Therapists in Lewes, DE

Photo of Toni M Ballas Rowe, Clinical Social Work/Therapist in Lewes, DE
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 Alisha Fletcher, Clinical Social Work/Therapist in Lewes, DE
Alisha Fletcher
Clinical Social Work/Therapist, 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 Georgette Barkala, Counselor in Lewes, DE
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 Beth Joselow, Counselor in Lewes, DE
Beth Joselow
Counselor, LPCMH
Verified Verified
1 Endorsed
Lewes, DE 19958
Not accepting new clients
I enjoy learning who my clients are, and working with them to help solve problems and meet their goals. With a small practice, and many years experience as a teacher and counselor, I am able to give my clients deep, personal attention and to help individuals discover how first to use the wisdom of their own minds and bodies.
I enjoy learning who my clients are, and working with them to help solve problems and meet their goals. With a small practice, and many years experience as a teacher and counselor, I am able to give my clients deep, personal attention and to help individuals discover how first to use the wisdom of their own minds and bodies.
(302) 319-2084 View (302) 319-2084
Photo of Darlene Browning, Clinical Social Work/Therapist in Lewes, DE
Darlene Browning
Clinical Social Work/Therapist, LCSW, THTC
Verified Verified
1 Endorsed
Lewes, DE 19958
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 Brian Neal, Marriage & Family Therapist in Lewes, DE
Brian Neal
Marriage & Family Therapist, MS, LMFT
Verified Verified
Lewes, DE 19958
Waitlist for new clients
Is your marriage crumbling, dealing with a difficult child, or just tired of fighting with those you love? I work with individuals, couples, and families who have experienced varying levels of stress and conflict in their life. I have been practicing therapy since 2007 and have worked in a variety of disciplines with particular focus in the areas of marital/relationship issues, parenting difficulties, and teens issues to name a few.
Is your marriage crumbling, dealing with a difficult child, or just tired of fighting with those you love? I work with individuals, couples, and families who have experienced varying levels of stress and conflict in their life. I have been practicing therapy since 2007 and have worked in a variety of disciplines with particular focus in the areas of marital/relationship issues, parenting difficulties, and teens issues to name a few.
(302) 207-7731 View (302) 207-7731
Photo of Kate Gehret, MS LLC, Licensed Professional Counselor in Lewes, DE
Kate Gehret, MS LLC
Licensed Professional Counselor, MS, LPC
Verified Verified
Lewes, DE 19958
The first step into therapy can feel uncomfortable or unfamiliar if you have never seen a therapist or if you previously had negative experiences. Whether you are struggling with panic, anxiety or fears, the physical affects can be debilitating. Depression may make it difficult to participate in life. Perhaps you find yourself in difficult relationships at work or at home. Or perhaps you are dealing with past trauma, abuse or relationship problems. If you are suffering with one or more of these problems, I have the training and experience to help you journey through these difficult issues.
The first step into therapy can feel uncomfortable or unfamiliar if you have never seen a therapist or if you previously had negative experiences. Whether you are struggling with panic, anxiety or fears, the physical affects can be debilitating. Depression may make it difficult to participate in life. Perhaps you find yourself in difficult relationships at work or at home. Or perhaps you are dealing with past trauma, abuse or relationship problems. If you are suffering with one or more of these problems, I have the training and experience to help you journey through these difficult issues.
(302) 253-7874 View (302) 253-7874
Photo of Paula Louise Kovarcik, Counselor in Lewes, DE
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 Trauma Specialists of Delaware, Counselor in Lewes, DE
Trauma Specialists of Delaware
Counselor
Verified Verified
1 Endorsed
Lewes, DE 19958
TSDE understands the impact trauma can have on a person. Whether the person has experienced one traumatic event or several over a life time it can cause anxiety, panic, phobia, depression, anger, relationship problems, substance use. We work with each person individually, based on their needs, abilities, strengths to help heal and move from the trauma and symptoms. We are an inclusive group that keeps the whole person and their life experiences in mind.
TSDE understands the impact trauma can have on a person. Whether the person has experienced one traumatic event or several over a life time it can cause anxiety, panic, phobia, depression, anger, relationship problems, substance use. We work with each person individually, based on their needs, abilities, strengths to help heal and move from the trauma and symptoms. We are an inclusive group that keeps the whole person and their life experiences in mind.
(302) 517-0172 View (302) 517-0172
Photo of Rachel Harrison, Licensed Professional Counselor in Lewes, DE
Rachel Harrison
Licensed Professional Counselor, LPCMH, LCPC, NCC
Verified Verified
4 Endorsed
Lewes, DE 19958
Many people are facing difficult challenges in life, both past and present. If this is you, I would welcome the opportunity to meet with you and work together to create a plan for therapy that will lead to feeling better and to the resolution of your past difficulties. I specialize in EMDR Therapy, anxiety, and those touched by the circle of adoption.
Many people are facing difficult challenges in life, both past and present. If this is you, I would welcome the opportunity to meet with you and work together to create a plan for therapy that will lead to feeling better and to the resolution of your past difficulties. I specialize in EMDR Therapy, anxiety, and those touched by the circle of adoption.
(302) 231-0224 View (302) 231-0224
Photo of Lewes Expressive Therapy, Licensed Professional Counselor in Lewes, DE
Lewes Expressive Therapy
Licensed Professional Counselor, LPCMH, CADC, ATR
Verified Verified
Lewes, DE 19958
Waitlist for new clients
I have learned from personal experience that the smallest changes in our thinking can improve the quality of our daily life. I hope that all of my clients can find happiness through improved self-esteem, relationships, positive thinking, and healthy support systems. This support begins with the trust and positive regard that clients develop with their therapist. I am inspired by human interactions, and the improvements clients experience in their lives. I hope that having a practice, nestled in Lewes, Delaware will allow me to share the peace I have found through living here.
I have learned from personal experience that the smallest changes in our thinking can improve the quality of our daily life. I hope that all of my clients can find happiness through improved self-esteem, relationships, positive thinking, and healthy support systems. This support begins with the trust and positive regard that clients develop with their therapist. I am inspired by human interactions, and the improvements clients experience in their lives. I hope that having a practice, nestled in Lewes, Delaware will allow me to share the peace I have found through living here.
(302) 246-5819 View (302) 246-5819
Photo of Jamie L Hummell, Counselor in Lewes, DE
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 Elizabeth McCaffrey, Psychologist in Lewes, DE
Elizabeth McCaffrey
Psychologist, PhD
Verified Verified
Lewes, DE 19958
Not accepting new clients
You are uniquely you, and you know best what moves you or stops you. However, this may be complicated and not fully concious. Life’s challenges, losses, and transitions can leave a person feeling stuck, overwhelmed. My job is to be curious about you and encourage your insight and self awareness; to help you listen to your inner dialog. Though my primary approach is psychodynamic, I am experienced in various therapeutic approaches. I work to help each individual find their own way forward. I am a licensed psychologist with 30+ years of experience working with people from diverse backgrounds.
You are uniquely you, and you know best what moves you or stops you. However, this may be complicated and not fully concious. Life’s challenges, losses, and transitions can leave a person feeling stuck, overwhelmed. My job is to be curious about you and encourage your insight and self awareness; to help you listen to your inner dialog. Though my primary approach is psychodynamic, I am experienced in various therapeutic approaches. I work to help each individual find their own way forward. I am a licensed psychologist with 30+ years of experience working with people from diverse backgrounds.
(718) 701-8471 View (718) 701-8471
Photo of Ricki Geiger, Clinical Social Work/Therapist in Lewes, DE
Ricki Geiger
Clinical Social Work/Therapist, LCSW, CGP
Verified Verified
Lewes, DE 19958
Waitlist for new clients
In-person unavailable. Online only. Living with internal emotional conflicts inhibits opportunity for connection and regulation which creates isolation and unhappiness. I can help you unravel difficult experiences-past and present, work through bad feelings and cultivate positive change. I'm a relational psychotherapist and incorporate a PolyVagal Theory lens. I specialize in healing childhood abuse/neglect and trauma related stress and symptoms; shame, depression, loss of self, numbing, anxiety, self- destructive behavior, chronic grief and pain, attachment and trust issues, and feeling helpless and hopelessness.
In-person unavailable. Online only. Living with internal emotional conflicts inhibits opportunity for connection and regulation which creates isolation and unhappiness. I can help you unravel difficult experiences-past and present, work through bad feelings and cultivate positive change. I'm a relational psychotherapist and incorporate a PolyVagal Theory lens. I specialize in healing childhood abuse/neglect and trauma related stress and symptoms; shame, depression, loss of self, numbing, anxiety, self- destructive behavior, chronic grief and pain, attachment and trust issues, and feeling helpless and hopelessness.
(302) 732-2183 View (302) 732-2183
Photo of Dr. Ellen Marshall, Pre-Licensed Professional in Lewes, DE
Dr. Ellen Marshall
Pre-Licensed Professional, PhD, LMSW
Verified Verified
Lewes, DE 19958
Waitlist for new clients
Hi! My name is Dr. Ellen Marshall. I'm an older (over 60) counselor that specializes in trauma, but I can help with a variety of issues including anxiety, depression, PTSD, grief, aging, domestic violence, sexual assault, child abuse, stress/anxiety management, emergency services personnel issues, mediation, and other difficulties that may be impeding your happiness and peace of mind. I incorporate a variety of therapeutic approaches including trauma-focused EMDR. Sessions are short-term (8-12 weeks) and goal-oriented. I'm currently being supervised by a licensed psychologist while I complete my clinical hours.
Hi! My name is Dr. Ellen Marshall. I'm an older (over 60) counselor that specializes in trauma, but I can help with a variety of issues including anxiety, depression, PTSD, grief, aging, domestic violence, sexual assault, child abuse, stress/anxiety management, emergency services personnel issues, mediation, and other difficulties that may be impeding your happiness and peace of mind. I incorporate a variety of therapeutic approaches including trauma-focused EMDR. Sessions are short-term (8-12 weeks) and goal-oriented. I'm currently being supervised by a licensed psychologist while I complete my clinical hours.
(302) 567-4685 View (302) 567-4685
Photo of Kathleen Honeywell, Counselor in Lewes, DE
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 Anthony D Bozzi, Drug & Alcohol Counselor in Lewes, DE
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
Photo of Christine L Rassa, Licensed Professional Counselor in Lewes, DE
Christine L Rassa
Licensed Professional Counselor, MA, LPC, LPC-S, PCMH
Verified Verified
Lewes, DE 19958
I practice in VA and DE. Supportive reflection with compassionate listening and understanding are the hallmarks of my practice as I work collaboratively to achieve my client's treatment goals. Attending therapy is a time not only to address immediate concerns but to understand how past experiences impact present behaviors and responses. I enjoy working with young adults, adults, and couples to enhance their relationship with themselves and others. In therapy we will build a therapeutic relationship based on trust and respect. As a clinical supervisor for resident in counseling, I encourage residents to practice with these values.
I practice in VA and DE. Supportive reflection with compassionate listening and understanding are the hallmarks of my practice as I work collaboratively to achieve my client's treatment goals. Attending therapy is a time not only to address immediate concerns but to understand how past experiences impact present behaviors and responses. I enjoy working with young adults, adults, and couples to enhance their relationship with themselves and others. In therapy we will build a therapeutic relationship based on trust and respect. As a clinical supervisor for resident in counseling, I encourage residents to practice with these values.
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Photo of Mary Jane Mullen in Lewes, DE
Mary Jane Mullen
CPC, BFA
Verified Verified
Lewes, DE 19958  (Online Only)
Hi! I am MJ (aka Mary Jane Mullen), a Certified Professional Life Coach. I believe my calling is to help men and women to feel more empowered in their self and lives. With life coaching I can guide you through seeing life with new perspectives, awareness and a new approach. When you feel more empowered you are more comfortable when facing new challenges. You're able to be sure of yourself and what you want. You will be excited about new opportunities, Respected by others. Confident about your opinions and ideas.
Hi! I am MJ (aka Mary Jane Mullen), a Certified Professional Life Coach. I believe my calling is to help men and women to feel more empowered in their self and lives. With life coaching I can guide you through seeing life with new perspectives, awareness and a new approach. When you feel more empowered you are more comfortable when facing new challenges. You're able to be sure of yourself and what you want. You will be excited about new opportunities, Respected by others. Confident about your opinions and ideas.
(302) 281-0538 View (302) 281-0538
Photo of Julie Zaniewski, Counselor in Lewes, DE
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

How does your Therapist compare?

Number of Therapists in Lewes, DE

90+

Average cost per session

$147

Therapists in Lewes, DE who prioritize treating:

91% Anxiety
87% Depression
76% Grief
70% Trauma and PTSD
70% Self Esteem
66% Relationship Issues
65% Coping Skills

Average years in practice

15 Years

Top 3 insurances accepted

78% BlueCross and BlueShield
73% Highmark
64% Aetna

How Therapists in Lewes, DE see their clients

71% In Person and Online
29% Online Only

Gender breakdown

80% Female
20% 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.