Therapists in Nyack, NY

Photo of Dominique Fickling, Art Therapist in Nyack, NY
Dominique Fickling
Art Therapist, LCAT, BC-DMT, MS
Verified Verified
Nyack, NY 10960  (Online Only)
Great to meet you! I am a Dance/Movement Psychotherapist, my eyes are trained to see what our words cannot express...and that's where the magic happens. DMT is a powerful modality combines the art of dance and the science of psychology to unlock your potential for healing and self-expression. By engaging in movement and dance, you will tap into the wisdom of your body, accessing emotions and memories that may be difficult to verbalize. Through this process, you will discover new insights, release tension, and cultivate a stronger mind-body connection.
Great to meet you! I am a Dance/Movement Psychotherapist, my eyes are trained to see what our words cannot express...and that's where the magic happens. DMT is a powerful modality combines the art of dance and the science of psychology to unlock your potential for healing and self-expression. By engaging in movement and dance, you will tap into the wisdom of your body, accessing emotions and memories that may be difficult to verbalize. Through this process, you will discover new insights, release tension, and cultivate a stronger mind-body connection.
(845) 412-9785 View (845) 412-9785
Photo of Cami Presha, Counselor in Nyack, NY
Cami Presha
Counselor, LMHC
Verified Verified
Nyack, NY 10960
Listen, not to respond, but to understand are words I live by both professionally and personally. I create a safe space for my clients to express their inner most thoughts and feelings- without judgement- and a desire to help them process their lived experience. My clients come from all walks of life and face a wide spectrum of life stressors, including: depression, anxiety, trauma, relationship issues, and other mental health challenges. Together we explore patterns of behavior, where they come from, and how to make changes to grow towards a more authentic existence with deeper self-awareness & acceptance.
Listen, not to respond, but to understand are words I live by both professionally and personally. I create a safe space for my clients to express their inner most thoughts and feelings- without judgement- and a desire to help them process their lived experience. My clients come from all walks of life and face a wide spectrum of life stressors, including: depression, anxiety, trauma, relationship issues, and other mental health challenges. Together we explore patterns of behavior, where they come from, and how to make changes to grow towards a more authentic existence with deeper self-awareness & acceptance.
(845) 261-7284 View (845) 261-7284
Photo of Jon Meyer, Clinical Social Work/Therapist in Nyack, NY
Jon Meyer
Clinical Social Work/Therapist, MSW, LCSW-R
Verified Verified
Nyack, NY 10960
I specialize in treating Anxiety Disorders, Panic Disorder, OCD, PTSD & Couples. My professional backgroud includes advanced training in Cognitively,(CBT); Eye Movement Desensitization (EMDR), Couples Therapy, Psychodynamic and Biofeedback and Meditative practices. My approach to therapy targets your specific concerns and addresses them in a time sensitive and effective manner. Help is also provided for life transitions including parent/child conflicts or marital problems, as well as anxiety,grief, and depression.
I specialize in treating Anxiety Disorders, Panic Disorder, OCD, PTSD & Couples. My professional backgroud includes advanced training in Cognitively,(CBT); Eye Movement Desensitization (EMDR), Couples Therapy, Psychodynamic and Biofeedback and Meditative practices. My approach to therapy targets your specific concerns and addresses them in a time sensitive and effective manner. Help is also provided for life transitions including parent/child conflicts or marital problems, as well as anxiety,grief, and depression.
(845) 796-9165 View (845) 796-9165
Photo of Christine Vargo, Clinical Social Work/Therapist in Nyack, NY
Christine Vargo
Clinical Social Work/Therapist, LCSW, CDWF
Verified Verified
6 Endorsed
Nyack, NY 10960  (Online Only)
I am the Co-founder of Full Expression: The Human Condition, LLC. My partner in life and business and I created a company that is your single source for all your mental health needs. We offer a curated approach to mental health. Whether you need therapy, coaching, or to work on your relationship(s). We are here to help you dig deep in your inner growth work. Our specially designed offerings cater to helping individuals and partnerships develop awareness, curiosity, self-trust, discernment, and self-compassion, whether you're working through past trauma or designing a plan to switch careers - we believe we grow better together!
I am the Co-founder of Full Expression: The Human Condition, LLC. My partner in life and business and I created a company that is your single source for all your mental health needs. We offer a curated approach to mental health. Whether you need therapy, coaching, or to work on your relationship(s). We are here to help you dig deep in your inner growth work. Our specially designed offerings cater to helping individuals and partnerships develop awareness, curiosity, self-trust, discernment, and self-compassion, whether you're working through past trauma or designing a plan to switch careers - we believe we grow better together!
(845) 630-1847 View (845) 630-1847
Photo of Stephen Levy, Psychologist in Nyack, NY
Stephen Levy
Psychologist, PhD
Verified Verified
Nyack, NY 10960  (Online Only)
I have spent 50 years in the treatment fields of alcoholism, drug addiction and mental illness. I have been in private practice since 1977 providing individual and couples therapy for adults. I have taught in six colleges and two medical schools and am the author of three books and the editor of another. I am a founding member of the non-profit Emergency Assist Team of Rockland County. NY since 1990 providing support for first responders and military personnel. I am the Clinical Supervisor of the Therapy staff at Rockland Jewish Family Service. For further information consult my personal website at: rocklandpsych.net.
I have spent 50 years in the treatment fields of alcoholism, drug addiction and mental illness. I have been in private practice since 1977 providing individual and couples therapy for adults. I have taught in six colleges and two medical schools and am the author of three books and the editor of another. I am a founding member of the non-profit Emergency Assist Team of Rockland County. NY since 1990 providing support for first responders and military personnel. I am the Clinical Supervisor of the Therapy staff at Rockland Jewish Family Service. For further information consult my personal website at: rocklandpsych.net.
(845) 250-6495 View (845) 250-6495
Photo of Kristen Nocerino, Counselor in Nyack, NY
Kristen Nocerino
Counselor, MA, LMHC
Verified Verified
Nyack, NY 10960  (Online Only)
If you've been grappling with anxious thoughts that leave you feeling isolated & detached, & if you've landed on my page seeking support, please continue reading. With genuine compassion & unwavering kindness, I'm here to offer a supportive space, guiding you toward reconnecting with yourself & others. My approach is integrative & holistic, centered on the intricate relationship btwn the mind & body, recognizing how our mental & physical well-being are intertwined. As a LMHC I've assisted numerous individuals facing the challenges of negative thought patterns, anxiety, & depression, experiences that often create a sense of isolation
If you've been grappling with anxious thoughts that leave you feeling isolated & detached, & if you've landed on my page seeking support, please continue reading. With genuine compassion & unwavering kindness, I'm here to offer a supportive space, guiding you toward reconnecting with yourself & others. My approach is integrative & holistic, centered on the intricate relationship btwn the mind & body, recognizing how our mental & physical well-being are intertwined. As a LMHC I've assisted numerous individuals facing the challenges of negative thought patterns, anxiety, & depression, experiences that often create a sense of isolation
(845) 630-0930 View (845) 630-0930
Photo of Kristina Peckins, Counselor in Nyack, NY
Kristina Peckins
Counselor, LMHC
Verified Verified
Nyack, NY 10960
I believe that we all deserve the opportunity to create a life we deem worth celebrating. Together, we will identify and overcome obstacles that have hindered you from achieving your goals and dreams. I welcome you to start on a journey to fully loving the life you live.
I believe that we all deserve the opportunity to create a life we deem worth celebrating. Together, we will identify and overcome obstacles that have hindered you from achieving your goals and dreams. I welcome you to start on a journey to fully loving the life you live.
(845) 724-8107 View (845) 724-8107
Photo of Neal S Levy, Clinical Social Work/Therapist in Nyack, NY
Neal S Levy
Clinical Social Work/Therapist, MSW, LCSW, CCEP
Verified Verified
Nyack, NY 10960
I am a licensed clinical social worker with over twenty years experience working with individuals, couples, groups, and families. I bring to my work skills learned from my graduate and institute training as well as my natural qualities of empathy, practicality, intuition, and creativity. Using conventional and alternative approaches, my work is tailored to meet the needs of different clients as I bring attention to all dimensions of the healing and growth process--mind, heart, spirit, body, and imagination. My passion is in helping to facilitate the growth of my clients in reconnecting to innate capacities for freedom, imagination, and pleasure.
I am a licensed clinical social worker with over twenty years experience working with individuals, couples, groups, and families. I bring to my work skills learned from my graduate and institute training as well as my natural qualities of empathy, practicality, intuition, and creativity. Using conventional and alternative approaches, my work is tailored to meet the needs of different clients as I bring attention to all dimensions of the healing and growth process--mind, heart, spirit, body, and imagination. My passion is in helping to facilitate the growth of my clients in reconnecting to innate capacities for freedom, imagination, and pleasure.
(845) 406-9801 View (845) 406-9801
Photo of Myriam Barenbaum, Clinical Social Work/Therapist in Nyack, NY
Myriam Barenbaum
Clinical Social Work/Therapist, LCSW, MPH
Verified Verified
Nyack, NY 10960
Would you like to feel more alive, and more at home inside yourself? Are you struggling with relationship patterns connected with your past that no longer serve you, but are difficult to change? Would you like to learn ways to understand yourself more deeply, and to develop greater self-compassion? Therapy is a collaborative and creative process where we will explore together what is happening in your life. Through discovering "where it hurts," and finding ways to release old pain and embrace your life in the present, we will travel to new places and reveal new possibilities together.
Would you like to feel more alive, and more at home inside yourself? Are you struggling with relationship patterns connected with your past that no longer serve you, but are difficult to change? Would you like to learn ways to understand yourself more deeply, and to develop greater self-compassion? Therapy is a collaborative and creative process where we will explore together what is happening in your life. Through discovering "where it hurts," and finding ways to release old pain and embrace your life in the present, we will travel to new places and reveal new possibilities together.
(845) 203-3318 View (845) 203-3318
Photo of Rebecca Silber in Nyack, NY
Rebecca Silber
MHC
Verified Verified
Nyack, NY 10960  (Online Only)
I have experience working with adolescents, and adults struggling with: anxiety, depression, anger, impulse control, low self-esteem, communication issues, and social skills. I incorporate Cognitive Behavioral Therapy, Mindfulness-Based Practices/Relaxation Techniques, and Coping Skills into my sessions.
I have experience working with adolescents, and adults struggling with: anxiety, depression, anger, impulse control, low self-esteem, communication issues, and social skills. I incorporate Cognitive Behavioral Therapy, Mindfulness-Based Practices/Relaxation Techniques, and Coping Skills into my sessions.
(845) 237-3706 View (845) 237-3706
Jamie D Shumake
Counselor, LMHC
Verified Verified
Nyack, NY 10960
I am a Dialectical Behavior Therapy (DBT) therapist. I have been a practicing Licensed Mental Health Counselor since 2007. In 2008 I completed by Advanced Intensive DBT Training directly with Dr. Marsha M. Linehan who developed DBT. I am the founder and Consultation Team Leader of DBT Associates of Nyack. Together, my colleagues at DBT Associates of Nyack and I provide Dr. Linehan's model of DBT treatment to patients as young as 10, as old as 70 and every age in between.
I am a Dialectical Behavior Therapy (DBT) therapist. I have been a practicing Licensed Mental Health Counselor since 2007. In 2008 I completed by Advanced Intensive DBT Training directly with Dr. Marsha M. Linehan who developed DBT. I am the founder and Consultation Team Leader of DBT Associates of Nyack. Together, my colleagues at DBT Associates of Nyack and I provide Dr. Linehan's model of DBT treatment to patients as young as 10, as old as 70 and every age in between.
(845) 506-4128 View (845) 506-4128
Photo of Christine Randolph, Art Therapist in Nyack, NY
Christine Randolph
Art Therapist, LCAT, ATR-BC, MPS
Verified Verified
Nyack, NY 10960
I am a credentialed psychotherapist and art therapist. Art making is always voluntary, not obligatory. These have been especially difficult times, often triggering depression and despair. Talking to someone can bring great relief and insight. I create a compassionate space without judgment. Using the tools of body work, mindfulness, visualization, art, and meditation we can explore together how to build a deeper connection to yourself. I believe self-love is the basis for happiness, positive relationships, and a rich meaningful life. My goal is to help you achieve a loving relationship with yourself.
I am a credentialed psychotherapist and art therapist. Art making is always voluntary, not obligatory. These have been especially difficult times, often triggering depression and despair. Talking to someone can bring great relief and insight. I create a compassionate space without judgment. Using the tools of body work, mindfulness, visualization, art, and meditation we can explore together how to build a deeper connection to yourself. I believe self-love is the basis for happiness, positive relationships, and a rich meaningful life. My goal is to help you achieve a loving relationship with yourself.
(845) 263-3522 View (845) 263-3522
Photo of Valerie Keil, Clinical Social Work/Therapist in Nyack, NY
Valerie Keil
Clinical Social Work/Therapist, LCSW
Verified Verified
Nyack, NY 10960
Not accepting new clients
Modern life is uniquely challenging. We try to shape and mold ourselves into what we think we “should” be, and in doing so, we often lose touch with the most precious parts of ourselves. When we lose touch with these childlike parts, we keep ourselves from forming the close attachments that make life worth living. I work with my patients to help them embrace their natural curiosity, explore the existential questions that we push aside in daily life, challenge the negative self-talk that holds us back, and engage more fully in the pleasures that life can hold.
Modern life is uniquely challenging. We try to shape and mold ourselves into what we think we “should” be, and in doing so, we often lose touch with the most precious parts of ourselves. When we lose touch with these childlike parts, we keep ourselves from forming the close attachments that make life worth living. I work with my patients to help them embrace their natural curiosity, explore the existential questions that we push aside in daily life, challenge the negative self-talk that holds us back, and engage more fully in the pleasures that life can hold.
(914) 350-4774 View (914) 350-4774
Photo of John T Dunn, Clinical Social Work/Therapist in Nyack, NY
John T Dunn
Clinical Social Work/Therapist, LCSW
Verified Verified
Nyack, NY 10960
Along with training in individual, family and couples therapy, I bring my experience as a man growing and adjusting to a changing world. I specialize in working with men struggling in relationships with women, their children, other men -- all aspects of their lives in a world that has most of us questioning what is right, wrong or, just best. I bring this same sensitivity and experience to my work with women.
Along with training in individual, family and couples therapy, I bring my experience as a man growing and adjusting to a changing world. I specialize in working with men struggling in relationships with women, their children, other men -- all aspects of their lives in a world that has most of us questioning what is right, wrong or, just best. I bring this same sensitivity and experience to my work with women.
(914) 273-1260 View (914) 273-1260
Photo of Perseverance Now Counseling Center , Clinical Social Work/Therapist in Nyack, NY
Perseverance Now Counseling Center
Clinical Social Work/Therapist, LCSW, CCATP, SIFI
Verified Verified
1 Endorsed
Nyack, NY 10960
Great to meet you! My name is Briana! I am a Licensed Clinical Social Worker, with over 13 years' experience working with adult individuals, couples, and groups. I seek to not only challenge Clients, but to support, empower, and foster growth towards accomplishing their goals. I look to working with people who need support for Trauma, Addiction, Mental Health, Infertility, Conflict Resolution and Communication.
Great to meet you! My name is Briana! I am a Licensed Clinical Social Worker, with over 13 years' experience working with adult individuals, couples, and groups. I seek to not only challenge Clients, but to support, empower, and foster growth towards accomplishing their goals. I look to working with people who need support for Trauma, Addiction, Mental Health, Infertility, Conflict Resolution and Communication.
(845) 516-8830 View (845) 516-8830
Photo of Shari B Meyer, Clinical Social Work/Therapist in Nyack, NY
Shari B Meyer
Clinical Social Work/Therapist, LCSW, CEAP
Verified Verified
Nyack, NY 10960  (Online Only)
Waitlist for new clients
As a clinical social worker I have worked with clients from all walks of life. No matter how difficult or seemingly hopeless the situation. I work in a collaborative atmosphere to cultivate untapped resources in individuals and couples. I specialize in a broad spectrum of psychological issues. These I approach from an attitude of possibility. My style is active, and I believe in working towards solutions to problems to help move people forward when they feel stuck, overwhelmed, anxious or depressed. My approach focuses on insight and action. I aim to rekindle and affirm positive aspects of each unique individual.
As a clinical social worker I have worked with clients from all walks of life. No matter how difficult or seemingly hopeless the situation. I work in a collaborative atmosphere to cultivate untapped resources in individuals and couples. I specialize in a broad spectrum of psychological issues. These I approach from an attitude of possibility. My style is active, and I believe in working towards solutions to problems to help move people forward when they feel stuck, overwhelmed, anxious or depressed. My approach focuses on insight and action. I aim to rekindle and affirm positive aspects of each unique individual.
(845) 456-8171 View (845) 456-8171
Photo of Justine Girard, Art Therapist in Nyack, NY
Justine Girard
Art Therapist, MPS, LCAT, ATR-BC, SEP
Verified Verified
1 Endorsed
Nyack, NY 10960
I am a Psychotherapist, LCAT & a certified SEP in private practice in Nyack, NY.  Through the tools of the Creative Arts & Somatic Experiencing we will be creating the capacity in your being to expand process & regulate the complexities of the transitions of life relationships and at times the difficulties of just being alive. Together we will build a therapeutic relationship that elicits access to trust, coping skills & healthy ways to express yourself both verbally & emotionally. I invite individuals couples & families to reconnect to their own vitality through somatic experiencing the creative process & personal expression.
I am a Psychotherapist, LCAT & a certified SEP in private practice in Nyack, NY.  Through the tools of the Creative Arts & Somatic Experiencing we will be creating the capacity in your being to expand process & regulate the complexities of the transitions of life relationships and at times the difficulties of just being alive. Together we will build a therapeutic relationship that elicits access to trust, coping skills & healthy ways to express yourself both verbally & emotionally. I invite individuals couples & families to reconnect to their own vitality through somatic experiencing the creative process & personal expression.
(845) 834-4453 View (845) 834-4453
Photo of Annie Kelly, Clinical Social Work/Therapist in Nyack, NY
Annie Kelly
Clinical Social Work/Therapist, LCSW
Verified Verified
Nyack, NY 10960
Clients typically come to me when they are feeling lost in their lives. They are often overwhelmed by thoughts that they are not where they “should” be and are having trouble making decisions which contributes to a cycle of comparing themselves to others and a low sense of self-worth. Clients often describe feeling burnt out from always putting others first which leads to feelings of emptiness and dissatisfaction.
Clients typically come to me when they are feeling lost in their lives. They are often overwhelmed by thoughts that they are not where they “should” be and are having trouble making decisions which contributes to a cycle of comparing themselves to others and a low sense of self-worth. Clients often describe feeling burnt out from always putting others first which leads to feelings of emptiness and dissatisfaction.
(845) 299-8832 View (845) 299-8832
Photo of Vicky Forster, Clinical Social Work/Therapist in Nyack, NY
Vicky Forster
Clinical Social Work/Therapist, LCSW
Verified Verified
Nyack, NY 10960
You are the expert of your story. As a therapist, I will meet you where you are. Together we will look at what holds you back from feeling healthier, happier and whole. Seeking therapy now is your commitment to yourself to live a more meaningful and full life; a life that is less burdened by worries, fears, or self-doubt. Your willingness to be curious about your thoughts and feelings is a huge step – a step toward increased independence, confidence and peace of mind.
You are the expert of your story. As a therapist, I will meet you where you are. Together we will look at what holds you back from feeling healthier, happier and whole. Seeking therapy now is your commitment to yourself to live a more meaningful and full life; a life that is less burdened by worries, fears, or self-doubt. Your willingness to be curious about your thoughts and feelings is a huge step – a step toward increased independence, confidence and peace of mind.
(845) 714-0602 View (845) 714-0602
Photo of Isaac Shamah, Clinical Social Work/Therapist in Nyack, NY
Isaac Shamah
Clinical Social Work/Therapist, LCSW-R, SEP, NCPsyA, EMDR
Verified Verified
Nyack, NY 10960
A caring and supportive therapeutic relationship fosters growth and learning. I listen deeply and reflectively to sustain a creative, compassionate and safe environment that not only promotes trust, but cultivates open and meaningful exploration of challenging life issues. My approach is holistic and multi-dimensional, engaging the imagination and supporting emotional and spiritual healing. I am a clinical social worker in private practice in Nyack, New York. I am a Somatic Experiencing Practitioner and Somatic Experiencing Touch Practitioner specializing in trauma resolution, a relational psychoanalyst and couples therapist.
A caring and supportive therapeutic relationship fosters growth and learning. I listen deeply and reflectively to sustain a creative, compassionate and safe environment that not only promotes trust, but cultivates open and meaningful exploration of challenging life issues. My approach is holistic and multi-dimensional, engaging the imagination and supporting emotional and spiritual healing. I am a clinical social worker in private practice in Nyack, New York. I am a Somatic Experiencing Practitioner and Somatic Experiencing Touch Practitioner specializing in trauma resolution, a relational psychoanalyst and couples therapist.
(845) 450-0260 View (845) 450-0260

How does your Therapist compare?

Number of Therapists in Nyack, NY

100+

Average cost per session

$155

Therapists in Nyack, NY who prioritize treating:

95% Anxiety
90% Depression
81% Relationship Issues
76% Self Esteem
68% Grief
67% Trauma and PTSD
65% Coping Skills

Average years in practice

17 Years

Top 3 insurances accepted

65% Aetna
53% Cigna and Evernorth
53% UnitedHealthcare UHC | UBH

How Therapists in Nyack, NY see their clients

71% In Person and Online
29% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Nyack?

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.