Therapists in Cement City, MI

Photo of Jacquelynn Hunt-Deneau, Clinical Social Work/Therapist, LMSW, MBA
Jacquelynn Hunt-Deneau
Clinical Social Work/Therapist, LMSW, MBA
1 Endorsed
Cement City, MI 49233
My ideal client feels overwhelmed by anxiety, stress, or self-doubt and is looking for a safe, supportive space to explore these experiences. They may be navigating life transitions, struggling with negative thought patterns, or feeling stuck despite wanting change. They're seeking tools to manage emotions, improve self-esteem, and find balance. What they want most is to feel confident, grounded, and in control. They don’t need to have it all figured out—just a willingness to show up, be open, and do the work to thrive, not just survive.
My ideal client feels overwhelmed by anxiety, stress, or self-doubt and is looking for a safe, supportive space to explore these experiences. They may be navigating life transitions, struggling with negative thought patterns, or feeling stuck despite wanting change. They're seeking tools to manage emotions, improve self-esteem, and find balance. What they want most is to feel confident, grounded, and in control. They don’t need to have it all figured out—just a willingness to show up, be open, and do the work to thrive, not just survive.
(517) 955-2952 View (517) 955-2952

More Therapists Nearby

Photo of Griffin Charles Sobol - Griffin Sobol Counseling, Licensed Professional Counselor, MA, LPC
Griffin Sobol Counseling
Licensed Professional Counselor, MA, LPC
Adrian, MI 49221
Have you ever found yourself running around in circles in life? Found yourself falling in the same patterns over and over again? Gaining control over your own life allows purpose and growth to proceed. It unbends those circles and leaves the patterns behind. By taking control, you are putting yourself back into the driver seat and giving yourself the power of choice in your own life. Choice in life is making clear decisions based upon you. This is what leads to living a life full of fulfillment. Encouraging and guiding people to this idea is something I am passionate about and how I do my work.
Have you ever found yourself running around in circles in life? Found yourself falling in the same patterns over and over again? Gaining control over your own life allows purpose and growth to proceed. It unbends those circles and leaves the patterns behind. By taking control, you are putting yourself back into the driver seat and giving yourself the power of choice in your own life. Choice in life is making clear decisions based upon you. This is what leads to living a life full of fulfillment. Encouraging and guiding people to this idea is something I am passionate about and how I do my work.
(517) 883-4126 View (517) 883-4126
Photo of Becky M​e​s​m​a​n, Licensed Professional Counselor, MA, LPC
Becky M​e​s​m​a​n
Licensed Professional Counselor, MA, LPC
Saline, MI 48176
Elite Counseling is accepting new clients In Person and Virtual starting 1/1/2025! Do you need a change in your life? Is something holding you back from reaching your potential? Let us help you! We specialize in Individual, Couples and Family Counseling. We treat clients of all ages struggling with Anxiety, Depression, OCD, Marital/Premarital Struggles, Divorce Recovery, Injury Recovery, Burnout (Work, Relationships, Sports), Trauma, Grief/Loss, Anger Management, Stress, and Life Transitions.
Elite Counseling is accepting new clients In Person and Virtual starting 1/1/2025! Do you need a change in your life? Is something holding you back from reaching your potential? Let us help you! We specialize in Individual, Couples and Family Counseling. We treat clients of all ages struggling with Anxiety, Depression, OCD, Marital/Premarital Struggles, Divorce Recovery, Injury Recovery, Burnout (Work, Relationships, Sports), Trauma, Grief/Loss, Anger Management, Stress, and Life Transitions.
(248) 955-2565 View (248) 955-2565
Photo of Sarah Holsinger-Friesen, Licensed Professional Counselor, LPC
Sarah Holsinger-Friesen
Licensed Professional Counselor, LPC
4 Endorsed
Jackson, MI 49203
It’s easy to find ourselves ‘stuck’ – whether in negative patterns of thinking, hurtful relationships, or in the all-to-familiar traps of anxiety and depression. Over my nearly sixteen years of clinical experience, I’ve helped clients (single and married) from all walks of life bridge the gap between where they are and where they long to be. For some, growth looks like re-established relational connections, more effective communication skills, healthier boundaries, or greater self-acceptance and contentment with life.
It’s easy to find ourselves ‘stuck’ – whether in negative patterns of thinking, hurtful relationships, or in the all-to-familiar traps of anxiety and depression. Over my nearly sixteen years of clinical experience, I’ve helped clients (single and married) from all walks of life bridge the gap between where they are and where they long to be. For some, growth looks like re-established relational connections, more effective communication skills, healthier boundaries, or greater self-acceptance and contentment with life.
(517) 513-6695 View (517) 513-6695
Photo of Leonard J Gallagher - LJGallagher PsyD & Associates PLLC, Psychologist, PsyD
LJGallagher PsyD & Associates PLLC
Psychologist, PsyD
2 Endorsed
Brooklyn, MI 49230
Despite doing your best to check all the boxes, you can't shake the feeling that something is missing-namely fulfillment, passion and feeling valued. It's like you're stagnant, not growing or contributing in a meaningful way. The things that once brought excitement might now feel hollow or unsatisfying. It is easy to slip into patterns of boredom or unhealthy habits, like drinking more than you'd like. You might feel disconnected from your partner, and may have been called "emotionally unavailable" by them. As the world continues to change, you're uncertain how to fit into it, but you know that life's too short to waste more time.
Despite doing your best to check all the boxes, you can't shake the feeling that something is missing-namely fulfillment, passion and feeling valued. It's like you're stagnant, not growing or contributing in a meaningful way. The things that once brought excitement might now feel hollow or unsatisfying. It is easy to slip into patterns of boredom or unhealthy habits, like drinking more than you'd like. You might feel disconnected from your partner, and may have been called "emotionally unavailable" by them. As the world continues to change, you're uncertain how to fit into it, but you know that life's too short to waste more time.
(517) 283-6612 View (517) 283-6612
Photo of Dell Jacobs, Licensed Master Social Worker, LCSW
Dell Jacobs
Licensed Master Social Worker, LCSW
Online Only
At Community Elevation, we are dedicated to empowering communities through compassionate, culturally responsive therapy. I understand the challenges we face—systemic inequities, cultural stigmas, and societal pressures—and I’m dedicated to providing a safe space where you feel seen, heard, and valued. Together, we can navigate your path to healing, resilience, and growth. I believe in the power of connection and creating safe spaces where you can feel seen, heard, and valued. Your story matters, and I am here to walk alongside you on your journey toward healing and growth.
At Community Elevation, we are dedicated to empowering communities through compassionate, culturally responsive therapy. I understand the challenges we face—systemic inequities, cultural stigmas, and societal pressures—and I’m dedicated to providing a safe space where you feel seen, heard, and valued. Together, we can navigate your path to healing, resilience, and growth. I believe in the power of connection and creating safe spaces where you can feel seen, heard, and valued. Your story matters, and I am here to walk alongside you on your journey toward healing and growth.
(734) 562-0799 View (734) 562-0799
Photo of Carol Heckaman, Clinical Social Work/Therapist, LMSW
Carol Heckaman
Clinical Social Work/Therapist, LMSW
Jackson, MI 49202
Carol has many years of experience assessing emotional impairments and Autism Spectrum Disorder in children ages 3 to 19 in the school setting. In addition to specializing in treatment with adolescents in the schools, she has worked with a variety of mental health disorders in the past seven years, providing care for both children and adults in her private practice. Carol has treated anxiety, depression, trauma related disorders, bi-polar disorder, adjustment disorders, Attention Deficit Hyperactivity Disorder, personality disorders, eating disorders, substance use disorders and grief.
Carol has many years of experience assessing emotional impairments and Autism Spectrum Disorder in children ages 3 to 19 in the school setting. In addition to specializing in treatment with adolescents in the schools, she has worked with a variety of mental health disorders in the past seven years, providing care for both children and adults in her private practice. Carol has treated anxiety, depression, trauma related disorders, bi-polar disorder, adjustment disorders, Attention Deficit Hyperactivity Disorder, personality disorders, eating disorders, substance use disorders and grief.
(517) 793-5721 View (517) 793-5721
Photo of Franka Arcangeli - International Therapy Solutions, PLLC, LMSW
International Therapy Solutions, PLLC
Verified Verified
Serves Area
Our founder was selected prestigiously as a University of Michigan field faculty instructor. We are a Mental Health Therapy office. Our founder has a Master's Degree from the number one school in clinical social work in the United States of America; the University of Michigan - Ann Arbor and was clinically trained as a social worker psychotherapist by the Department of Psychiatry at the University of Michigan Health System, where she also conducted research on a variety of mental health issues and continue to work with communities and groups of diverse backgrounds.
Our founder was selected prestigiously as a University of Michigan field faculty instructor. We are a Mental Health Therapy office. Our founder has a Master's Degree from the number one school in clinical social work in the United States of America; the University of Michigan - Ann Arbor and was clinically trained as a social worker psychotherapist by the Department of Psychiatry at the University of Michigan Health System, where she also conducted research on a variety of mental health issues and continue to work with communities and groups of diverse backgrounds.
(586) 685-7786 View (586) 685-7786
Photo of David Moultrup, Clinical Social Work/Therapist, MSW, LICSW
David Moultrup
Clinical Social Work/Therapist, MSW, LICSW
Online Only
I see the many dimensions of life, including self identity, connections to others, history, humor, and so on, as central to the process of real healing. Bringing the invaluable benefit of a lifelong career as a psychotherapist to the healing experience, my contribution to the process of therapy simply cannot be summarized in a few words. I offer an approach that evolves to best meet the needs of each individual or couple.
I see the many dimensions of life, including self identity, connections to others, history, humor, and so on, as central to the process of real healing. Bringing the invaluable benefit of a lifelong career as a psychotherapist to the healing experience, my contribution to the process of therapy simply cannot be summarized in a few words. I offer an approach that evolves to best meet the needs of each individual or couple.
(617) 615-9912 View (617) 615-9912
Photo of Violet Eden, Licensed Professional Counselor, MA
Violet Eden
Licensed Professional Counselor, MA
Online Only
Life can feel overwhelming when anxiety, low mood, or self-doubt take hold. You may find yourself overthinking, feeling stuck, or carrying more than you can sort through on your own. In our work together, we slow things down and begin to understand what's happening inside. It’s not about trying to “fix” you - it’s about creating the kind of inner understanding that allows real change to happen, so you can stop pushing through and begin to find your way back to yourself. My approach is warm and unhurried - grounded in deep listening, and helping you understand yourself with more clarity and compassion.
Life can feel overwhelming when anxiety, low mood, or self-doubt take hold. You may find yourself overthinking, feeling stuck, or carrying more than you can sort through on your own. In our work together, we slow things down and begin to understand what's happening inside. It’s not about trying to “fix” you - it’s about creating the kind of inner understanding that allows real change to happen, so you can stop pushing through and begin to find your way back to yourself. My approach is warm and unhurried - grounded in deep listening, and helping you understand yourself with more clarity and compassion.
(734) 238-3690 View (734) 238-3690
Photo of Kristyn Driver, Clinical Social Work/Therapist, LMSW, IMH-E
Kristyn Driver
Clinical Social Work/Therapist, LMSW, IMH-E
Online Only
Becoming a parent can often feel like it isn’t all that you’ve dreamed, and this can feel isolating, worried that you are the only one experiencing hard times with your child. I can offer support if you are struggling with prenatal adjustment, new or heightened anxiety or depression or are experiencing difficulties connecting with your baby. I can help you manage overwhelming thoughts, or work through past trauma to be more present. If you have a young child who has struggles getting through the day or have concerns about their emotional development and you aren’t sure what else to do, I am here to help you figure out what is next.
Becoming a parent can often feel like it isn’t all that you’ve dreamed, and this can feel isolating, worried that you are the only one experiencing hard times with your child. I can offer support if you are struggling with prenatal adjustment, new or heightened anxiety or depression or are experiencing difficulties connecting with your baby. I can help you manage overwhelming thoughts, or work through past trauma to be more present. If you have a young child who has struggles getting through the day or have concerns about their emotional development and you aren’t sure what else to do, I am here to help you figure out what is next.
(734) 977-0824 View (734) 977-0824
Photo of Cherith Nottingham, Counselor, MA, LLPC
Cherith Nottingham
Counselor, MA, LLPC
Serves Area
You are a unique individual, and no single human has all the answers to the challenges you may be facing. However, through thoughtful collaboration and considering your whole person we can identify the services that best align with your needs. I have had the privilege of working with clients across a wide range of ages and life stages—including those navigating anxious or depressive thoughts due to significant experiences, life transitions, or periods of adjustment. If desired, I draw upon 30 plus years of faith-based practices to walk alongside you in a way that integrates evidence-based practices and a Christian worldview.
You are a unique individual, and no single human has all the answers to the challenges you may be facing. However, through thoughtful collaboration and considering your whole person we can identify the services that best align with your needs. I have had the privilege of working with clients across a wide range of ages and life stages—including those navigating anxious or depressive thoughts due to significant experiences, life transitions, or periods of adjustment. If desired, I draw upon 30 plus years of faith-based practices to walk alongside you in a way that integrates evidence-based practices and a Christian worldview.
(517) 793-0848 View (517) 793-0848
Photo of Sara Beg, Licensed Professional Counselor, MA, LPC, NCC
Sara Beg
Licensed Professional Counselor, MA, LPC, NCC
5 Endorsed
Online Only
You feel stuck, lonely, or overwhelmed, even when you're trying your hardest. Maybe you're exhausted while struggling with self-doubt, heavy expectations, or the effects of emotional, psychological, or physical abuse. Through our work, you'll learn to reconnect with your inner voice, heal at your own pace, and learn boundaries that support safety and self-trust. In addition to treating anxiety, depression, and trauma, I also support women and couples navigating infertility, pregnancy loss, and postpartum depression and anxiety. My clients include other therapists, first responders, and others who need space to just "be."
You feel stuck, lonely, or overwhelmed, even when you're trying your hardest. Maybe you're exhausted while struggling with self-doubt, heavy expectations, or the effects of emotional, psychological, or physical abuse. Through our work, you'll learn to reconnect with your inner voice, heal at your own pace, and learn boundaries that support safety and self-trust. In addition to treating anxiety, depression, and trauma, I also support women and couples navigating infertility, pregnancy loss, and postpartum depression and anxiety. My clients include other therapists, first responders, and others who need space to just "be."
(517) 743-8994 View (517) 743-8994
Photo of Tammy Edinger, Clinical Social Work/Therapist, LMSW, ACSW, BCD
Tammy Edinger
Clinical Social Work/Therapist, LMSW, ACSW, BCD
1 Endorsed
Jackson, MI 49202
In my 30 years of clinical work, the majority of my clients want to solve a problem(s) or gain control of their life. Seeking out therapy can be difficult for a multitude of reasons. Reaching out to a therapist is similar to reaching out to a physician, chiropractor or physical therapist; healing! In therapy, you decide the goals you want to reach. I can assist you in determining your goals, if you're not sure of the starting point. The choice is yours! There are two therapy dogs in the office.
In my 30 years of clinical work, the majority of my clients want to solve a problem(s) or gain control of their life. Seeking out therapy can be difficult for a multitude of reasons. Reaching out to a therapist is similar to reaching out to a physician, chiropractor or physical therapist; healing! In therapy, you decide the goals you want to reach. I can assist you in determining your goals, if you're not sure of the starting point. The choice is yours! There are two therapy dogs in the office.
(517) 210-1308 View (517) 210-1308
Photo of Sarah Goodell, Clinical Social Work/Therapist, LMSW
Sarah Goodell
Clinical Social Work/Therapist, LMSW
2 Endorsed
Brooklyn, MI 49230
Hello wonderful Being, it is my privilege to walk with you on your path of healing. I have worked with people from all walks of life and am oriented towards helping those struggling with stress, anxiety, trauma, and self-esteem. As a holistic therapist, I aim to help clients better understand their nervous systems and the impact of trauma.
Hello wonderful Being, it is my privilege to walk with you on your path of healing. I have worked with people from all walks of life and am oriented towards helping those struggling with stress, anxiety, trauma, and self-esteem. As a holistic therapist, I aim to help clients better understand their nervous systems and the impact of trauma.
(517) 300-7524 View (517) 300-7524
Photo of Austin Gonzalez, Clinical Social Work/Therapist, LMSW, CST
Austin Gonzalez
Clinical Social Work/Therapist, LMSW, CST
1 Endorsed
Adrian, MI 49221
Not accepting new clients
As your therapist, my priority is to create a shame free and non-judgmental space for you to show up as your genuine self. I offer supportive feedback combined with tools and skills tailored to meet your individual goals. I specialize in mood disorders, relationships, sexuality & sex therapy and supporting LGBTQIA+ folx. I use mindfulness based interventions, somatic skills, DBT, CBT, trauma informed care and solution focused interventions. I honor all identities and practice from a person centered, strengths based, social justice informed approach. I offer surgery letters for gender affirming care.
As your therapist, my priority is to create a shame free and non-judgmental space for you to show up as your genuine self. I offer supportive feedback combined with tools and skills tailored to meet your individual goals. I specialize in mood disorders, relationships, sexuality & sex therapy and supporting LGBTQIA+ folx. I use mindfulness based interventions, somatic skills, DBT, CBT, trauma informed care and solution focused interventions. I honor all identities and practice from a person centered, strengths based, social justice informed approach. I offer surgery letters for gender affirming care.
(616) 208-2904 View (616) 208-2904
Photo of Lisbeth Harcourt, Clinical Social Work/Therapist, LMSW-C
Lisbeth Harcourt
Clinical Social Work/Therapist, LMSW-C
Online Only
I am a licensed clinical social worker with over twenty-five years of experience working in healthcare. I graduated from the University of Michigan School of Social Work in 1999. I have worked extensively in healthcare with experience in both acute care and ambulatory settings. My professional interests focus on issues related to coping with chronic illness, caregiver stress, end-of-life care and support, grief and loss across the life span, bereavement support to families, and assisting health care workers in recognizing the unique aspects of professional grief to avoid burnout.
I am a licensed clinical social worker with over twenty-five years of experience working in healthcare. I graduated from the University of Michigan School of Social Work in 1999. I have worked extensively in healthcare with experience in both acute care and ambulatory settings. My professional interests focus on issues related to coping with chronic illness, caregiver stress, end-of-life care and support, grief and loss across the life span, bereavement support to families, and assisting health care workers in recognizing the unique aspects of professional grief to avoid burnout.
(734) 251-5371 View (734) 251-5371
Photo of Mary Eldredge, Clinical Social Work/Therapist, LMSW, MSW
Mary Eldredge
Clinical Social Work/Therapist, LMSW, MSW
Saline, MI 48176
I offer a broad set of skills and experiences after my 30+ years in mental health care. I love working with people of all ages, from young preschoolers to older adults, and needs, including with persons on the autism spectrum and DD/ID and caregivers. I approach therapy with a lens of building independence and self-sufficiency while balancing that with a client-guided pace.
I offer a broad set of skills and experiences after my 30+ years in mental health care. I love working with people of all ages, from young preschoolers to older adults, and needs, including with persons on the autism spectrum and DD/ID and caregivers. I approach therapy with a lens of building independence and self-sufficiency while balancing that with a client-guided pace.
(734) 440-9052 View (734) 440-9052
Photo of Nicole Goodroe-Monette, Licensed Professional Counselor, MA, CRC, LPC
Nicole Goodroe-Monette
Licensed Professional Counselor, MA, CRC, LPC
2 Endorsed
Online Only
You’ve been trying to manage anxiety, depression, self-doubt, or relationship issues but the changes don’t seem to last. Feeling stuck, overwhelmed, or frustrated by the same patterns can wear you down over time. I take a direct, down-to-earth approach to therapy. Sessions are honest and practical - aka no fluff and no wasted time. You’ll gain clear insight and tools you can actually use in your daily life, not just in session. Together, we’ll identify what’s keeping you stuck and build a path forward that fits your life. My goal is to help you strengthen confidence, improve relationships, and create lasting, meaningful change.
You’ve been trying to manage anxiety, depression, self-doubt, or relationship issues but the changes don’t seem to last. Feeling stuck, overwhelmed, or frustrated by the same patterns can wear you down over time. I take a direct, down-to-earth approach to therapy. Sessions are honest and practical - aka no fluff and no wasted time. You’ll gain clear insight and tools you can actually use in your daily life, not just in session. Together, we’ll identify what’s keeping you stuck and build a path forward that fits your life. My goal is to help you strengthen confidence, improve relationships, and create lasting, meaningful change.
(734) 245-2319 View (734) 245-2319
Photo of Christine Wright, Clinical Social Work/Therapist, LMSW, CAADC
Christine Wright
Clinical Social Work/Therapist, LMSW, CAADC
1 Endorsed
Online Only
I am licensed in Michigan and I am located between Hillsdale and Jackson counties. Are you ready to work through life changes? I work well with substance use, anxiety, depression, PTSD, and parenting issues.
I am licensed in Michigan and I am located between Hillsdale and Jackson counties. Are you ready to work through life changes? I work well with substance use, anxiety, depression, PTSD, and parenting issues.
(517) 921-0806 View (517) 921-0806

How does your Therapist compare?

Number of Therapists in Cement City, MI

< 10

Therapists in Cement City, MI who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Bipolar Disorder
100% Self Esteem
100% Women's Issues
100% Body Image

Average years in practice

5 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in Cement City, MI see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Cement City?

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.