Therapists in Centralia, MO

Photo of Julie Ladd - Learning to Thr;ve Therapeutic Services LLC, Marriage & Family Therapist, LCMFT
Learning to Thr;ve Therapeutic Services LLC
Marriage & Family Therapist, LCMFT
2 Endorsed
Centralia, MO 65240
Hi, my name is Julie. I love working with individuals and couples seeking to cope with a variety of challenges. Areas that I specialize in are anxiety, trauma disorders, and new transitions. I am trained in phase 1 & 2 of Brainspotting, EMDR and Internal Family Systems (IFS parts work). These techniques help us process into the subcortical levels of our brain to experience deeper and longer lasting healing. I am available to provide a Christian counseling perspective, but I love working with clients from any walk of life. Therapy is not always easy, but I would be honored to help you on your journey in Learning to Thrive.
Hi, my name is Julie. I love working with individuals and couples seeking to cope with a variety of challenges. Areas that I specialize in are anxiety, trauma disorders, and new transitions. I am trained in phase 1 & 2 of Brainspotting, EMDR and Internal Family Systems (IFS parts work). These techniques help us process into the subcortical levels of our brain to experience deeper and longer lasting healing. I am available to provide a Christian counseling perspective, but I love working with clients from any walk of life. Therapy is not always easy, but I would be honored to help you on your journey in Learning to Thrive.
(316) 333-5127 View (316) 333-5127
Photo of Kevin Crosby, Licensed Professional Counselor, LPC
Kevin Crosby
Licensed Professional Counselor, LPC
2 Endorsed
Centralia, MO 65240
If you feel overwhelmed due to past trauma or an uncertain future, no matter the cause of anxiety, depression or psychosis, I am here to help you find the path to the abundant life you are after. I am available to work with children, teens, and adults. I can provide individual, couples, and group therapy. As social beings, I believe that all our relationships influence who we are and who we are to become. That is why I will focus on building a dynamic therapeutic relationship from the start. If this is what you are looking for, then you have found the right therapist. I specialize in men's issues, autism, and couples concerns.
If you feel overwhelmed due to past trauma or an uncertain future, no matter the cause of anxiety, depression or psychosis, I am here to help you find the path to the abundant life you are after. I am available to work with children, teens, and adults. I can provide individual, couples, and group therapy. As social beings, I believe that all our relationships influence who we are and who we are to become. That is why I will focus on building a dynamic therapeutic relationship from the start. If this is what you are looking for, then you have found the right therapist. I specialize in men's issues, autism, and couples concerns.
(573) 284-2903 View (573) 284-2903
Photo of Patti Hinten - Patti Hinten Counseling, Licensed Professional Counselor, MS, LPC
Patti Hinten Counseling
Licensed Professional Counselor, MS, LPC
1 Endorsed
Serves Area
Sometimes life feels like a labyrinth of choices, full of erratic relationships and life altering change, which can be difficult to maneuver. I am here to help. I have a passion for working with those struggling with the transitions life takes us through. Change evokes many different emotions and the process is different for each of us. I am a client centered, solution focused therapist. I view life holistically and focus on both mind and body in therapy. If you need help through an unexpected or difficult change, are struggling with relationships, or trying to better understand neurodivergence, I might be the right fit for you.
Sometimes life feels like a labyrinth of choices, full of erratic relationships and life altering change, which can be difficult to maneuver. I am here to help. I have a passion for working with those struggling with the transitions life takes us through. Change evokes many different emotions and the process is different for each of us. I am a client centered, solution focused therapist. I view life holistically and focus on both mind and body in therapy. If you need help through an unexpected or difficult change, are struggling with relationships, or trying to better understand neurodivergence, I might be the right fit for you.
(573) 260-8045 View (573) 260-8045

More Therapists Nearby

Photo of Megan Mayfield, Clinical Social Work/Therapist, LMSW
Megan Mayfield
Clinical Social Work/Therapist, LMSW
1 Endorsed
Online Only
Welcome! I practice virtually from the hills of southeast Missouri and I have availability to meet with you this week. Your incredible potential as a human being is the single most valuable thing on earth. Your ability to love, heal, and grow is unmatched. So often we find ourselves trapped by overwhelming emotions, traumatizing experiences, and impossible expectations. Whether you find yourself needing support during a difficult life season or have dealt with some of the above issues for years, my job is to come along side you and help you find the freedom you were created for.
Welcome! I practice virtually from the hills of southeast Missouri and I have availability to meet with you this week. Your incredible potential as a human being is the single most valuable thing on earth. Your ability to love, heal, and grow is unmatched. So often we find ourselves trapped by overwhelming emotions, traumatizing experiences, and impossible expectations. Whether you find yourself needing support during a difficult life season or have dealt with some of the above issues for years, my job is to come along side you and help you find the freedom you were created for.
(720) 637-3591 View (720) 637-3591
Photo of Kari Trempler, Licensed Professional Counselor
Kari Trempler
Licensed Professional Counselor
Online Only
Hello, I'm Kari, a Licensed Clinical Mental Health Counselor with over 18 years of experience in the counseling field. Throughout my career, I've had the privilege of working with individuals facing a wide range of challenges, including family conflict, abuse and neglect, depression, stress management, family issues, adoption and foster care issues, and parenting, among others. My extensive background has equipped me with the skills and insights to support you through various life struggles.
Hello, I'm Kari, a Licensed Clinical Mental Health Counselor with over 18 years of experience in the counseling field. Throughout my career, I've had the privilege of working with individuals facing a wide range of challenges, including family conflict, abuse and neglect, depression, stress management, family issues, adoption and foster care issues, and parenting, among others. My extensive background has equipped me with the skills and insights to support you through various life struggles.
(314) 794-6773 View (314) 794-6773
Photo of Andrea Parfet, Clinical Social Work/Therapist, LCSW
Andrea Parfet
Clinical Social Work/Therapist, LCSW
Online Only
My name is Andrea (Andy) Parfet and I am a Licensed Clinical Social Worker (LCSW) based in Kansas City, Missouri and working with clients statewide via telehealth. I work with adolescents and adults. I specialize in anxiety, depression, and relationship challenges, using Cognitive Behavioral Therapy and Eye movement desensitization and reprocessing (EMDR). Andrea has dedicated her practice to helping others find their way out of the fog, break old cycles and write new stories.
My name is Andrea (Andy) Parfet and I am a Licensed Clinical Social Worker (LCSW) based in Kansas City, Missouri and working with clients statewide via telehealth. I work with adolescents and adults. I specialize in anxiety, depression, and relationship challenges, using Cognitive Behavioral Therapy and Eye movement desensitization and reprocessing (EMDR). Andrea has dedicated her practice to helping others find their way out of the fog, break old cycles and write new stories.
(636) 242-5740 View (636) 242-5740
Photo of Mary Sullivan, Licensed Professional Counselor
Mary Sullivan
Licensed Professional Counselor
Online Only
Here is a quote from Dr. Martin Seligman who is a key figure in the field of Positive Psychology: "Positive psychology is the scientific study of what makes life worth living, focusing on strengths & positive experiences." I love working with clients who are ready to change their lives. Together we can identify your strengths and find ways to increase those strengths as the way forward for you. I utilize knowledge sharing and practical clinical steps to assist you.
Here is a quote from Dr. Martin Seligman who is a key figure in the field of Positive Psychology: "Positive psychology is the scientific study of what makes life worth living, focusing on strengths & positive experiences." I love working with clients who are ready to change their lives. Together we can identify your strengths and find ways to increase those strengths as the way forward for you. I utilize knowledge sharing and practical clinical steps to assist you.
(314) 254-9725 View (314) 254-9725
Photo of Ladonna L Beachy - Wren Counseling Solutions LLC, Clinical Social Work/Therapist, MSW, LCSW
Wren Counseling Solutions LLC
Clinical Social Work/Therapist, MSW, LCSW
Columbia, MO 65201
My ideal client is an adult who has experienced loss or trauma and wants to feel connected to themselves, those they love, and their community again. The individual/s may be experiencing extreme anxiety, irritability, or depression and have been trying to keep picking themselves up, but are tired and concerned about what their future holds. They often find themselves using a variety of means to numb such as eating, substance use, gambling, pornography, sex, video games, etc. They experience emptiness and feel that they really have no sense of who they are or what they want and often feel alone and disconnected.
My ideal client is an adult who has experienced loss or trauma and wants to feel connected to themselves, those they love, and their community again. The individual/s may be experiencing extreme anxiety, irritability, or depression and have been trying to keep picking themselves up, but are tired and concerned about what their future holds. They often find themselves using a variety of means to numb such as eating, substance use, gambling, pornography, sex, video games, etc. They experience emptiness and feel that they really have no sense of who they are or what they want and often feel alone and disconnected.
(573) 400-2136 View (573) 400-2136
Photo of Aimee George, Pre-Licensed Professional, MEd, PLPC
Aimee George
Pre-Licensed Professional, MEd, PLPC
1 Endorsed
Columbia, MO 65203
On the outside, you might seem like you’re holding it all together—but inside, you’re constantly overthinking, second-guessing yourself, and running on empty. You’ve gotten used to putting others first, minimizing your own needs, and pushing through, even when things feel off. If you’re tired of feeling stuck, anxious, or unsure of who you really are, you’re not alone—and therapy can help you reconnect with yourself in a deeper, more compassionate way.
On the outside, you might seem like you’re holding it all together—but inside, you’re constantly overthinking, second-guessing yourself, and running on empty. You’ve gotten used to putting others first, minimizing your own needs, and pushing through, even when things feel off. If you’re tired of feeling stuck, anxious, or unsure of who you really are, you’re not alone—and therapy can help you reconnect with yourself in a deeper, more compassionate way.
(573) 531-5138 View (573) 531-5138
Photo of Rachel Sabulsky, Clinical Social Work/Therapist, MSW, LCSW
Rachel Sabulsky
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Online Only
Change can be scary. Therapy does not have to be. Let's take the first step together! Do you ever feel like your emotions 'get the best of you'? Do you struggle with becoming overwhelmed easily, but do not know how to calm yourself down? Is it often difficult to experience joy and find your purpose? I am passionate about helping clients better understand their ‘Self’ through strengthening their self-worth and embracing their full potential. In addition to working with adults, I love working with local college students. I remember the stress, anxiety, and daily grind it takes to navigate college and am here to help you do the same!
Change can be scary. Therapy does not have to be. Let's take the first step together! Do you ever feel like your emotions 'get the best of you'? Do you struggle with becoming overwhelmed easily, but do not know how to calm yourself down? Is it often difficult to experience joy and find your purpose? I am passionate about helping clients better understand their ‘Self’ through strengthening their self-worth and embracing their full potential. In addition to working with adults, I love working with local college students. I remember the stress, anxiety, and daily grind it takes to navigate college and am here to help you do the same!
(573) 779-4597 View (573) 779-4597
Photo of Marquita Leverette, Clinical Social Work/Therapist
Marquita Leverette
Clinical Social Work/Therapist
Online Only
The journey of 1000 miles begins with one step." Lao Tzu Hi, I'm Marquita! One of the most vulnerable spaces to find ourselves in, is knowing where we want to go, but not knowing the directions to get there. Many of us know what we want to achieve, how we see our ideal selves, and the obstacles that are blocking realizing our vision. My roles as a therapist is helping clients manage stressors in their lives as they work toward acquiring tools to live their most authentic life. I tailor my approach to each clients presenting situation and provide compassionate support as clients take the journey toward optimizing their mental health.
The journey of 1000 miles begins with one step." Lao Tzu Hi, I'm Marquita! One of the most vulnerable spaces to find ourselves in, is knowing where we want to go, but not knowing the directions to get there. Many of us know what we want to achieve, how we see our ideal selves, and the obstacles that are blocking realizing our vision. My roles as a therapist is helping clients manage stressors in their lives as they work toward acquiring tools to live their most authentic life. I tailor my approach to each clients presenting situation and provide compassionate support as clients take the journey toward optimizing their mental health.
(573) 697-6811 View (573) 697-6811
Photo of Sidney Hurley, Licensed Professional Counselor, LPC
Sidney Hurley
Licensed Professional Counselor, LPC
Online Only
I have been in the counseling field for several years. I graduated with my master’s in marriage and family therapy in 2017. My passion is helping others realize their strengths and learning to use those in their lives to manage their feelings. I love working with couples and families!
I have been in the counseling field for several years. I graduated with my master’s in marriage and family therapy in 2017. My passion is helping others realize their strengths and learning to use those in their lives to manage their feelings. I love working with couples and families!
(636) 689-4436 View (636) 689-4436
Photo of Kemberlee Mahaffey, Clinical Social Work/Therapist, LCSW
Kemberlee Mahaffey
Clinical Social Work/Therapist, LCSW
3 Endorsed
Serves Area
You want to feel empowered to speak up but struggle to do so, whether in your relationships, at work or with big societal issues. You're tired of carrying the load, not only for yourself, but others as well. You're experiencing a life transition, loss/grief or desire a change in your life. Perhaps your unique stressors have piled up so high you no longer know yourself, your passion or your direction. Whatever your circumstances, you wake up each day feeling depleted and unable to get unstuck from the spiral. It's exhausting and you just want to feel better. You want to wake up with energy and hope for the day.
You want to feel empowered to speak up but struggle to do so, whether in your relationships, at work or with big societal issues. You're tired of carrying the load, not only for yourself, but others as well. You're experiencing a life transition, loss/grief or desire a change in your life. Perhaps your unique stressors have piled up so high you no longer know yourself, your passion or your direction. Whatever your circumstances, you wake up each day feeling depleted and unable to get unstuck from the spiral. It's exhausting and you just want to feel better. You want to wake up with energy and hope for the day.
(314) 325-1596 View (314) 325-1596
Photo of Ra Suh, Clinical Social Work/Therapist, LCSW
Ra Suh
Clinical Social Work/Therapist, LCSW
Online Only
My name is Ra Suh. I am a Licensed Clinical Social Worker. I have been helping people since 2011 and started providing therapy since 2018. I believe in meeting clients where they are and helping guide them toward their personal goals. I focus on anxiety, depression, grief, life transitions, stress, and trauma. I utilize a person-centered or client-centered approach in my therapy sessions, so that means collaborating with clients to ensure that their treatment is personalized to their needs. I utilize Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization Reprocessing (EMDR).
My name is Ra Suh. I am a Licensed Clinical Social Worker. I have been helping people since 2011 and started providing therapy since 2018. I believe in meeting clients where they are and helping guide them toward their personal goals. I focus on anxiety, depression, grief, life transitions, stress, and trauma. I utilize a person-centered or client-centered approach in my therapy sessions, so that means collaborating with clients to ensure that their treatment is personalized to their needs. I utilize Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization Reprocessing (EMDR).
(636) 241-9940 View (636) 241-9940
Photo of Jane Henke, Licensed Professional Counselor, LPC
Jane Henke
Licensed Professional Counselor, LPC
2 Endorsed
Online Only
Hello! I’m Jane, a therapist practicing since 2003, supporting individuals through a wide range of life’s challenges. I specialize in helping clients heal from grief, and the impact of trauma. I also work with individuals living with depression, anxiety, or who are facing major life transitions. I have a passion for working with immigrants and individuals from diverse and/or marginalized communities.
Hello! I’m Jane, a therapist practicing since 2003, supporting individuals through a wide range of life’s challenges. I specialize in helping clients heal from grief, and the impact of trauma. I also work with individuals living with depression, anxiety, or who are facing major life transitions. I have a passion for working with immigrants and individuals from diverse and/or marginalized communities.
(816) 327-9985 View (816) 327-9985
Photo of Michaelah Knarr, Clinical Social Work/Therapist, MSW, LCSW
Michaelah Knarr
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Online Only
Waitlist for new clients
I am a dedicated mental health therapist with a passion for fostering growth and healing in my clients. Using a person-centered approach, I strive to create a safe and nonjudgmental space where clients can explore their thoughts, feelings, and experiences without fear of rejection. I support clients to explore their internal and external worlds to discover who they are and develop healthy coping skills and relationships with themselves and others to live more fulfilling lives. I am IFS informed and have found this to be a very powerful therapy tool to use with clients experiencing anxiety or depression, or who have a trauma history.
I am a dedicated mental health therapist with a passion for fostering growth and healing in my clients. Using a person-centered approach, I strive to create a safe and nonjudgmental space where clients can explore their thoughts, feelings, and experiences without fear of rejection. I support clients to explore their internal and external worlds to discover who they are and develop healthy coping skills and relationships with themselves and others to live more fulfilling lives. I am IFS informed and have found this to be a very powerful therapy tool to use with clients experiencing anxiety or depression, or who have a trauma history.
(417) 441-3224 View (417) 441-3224
Photo of Merri Copeland-Cook, Licensed Professional Counselor, LPC
Merri Copeland-Cook
Licensed Professional Counselor, LPC
2 Endorsed
Online Only
Ready for a change? Trust me, I get it... Life is not always easy and never seems to go the way you planned. Not to mention, taking care of your mental health can be difficult for so many reasons. Maybe you have been stuck for a long time and are afraid to ask for help. Maybe you have a full plate dealing with all of life's responsibilities, with not enough time in the day. Or maybe you just don’t know where to start. Take comfort in knowing that you are not alone! Let’s talk about it and figure this thing out together.
Ready for a change? Trust me, I get it... Life is not always easy and never seems to go the way you planned. Not to mention, taking care of your mental health can be difficult for so many reasons. Maybe you have been stuck for a long time and are afraid to ask for help. Maybe you have a full plate dealing with all of life's responsibilities, with not enough time in the day. Or maybe you just don’t know where to start. Take comfort in knowing that you are not alone! Let’s talk about it and figure this thing out together.
(573) 464-3617 View (573) 464-3617
Photo of Mattracea Wendleton, Licensed Professional Counselor, LPC
Mattracea Wendleton
Licensed Professional Counselor, LPC
Online Only
My name is Mattracea Wendleton, and I am a Licensed Professional Counselor (LPC) in the state of Missouri. I have worked with clients aging from 4 to 70+. My areas of focus, specialties are with individuals who suffer from anxiety, low self-esteem, depression, and trauma. I also have some experience with working with couples - both together and individually (sometimes not both partners are willing to attend therapy, so I provide tools for the individual to implement within their relationship).
My name is Mattracea Wendleton, and I am a Licensed Professional Counselor (LPC) in the state of Missouri. I have worked with clients aging from 4 to 70+. My areas of focus, specialties are with individuals who suffer from anxiety, low self-esteem, depression, and trauma. I also have some experience with working with couples - both together and individually (sometimes not both partners are willing to attend therapy, so I provide tools for the individual to implement within their relationship).
(636) 698-7793 View (636) 698-7793
Photo of Summer Johnson, Psychologist
Summer Johnson
Psychologist
1 Endorsed
Online Only
Dr. Johnson is originally from Kansas City, MO. She attended undergrad at Truman State University, graduating in 1998. She moved to Atlanta days after graduating to attend the Georgia School of Professional Psychology (Argosy University). She graduated in 2001 with a Master's Degree in Clinical Psychology with an emphasis in child and family assessment. She transferred schools and moved to Springfield, MO to be closer to home. She graduated from the Forest Institute of Professional Psychology in 2006 with an emphasis in marriage and family therapy
Dr. Johnson is originally from Kansas City, MO. She attended undergrad at Truman State University, graduating in 1998. She moved to Atlanta days after graduating to attend the Georgia School of Professional Psychology (Argosy University). She graduated in 2001 with a Master's Degree in Clinical Psychology with an emphasis in child and family assessment. She transferred schools and moved to Springfield, MO to be closer to home. She graduated from the Forest Institute of Professional Psychology in 2006 with an emphasis in marriage and family therapy
(816) 357-9838 View (816) 357-9838
Photo of Amber Holt, MA, PLPC
Amber Holt
Verified Verified
3 Endorsed
Serves Area
I enjoy working with clients who have a history of abuse, trauma, grief/loss, reproductive trauma, and those who are navigating difficult seasons of life. As your therapist, I want to come alongside you during these hard times. I'll provide you with a space to find validation, care, & support. Together, we can work to identify the things that are keeping you "stuck" and feeling dissatisfied. Then, we will carefully work on a plan to address these things and begin on your path toward healing. The world is A LOT right now. Let me provide a place to receive the care, the laughter, the rest, and the hope that you're needing.
I enjoy working with clients who have a history of abuse, trauma, grief/loss, reproductive trauma, and those who are navigating difficult seasons of life. As your therapist, I want to come alongside you during these hard times. I'll provide you with a space to find validation, care, & support. Together, we can work to identify the things that are keeping you "stuck" and feeling dissatisfied. Then, we will carefully work on a plan to address these things and begin on your path toward healing. The world is A LOT right now. Let me provide a place to receive the care, the laughter, the rest, and the hope that you're needing.
(314) 648-3937 View (314) 648-3937

How does your Therapist compare?

Number of Therapists in Centralia, MO

< 10

Therapists in Centralia, MO who prioritize treating:

100% Anxiety
100% Family Conflict
100% Coping Skills
100% Self Esteem
67% Relationship Issues
67% Depression
67% Spirituality

Average years in practice

13 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% UnitedHealthcare UHC | UBH

How Therapists in Centralia, MO see their clients

100% In Person and Online

Gender breakdown

67% Female
33% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Centralia?

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.