to you and what are your priorities. We can discover what steps you can take to restore a sense of joy in your life. check out my Blog posts at http://mindfulhealthhealing.blogspot.com/ or Fb page https://www.facebook.com/TransformationsMH/
I work with two private practices: Delaware Psychologist Services 302-703-6332 and Atlantic Psych Associates 302-448-4266. Please contact one of these to schedule first session, they verify insurance & provide intake forms. I provide Tele-Therapy, Phone sessions. Obtaining balance in our lives improves our functioning and elevates our quality of life. We can explore what a balanced life means to you and what are your priorities. We can discover what steps you can take to restore a sense of joy in your life. check out my Blog posts at http://mindfulhealthhealing.blogspot.com/ or Fb page https://www.facebook.com/TransformationsMH/
(302) 200-3147 View (302) 200-3147
Photo of Gary J Hartford - Hart Love Counseling & Consulting , LPCMH, NCC, Licensed Professional Counselor
Hart Love Counseling & Consulting
Licensed Professional Counselor, LPCMH, NCC
Verified Verified
Lewes, DE 19958
I have been licensed in the state of Delaware since 2009 and have been practicing in the outpatient setting since 2010. Prior to that I worked as a therapist in a residential treatment facility, as a mobile therapist providing wrap around services and as a counselor in a drug and alcohol facility.
I have been licensed in the state of Delaware since 2009 and have been practicing in the outpatient setting since 2010. Prior to that I worked as a therapist in a residential treatment facility, as a mobile therapist providing wrap around services and as a counselor in a drug and alcohol facility.
(302) 329-3264 View (302) 329-3264
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How does your Therapist compare?

Number of Therapists in Lewes, DE

90+

Average cost per session

$150

Therapists in Lewes, DE who prioritize treating:

94% Anxiety
89% Depression
76% Grief
69% Trauma and PTSD
68% Self Esteem
65% Relationship Issues
64% Coping Skills

Average years in practice

15 Years

Top 3 insurances accepted

81% Highmark
80% BlueCross and BlueShield
76% Aetna

How Therapists in Lewes, DE see their clients

71% In Person and Online
29% Online Only

Gender breakdown

76% Female
24% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Lewes?

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.