Therapists in Pasadena, MD

Photo of Gabrielle Patton, Licensed Clinical Professional Counselor, LPC
Gabrielle Patton
Licensed Clinical Professional Counselor, LPC
Online Only
Welcome! I am a Licensed Clinical Professional Counselor (LCPC) based in Maryland. I have a Master's degree in Clinical Mental Health Counseling from the George Washington University, and have been providing therapy services to a diverse range of people for over 10 years. I help adults and adolescents decrease feelings of anxiety and depression, develop healthier patterns of thinking, and process past experiences that are causing current challenges.
Welcome! I am a Licensed Clinical Professional Counselor (LCPC) based in Maryland. I have a Master's degree in Clinical Mental Health Counseling from the George Washington University, and have been providing therapy services to a diverse range of people for over 10 years. I help adults and adolescents decrease feelings of anxiety and depression, develop healthier patterns of thinking, and process past experiences that are causing current challenges.
(410) 835-4246 View (410) 835-4246
Photo of Patricia Itzel, Clinical Social Work/Therapist, LCSW-C
Patricia Itzel
Clinical Social Work/Therapist, LCSW-C
Online Only
My name is Patricia (Trisha) Itzel. I am a licensed clinical social worker with over 20 years of experience. I received my bachelor's degree in psychology at Towson University and my master's degree in clinical social work from the University of Maryland. I utilize multiple therapeutic modalities to best facilitate goal achievement, successful functioning, and overall wellness. I meet clients where they are and together, we move toward positive change through cognitive and strength-based therapies.
My name is Patricia (Trisha) Itzel. I am a licensed clinical social worker with over 20 years of experience. I received my bachelor's degree in psychology at Towson University and my master's degree in clinical social work from the University of Maryland. I utilize multiple therapeutic modalities to best facilitate goal achievement, successful functioning, and overall wellness. I meet clients where they are and together, we move toward positive change through cognitive and strength-based therapies.
(667) 222-1864 View (667) 222-1864
Photo of Edwin Hernandez-Martinez, Clinical Social Work/Therapist, LCSW-C
Edwin Hernandez-Martinez
Clinical Social Work/Therapist, LCSW-C
Online Only
I have found my work grounded in supporting adults living with anxiety, depression, relationship issues, grief and loss, disordered eating, and trauma. My therapeutic work is deeply influenced by a desire to explore and understand the patterns stemming from family of origin issues and how they impact my clients’ current relationship with themselves and others.
I have found my work grounded in supporting adults living with anxiety, depression, relationship issues, grief and loss, disordered eating, and trauma. My therapeutic work is deeply influenced by a desire to explore and understand the patterns stemming from family of origin issues and how they impact my clients’ current relationship with themselves and others.
(410) 401-8916 View (410) 401-8916
Photo of Randi Robbins, Clinical Social Work/Therapist, LCSW, LCSW-C, LICSW
Randi Robbins
Clinical Social Work/Therapist, LCSW, LCSW-C, LICSW
Online Only
Do you find yourself feeling unstable or broken, no matter what you do? You've tried toughing it out, burying your feelings, taking medications, going to therapy. None of it has been enough, and you're afraid you'll never feel better. You're tired of getting triggered, living through the same ups and downs over and over again, and feeling bad about yourself all the time. I want you to know that your life can be better; your life can be good. You don't have to keep suffering.
Do you find yourself feeling unstable or broken, no matter what you do? You've tried toughing it out, burying your feelings, taking medications, going to therapy. None of it has been enough, and you're afraid you'll never feel better. You're tired of getting triggered, living through the same ups and downs over and over again, and feeling bad about yourself all the time. I want you to know that your life can be better; your life can be good. You don't have to keep suffering.
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Photo of Luke Hudson, Clinical Social Work/Therapist, LCSW-C
Luke Hudson
Clinical Social Work/Therapist, LCSW-C
4 Endorsed
Online Only
“Darkness, the one thing we all understand” (Anastasio/Marshall) “Out of the darkness comes light like a flash” (Matthews) - These two quotes can sum up the beauty of therapy. They tell us that we are not alone and that the struggles we face can be turned into our greatest assets! Our issues consume energy, a lot of it. What if we were able to transform that energy into something desirable? Delving into our thoughts and feelings takes courage but can also shed new light!
“Darkness, the one thing we all understand” (Anastasio/Marshall) “Out of the darkness comes light like a flash” (Matthews) - These two quotes can sum up the beauty of therapy. They tell us that we are not alone and that the struggles we face can be turned into our greatest assets! Our issues consume energy, a lot of it. What if we were able to transform that energy into something desirable? Delving into our thoughts and feelings takes courage but can also shed new light!
(443) 323-2465 View (443) 323-2465
Photo of Francine Bouyett, Licensed Clinical Professional Counselor, LCPC, CMAC, NCC
Francine Bouyett
Licensed Clinical Professional Counselor, LCPC, CMAC, NCC
2 Endorsed
Online Only
Waitlist for new clients
It can be difficult to open up and talk about your life stressors to someone you don’t know. Sometimes we can feel unheard or alone and just need someone who can be a helping, nonjudgmental, and listening ear. The hardest part can be finding the words to express ourselves and process what can feel like a jumbled mess and you just need someone to help put the scattered puzzle pieces together to create a beautiful picture. Aristotle said it best, “Knowing yourself is the beginning of all wisdom.” I can help with building coping skills, work on effective communication, self-expression, processing trauma/grief, and mindfulness.
It can be difficult to open up and talk about your life stressors to someone you don’t know. Sometimes we can feel unheard or alone and just need someone who can be a helping, nonjudgmental, and listening ear. The hardest part can be finding the words to express ourselves and process what can feel like a jumbled mess and you just need someone to help put the scattered puzzle pieces together to create a beautiful picture. Aristotle said it best, “Knowing yourself is the beginning of all wisdom.” I can help with building coping skills, work on effective communication, self-expression, processing trauma/grief, and mindfulness.
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Photo of Amber Schmidt, Clinical Social Work/Therapist, LCSW-C
Amber Schmidt
Clinical Social Work/Therapist, LCSW-C
Online Only
Starting therapy can feel like a big step. I congratulate you on taking the first one and want you to know I’m here to make the process meaningful and supportive. I specialize in working with adults navigating anxiety, life transitions, depression, identity-related questions, and emotional overwhelm. My approach is client-centered and collaborative, tailoring each session to your unique needs and goals. You're welcome here exactly as you are.
Starting therapy can feel like a big step. I congratulate you on taking the first one and want you to know I’m here to make the process meaningful and supportive. I specialize in working with adults navigating anxiety, life transitions, depression, identity-related questions, and emotional overwhelm. My approach is client-centered and collaborative, tailoring each session to your unique needs and goals. You're welcome here exactly as you are.
(410) 881-6024 View (410) 881-6024
Photo of Melissa Muzzupappa - Seaside Reflections Counseling, LLC, Clinical Social Work/Therapist, LCSW-C, LCSW, LISW-CP
Seaside Reflections Counseling, LLC
Clinical Social Work/Therapist, LCSW-C, LCSW, LISW-CP
1 Endorsed
Online Only
Seaside Reflections Counseling, LLC is dedicated to creating a secure and therapeutic environment for victims of narcissistic abuse and trauma. Our mission is to empower individuals through psychotherapy, psychoeducation, validation, and hope. We provide resources and a supportive space for processing personal experiences, with a focus on rebuilding self-esteem and self-love. Our commitment is to guide each individual on their unique journey towards healing and self-discovery.
Seaside Reflections Counseling, LLC is dedicated to creating a secure and therapeutic environment for victims of narcissistic abuse and trauma. Our mission is to empower individuals through psychotherapy, psychoeducation, validation, and hope. We provide resources and a supportive space for processing personal experiences, with a focus on rebuilding self-esteem and self-love. Our commitment is to guide each individual on their unique journey towards healing and self-discovery.
(443) 258-5232 View (443) 258-5232
Photo of Courtney Bianchi - Courtney Bianchi, LCSW-C, LLC, Clinical Social Work/Therapist, LCSW-C
Courtney Bianchi, LCSW-C, LLC
Clinical Social Work/Therapist, LCSW-C
4 Endorsed
Online Only
Waitlist for new clients
Often clients begin their therapy journey reporting feeling stuck in patterns that cause them distress (ie romantic relationships, job stagnation, family dynamics, parent/child interactions, mood instability, etc). Whether these patterns are a result of known trauma(s), relational wounds, or something else, we can gain clarity about these patterns. We will get to know the parts of you that are seeking change while also getting to know the parts of you who have been working in the same way, often for many years. While I have extensive training in CBT, DBT and other therapy modalities, I solidly use IFS (internal family systems).
Often clients begin their therapy journey reporting feeling stuck in patterns that cause them distress (ie romantic relationships, job stagnation, family dynamics, parent/child interactions, mood instability, etc). Whether these patterns are a result of known trauma(s), relational wounds, or something else, we can gain clarity about these patterns. We will get to know the parts of you that are seeking change while also getting to know the parts of you who have been working in the same way, often for many years. While I have extensive training in CBT, DBT and other therapy modalities, I solidly use IFS (internal family systems).
(443) 569-4040 View (443) 569-4040
Photo of Kedlyne Ferrari, Clinical Social Work/Therapist, LCSW-C
Kedlyne Ferrari
Clinical Social Work/Therapist, LCSW-C
Online Only
My ideal client is someone striving to bring greater balance and fulfillment to their life by building essential skills for habit formation and emotional regulation. They may feel stuck in cycles of inconsistency, overwhelmed by challenges like ADHD, depression, or anxiety, and are seeking guidance to regain a sense of control. They’re motivated to grow, eager to develop practical strategies for organization and resilience, and value the accountability and support needed to unlock their potential and achieve their goals.
My ideal client is someone striving to bring greater balance and fulfillment to their life by building essential skills for habit formation and emotional regulation. They may feel stuck in cycles of inconsistency, overwhelmed by challenges like ADHD, depression, or anxiety, and are seeking guidance to regain a sense of control. They’re motivated to grow, eager to develop practical strategies for organization and resilience, and value the accountability and support needed to unlock their potential and achieve their goals.
(443) 331-2982 View (443) 331-2982
Photo of Kyle Kellermeyer, Counselor, LCPC
Kyle Kellermeyer
Counselor, LCPC
Online Only
As a dedicated mental health therapist, I offer a warm, empathetic, and relatable approach. With a strong foundation in therapeutic techniques and a deep understanding of human emotions, I create a safe, supportive environment that fosters trust and openness. This allows clients to explore their thoughts and feelings without judgment. Committed to promoting mental wellness, I tailor my methods to meet each client's unique needs, guiding them toward self-discovery and growth. My passion for helping others inspires resilience and empowers individuals on their healing journey.
As a dedicated mental health therapist, I offer a warm, empathetic, and relatable approach. With a strong foundation in therapeutic techniques and a deep understanding of human emotions, I create a safe, supportive environment that fosters trust and openness. This allows clients to explore their thoughts and feelings without judgment. Committed to promoting mental wellness, I tailor my methods to meet each client's unique needs, guiding them toward self-discovery and growth. My passion for helping others inspires resilience and empowers individuals on their healing journey.
(443) 233-0503 View (443) 233-0503
Photo of Francesca Ingrid Brooks, Clinical Social Work/Therapist, LCSW
Francesca Ingrid Brooks
Clinical Social Work/Therapist, LCSW
Pasadena, MD 21122
My ideal client is someone who is diagnosed with anxiety disorder. These symptoms develop in childhood and are still present through adulthood if not treated. Individuals need to face their fears with the support of a therapist. By trying to remain calm, without becoming overly anxious or having a panic attack. My goal as a therapist is to help them build their self-confidence so they can control their fears and feel secure. I work with clients to remain calm and practice breathing techniques. I build empathy with my clients by explaining that they are not alone in their struggles.
My ideal client is someone who is diagnosed with anxiety disorder. These symptoms develop in childhood and are still present through adulthood if not treated. Individuals need to face their fears with the support of a therapist. By trying to remain calm, without becoming overly anxious or having a panic attack. My goal as a therapist is to help them build their self-confidence so they can control their fears and feel secure. I work with clients to remain calm and practice breathing techniques. I build empathy with my clients by explaining that they are not alone in their struggles.
(410) 914-1289 View (410) 914-1289
Photo of Amy Foehrkolb - Behavioral Health of the Mid Atlantic, Licensed Clinical Professional Counselor, LCPC
Behavioral Health of the Mid Atlantic
Licensed Clinical Professional Counselor, LCPC
Online Only
It’s not always easy to find someone who understands and listens to you. The first step in therapy is finding someone you can trust with your scariest thoughts and emotions. With support and empathy, we can help you learn new ways to manage your symptoms, relationships or situations that work for you.
It’s not always easy to find someone who understands and listens to you. The first step in therapy is finding someone you can trust with your scariest thoughts and emotions. With support and empathy, we can help you learn new ways to manage your symptoms, relationships or situations that work for you.
(443) 843-0240 View (443) 843-0240
Photo of Shayla King, Pre-Licensed Professional
Shayla King
Pre-Licensed Professional
Pasadena, MD 21122
Have you ever wished that you could understand why you do the things you do, or react the way you do to certain situations? Have you ever tried to get it together to only wonder where it went sideways? Does the idea of a planner/organizer make you twitch? Would you like company while navigating your path? As a counseling intern working toward full licensure, I am here to offer a supportive, judgment-free space where we can work together to explore what’s working, what’s not, and how to build tools that truly fit you. My goal isn’t to “fix” you, but to walk alongside you as you gain clarity, confidence, and self-compassion.
Have you ever wished that you could understand why you do the things you do, or react the way you do to certain situations? Have you ever tried to get it together to only wonder where it went sideways? Does the idea of a planner/organizer make you twitch? Would you like company while navigating your path? As a counseling intern working toward full licensure, I am here to offer a supportive, judgment-free space where we can work together to explore what’s working, what’s not, and how to build tools that truly fit you. My goal isn’t to “fix” you, but to walk alongside you as you gain clarity, confidence, and self-compassion.
(443) 390-7456 View (443) 390-7456
Photo of Melonie A Truslow - Shoreline Counseling Services LLC, Clinical Social Work/Therapist, MSW, LCSW-C
Shoreline Counseling Services LLC
Clinical Social Work/Therapist, MSW, LCSW-C
Pasadena, MD 21122
Welcome to Shoreline Counseling Services LLC. My name is Melonie Truslow, I am the owner and operator of Shoreline Counseling. We, here at Shoreline offer a wide variety of services, including individual , couples and family counseling services. My team has extensive experience in a variety of mental health issues, ranging from simple behavioral modifications to intense mental health diagnoses. Voted Pasadena's Top Licensed Clinician by the International Leaders ! Telehealth options available ! Voted the BEST of Anne Arundel County 2021!! Certified Life Coach through the Certified Life Coach Institute!
Welcome to Shoreline Counseling Services LLC. My name is Melonie Truslow, I am the owner and operator of Shoreline Counseling. We, here at Shoreline offer a wide variety of services, including individual , couples and family counseling services. My team has extensive experience in a variety of mental health issues, ranging from simple behavioral modifications to intense mental health diagnoses. Voted Pasadena's Top Licensed Clinician by the International Leaders ! Telehealth options available ! Voted the BEST of Anne Arundel County 2021!! Certified Life Coach through the Certified Life Coach Institute!
(443) 341-0649 View (443) 341-0649
Photo of Anna Batyan, Licensed Clinical Professional Counselor, MEd, LCPC
Anna Batyan
Licensed Clinical Professional Counselor, MEd, LCPC
Pasadena, MD 21122
Anna Batyan is a Licensed Clinical Professional Counselor in Maryland who has been practicing since 2019. She earned a bachelor’s degree in psychology and master’s degree in clinical mental health counseling, both of which she completed with excellence at George Mason University. Anna brings a wealth of experience in working at different levels of care with diverse populations struggling with a range of mental health issues, including anxiety, depression, substance use, eating disorders, OCD, ADD/ADHD, and co-occurring diagnosis.
Anna Batyan is a Licensed Clinical Professional Counselor in Maryland who has been practicing since 2019. She earned a bachelor’s degree in psychology and master’s degree in clinical mental health counseling, both of which she completed with excellence at George Mason University. Anna brings a wealth of experience in working at different levels of care with diverse populations struggling with a range of mental health issues, including anxiety, depression, substance use, eating disorders, OCD, ADD/ADHD, and co-occurring diagnosis.
(443) 360-3920 View (443) 360-3920
Photo of Dr. Laurie Scheidle, Psychologist, PhD, LP
Dr. Laurie Scheidle
Psychologist, PhD, LP
Pasadena, MD 21122
Laurie has been practicing as a licensed clinical psychologist since 2011. Over the years she has learned that each individual she has had the honor to serve has been just that – an individual, unlike any other. There is no “cookie cutter” approach to psychotherapy. The therapeutic services she provides is catered to each person, based on their goals, values, and capabilities as well as evidence-based research.
Laurie has been practicing as a licensed clinical psychologist since 2011. Over the years she has learned that each individual she has had the honor to serve has been just that – an individual, unlike any other. There is no “cookie cutter” approach to psychotherapy. The therapeutic services she provides is catered to each person, based on their goals, values, and capabilities as well as evidence-based research.
(443) 888-2146 View (443) 888-2146
Photo of Sakina R Nesbit, Psychologist, PhD
Sakina R Nesbit
Psychologist, PhD
3 Endorsed
Online Only
The clients I work with tend to be introspective, insightful, responsible, and intelligent and are capable of working through their life difficulties. This can be accomplished on a short-term or on a long-term basis. My clients "bring much to the table" but tend to undervalue their worth in one or more areas and may have low self-esteem/confidence. I have worked with very diverse racial and ethnic populations, including first- or second-generation immigrants from Africa, Asia, Europe, South America, the Caribbean, and Canada. I have also worked extensively with many LGBTQ clients.
The clients I work with tend to be introspective, insightful, responsible, and intelligent and are capable of working through their life difficulties. This can be accomplished on a short-term or on a long-term basis. My clients "bring much to the table" but tend to undervalue their worth in one or more areas and may have low self-esteem/confidence. I have worked with very diverse racial and ethnic populations, including first- or second-generation immigrants from Africa, Asia, Europe, South America, the Caribbean, and Canada. I have also worked extensively with many LGBTQ clients.
(240) 334-6462 View (240) 334-6462
Photo of Karelle Edwards-Perry, Licensed Mental Health Counselor , LMHC, LCPC, CMPC
Karelle Edwards-Perry
Licensed Mental Health Counselor , LMHC, LCPC, CMPC
2 Endorsed
Online Only
Welcome to Embrace Your Pace Performance where you don’t have to choose between mental health and high performance. As a 5x Team Canada 100-meter hurdler, I know firsthand how mental wellness can drive, disrupt, or define both performance and overall well-being. Whether you’re an athlete, a high-achiever, or someone seeking meaningful growth, I help you get to the root of who you are, beyond comparison or expectation, so you can live in alignment with yourself. As a biracial woman, a lot of my work also centers around supporting multiracial individuals in in exploring their evolving identities.
Welcome to Embrace Your Pace Performance where you don’t have to choose between mental health and high performance. As a 5x Team Canada 100-meter hurdler, I know firsthand how mental wellness can drive, disrupt, or define both performance and overall well-being. Whether you’re an athlete, a high-achiever, or someone seeking meaningful growth, I help you get to the root of who you are, beyond comparison or expectation, so you can live in alignment with yourself. As a biracial woman, a lot of my work also centers around supporting multiracial individuals in in exploring their evolving identities.
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Photo of Denise McKoy, Clinical Social Work/Therapist, LCSW-C, MS
Denise McKoy
Clinical Social Work/Therapist, LCSW-C, MS
1 Endorsed
Pasadena, MD 21122
Are you going through a difficult transition or struggling from trauma? Mood fluctuations? Do you feel stuck in a cycle you cannot break? Consider a life living well and thriving... Whether you are experiencing a recent difficulty or a long-standing challenge, therapy can offer you new ways to work through challenges and experience joy and hope. My approach is relational and solution-focused. Therapy is tailored to your unique needs and situation. We create a safe space for you to explore, reflect, and learn, while you create new pathways for your life. Now is the time for you to focus on you and live well.
Are you going through a difficult transition or struggling from trauma? Mood fluctuations? Do you feel stuck in a cycle you cannot break? Consider a life living well and thriving... Whether you are experiencing a recent difficulty or a long-standing challenge, therapy can offer you new ways to work through challenges and experience joy and hope. My approach is relational and solution-focused. Therapy is tailored to your unique needs and situation. We create a safe space for you to explore, reflect, and learn, while you create new pathways for your life. Now is the time for you to focus on you and live well.
(443) 315-2770 View (443) 315-2770

See more therapy options for Pasadena

How does your Therapist compare?

Number of Therapists in Pasadena, MD

70+

Average cost per session

$150

Therapists in Pasadena, MD who prioritize treating:

96% Anxiety
91% Depression
75% Relationship Issues
72% Self Esteem
71% Trauma and PTSD
70% Stress
67% Life Transitions

Average years in practice

13 Years

Top 3 insurances accepted

85% Cigna and Evernorth
79% BlueCross and BlueShield
76% CareFirst

How Therapists in Pasadena, MD see their clients

54% In Person and Online
46% Online Only

Gender breakdown

75% Female
22% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Pasadena?

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.