Therapists in Spring, TX

Photo of Sandra Howard, Licensed Professional Counselor in Spring, TX
Sandra Howard
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Spring, TX 77379
I am a Licensed Professional Counselor with over 13 years of experience. I have worked with adults, families, and groups. I have worked with clients who have issues with substance abuse, anxiety, depression, trauma, grief, crisis intervention, prevention, mood disorders, and many more. Since graduating from Webster University with a Masters in Professional Mental Health Counseling, I have become very passionate about my career and helping others.
I am a Licensed Professional Counselor with over 13 years of experience. I have worked with adults, families, and groups. I have worked with clients who have issues with substance abuse, anxiety, depression, trauma, grief, crisis intervention, prevention, mood disorders, and many more. Since graduating from Webster University with a Masters in Professional Mental Health Counseling, I have become very passionate about my career and helping others.
(281) 572-8717 View (281) 572-8717
Photo of Diana Rosario, Licensed Professional Counselor in Spring, TX
Diana Rosario
Licensed Professional Counselor, MA, LPC
Verified Verified
Spring, TX 77380
Do you need to unplug? In this world of technology and 24/7 social media, we are more connected than ever...or are we? Modern day technology has revolutionized our daily lives, but it has also come at a high price. Ironically, many people have never felt more alone or isolated. Please know that there is a safe place where you can go and feel free to be yourself, where you will be heard, and your thoughts and feelings do matter. I'm offering you a comforting, warm, and inviting environment where you can feel connected to another person, get away from harsh criticisms and where no one will judge you.
Do you need to unplug? In this world of technology and 24/7 social media, we are more connected than ever...or are we? Modern day technology has revolutionized our daily lives, but it has also come at a high price. Ironically, many people have never felt more alone or isolated. Please know that there is a safe place where you can go and feel free to be yourself, where you will be heard, and your thoughts and feelings do matter. I'm offering you a comforting, warm, and inviting environment where you can feel connected to another person, get away from harsh criticisms and where no one will judge you.
(713) 597-3047 View (713) 597-3047
Photo of Lyndsey Harrison, Counselor in Spring, TX
Lyndsey Harrison
Counselor, MA, LPC-S, CEAP, SAP
Verified Verified
Spring, TX 77389  (Online Only)
Life throws curve balls! Good and Bad! At some point, we all need assistance and support for the challenges and changes that occur in our lives. I believe pursuing support can be a difficult choice, but ultimately a rewarding and productive one! Choosing to process, heal, grow, and find success truly pays off when it leads to increased satisfaction with circumstances, self and relationships with others.
Life throws curve balls! Good and Bad! At some point, we all need assistance and support for the challenges and changes that occur in our lives. I believe pursuing support can be a difficult choice, but ultimately a rewarding and productive one! Choosing to process, heal, grow, and find success truly pays off when it leads to increased satisfaction with circumstances, self and relationships with others.
(281) 746-6882 View (281) 746-6882
Photo of Lauren Pasqua, Psychologist in Spring, TX
Lauren Pasqua
Psychologist, PsyD
Verified Verified
4 Endorsed
Spring, TX 77379
Are you worried about your child? Struggling with meltdowns, crying, yelling, or even aggressive outbursts? As a parent it breaks your heart to see your child so overwhelmed by their feelings. You know they feel things very deeply, but the dramatic highs and lows are exhausting. You wish they could calm themselves down and cope with big feelings well. Seeing your child so upset makes you feel like a failure as a parent. You worry their behavior keeps them from making friends. You long for peace and harmony in your home. Every book or person has a different idea of how to help. You feel lost and confused on what to do next.
Are you worried about your child? Struggling with meltdowns, crying, yelling, or even aggressive outbursts? As a parent it breaks your heart to see your child so overwhelmed by their feelings. You know they feel things very deeply, but the dramatic highs and lows are exhausting. You wish they could calm themselves down and cope with big feelings well. Seeing your child so upset makes you feel like a failure as a parent. You worry their behavior keeps them from making friends. You long for peace and harmony in your home. Every book or person has a different idea of how to help. You feel lost and confused on what to do next.
(281) 783-3612 View (281) 783-3612
Photo of Shawn M Keith, Licensed Professional Counselor in Spring, TX
Shawn M Keith
Licensed Professional Counselor, MS, LPC, CCTP, CATP, CGCS
Verified Verified
3 Endorsed
Spring, TX 77380
Does it seem like emotions are taking over your life – anxiety, hurt, anger, sadness? Are you struggling with grief, trauma, or other life transitions? Are you noticing relationships are becoming more difficult and problems are surfacing at home, work, or school? Are you turning to coping tools that may help in the moment, but are starting to make things worse overall - drug use, unhealthy relationships, isolation, or other behaviors? Are you losing sight of yourself, the person you want to be, and the strengths you have? If you identify with any of these questions, know you are not alone.
Does it seem like emotions are taking over your life – anxiety, hurt, anger, sadness? Are you struggling with grief, trauma, or other life transitions? Are you noticing relationships are becoming more difficult and problems are surfacing at home, work, or school? Are you turning to coping tools that may help in the moment, but are starting to make things worse overall - drug use, unhealthy relationships, isolation, or other behaviors? Are you losing sight of yourself, the person you want to be, and the strengths you have? If you identify with any of these questions, know you are not alone.
(936) 209-7459 View (936) 209-7459
Photo of Jenny Betancis, Licensed Professional Counselor in Spring, TX
Jenny Betancis
Licensed Professional Counselor, LPC
Verified Verified
Spring, TX 77379  (Online Only)
Jenny Betancis is a bilingual (English/Spanish) Licensed Professional Counselor (LPC) with over 13 years of professional experience. She works with clients between the ages of 10-65 and above who are struggling with depression, trauma, anxiety, anger, women's issues, stress, life transitions, relationship issues, and much more.
Jenny Betancis is a bilingual (English/Spanish) Licensed Professional Counselor (LPC) with over 13 years of professional experience. She works with clients between the ages of 10-65 and above who are struggling with depression, trauma, anxiety, anger, women's issues, stress, life transitions, relationship issues, and much more.
(832) 966-7038 View (832) 966-7038
Photo of Full Circle Therapy PLLC, Clinical Social Work/Therapist in Spring, TX
Full Circle Therapy PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Spring, TX 77380
Life is filled with things to worry about. Sometimes those worries come from trauma or within yourself. For adults this could be irritability, anxiety, or fear. For children & teens these worries could even present as behavioral issues or in-school disturbances. Developing confidence, self-esteem, and positive thinking habits can be the key to unlocking a better reality. I want to help you build this confidence & self-esteem; I want to equip you with the tools to create positive thinking habits, overcome trauma, and inevitably help you to use all of these skills to overcome your worries.
Life is filled with things to worry about. Sometimes those worries come from trauma or within yourself. For adults this could be irritability, anxiety, or fear. For children & teens these worries could even present as behavioral issues or in-school disturbances. Developing confidence, self-esteem, and positive thinking habits can be the key to unlocking a better reality. I want to help you build this confidence & self-esteem; I want to equip you with the tools to create positive thinking habits, overcome trauma, and inevitably help you to use all of these skills to overcome your worries.
(936) 220-2290 View (936) 220-2290
Photo of Katie Rial, Psychologist in Spring, TX
Katie Rial
Psychologist, MCRC, LPC, PhD
Verified Verified
1 Endorsed
Spring, TX 77380  (Online Only)
Do emotions feel like a roller coaster, with sudden or big ups & downs? Do you want to better understand yourself or your feelings? Do you feel haunted by past events? Are you adjusting to a big change or recent loss? Does your mind or body constantly feel on edge, tense? Do feelings of stress, anger, sadness, worry feel uncontrollable or overwhelming? Whether you're an adolescent or adult with these experience or a parent wanting to learn how to support your child through these difficult experiences, I'd love to help.
Do emotions feel like a roller coaster, with sudden or big ups & downs? Do you want to better understand yourself or your feelings? Do you feel haunted by past events? Are you adjusting to a big change or recent loss? Does your mind or body constantly feel on edge, tense? Do feelings of stress, anger, sadness, worry feel uncontrollable or overwhelming? Whether you're an adolescent or adult with these experience or a parent wanting to learn how to support your child through these difficult experiences, I'd love to help.
(281) 377-1922 View (281) 377-1922
Photo of Abigayle Majul, Licensed Professional Counselor in Spring, TX
Abigayle Majul
Licensed Professional Counselor, LPC
Verified Verified
Spring, TX 77379
Abigayle Majul is a Licensed Professional Counselor (LPC) with over 15 years of experience in the mental health field and over 20 years working with children and adolescents. Abigayle specializes in treating trauma, depression, anxiety, personality disorders, ADHD, behavior management, and parenting. "As someone who comes from a large, multicultural, and multigenerational family, I understand the importance of each member of the family having their own unique voice in the larger system."
Abigayle Majul is a Licensed Professional Counselor (LPC) with over 15 years of experience in the mental health field and over 20 years working with children and adolescents. Abigayle specializes in treating trauma, depression, anxiety, personality disorders, ADHD, behavior management, and parenting. "As someone who comes from a large, multicultural, and multigenerational family, I understand the importance of each member of the family having their own unique voice in the larger system."
(832) 662-0347 View (832) 662-0347
Photo of Alicia Keller, Marriage & Family Therapist in Spring, TX
Alicia Keller
Marriage & Family Therapist, LMFT, MS
Verified Verified
Spring, TX 77380
Do you ever say "I'm done" or "nothing can help me". You may feel that there is no hope and that your life is spiraling out of control. I want to help you change those feelings. I specialize in anxiety/depression, eating disorders/body issues, and marriage/relationship issues. I became a therapist to specifically help people who suffer from these issues. I understand the emotional, physical, and relationship impact that anxiety, anger, depression, and eating disorders have on you. I will help you feel empowered and to achieve your goals. I am trained in EMDR and techniques that help unique issues.
Do you ever say "I'm done" or "nothing can help me". You may feel that there is no hope and that your life is spiraling out of control. I want to help you change those feelings. I specialize in anxiety/depression, eating disorders/body issues, and marriage/relationship issues. I became a therapist to specifically help people who suffer from these issues. I understand the emotional, physical, and relationship impact that anxiety, anger, depression, and eating disorders have on you. I will help you feel empowered and to achieve your goals. I am trained in EMDR and techniques that help unique issues.
(346) 553-0027 View (346) 553-0027
Photo of Jolanna J Montgomery, Clinical Social Work/Therapist in Spring, TX
Jolanna J Montgomery
Clinical Social Work/Therapist, LCSW-S
Verified Verified
1 Endorsed
Spring, TX 77388  (Online Only)
I am honored to be considered as a support in your journey to the best version of yourself. I believe in providing a safe place for you as I provide an approach that involves life coach modalities utilizing the strengths perspective or even a solution focused aspect. I practice from a bio-psycho-social spiritual model. I believe that each person deserves respect, the opportunity to be heard and to have a voice regardless of background, culture, sexual orientation or economic status. Let's work together to discover what will bring the peace we all seek. I also offer Clinical Supervision for LMSWs.
I am honored to be considered as a support in your journey to the best version of yourself. I believe in providing a safe place for you as I provide an approach that involves life coach modalities utilizing the strengths perspective or even a solution focused aspect. I practice from a bio-psycho-social spiritual model. I believe that each person deserves respect, the opportunity to be heard and to have a voice regardless of background, culture, sexual orientation or economic status. Let's work together to discover what will bring the peace we all seek. I also offer Clinical Supervision for LMSWs.
(281) 688-4894 View (281) 688-4894
Photo of Tracy Wilshusen, Clinical Social Work/Therapist in Spring, TX
Tracy Wilshusen
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Spring, TX 77386
Hi! Thank you for being here and taking the first step in your healing journey. Healing isn't always linear, but I am here to cheer you on along the way. Whether it's feeling stuck, struggling with a life transition, wanting to strengthen your family system, learning how to set boundaries, or increase your self-esteem, I will be there to listen and support you.
Hi! Thank you for being here and taking the first step in your healing journey. Healing isn't always linear, but I am here to cheer you on along the way. Whether it's feeling stuck, struggling with a life transition, wanting to strengthen your family system, learning how to set boundaries, or increase your self-esteem, I will be there to listen and support you.
(346) 637-3958 View (346) 637-3958
Photo of Mary Thacker, Licensed Professional Counselor in Spring, TX
Mary Thacker
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Spring, TX 77388
As a counselor, I have worked with clients of varying ages, personalities and struggles. I believe that everyone can benefit from having an unbiased, empathetic person to listen to them. Someone to meet them where they are and help them to work through their problems, identify their needs and accomplish their goals. Life is hard, sometimes we need a little help to get through the rough times.
As a counselor, I have worked with clients of varying ages, personalities and struggles. I believe that everyone can benefit from having an unbiased, empathetic person to listen to them. Someone to meet them where they are and help them to work through their problems, identify their needs and accomplish their goals. Life is hard, sometimes we need a little help to get through the rough times.
(281) 214-6131 View (281) 214-6131
Photo of Gail Wilson Kakishita, Marriage & Family Therapist in Spring, TX
Gail Wilson Kakishita
Marriage & Family Therapist, MS, LMFT, CTMH
Verified Verified
Spring, TX 77379
You look around and think to yourself, what happened? Each day you feel pulled further and further away from the life you thought was yours. Your morning thoughts go something like this: please let my child have a good day at school; who is this person sitting across the table from me and what happened to the one I said "I do" to? how am I ever going to get through this day? It is so tough to maintain strength, hope, and individuality when your family is in distress, your marriage feels like a failure, your teen is unrecognizable, or you're just completely out of energy. I get it! I'm here! Together we can figure this out.
You look around and think to yourself, what happened? Each day you feel pulled further and further away from the life you thought was yours. Your morning thoughts go something like this: please let my child have a good day at school; who is this person sitting across the table from me and what happened to the one I said "I do" to? how am I ever going to get through this day? It is so tough to maintain strength, hope, and individuality when your family is in distress, your marriage feels like a failure, your teen is unrecognizable, or you're just completely out of energy. I get it! I'm here! Together we can figure this out.
(281) 990-6220 View (281) 990-6220
Photo of Jessica Marie Sohns Supervised By Jennifer Cain Lpc-S Rpt-S, LPC Intern in Spring, TX
Jessica Marie Sohns Supervised By Jennifer Cain Lpc-S Rpt-S
LPC Intern, MEd, LPC-A
Verified Verified
1 Endorsed
Spring, TX 77373
Have you, or if you are a parent, your child, experienced a medical trauma? It can feel scary, isolating, hopeless, and stigmatizing. Are you feeling anxious? Lonely? Depressed? Is your child suddenly changing their behavior, having emotional outbursts, trouble in school, to the point where you feel like you've tried everything, but nothing has helped? I am passionate about helping individuals navigate these experiences so that they can move forward with confidence and hope with the tools they need to break out of these cycles and find their own healing and wholeness.
Have you, or if you are a parent, your child, experienced a medical trauma? It can feel scary, isolating, hopeless, and stigmatizing. Are you feeling anxious? Lonely? Depressed? Is your child suddenly changing their behavior, having emotional outbursts, trouble in school, to the point where you feel like you've tried everything, but nothing has helped? I am passionate about helping individuals navigate these experiences so that they can move forward with confidence and hope with the tools they need to break out of these cycles and find their own healing and wholeness.
(832) 979-6209 View (832) 979-6209
Photo of James T Davis, Licensed Professional Counselor Associate in Spring, TX
James T Davis
Licensed Professional Counselor Associate, LPC-A, MS CMHC
Verified Verified
Spring, TX 77380
So you have started looking for a counselor, congratulations on completing what can often be the most difficult step! You probably have some trepidation about talking to a stranger about your life and I know when I first started seeing a counselor, I felt like I was under a microscope and I hated that feeling more than anything. Counseling is supposed to be a place where you can feel safe and I hope we can build trust and an understanding that my office is a place without judgment. Seeking counseling for any reason does not mean that you are broken or something is wrong with you, but rather that guidance is needed in the next steps.
So you have started looking for a counselor, congratulations on completing what can often be the most difficult step! You probably have some trepidation about talking to a stranger about your life and I know when I first started seeing a counselor, I felt like I was under a microscope and I hated that feeling more than anything. Counseling is supposed to be a place where you can feel safe and I hope we can build trust and an understanding that my office is a place without judgment. Seeking counseling for any reason does not mean that you are broken or something is wrong with you, but rather that guidance is needed in the next steps.
(936) 298-4917 View (936) 298-4917
Photo of Dr. Dwan Milam-Reed, Clinical Social Work/Therapist in Spring, TX
Dr. Dwan Milam-Reed
Clinical Social Work/Therapist, PhD, LCSW-S, LICSW
Verified Verified
3 Endorsed
Spring, TX 77379
I am certified in anxiety and trauma (EMDR). I am also a relationship expert with a PhD in marriage and family therapy and a licensed clinical social worker (LCSW-S, LICSW). I have over 19 years of experience providing therapy to individuals, couples, groups, and families. Many of my clients choose alternative methods for dealing with anxiety and depression instead of prescription medication. I am also a certified herbalist and a practitioner of yoga. I'm not just EMDR "trained", but also certified with advanced hours in trauma. Best times to reach me for a free phone consultation - before 11 am, between 2-3:00 and after 7 pm.
I am certified in anxiety and trauma (EMDR). I am also a relationship expert with a PhD in marriage and family therapy and a licensed clinical social worker (LCSW-S, LICSW). I have over 19 years of experience providing therapy to individuals, couples, groups, and families. Many of my clients choose alternative methods for dealing with anxiety and depression instead of prescription medication. I am also a certified herbalist and a practitioner of yoga. I'm not just EMDR "trained", but also certified with advanced hours in trauma. Best times to reach me for a free phone consultation - before 11 am, between 2-3:00 and after 7 pm.
(281) 407-3496 View (281) 407-3496
Photo of Monica Rose Alexander, Licensed Professional Counselor in Spring, TX
Monica Rose Alexander
Licensed Professional Counselor, MA, LPC
Verified Verified
Spring, TX 77379
Waitlist for new clients
Are you struggling with negative feelings (sadness, anxiety, fear) and want to change that? Are you experiencing big changes in your life and feeling a little lost? Schedule an intake today and see what we can accomplish together. I bring to my sessions a comfortable space with positive energy, a willingness to listen to you and to help you achieve your goals. I always strive for active listening, empathy, and genuineness and can utilize many techniques.
Are you struggling with negative feelings (sadness, anxiety, fear) and want to change that? Are you experiencing big changes in your life and feeling a little lost? Schedule an intake today and see what we can accomplish together. I bring to my sessions a comfortable space with positive energy, a willingness to listen to you and to help you achieve your goals. I always strive for active listening, empathy, and genuineness and can utilize many techniques.
(832) 981-6911 View (832) 981-6911
Photo of Debbie Blackmon, Psychological Associate in Spring, TX
Debbie Blackmon
Psychological Associate, MA, LPA-IP
Verified Verified
Spring, TX 77373
If you or your child are struggling with issues such as anxiety, depression, relationship problems, anger issues, low energy, attention problems or sleeplessness, you may be experiencing the responses of a nervous system that has become overly sensitized and reactive. Most people who enter therapy with these presenting problems are eager to experience some relief from these symptoms, and to be able to have more choice about their responses to life’s stressors. They also wish to be able to live their best lives-to experience joy, contentment and fulfillment.
If you or your child are struggling with issues such as anxiety, depression, relationship problems, anger issues, low energy, attention problems or sleeplessness, you may be experiencing the responses of a nervous system that has become overly sensitized and reactive. Most people who enter therapy with these presenting problems are eager to experience some relief from these symptoms, and to be able to have more choice about their responses to life’s stressors. They also wish to be able to live their best lives-to experience joy, contentment and fulfillment.
(832) 906-7291 View (832) 906-7291
Photo of Douglas K Lormand, Licensed Professional Counselor in Spring, TX
Douglas K Lormand
Licensed Professional Counselor, MS, MEd, LPC-S, AASECT
Verified Verified
Spring, TX 77379
Many psychological problems are tied to relationship struggles - sex and money are two of the biggest struggles implicated in these cases either as cause, consequence, or something in between. These struggles are emotionally moving manifestations of the human need for connection and the deep pain felt when this connection is damaged or severed. I help individuals and couples seek relationship-deepening events, become more fluent in the language of others, and understand that satisfying relationships are contingent on the ability to relate to the people you value in your life.
Many psychological problems are tied to relationship struggles - sex and money are two of the biggest struggles implicated in these cases either as cause, consequence, or something in between. These struggles are emotionally moving manifestations of the human need for connection and the deep pain felt when this connection is damaged or severed. I help individuals and couples seek relationship-deepening events, become more fluent in the language of others, and understand that satisfying relationships are contingent on the ability to relate to the people you value in your life.
(832) 981-3732 View (832) 981-3732

How does your Therapist compare?

Number of Therapists in Spring, TX

400+

Average cost per session

$140

Therapists in Spring, TX who prioritize treating:

93% Anxiety
87% Depression
74% Coping Skills
73% Self Esteem
72% Stress
71% Relationship Issues
66% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

88% Aetna
80% UnitedHealthcare UHC | UBH
79% Cigna and Evernorth

How Therapists in Spring, TX see their clients

75% In Person and Online
25% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Spring?

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.