Therapists in Cary, NC

Photo of Hall Family Therapy, Marriage & Family Therapist in Cary, NC
Hall Family Therapy
Marriage & Family Therapist, PhD, LMFT
Verified Verified
8 Endorsed
Cary, NC 27511
Evening appointments until 10pm with online scheduling at hallfamilytherapy.com Dr Hall has been practicing for over 22 years in many different contexts all over the country, and has been married 23 years with 5 kids. Dr Hall can help you with anxiety, depression, PTSD, and deep existential questions. Couples benefit from using the research based Gottman method with Dr. Hall and have permanent results. With experience as a professor, supervisor and therapist in community health working with even the most severe disorders like bipolar, schizophrenia, severe depression, substance abuse/dependency, self-harming, and suicidality.
Evening appointments until 10pm with online scheduling at hallfamilytherapy.com Dr Hall has been practicing for over 22 years in many different contexts all over the country, and has been married 23 years with 5 kids. Dr Hall can help you with anxiety, depression, PTSD, and deep existential questions. Couples benefit from using the research based Gottman method with Dr. Hall and have permanent results. With experience as a professor, supervisor and therapist in community health working with even the most severe disorders like bipolar, schizophrenia, severe depression, substance abuse/dependency, self-harming, and suicidality.
(919) 794-3113 View (919) 794-3113
Photo of Ashlie Kingston, Clinical Social Work/Therapist in Cary, NC
Ashlie Kingston
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Cary, NC 27511
When you are finding it difficult to get through the day, it can be hard to know how to continue on. Maybe you are struggling to complete basic everyday tasks, and you become overwhelmed and hard on yourself as a result. Perhaps you find yourself struggling in relationships with others and feel stuck, with no clue where to begin. But you deserve to live a life you love; one where you feel capable and confident in yourself and your abilities.
When you are finding it difficult to get through the day, it can be hard to know how to continue on. Maybe you are struggling to complete basic everyday tasks, and you become overwhelmed and hard on yourself as a result. Perhaps you find yourself struggling in relationships with others and feel stuck, with no clue where to begin. But you deserve to live a life you love; one where you feel capable and confident in yourself and your abilities.
(984) 207-5786 View (984) 207-5786
Photo of Michelle Wareham, Licensed Clinical Mental Health Counselor in Cary, NC
Michelle Wareham
Licensed Clinical Mental Health Counselor, MS, LCAS, LCMHC
Verified Verified
3 Endorsed
Cary, NC 27511
Struggling, finding your passion for academics or athletics causing constant distress, feeling stuck, pressure with what you are told you should do or be, using drugs/alcohol to relieve anxiety, depression or trying to be someone you are not? Low self-esteem, lack confidence, having difficulty developing meaningful relationships, want to learn a new way to live, a life of happiness, contentment, freedom? My experience is with mental health, addiction, pressures of being an athlete (feels like 100 years ago) and those who have issues with both. Do you want to live a life that you deserve, increase your quality of life?
Struggling, finding your passion for academics or athletics causing constant distress, feeling stuck, pressure with what you are told you should do or be, using drugs/alcohol to relieve anxiety, depression or trying to be someone you are not? Low self-esteem, lack confidence, having difficulty developing meaningful relationships, want to learn a new way to live, a life of happiness, contentment, freedom? My experience is with mental health, addiction, pressures of being an athlete (feels like 100 years ago) and those who have issues with both. Do you want to live a life that you deserve, increase your quality of life?
(984) 201-7905 View (984) 201-7905
Photo of Jarem Bagnato, Licensed Clinical Mental Health Counselor in Cary, NC
Jarem Bagnato
Licensed Clinical Mental Health Counselor, MA, LCMHCA, LCAS
Verified Verified
Cary, NC 27518
Jarem Bagnato, MA, LCMHCA, LCAS. Jarem Bagnato is a Licensed Mental Health Counselor and Licensed Clinical Addictions Specialist. He earned his MA in Community Psychology in 2018 and has extensive experience in both residential and community mental health settings. Jarem believes in taking a macro approach to determine what forces influence his clients’ thought processes while also trying to understand the individual from their own worldview. In his spare time, Jarem is an avid outdoorsman and can be found at a nearby greenway or hiking in the mountains while admiring the scenery.
Jarem Bagnato, MA, LCMHCA, LCAS. Jarem Bagnato is a Licensed Mental Health Counselor and Licensed Clinical Addictions Specialist. He earned his MA in Community Psychology in 2018 and has extensive experience in both residential and community mental health settings. Jarem believes in taking a macro approach to determine what forces influence his clients’ thought processes while also trying to understand the individual from their own worldview. In his spare time, Jarem is an avid outdoorsman and can be found at a nearby greenway or hiking in the mountains while admiring the scenery.
(919) 737-2678 View (919) 737-2678
Photo of Alyssa Decker, Counselor in Cary, NC
Alyssa Decker
Counselor, MS, LCMHCA, NCC, CRC
Verified Verified
Cary, NC 27511  (Online Only)
Waitlist for new clients
I recently graduated with my master’s degree in Clinical Rehabilitation and Mental Health Counseling from the University of North Carolina at Chapel Hill. I have experience working with people across the lifespan with many different mental health needs in both inpatient and outpatient settings. I primarily work with individuals 16 years old and older who may struggle with anxiety, panic attacks, obsessions and compulsions, depression, attention deficit/hyperactivity (ADHD), autism spectrum disorder, gender identity, sexuality, life transitions, and stress.
I recently graduated with my master’s degree in Clinical Rehabilitation and Mental Health Counseling from the University of North Carolina at Chapel Hill. I have experience working with people across the lifespan with many different mental health needs in both inpatient and outpatient settings. I primarily work with individuals 16 years old and older who may struggle with anxiety, panic attacks, obsessions and compulsions, depression, attention deficit/hyperactivity (ADHD), autism spectrum disorder, gender identity, sexuality, life transitions, and stress.
(919) 879-2319 View (919) 879-2319
Photo of Joy Wall, Clinical Social Work/Therapist in Cary, NC
Joy Wall
Clinical Social Work/Therapist, LCSW-A
Verified Verified
Cary, NC 27519
We all seek to achieve a balanced life, but little do we often pour into ourselves. The few times we do cater to ourselves, the biggest piece of us goes untouched. Mental health is a big part of our identity and self-care that deserves a little more TLC. My name is Joy Wall, a Licensed Clinical Social Worker Associate and an alum of Winston-Salem and North Carolina State University.
We all seek to achieve a balanced life, but little do we often pour into ourselves. The few times we do cater to ourselves, the biggest piece of us goes untouched. Mental health is a big part of our identity and self-care that deserves a little more TLC. My name is Joy Wall, a Licensed Clinical Social Worker Associate and an alum of Winston-Salem and North Carolina State University.
(984) 224-7183 View (984) 224-7183
Photo of Darron Anderson, LCSW Associate in Cary, NC
Darron Anderson
LCSW Associate, LCSWA, MSW
Verified Verified
Cary, NC 27519  (Online Only)
Do you need to talk about something but don’t know exactly what it is? Does your mind tend to move fast but your body stays in place? Is anger, frustration, or sadness taking over your thoughts and guiding your decisions? If you answered 'YES' to any of these questions, then guess what? You are not alone. Our mental health affects how we think, feel, and act. It also helps determine how we handle stress, relate to others, and make healthy choices. Mental health is important at every stage of life from childhood to adolescence, through adulthood. As a mental health professional, Darron Anderson has helped individuals and families
Do you need to talk about something but don’t know exactly what it is? Does your mind tend to move fast but your body stays in place? Is anger, frustration, or sadness taking over your thoughts and guiding your decisions? If you answered 'YES' to any of these questions, then guess what? You are not alone. Our mental health affects how we think, feel, and act. It also helps determine how we handle stress, relate to others, and make healthy choices. Mental health is important at every stage of life from childhood to adolescence, through adulthood. As a mental health professional, Darron Anderson has helped individuals and families
(984) 254-3650 View (984) 254-3650
Photo of M. Kathleen Holmes, Psychologist in Cary, NC
M. Kathleen Holmes
Psychologist, PhD
Verified Verified
Cary, NC 27511
Therapy is a powerful tool that can help you recognize perceptions and behavior patterns that may have served you at some point but that currently hold you back. It can help you harness your strengths, heal from trauma, become more fully present, develop more authentic connections, and relate to your emotions as allies instead of enemies. I offer a flexible approach to therapy, drawing from evidence-based treatments while taking into account your unique needs and preferences. I highly value the working relationship and will check in with you regularly about how therapy is going and whether you are on track with your goals.
Therapy is a powerful tool that can help you recognize perceptions and behavior patterns that may have served you at some point but that currently hold you back. It can help you harness your strengths, heal from trauma, become more fully present, develop more authentic connections, and relate to your emotions as allies instead of enemies. I offer a flexible approach to therapy, drawing from evidence-based treatments while taking into account your unique needs and preferences. I highly value the working relationship and will check in with you regularly about how therapy is going and whether you are on track with your goals.
(804) 532-4558 View (804) 532-4558
Photo of Mariyah Robbins, Marriage & Family Therapist Associate in Cary, NC
Mariyah Robbins
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Cary, NC 27519  (Online Only)
Do you feel like you are carrying the weight of the world on your shoulders? Do you worry about parenting your kids or connecting with your partner? I want to help you reopen the lines of communication and create harmony and organization in your home life.
Do you feel like you are carrying the weight of the world on your shoulders? Do you worry about parenting your kids or connecting with your partner? I want to help you reopen the lines of communication and create harmony and organization in your home life.
(984) 223-8792 View (984) 223-8792
Photo of Michael Stamm, Counselor in Cary, NC
Michael Stamm
Counselor, MS, LCMHC, LCPC, RPT-S
Verified Verified
3 Endorsed
Cary, NC 27511
Not accepting new clients
As a play therapist, my goal is to provide a safe and therapeutic environment for children and adolescents to express themselves and heal using their primary language: Play. Although appropriate for adults, traditional talk therapy can prove difficult for children and adolescents. By utilizing play therapy, I'm able to build a strong and safe therapeutic relationship, a cornerstone to change and healing. In addition, I provide supervision for licensed counselors seeking the Registered Play Therapist credential. Call today for current availability!
As a play therapist, my goal is to provide a safe and therapeutic environment for children and adolescents to express themselves and heal using their primary language: Play. Although appropriate for adults, traditional talk therapy can prove difficult for children and adolescents. By utilizing play therapy, I'm able to build a strong and safe therapeutic relationship, a cornerstone to change and healing. In addition, I provide supervision for licensed counselors seeking the Registered Play Therapist credential. Call today for current availability!
(919) 737-7912 View (919) 737-7912
Photo of Ta Jhaneya Hines, Clinical Social Work/Therapist in Cary, NC
Ta Jhaneya Hines
Clinical Social Work/Therapist
Verified Verified
Cary, NC 27511
Ta’Jhaneya Hines is a Licensed Clinical Social Worker Associate (LCSW-A) in the state of North Carolina. She has over 2 years of experience working in diverse settings within community mental health. She has experience with all age populations.
Ta’Jhaneya Hines is a Licensed Clinical Social Worker Associate (LCSW-A) in the state of North Carolina. She has over 2 years of experience working in diverse settings within community mental health. She has experience with all age populations.
(919) 849-5077 View (919) 849-5077
Photo of Carla Huff, Clinical Social Work/Therapist in Cary, NC
Carla Huff
Clinical Social Work/Therapist, MEd, MSW, LCSW
Verified Verified
1 Endorsed
Cary, NC 27511
Adults I work with are interested in setting boundaries, overcoming negative thought patterns, processing a loss, enhancing personal relationships and learning how to live intentionally rather than just checking boxes. I currently only have evening and weekend availability.
Adults I work with are interested in setting boundaries, overcoming negative thought patterns, processing a loss, enhancing personal relationships and learning how to live intentionally rather than just checking boxes. I currently only have evening and weekend availability.
(919) 642-4760 View (919) 642-4760
Photo of Haley Rognstad, Licensed Clinical Mental Health Counselor in Cary, NC
Haley Rognstad
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
2 Endorsed
Cary, NC 27513  (Online Only)
Available for new clients (4/17/24)! I am passionate about assisting my clients in unlocking their inner wisdom and striving for balance in their lives. I enjoy working with adults of all gender identities, sexual orientations, and cultural backgrounds. I have experience assisting individuals with trauma and complex trauma (relational, physical, sexual, and emotional), spiritual trauma, childhood trauma, chronic pain, neurodivergence and adult diagnosed/self-diangosed autism, difficult life transitions, and LGBTQIA+ specific stressors. I work through an antiopppresive, health at every size, and neurodivergent affirming lens.
Available for new clients (4/17/24)! I am passionate about assisting my clients in unlocking their inner wisdom and striving for balance in their lives. I enjoy working with adults of all gender identities, sexual orientations, and cultural backgrounds. I have experience assisting individuals with trauma and complex trauma (relational, physical, sexual, and emotional), spiritual trauma, childhood trauma, chronic pain, neurodivergence and adult diagnosed/self-diangosed autism, difficult life transitions, and LGBTQIA+ specific stressors. I work through an antiopppresive, health at every size, and neurodivergent affirming lens.
(919) 504-5737 View (919) 504-5737
Photo of Jasmine Billups in Cary, NC
Jasmine Billups
MA, LCMHCS
Verified Verified
1 Endorsed
Cary, NC 27511  (Online Only)
I work with young children, adolescents, and adults; providing individual, couples, and group therapy. As a Registered Play Therapist and a Level I Theraplay Practitioner, I work with clients to process traumatic experiences, improve emotion regulation, manage anxiety, address challenges with defiance and impulsivity, and assisting with attachment and relationship building.
I work with young children, adolescents, and adults; providing individual, couples, and group therapy. As a Registered Play Therapist and a Level I Theraplay Practitioner, I work with clients to process traumatic experiences, improve emotion regulation, manage anxiety, address challenges with defiance and impulsivity, and assisting with attachment and relationship building.
(919) 694-6834 View (919) 694-6834
Photo of Tyela Tyler, Clinical Social Work/Therapist in Cary, NC
Tyela Tyler
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Cary, NC 27519  (Online Only)
Not accepting new clients
Adjusting to and coping with life changes impacts us all, making normal tasks and routines difficult to follow through with. Oftentimes, it can feel like we do not know how to navigate these changes. However, I believe that as we work together to identify your strengths, you will find the methods and answers within you, and begin working toward living your life to the fullest. I have extensive experience working with clients attempting to cope with anxiety, depression, severe mental health disorders, life changes, relationship problems, and physical and emotional trauma.
Adjusting to and coping with life changes impacts us all, making normal tasks and routines difficult to follow through with. Oftentimes, it can feel like we do not know how to navigate these changes. However, I believe that as we work together to identify your strengths, you will find the methods and answers within you, and begin working toward living your life to the fullest. I have extensive experience working with clients attempting to cope with anxiety, depression, severe mental health disorders, life changes, relationship problems, and physical and emotional trauma.
(980) 280-1344 View (980) 280-1344
Photo of Plum Behavioral Health Services LLC in Cary, NC
Plum Behavioral Health Services LLC
LCMHC, LMHC, LPCC, LPC
Verified Verified
Cary, NC 27519  (Online Only)
If you're dealing with intense emotional swings, impulsive actions, or self-harming behaviors, you might feel like you're always on the edge, looking for stability. Our DBT program is designed for individuals like you, who need more than what typical community services offer and are seeking effective ways to manage life's complexities. You deserve a life beyond crisis management. We can teach you to stabilize your emotions, reduce harmful behaviors, and build fulfilling relationships. It takes courage to seek help, and we’re here to support you each step of the way towards a more balanced and rewarding life. Ready to make a change?
If you're dealing with intense emotional swings, impulsive actions, or self-harming behaviors, you might feel like you're always on the edge, looking for stability. Our DBT program is designed for individuals like you, who need more than what typical community services offer and are seeking effective ways to manage life's complexities. You deserve a life beyond crisis management. We can teach you to stabilize your emotions, reduce harmful behaviors, and build fulfilling relationships. It takes courage to seek help, and we’re here to support you each step of the way towards a more balanced and rewarding life. Ready to make a change?
(984) 213-5388 View (984) 213-5388
Photo of Megan Giroux, Clinical Social Work/Therapist in Cary, NC
Megan Giroux
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Cary, NC 27513
Do you identify as an anxious person? Does anxiety cast a shadow over your relationships, professional pursuits, confidence, and overall enjoyment of life? Do you often find yourself drained not just by the challenges of your day, but also by the persistent voice in your head or that unsettling feeling in your gut? In today's busyness, many women navigate daily life without the necessary tools to confront both the external chaos and the internal anxiety that accompanies it. I am deeply committed to the belief that, even in the face of life's trials, anxiety should not be the dominant force dictating your path.
Do you identify as an anxious person? Does anxiety cast a shadow over your relationships, professional pursuits, confidence, and overall enjoyment of life? Do you often find yourself drained not just by the challenges of your day, but also by the persistent voice in your head or that unsettling feeling in your gut? In today's busyness, many women navigate daily life without the necessary tools to confront both the external chaos and the internal anxiety that accompanies it. I am deeply committed to the belief that, even in the face of life's trials, anxiety should not be the dominant force dictating your path.
(984) 249-3736 View (984) 249-3736
Photo of Precious-Pearl Johnstone, Licensed Clinical Mental Health Counselor in Cary, NC
Precious-Pearl Johnstone
Licensed Clinical Mental Health Counselor, CRC, LCMHC, CCATP, CCTHP
Verified Verified
1 Endorsed
Cary, NC 27518  (Online Only)
Life is a journey - it’s path can be easy to navigate or can have twists and turns that we never expected. Sometimes, we veer off the path altogether and find ourselves lost. I want to help you to get back on your path and become the best version of yourself. I believe that the time people spend outside of therapy is even more important than the time spent in it. I focus on teaching skills that can be utilized in real world settings and help ease distress and improve overall function in life. I will work with you to form concrete, attainable goals and guide you along the path towards achievement.
Life is a journey - it’s path can be easy to navigate or can have twists and turns that we never expected. Sometimes, we veer off the path altogether and find ourselves lost. I want to help you to get back on your path and become the best version of yourself. I believe that the time people spend outside of therapy is even more important than the time spent in it. I focus on teaching skills that can be utilized in real world settings and help ease distress and improve overall function in life. I will work with you to form concrete, attainable goals and guide you along the path towards achievement.
(910) 335-2910 View (910) 335-2910
Photo of Melissa Snodgrass, Clinical Social Work/Therapist in Cary, NC
Melissa Snodgrass
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Cary, NC 27511  (Online Only)
My approach revolves around creating a supportive and empathetic environment with clients. I prioritize establishing a safe and confidential space where clients feel comfortable sharing their challenges and concerns. Recognizing the unique needs of this demographic, I employ a person-centered approach that values individual experiences and fosters a sense of validation. By actively listening and tailoring therapeutic interventions to each client's specific circumstances, I aim to instill a sense of hope and optimism about the future.
My approach revolves around creating a supportive and empathetic environment with clients. I prioritize establishing a safe and confidential space where clients feel comfortable sharing their challenges and concerns. Recognizing the unique needs of this demographic, I employ a person-centered approach that values individual experiences and fosters a sense of validation. By actively listening and tailoring therapeutic interventions to each client's specific circumstances, I aim to instill a sense of hope and optimism about the future.
(704) 459-3833 View (704) 459-3833
Photo of Alex Zima, Counselor in Cary, NC
Alex Zima
Counselor, MS Ed, MA, LCMHCA
Verified Verified
3 Endorsed
Cary, NC 27513
In times of great vulnerability, mind-body awareness, self-compassion and insight guide the way to healing, self-empowerment and renewed purpose. We all carry these capacities within. My approach combines evidence-based clinical, holistic and mindfulness-based methodologies grounded in the leading-edge neuroscience of emotional wellbeing and personal growth. I specialize in helping clients navigate anxiety, post-traumatic symptoms, grief and loss, sleep dysregulation, major life and career transitions, clinician and caregiver chronic stress, end-of-life and psycho-spiritual integration.
In times of great vulnerability, mind-body awareness, self-compassion and insight guide the way to healing, self-empowerment and renewed purpose. We all carry these capacities within. My approach combines evidence-based clinical, holistic and mindfulness-based methodologies grounded in the leading-edge neuroscience of emotional wellbeing and personal growth. I specialize in helping clients navigate anxiety, post-traumatic symptoms, grief and loss, sleep dysregulation, major life and career transitions, clinician and caregiver chronic stress, end-of-life and psycho-spiritual integration.
(984) 203-9414 View (984) 203-9414

How does your Therapist compare?

Number of Therapists in Cary, NC

900+

Average cost per session

$140

Therapists in Cary, NC who prioritize treating:

92% Anxiety
87% Depression
78% Self Esteem
77% Relationship Issues
71% Coping Skills
69% Stress
63% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
73% Aetna
54% Cigna and Evernorth

How Therapists in Cary, NC see their clients

70% In Person and Online
30% Online Only

Gender breakdown

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

How can I find a therapist in Cary?

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.