Therapists in Charlestown, MD

Photo of Julia L Murphy, Licensed Clinical Professional Counselor in Charlestown, MD
Julia L Murphy
Licensed Clinical Professional Counselor, LCPC
Verified
Charlestown, MD 21914  (Online Only)
Hello, My name is Julia Murphy and I am the owner of Spill The Tea Counseling. I believe we all have feelings & thoughts that are waiting to be expressed. Do you find it challenging transitioning through different parts of your life & managing emotions along the way? How about being able to express yourself & be validated in a safe & trusting space? The challenge in life is finding who you are as a person & not what others want you to be. Building a trusting relationship with yourself can lead to strengthening your identity & developing a sense of self through awareness & mindfulness. Transitions can be beautiful but challenging.
Hello, My name is Julia Murphy and I am the owner of Spill The Tea Counseling. I believe we all have feelings & thoughts that are waiting to be expressed. Do you find it challenging transitioning through different parts of your life & managing emotions along the way? How about being able to express yourself & be validated in a safe & trusting space? The challenge in life is finding who you are as a person & not what others want you to be. Building a trusting relationship with yourself can lead to strengthening your identity & developing a sense of self through awareness & mindfulness. Transitions can be beautiful but challenging.
(410) 973-6503 View (410) 973-6503

More Therapists Nearby

Sanctum Integrated Health Services
MSN, FNP
Verified
Elkton, MD 21921
Sanctum Integrated Health Services, LLC, is dedicated to providing patient centered care to treat medical and mental health issues, The owner/operator, Nina Lane, is educated and trained as a family and mental health APN. Her diverse knowledge, skills and experience in caring for both patient populations has provided the opportunity to integrate medical and mental health services in her practice. The integration of care allows patients to receive care from a holistic approach preventing fragmented care which can hinder patient treatment and recovery.
Sanctum Integrated Health Services, LLC, is dedicated to providing patient centered care to treat medical and mental health issues, The owner/operator, Nina Lane, is educated and trained as a family and mental health APN. Her diverse knowledge, skills and experience in caring for both patient populations has provided the opportunity to integrate medical and mental health services in her practice. The integration of care allows patients to receive care from a holistic approach preventing fragmented care which can hinder patient treatment and recovery.
(443) 342-3538 x21921 View (443) 342-3538 x21921
Photo of Lamont Josey, Clinical Social Work/Therapist in Charlestown, MD
Lamont Josey
Clinical Social Work/Therapist, MSW, LCSW, CAADC, CCFC, CSSOTS
Verified
2 Endorsed
Elkton, MD 21921
It is my primary focus to help empower my clients to make meaningful changes in their lives through goal-directed interventions and strategic planning. With twenty plus years of experience working with adults, children, adolescents, families and various mental health & addiction populations, I encourage the use of one's own strengths to overcome challenging issues. I have been trained to treat various mental health and addictions issues. I use evidence-based, goal oriented and measurable techniques to assist in the therapeutic process. This journey I promise to take with you will achieve positive outcomes and results.
It is my primary focus to help empower my clients to make meaningful changes in their lives through goal-directed interventions and strategic planning. With twenty plus years of experience working with adults, children, adolescents, families and various mental health & addiction populations, I encourage the use of one's own strengths to overcome challenging issues. I have been trained to treat various mental health and addictions issues. I use evidence-based, goal oriented and measurable techniques to assist in the therapeutic process. This journey I promise to take with you will achieve positive outcomes and results.
(302) 504-4898 View (302) 504-4898
Photo of Gretchen Anderton, Clinical Social Work/Therapist in Charlestown, MD
Gretchen Anderton
Clinical Social Work/Therapist, LCSW, PhD
Verified
1 Endorsed
Elkton, MD 21921
Not accepting new clients
Maybe you want to strengthen your relationship with an intimate partner, are having difficulty adjusting to new parenthood or want to have a more fulfilling sex life after trauma. Perhaps current events are leading to anxiety, or you’re not able to take joy in the things you used to. Whatever challenges you’re facing, you deserve support.
Maybe you want to strengthen your relationship with an intimate partner, are having difficulty adjusting to new parenthood or want to have a more fulfilling sex life after trauma. Perhaps current events are leading to anxiety, or you’re not able to take joy in the things you used to. Whatever challenges you’re facing, you deserve support.
(302) 286-9612 View (302) 286-9612
Photo of Shannon Baublitz-Smith, Clinical Social Work/Therapist in Charlestown, MD
Shannon Baublitz-Smith
Clinical Social Work/Therapist, LCSW-C, MSW
Verified
Port Deposit, MD 21904  (Online Only)
Let's create lasting change in your life! Hi I'm Shannon and I believe that everyone has the potential to create a life that they love. However, sometimes we have barriers or "life lessons" that can get in the way, and it can be challenging to know where to turn or even where to begin. That's where I come in. I offer a range of services to help restore your mind and transform your life. Whether you're struggling with anxiety, depression, or something else, I'll be there to support you. I know that change can be difficult, but I also know that it's possible. Working together can help, you can create the life you've always wanted.
Let's create lasting change in your life! Hi I'm Shannon and I believe that everyone has the potential to create a life that they love. However, sometimes we have barriers or "life lessons" that can get in the way, and it can be challenging to know where to turn or even where to begin. That's where I come in. I offer a range of services to help restore your mind and transform your life. Whether you're struggling with anxiety, depression, or something else, I'll be there to support you. I know that change can be difficult, but I also know that it's possible. Working together can help, you can create the life you've always wanted.
(410) 941-3843 View (410) 941-3843
Photo of Tylethea Mathis, Clinical Social Work/Therapist in Charlestown, MD
Tylethea Mathis
Clinical Social Work/Therapist, LMSW, CTP
Verified
Elkton, MD 21921  (Online Only)
Waitlist for new clients
Every day we have a choice in life, do we repeat or evolve? Working together, we will create a treatment plan to help you live your best life. A motivated adolescent or adult can successfully change their perceptions regarding their trauma, anxiety, and/or depression through detailed, science-based exercises that will help them create attainable goals and master techniques to create lasting behavioral change. An ideal client will commit to and engage in consistent therapy and is willing to identify what is important to them for growth and life success.
Every day we have a choice in life, do we repeat or evolve? Working together, we will create a treatment plan to help you live your best life. A motivated adolescent or adult can successfully change their perceptions regarding their trauma, anxiety, and/or depression through detailed, science-based exercises that will help them create attainable goals and master techniques to create lasting behavioral change. An ideal client will commit to and engage in consistent therapy and is willing to identify what is important to them for growth and life success.
(410) 498-8160 View (410) 498-8160
Photo of Pamela J Llewellyn, Clinical Social Work/Therapist in Charlestown, MD
Pamela J Llewellyn
Clinical Social Work/Therapist, MSW, LCSW-C, MBA
Verified
1 Endorsed
Elkton, MD 21921
I approach treatment from a worldview that believes individuals are unique and gifted, created with meaning and purpose, and made to have a relationship with God and others. Because of brokenness in ourselves and in the world, we experience conflict and struggle, often severe enough to impact our ability to function each day and find joy in living. When we are able to understand our experiences in context of what is true, healing begins.
I approach treatment from a worldview that believes individuals are unique and gifted, created with meaning and purpose, and made to have a relationship with God and others. Because of brokenness in ourselves and in the world, we experience conflict and struggle, often severe enough to impact our ability to function each day and find joy in living. When we are able to understand our experiences in context of what is true, healing begins.
(443) 729-0050 View (443) 729-0050
Photo of Wyvonne Williams, Licensed Clinical Professional Counselor in Charlestown, MD
Wyvonne Williams
Licensed Clinical Professional Counselor, LCPC
Verified
Port Deposit, MD 21904
I am a licensed professional counselor who is a Christian. I understand how important it is to have a Christian counselor. If this is something you want to integrate into your counseling process, I am able to do this and can use the Bible and your relationship with God to help you with whatever struggles you have. Integrating God and your beliefs is not a requirement to have counseling, but it is something I can offer. I respect your faith and denominational differences. I don’t have an agenda nor am I preachy. I am EAGALA certified.
I am a licensed professional counselor who is a Christian. I understand how important it is to have a Christian counselor. If this is something you want to integrate into your counseling process, I am able to do this and can use the Bible and your relationship with God to help you with whatever struggles you have. Integrating God and your beliefs is not a requirement to have counseling, but it is something I can offer. I respect your faith and denominational differences. I don’t have an agenda nor am I preachy. I am EAGALA certified.
(667) 200-3434 View (667) 200-3434
Photo of Katricia Thompson in Charlestown, MD
Katricia Thompson
MSW, LMSW
Verified
2 Endorsed
Elkton, MD 21921  (Online Only)
Not accepting new clients
Today, let’s start becoming the best version of you! Often, we get hung up on defining ourselves by what we have, what we have done and what we have been through. What we neglect to think about is the opportunity we have daily to start anew and change the way we think and feel. Therapy offers the opportunity to have support in processing, finding direction and learning how to continuously cope with the unpredictable nature of life. I truly believe that when we have a safe, nonjudgmental space to be our authentic selves, we can have the freedom to feel vulnerable and gain an understanding of who we are and who we want to become.
Today, let’s start becoming the best version of you! Often, we get hung up on defining ourselves by what we have, what we have done and what we have been through. What we neglect to think about is the opportunity we have daily to start anew and change the way we think and feel. Therapy offers the opportunity to have support in processing, finding direction and learning how to continuously cope with the unpredictable nature of life. I truly believe that when we have a safe, nonjudgmental space to be our authentic selves, we can have the freedom to feel vulnerable and gain an understanding of who we are and who we want to become.
(302) 329-3935 View (302) 329-3935
Photo of Delaware Center for Mindfulness, LLC, Clinical Social Work/Therapist in Charlestown, MD
Delaware Center for Mindfulness, LLC
Clinical Social Work/Therapist, LCSW, ICADC, CMT-P, CTMH
Verified
Elkton, MD 21921
Sometimes, one of the most difficult things for you to do is to find purpose and value in your life when there are so many demands that may pull you in the other direction. In today's world, there is so much involved in keeping everything balanced in a way that meets your needs as well as keeping focused on the things that you value most. Living a valued life is important, but often times it is easy to get side-tracked. Like that saying from John Lennon, "Life happens while you're busy making other plans," we can lose clarity in what means the most to us and we can often end up feeling lost and unsure of how to get back on track.
Sometimes, one of the most difficult things for you to do is to find purpose and value in your life when there are so many demands that may pull you in the other direction. In today's world, there is so much involved in keeping everything balanced in a way that meets your needs as well as keeping focused on the things that you value most. Living a valued life is important, but often times it is easy to get side-tracked. Like that saying from John Lennon, "Life happens while you're busy making other plans," we can lose clarity in what means the most to us and we can often end up feeling lost and unsure of how to get back on track.
(302) 246-8683 View (302) 246-8683
Photo of Katherine Lawliss, Psychological Associate in Charlestown, MD
Katherine Lawliss
Psychological Associate
Verified
Elkton, MD 21922  (Online Only)
Dr. Lawliss received her doctoral degree in clinical psychology, with a concentration in health psychology, from Widener University. She is currently a Registered Psychology Associate, working towards licensure. Dr. Lawliss specializes in working with people of all ages with chronic illnesses and chronic pain conditions. Dr. Lawliss has worked with clients with many different health concerns and rare conditions. She has an understanding of the unique difficulties each individual and condition has.
Dr. Lawliss received her doctoral degree in clinical psychology, with a concentration in health psychology, from Widener University. She is currently a Registered Psychology Associate, working towards licensure. Dr. Lawliss specializes in working with people of all ages with chronic illnesses and chronic pain conditions. Dr. Lawliss has worked with clients with many different health concerns and rare conditions. She has an understanding of the unique difficulties each individual and condition has.
(301) 709-7193 View (301) 709-7193
Photo of Barbara Kistenmacher, Ph.D., LLC, Psychologist in Charlestown, MD
Barbara Kistenmacher, Ph.D., LLC
Psychologist, PhD
Verified
Elkton, MD 21921
Waitlist for new clients
I have been practicing for 18 years, and have a very strong expertise in relationships (couples therapy, relationship conflict, infidelity, divorce, dating). I also specialize in addictions and working with high-achieving individuals. My approach involves helping clients develop insight about why they are finding themselves "stuck," while also teaching useful skills that facilitate behavior change; both are crucial for lasting change to occur. Insight provides understanding and self-compassion. Skills help us function better in our day-to-day lives. My work with clients is empathic, collaborative, practical and often involves a deeper exploration of past experiences that shape current thoughts, feelings & behaviors.
I have been practicing for 18 years, and have a very strong expertise in relationships (couples therapy, relationship conflict, infidelity, divorce, dating). I also specialize in addictions and working with high-achieving individuals. My approach involves helping clients develop insight about why they are finding themselves "stuck," while also teaching useful skills that facilitate behavior change; both are crucial for lasting change to occur. Insight provides understanding and self-compassion. Skills help us function better in our day-to-day lives. My work with clients is empathic, collaborative, practical and often involves a deeper exploration of past experiences that shape current thoughts, feelings & behaviors.
(302) 337-5629 View (302) 337-5629
Photo of Jenny Miller, Pastoral Counselor in Charlestown, MD
Jenny Miller
Pastoral Counselor, MAPC
1 Endorsed
Elkton, MD 21921
"Will it always have to be this way? I don't know how much more I can take." This is a statement I hear often from clients when they first come to me. Holding hope for clients until they are able to hold it for themselves is a calling I feel honored to provide. My ideal client is one that has experienced trauma or crisis in their life, usually with their family of origin, struggles in relationships, has experienced anxiety, abandonment, or emotional, verbal, or spiritual abuse. Many times clients say to me they feel like they were not made to fit in this world or no one understands them.
"Will it always have to be this way? I don't know how much more I can take." This is a statement I hear often from clients when they first come to me. Holding hope for clients until they are able to hold it for themselves is a calling I feel honored to provide. My ideal client is one that has experienced trauma or crisis in their life, usually with their family of origin, struggles in relationships, has experienced anxiety, abandonment, or emotional, verbal, or spiritual abuse. Many times clients say to me they feel like they were not made to fit in this world or no one understands them.
(443) 429-1099 View (443) 429-1099
Photo of Letha Moszer, Clinical Social Work/Therapist in Charlestown, MD
Letha Moszer
Clinical Social Work/Therapist, LCSW-C
Verified
Elkton, MD 21921
Not accepting new clients
The path towards healing takes our minds and hearts on a journey that brings up memories of early adversity, past traumas, and present-day challenges. This can feel overwhelming to process and navigate given the complexity of our lived experiences and their impact on well-being. My practice work focuses on how childhood events intersect with current life dynamics and wellness, through the development of a collaborative therapeutic relationship.
The path towards healing takes our minds and hearts on a journey that brings up memories of early adversity, past traumas, and present-day challenges. This can feel overwhelming to process and navigate given the complexity of our lived experiences and their impact on well-being. My practice work focuses on how childhood events intersect with current life dynamics and wellness, through the development of a collaborative therapeutic relationship.
(410) 996-4878 View (410) 996-4878
Mary Antoinette Brenneman
Clinical Social Work/Therapist, LCSW_C
Verified
Elkton, MD 21921  (Online Only)
Life can be very challenging at times: You may question is this the right job for me or why am I so unhappy in my current relationship, why doesn't my spouse or partner understand my needs? you may feel overwhelmed, anxious unsure of what to do maybe your ADHD/ADD or other mental health challenges have become too much for you to handle. The next step (although hard) is to seek professional help. Call me and let's see how I may be of help to you.
Life can be very challenging at times: You may question is this the right job for me or why am I so unhappy in my current relationship, why doesn't my spouse or partner understand my needs? you may feel overwhelmed, anxious unsure of what to do maybe your ADHD/ADD or other mental health challenges have become too much for you to handle. The next step (although hard) is to seek professional help. Call me and let's see how I may be of help to you.
(443) 232-9743 x410935 View (443) 232-9743 x410935
Photo of Jason Chrystal, Clinical Social Work/Therapist in Charlestown, MD
Jason Chrystal
Clinical Social Work/Therapist, LCSW-C
Verified
North East, MD 21901
Are you confused? Lost? Unable to understand why you aren't happy in your life? Maybe unsure of why you don't seem to be able to do "the thing?" Possibly never feeling "good enough?" Can't understand the amount of frustration and agitation you have? Or struggling to find the energy to get moving? I enjoy working with people who want to get re-acquainted with themselves. People who are curious to know how they got to where they are, and how to break the chains of their life thus far, and move in a new direction.
Are you confused? Lost? Unable to understand why you aren't happy in your life? Maybe unsure of why you don't seem to be able to do "the thing?" Possibly never feeling "good enough?" Can't understand the amount of frustration and agitation you have? Or struggling to find the energy to get moving? I enjoy working with people who want to get re-acquainted with themselves. People who are curious to know how they got to where they are, and how to break the chains of their life thus far, and move in a new direction.
(410) 449-7298 View (410) 449-7298
Photo of Institute for Community Mental Health Clinic, Psychologist in Charlestown, MD
Institute for Community Mental Health Clinic
Psychologist, PhD
Verified
Elkton, MD 21921
The Institute for Community Mental Health Clinic at the University of Delaware provides comprehensive evaluations and psychotherapy to children, families, and adults to the community. The center serves as a training site for graduate level students in the Clinical Psychology program under the direction of the Clinic Director, Keith Bredemeier, Ph.D., and the faculty members from the Department of Psychological and Brain Sciences. The center uses evidence-based therapies, empirically supported as effective treatments.
The Institute for Community Mental Health Clinic at the University of Delaware provides comprehensive evaluations and psychotherapy to children, families, and adults to the community. The center serves as a training site for graduate level students in the Clinical Psychology program under the direction of the Clinic Director, Keith Bredemeier, Ph.D., and the faculty members from the Department of Psychological and Brain Sciences. The center uses evidence-based therapies, empirically supported as effective treatments.
(302) 495-5370 View (302) 495-5370
Photo of Michael Thomas Foley, Counselor in Charlestown, MD
Michael Thomas Foley
Counselor, MA, LGPC
Verified
1 Endorsed
Havre De Grace, MD 21078  (Online Only)
Not accepting new clients
I am a Licensed Graduate Professional Counselor (LGPC). I graduated with my Masters of Science in Clinical Mental Health Counseling from Liberty University. My specialty is in providing therapy to children, adolescents, and families. I have experience with oppositional defiance, behavioral issues, trauma, bipolar disorder, anxiety, depression, and many other diagnoses and challenges in life. As a psychotherapist, my intention is always to help guide each client through a process of growth and healing.
I am a Licensed Graduate Professional Counselor (LGPC). I graduated with my Masters of Science in Clinical Mental Health Counseling from Liberty University. My specialty is in providing therapy to children, adolescents, and families. I have experience with oppositional defiance, behavioral issues, trauma, bipolar disorder, anxiety, depression, and many other diagnoses and challenges in life. As a psychotherapist, my intention is always to help guide each client through a process of growth and healing.
(410) 691-3530 View (410) 691-3530
Photo of Gina M Psenicska, Clinical Social Work/Therapist in Charlestown, MD
Gina M Psenicska
Clinical Social Work/Therapist, LCSW
Verified
1 Endorsed
Elkton, MD 21921
I have been a practicing therapist for over 26 years. My practice is within walking distance of the University of Delaware. I have expertise in providing individual, marriage, and family counseling. I believe that each person's experiences are unique. Therefore, treatment and intervention should be specific to them. Empathy, trust, and understanding are essential components of the therapeutic process. My goal is to fully grasp what struggles you are encountering so I can help to facilitate positive change as quickly as possible. >>
I have been a practicing therapist for over 26 years. My practice is within walking distance of the University of Delaware. I have expertise in providing individual, marriage, and family counseling. I believe that each person's experiences are unique. Therefore, treatment and intervention should be specific to them. Empathy, trust, and understanding are essential components of the therapeutic process. My goal is to fully grasp what struggles you are encountering so I can help to facilitate positive change as quickly as possible. >>
(302) 240-8193 View (302) 240-8193
Photo of Alan Kutner, Clinical Social Work/Therapist in Charlestown, MD
Alan Kutner
Clinical Social Work/Therapist, LMSW
Verified
Havre De Grace, MD 21078  (Online Only)
Real men embrace vulnerability, honesty, and courage. It takes guts to admit needing help and face struggles head-on. It takes strength to open up, and true bravery to take action and make lasting changes. If you're a guy reading this, chances are you're tired of pretending everything is okay when it's not. Let's be real, we often hit a wall in life and reach a turning point – a bridge we need to cross. Are you looking for a therapist who is real and genuine, and can guide you across? As we embark on this transformative journey, I will be here to support you every step of the way, empowering you to be the best you you can be.
Real men embrace vulnerability, honesty, and courage. It takes guts to admit needing help and face struggles head-on. It takes strength to open up, and true bravery to take action and make lasting changes. If you're a guy reading this, chances are you're tired of pretending everything is okay when it's not. Let's be real, we often hit a wall in life and reach a turning point – a bridge we need to cross. Are you looking for a therapist who is real and genuine, and can guide you across? As we embark on this transformative journey, I will be here to support you every step of the way, empowering you to be the best you you can be.
(410) 883-5457 View (410) 883-5457

See more therapy options for Charlestown

How does your Therapist compare?

Number of Therapists in Charlestown, MD

< 10

Therapists in Charlestown, MD who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% ADHD
100% Life Coaching
100% Grief
100% Trauma and PTSD

Gender breakdown

100% Female

How Therapists in Charlestown, MD see their clients

100% Online Only

FAQs - About Therapy and Counseling

How can I find a therapist in Charlestown?

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.