Therapists in Hagerstown, MD

Photo of Nick DeWaal, Counselor in Hagerstown, MD
Nick DeWaal
Counselor, MS, LCPC, NCC
Verified Verified
Hagerstown, MD 21740
I provide each individual the opportunity to enter their own unique path towards healing and growth. Through a safe and therapeutic relationship, individuals, couples, or families are assisted in confronting the obstacles and difficulties which have kept their lives from reaching full potential. Specialties include marriage counseling, emotional problems, life/career transitions, self-improvement and relationship issues.
I provide each individual the opportunity to enter their own unique path towards healing and growth. Through a safe and therapeutic relationship, individuals, couples, or families are assisted in confronting the obstacles and difficulties which have kept their lives from reaching full potential. Specialties include marriage counseling, emotional problems, life/career transitions, self-improvement and relationship issues.
(301) 288-3683 View (301) 288-3683
Photo of Tammy L. Sherrard, Clinical Social Work/Therapist in Hagerstown, MD
Tammy L. Sherrard
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Hagerstown, MD 21740
I firmly believe that my clients know more about themselves than I do. I view therapy as a journey and strive to learn from my clients as much as I hope they learn from me along the way. If you are open-minded, willing to be challenged, and willing to learn, our journey will be rewarding.
I firmly believe that my clients know more about themselves than I do. I view therapy as a journey and strive to learn from my clients as much as I hope they learn from me along the way. If you are open-minded, willing to be challenged, and willing to learn, our journey will be rewarding.
(301) 970-4206 View (301) 970-4206
Photo of Casandra Elaine Theriault, Clinical Social Work/Therapist in Hagerstown, MD
Casandra Elaine Theriault
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Hagerstown, MD 21740  (Online Only)
Hi there my name is Casey and I'm so glad you're here. I know finding the right therapist is such a personal decision and there are so many options. I have been in the mental health field for over 20 yrs and truly couldn't picture myself anywhere else. I enjoy helping other individuals in the helping professions that are managing emotions related to compassion fatigue, parenting and relationship challenges, individuals managing effects of trauma, Anxiety/Depression/ADHD symptoms as well as those that just need a little extra support or someone to talk to.
Hi there my name is Casey and I'm so glad you're here. I know finding the right therapist is such a personal decision and there are so many options. I have been in the mental health field for over 20 yrs and truly couldn't picture myself anywhere else. I enjoy helping other individuals in the helping professions that are managing emotions related to compassion fatigue, parenting and relationship challenges, individuals managing effects of trauma, Anxiety/Depression/ADHD symptoms as well as those that just need a little extra support or someone to talk to.
(717) 912-8936 View (717) 912-8936
Photo of Sharone Dixon, Clinical Social Work/Therapist in Hagerstown, MD
Sharone Dixon
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Hagerstown, MD 21740  (Online Only)
Welcome to a space where the weight you carry can find peace. In the midst of life's challenges, finding a place for your thoughts and emotions is essential. I invite you to a place where you can unburden yourself and discover a path towards tranquility. Together, we navigate the complexities of life, and through understanding and compassion, we create a haven for your well-being. Take a step towards rest and rejuvenation , a space where the weary find relief. I am a kind and compassionate clinician that will work with you. You will enter into a realm of empathy and understanding that is free from judgment.
Welcome to a space where the weight you carry can find peace. In the midst of life's challenges, finding a place for your thoughts and emotions is essential. I invite you to a place where you can unburden yourself and discover a path towards tranquility. Together, we navigate the complexities of life, and through understanding and compassion, we create a haven for your well-being. Take a step towards rest and rejuvenation , a space where the weary find relief. I am a kind and compassionate clinician that will work with you. You will enter into a realm of empathy and understanding that is free from judgment.
(240) 986-3709 View (240) 986-3709
Photo of Jasmin Cooke, Clinical Social Work/Therapist in Hagerstown, MD
Jasmin Cooke
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Hagerstown, MD 21740  (Online Only)
Are you consumed with disturbing automatic thoughts, and spending hours chasing, analyzing, reviewing, and giving meaning to the intrusive thoughts? There is hope and recovery to overcome OCD. I will teach you how to change your relationship with anxiety by looking it in the face and walking towards it instead of walking away. It is easy to stay trapped and believe the false messages that your OCD feeds you. I will teach you how to rewire your brain into no longer believing those false threats that your brain is torturing you with. My treatment approach teaches you how to stop competing
Are you consumed with disturbing automatic thoughts, and spending hours chasing, analyzing, reviewing, and giving meaning to the intrusive thoughts? There is hope and recovery to overcome OCD. I will teach you how to change your relationship with anxiety by looking it in the face and walking towards it instead of walking away. It is easy to stay trapped and believe the false messages that your OCD feeds you. I will teach you how to rewire your brain into no longer believing those false threats that your brain is torturing you with. My treatment approach teaches you how to stop competing
(410) 438-8528 View (410) 438-8528
Photo of Lisa Hughes, Clinical Social Work/Therapist in Hagerstown, MD
Lisa Hughes
Clinical Social Work/Therapist, LCSW-C, MSW
Verified Verified
Hagerstown, MD 21742
'Courage does not always roar. Sometimes, courage is that quiet voice at the end of the day saying, 'I will try again tomorrow.' Dealing with life's challenges requires a great amount of strength and courage. Whether for you or your child, sometimes the most courageous act of all is asking for someone to help you during the difficult times. My hope is to be this person for you as your therapist. Collaborating together in a non-judgmental environment, I will work to provide you with the support, empathy, and tools needed to take those first steps towards change.
'Courage does not always roar. Sometimes, courage is that quiet voice at the end of the day saying, 'I will try again tomorrow.' Dealing with life's challenges requires a great amount of strength and courage. Whether for you or your child, sometimes the most courageous act of all is asking for someone to help you during the difficult times. My hope is to be this person for you as your therapist. Collaborating together in a non-judgmental environment, I will work to provide you with the support, empathy, and tools needed to take those first steps towards change.
(301) 710-6586 View (301) 710-6586
Photo of Dr. Stephanie McGraw, Psychologist in Hagerstown, MD
Dr. Stephanie McGraw
Psychologist, PsyD
Verified Verified
2 Endorsed
Hagerstown, MD 21742  (Online Only)
Therapy is an incredibly vulnerable process that involves stripping down the emotional armor we have collected over years of struggle, insecurity, or fear. For some the idea of therapy feels like the sweetest release and for others this idea feels incredibly intimidating. Often times, individuals present for their first sessions after an acute stressor, a period of prolonged distress, or even a previously failed treatment. Regardless of the precipitating factor, people often enter therapy when they feel hurt and alone. Many come with bruised hearts and tired souls, uncertain of what their struggles mean about their ability to heal.
Therapy is an incredibly vulnerable process that involves stripping down the emotional armor we have collected over years of struggle, insecurity, or fear. For some the idea of therapy feels like the sweetest release and for others this idea feels incredibly intimidating. Often times, individuals present for their first sessions after an acute stressor, a period of prolonged distress, or even a previously failed treatment. Regardless of the precipitating factor, people often enter therapy when they feel hurt and alone. Many come with bruised hearts and tired souls, uncertain of what their struggles mean about their ability to heal.
(240) 647-5336 View (240) 647-5336
Photo of JoAnn Sheffield, LCSW-C, ACC , Clinical Social Work/Therapist in Hagerstown, MD
JoAnn Sheffield, LCSW-C, ACC
Clinical Social Work/Therapist, LCSW-C, ACC, LCAC
Verified Verified
1 Endorsed
Hagerstown, MD 21742
Not accepting new clients
The last couple of years have definitely been challenging and stressful. I have found that most people fall into three categories: survival, acceptance, or growth. My ideal client is someone who is highly motivated and wants change; someone who is seeking to grow. They are tired of being in survival mode. These individuals are seeking something different than what the traditional therapies offer. They are ready to move on to the next level. As a guide, I work to empower clients to overcome stress, and life challenges. This process involves healing, discovery, and learning valuable life lessons along the way.
The last couple of years have definitely been challenging and stressful. I have found that most people fall into three categories: survival, acceptance, or growth. My ideal client is someone who is highly motivated and wants change; someone who is seeking to grow. They are tired of being in survival mode. These individuals are seeking something different than what the traditional therapies offer. They are ready to move on to the next level. As a guide, I work to empower clients to overcome stress, and life challenges. This process involves healing, discovery, and learning valuable life lessons along the way.
(301) 323-8660 View (301) 323-8660
Photo of Kathleen Prest, Master Social Work in Hagerstown, MD
Kathleen Prest
Master Social Work, LMSW
Verified Verified
2 Endorsed
Hagerstown, MD 21742  (Online Only)
Are you feeling tired, run down, frustrated or hopeless? You're struggling with the never ending challenges and transitions life throws at you. Your plate is so full, you can't possibly take on another thing, yet, here you are...taking on one more thing. You are constantly taking care of others, but your name never makes it to the top of the list. You're sick and tired of being sick and tired. Maybe you're a young adult that is struggling to see the point in life, or maybe you're a parent that is at the end of your rope. You desperately need something to change...but what?
Are you feeling tired, run down, frustrated or hopeless? You're struggling with the never ending challenges and transitions life throws at you. Your plate is so full, you can't possibly take on another thing, yet, here you are...taking on one more thing. You are constantly taking care of others, but your name never makes it to the top of the list. You're sick and tired of being sick and tired. Maybe you're a young adult that is struggling to see the point in life, or maybe you're a parent that is at the end of your rope. You desperately need something to change...but what?
(240) 376-3876 View (240) 376-3876
Photo of Lynne Penn-Leon Lcsw-C, Clinical Social Work/Therapist in Hagerstown, MD
Lynne Penn-Leon Lcsw-C
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Hagerstown, MD 21740  (Online Only)
Whether it's your first time in therapy or your 10th, my team at Pivot's Potential, LLC work with people just like you settling minds and bodies & getting your life back! We work with adolescents & adults and come from a strength perspective. We believe that every person has strengths yet to be discovered. We offer an integrated, team approach which is solution-focused, lending itself to short-term work. Therapy is a collaborative process, where client and therapist come together to find solutions. Specializing in trauma, anxiety & depression, we provide clients with useful tools in the first 6 session to provide symptom relief.
Whether it's your first time in therapy or your 10th, my team at Pivot's Potential, LLC work with people just like you settling minds and bodies & getting your life back! We work with adolescents & adults and come from a strength perspective. We believe that every person has strengths yet to be discovered. We offer an integrated, team approach which is solution-focused, lending itself to short-term work. Therapy is a collaborative process, where client and therapist come together to find solutions. Specializing in trauma, anxiety & depression, we provide clients with useful tools in the first 6 session to provide symptom relief.
(240) 847-3521 View (240) 847-3521
Photo of P. Frederick Hillebert, Clinical Social Work/Therapist in Hagerstown, MD
P. Frederick Hillebert
Clinical Social Work/Therapist, LCADC, LCSW-C
Verified Verified
Hagerstown, MD 21742  (Online Only)
Welcome. I honor the search that brings you here. Reaching out for assistance is a momentous step. This is the right time to act. Reading this message means you are ready. Your concerns are important; no problem is too small. There is a powerful you waiting ahead. I invite you to take the next step and contact me. Your commitment and willingness to change is the key.  Are you willing to try something different?
Welcome. I honor the search that brings you here. Reaching out for assistance is a momentous step. This is the right time to act. Reading this message means you are ready. Your concerns are important; no problem is too small. There is a powerful you waiting ahead. I invite you to take the next step and contact me. Your commitment and willingness to change is the key.  Are you willing to try something different?
(240) 339-6157 View (240) 339-6157
Rhonda R Bradley-Shabazz
Licensed Professional Counselor, DSW, LPC, MA
Verified Verified
Hagerstown, MD 21740
My career has been connected to the child welfare system as either social worker or therapist. My specialties have evolved from that experience to include, trauma recovery, child therapy, and familial relationships. My own personal loss and journey through widowhood, shaped my interest in grief and loss.
My career has been connected to the child welfare system as either social worker or therapist. My specialties have evolved from that experience to include, trauma recovery, child therapy, and familial relationships. My own personal loss and journey through widowhood, shaped my interest in grief and loss.
(240) 616-4612 View (240) 616-4612
Photo of Accepting New Clients! Start Your Healing Journey , Counselor in Hagerstown, MD
Accepting New Clients! Start Your Healing Journey
Counselor
Verified Verified
Hagerstown, MD 21740  (Online Only)
As a therapist, I provide a safe and supportive space where you can explore your concerns and find healing and growth. With years of experience and specialized training, I offer expertise in treating a wide range of mental health issues such as anxiety and depression. I tailor the therapy to your unique needs, using a personalized and holistic approach that takes into account your individual circumstances and strengths. I prioritize your well-being and work with you to develop practical strategies and tools that can be applied to real-life situations, enabling lasting change. Together, we will put you on a path towards healing.
As a therapist, I provide a safe and supportive space where you can explore your concerns and find healing and growth. With years of experience and specialized training, I offer expertise in treating a wide range of mental health issues such as anxiety and depression. I tailor the therapy to your unique needs, using a personalized and holistic approach that takes into account your individual circumstances and strengths. I prioritize your well-being and work with you to develop practical strategies and tools that can be applied to real-life situations, enabling lasting change. Together, we will put you on a path towards healing.
(410) 673-4739 View (410) 673-4739
Photo of Melissa Clawson, Licensed Clinical Professional Counselor in Hagerstown, MD
Melissa Clawson
Licensed Clinical Professional Counselor, MA, LPC, LCPC
Verified Verified
Hagerstown, MD 21740
Ideally, I try to create a comfortable environment so that the client can feel a connection. I realize that one of the hardest things to do as a person, is to admit that you need to talk a problem through with someone outside of your circle of family and friends. When meeting with the client, I try to distinguish where they are and go above and beyond to make the therapeutic process a success.
Ideally, I try to create a comfortable environment so that the client can feel a connection. I realize that one of the hardest things to do as a person, is to admit that you need to talk a problem through with someone outside of your circle of family and friends. When meeting with the client, I try to distinguish where they are and go above and beyond to make the therapeutic process a success.
(678) 922-0514 View (678) 922-0514
Photo of Embrace Your Truth Counseling Services, LLC, Clinical Social Work/Therapist in Hagerstown, MD
Embrace Your Truth Counseling Services, LLC
Clinical Social Work/Therapist, MSW, LCSW-C, LICSW, ACHP-SW, CCATP
Verified Verified
Hagerstown, MD 21740  (Online Only)
My name is Elisabeth, Licensed Certified Social Worker-Clinical (LCSW-C) in the state of Maryland and Licensed Independent Clinical Social Worker (LICSW) in the state of Minnesota. I have over 30 years of experience supporting individuals, families, and groups in various therapeutic settings. At Embrace Your Truth Counseling Services, LLC the goal is to provide a culturally competent, safe, and confidential space. My passion has always been to support those who are in need economically, socially, and/or mentally.
My name is Elisabeth, Licensed Certified Social Worker-Clinical (LCSW-C) in the state of Maryland and Licensed Independent Clinical Social Worker (LICSW) in the state of Minnesota. I have over 30 years of experience supporting individuals, families, and groups in various therapeutic settings. At Embrace Your Truth Counseling Services, LLC the goal is to provide a culturally competent, safe, and confidential space. My passion has always been to support those who are in need economically, socially, and/or mentally.
(240) 657-2878 View (240) 657-2878
Photo of Shire Counseling and Coaching, LLC, Clinical Social Work/Therapist in Hagerstown, MD
Shire Counseling and Coaching, LLC
Clinical Social Work/Therapist
Verified Verified
2 Endorsed
Hagerstown, MD 21740
It is our passion that we take insurances to ensure that all have access to Mental Health Care. We are currently accepting clients with Aetna, United Health Care, Maryland State Insurance (Optum) and in addition we do offer self pay at reasonable rates. Our practice sees children 10 and older, virtually to anyone in the state of Maryland and we also have a physical location in Hagerstown, Maryland (Washington County) to see clients in person. In addition, we have evening and weekends available via telehealth so that access to care doesn't add an additional barriers to your schedule.
It is our passion that we take insurances to ensure that all have access to Mental Health Care. We are currently accepting clients with Aetna, United Health Care, Maryland State Insurance (Optum) and in addition we do offer self pay at reasonable rates. Our practice sees children 10 and older, virtually to anyone in the state of Maryland and we also have a physical location in Hagerstown, Maryland (Washington County) to see clients in person. In addition, we have evening and weekends available via telehealth so that access to care doesn't add an additional barriers to your schedule.
(240) 641-0710 View (240) 641-0710
Photo of Lauren Parks, Art Therapist in Hagerstown, MD
Lauren Parks
Art Therapist, MA, LCPAT, LCPC
Verified Verified
2 Endorsed
Hagerstown, MD 21740  (Online Only)
Seeking help takes courage! As a licensed Professional Art Therapist (LCPAT) and a licensed Clinical Professional Counselor (LCPC), I believe in the power of the therapeutic relationship to facilitate change. My approach is strength based, client-centered, and holistically grounded. As an art therapist, clients have the option to engage in art therapy, no experience with art materials is required! Art therapy makes it possible to express what is difficult, and sometimes impossible, to communicate with words. Using art creates the opportunity to delve into the unconscious and parts of the brain in which words do not exist.
Seeking help takes courage! As a licensed Professional Art Therapist (LCPAT) and a licensed Clinical Professional Counselor (LCPC), I believe in the power of the therapeutic relationship to facilitate change. My approach is strength based, client-centered, and holistically grounded. As an art therapist, clients have the option to engage in art therapy, no experience with art materials is required! Art therapy makes it possible to express what is difficult, and sometimes impossible, to communicate with words. Using art creates the opportunity to delve into the unconscious and parts of the brain in which words do not exist.
(240) 213-9479 View (240) 213-9479
Photo of Tara Louchery, Psychologist in Hagerstown, MD
Tara Louchery
Psychologist, PsyD
Verified Verified
1 Endorsed
Hagerstown, MD 21740
Not accepting new clients
This life is difficult, and we all struggle to cope with it some times. I believe each person has the ability to heal themselves. It is my job to facilitate holistic healing in partnership with you. Feeling better and functioning more effectively IS possible, one small step at a time.
This life is difficult, and we all struggle to cope with it some times. I believe each person has the ability to heal themselves. It is my job to facilitate holistic healing in partnership with you. Feeling better and functioning more effectively IS possible, one small step at a time.
(301) 327-4715 View (301) 327-4715
Photo of Dr. Dianne Kleckner, Pastoral Counselor in Hagerstown, MD
Dr. Dianne Kleckner
Pastoral Counselor, Doctora
Verified Verified
Hagerstown, MD 21740
Hello from Bridge of Life Counseling. Our main focus is working with those who are surviving yet suffering with trauma. Being a survivor means you've lived through the tragedy and abuse but now dealing with life can be distorted and hard. Dr. Kleckner has worked 18 years helping people with C/PTSD, Dissociative Disorders and Generalized Anxiety. Perhaps a day such as this is your time to call. Professional, experienced and caring, Dr. Kleckner can help you. There is Hope for your Future. References are available.
Hello from Bridge of Life Counseling. Our main focus is working with those who are surviving yet suffering with trauma. Being a survivor means you've lived through the tragedy and abuse but now dealing with life can be distorted and hard. Dr. Kleckner has worked 18 years helping people with C/PTSD, Dissociative Disorders and Generalized Anxiety. Perhaps a day such as this is your time to call. Professional, experienced and caring, Dr. Kleckner can help you. There is Hope for your Future. References are available.
(301) 710-0764 View (301) 710-0764
Photo of Rachel Matthews, Clinical Social Work/Therapist in Hagerstown, MD
Rachel Matthews
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
1 Endorsed
Hagerstown, MD 21740  (Online Only)
I help clients that suffer from anxiety, depression, attachment failures, and trauma to become empowered, overcome their distress, and heal, to live happy and fulfilling lives. Sometimes our past experiences can leave us with anxiety, depression, stress, relationship challenges, and many other issues. I specialize in helping people to uncover how their past experiences are affecting their present lives, so that they can develop the tools and skills to overcome their challenges, transform their lives, and experience lasting relief.
I help clients that suffer from anxiety, depression, attachment failures, and trauma to become empowered, overcome their distress, and heal, to live happy and fulfilling lives. Sometimes our past experiences can leave us with anxiety, depression, stress, relationship challenges, and many other issues. I specialize in helping people to uncover how their past experiences are affecting their present lives, so that they can develop the tools and skills to overcome their challenges, transform their lives, and experience lasting relief.
(240) 716-6543 View (240) 716-6543

How does your Therapist compare?

Number of Therapists in Hagerstown, MD

100+

Average cost per session

$140

Therapists in Hagerstown, MD who prioritize treating:

91% Anxiety
89% Depression
73% Self Esteem
69% Relationship Issues
69% Trauma and PTSD
68% Coping Skills
66% Stress

Average years in practice

11 Years

Top 3 insurances accepted

79% BlueCross and BlueShield
69% Cigna and Evernorth
68% CareFirst

How Therapists in Hagerstown, MD see their clients

58% In Person and Online
42% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Hagerstown?

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.