Therapists in Cary, NC

Esther Reynolds
Licensed Professional Counselor
Online Only
Do you notice that you get tired easily and lack of energy without medical reasons? Do you feel sad, hopeless, worthless, and empty? Do you have sleep disturbance, either insomnia or sleeping too much? Do you experience frequent anxiety, agitation, and/or restlessness? Do you sometimes react adversely to a trigger that reminds you of past traumatic experiences, either consciously or unconsciously? I believe that your motivation is key to success and that all motivation must start with a destination, chosen by you. I see myself just as a facilitator, guiding you toward that destination.
Do you notice that you get tired easily and lack of energy without medical reasons? Do you feel sad, hopeless, worthless, and empty? Do you have sleep disturbance, either insomnia or sleeping too much? Do you experience frequent anxiety, agitation, and/or restlessness? Do you sometimes react adversely to a trigger that reminds you of past traumatic experiences, either consciously or unconsciously? I believe that your motivation is key to success and that all motivation must start with a destination, chosen by you. I see myself just as a facilitator, guiding you toward that destination.
(540) 679-7469 View (540) 679-7469
Lindsey Reis
Lic Clinical Mental Health Counselor Associate, LCMHCA, LCAS
1 Endorsed
Cary, NC 27511
Have you ever gotten so good at holding it all together that no one realizes you're running on empty? Do you spend more energy being who everyone else needs than who you are? If this sounds like you, you're in the right place. My clients are often realizing that "having it all together" was never really living — just surviving. They may rely on ways of coping that offer relief but leave them feeling guilty or stuck. They may be LGBTQ+ or questioning their identity. They find old wounds still shape how safe, trusting, or present they feel. They come to therapy knowing something has to change, but may be worried about where to begin.
Have you ever gotten so good at holding it all together that no one realizes you're running on empty? Do you spend more energy being who everyone else needs than who you are? If this sounds like you, you're in the right place. My clients are often realizing that "having it all together" was never really living — just surviving. They may rely on ways of coping that offer relief but leave them feeling guilty or stuck. They may be LGBTQ+ or questioning their identity. They find old wounds still shape how safe, trusting, or present they feel. They come to therapy knowing something has to change, but may be worried about where to begin.
(984) 400-5381 View (984) 400-5381
Kristin A Krippa
Psychological Associate, MA, LPA, HSP-PA
6 Endorsed
Cary, NC 27518
Accepting new clients. Are you a parent with a child whose behavior is out of control? Is your tween or teen suffering from depression, anxiety, or irritable moods? Are you worried about their self-harm thoughts and behaviors? Are your problems more than you can manage on your own? Do you feel like you have tried everything and nothing has worked? Has your child or teen been resistant to therapy in the past? Are arguments and disagreements a daily occurrence? Does it feel like something needs to give before you give out? Would you like more enjoyment out of your life? You deserve happiness; Live a life worth living!
Accepting new clients. Are you a parent with a child whose behavior is out of control? Is your tween or teen suffering from depression, anxiety, or irritable moods? Are you worried about their self-harm thoughts and behaviors? Are your problems more than you can manage on your own? Do you feel like you have tried everything and nothing has worked? Has your child or teen been resistant to therapy in the past? Are arguments and disagreements a daily occurrence? Does it feel like something needs to give before you give out? Would you like more enjoyment out of your life? You deserve happiness; Live a life worth living!
(919) 432-5341 View (919) 432-5341
Meredith Hanes
Clinical Social Work/Therapist, LCSW, LCAS
2 Endorsed
Cary, NC 27518
Waitlist for new clients
I will be beginning at our Cary office location in September 2026. If you’ve been feeling stuck—replaying the same patterns, pushing yourself to exhaustion, or carrying the weight of past experiences—you’re not alone. Many of the adults I work with are high-functioning on the outside while feeling overwhelmed, disconnected, or unsure how to move forward on the inside. Therapy can be a space to slow down, make sense of what’s been holding you back, and begin to feel more grounded and in control again.
I will be beginning at our Cary office location in September 2026. If you’ve been feeling stuck—replaying the same patterns, pushing yourself to exhaustion, or carrying the weight of past experiences—you’re not alone. Many of the adults I work with are high-functioning on the outside while feeling overwhelmed, disconnected, or unsure how to move forward on the inside. Therapy can be a space to slow down, make sense of what’s been holding you back, and begin to feel more grounded and in control again.
(919) 276-8251 View (919) 276-8251
Tiffany Price
Clinical Social Work/Therapist, LCSWA
Cary, NC 27511
Tiffany Price is a dedicated Licensed Clinical Social Worker Associate (LCSWA) specializing in providing comprehensive outpatient services to both children and adults. With a strong commitment to mental health advocacy, she employs a holistic approach to therapy that is tailored to meet the unique needs of everyone. She is passionate about collaborating with families and educators to create a comprehensive support system for children navigating emotional and behavioral challenges. By fostering open communication and active participation, she strives to empower clients of all ages to take charge of their mental health journey.
Tiffany Price is a dedicated Licensed Clinical Social Worker Associate (LCSWA) specializing in providing comprehensive outpatient services to both children and adults. With a strong commitment to mental health advocacy, she employs a holistic approach to therapy that is tailored to meet the unique needs of everyone. She is passionate about collaborating with families and educators to create a comprehensive support system for children navigating emotional and behavioral challenges. By fostering open communication and active participation, she strives to empower clients of all ages to take charge of their mental health journey.
(984) 207-3760 View (984) 207-3760
Beckett West
LCSW Associate , MSW, LCSW
2 Endorsed
Cary, NC 27511
Not accepting new clients
Life can feel overwhelming, especially when you’re juggling school, work, family expectations, or major life transitions. Many of the clients I work with in the Triangle area come to therapy feeling stuck in their thoughts, unsure of their next steps, or disconnected from themselves. In therapy, we focus on understanding what’s contributing to that sense of being off-balance and developing practical, realistic tools you can use outside of session. I take a collaborative approach: you set the pace and direction, and I help you clarify what’s getting in the way and how to move forward in a way that feels sustainable for you.
Life can feel overwhelming, especially when you’re juggling school, work, family expectations, or major life transitions. Many of the clients I work with in the Triangle area come to therapy feeling stuck in their thoughts, unsure of their next steps, or disconnected from themselves. In therapy, we focus on understanding what’s contributing to that sense of being off-balance and developing practical, realistic tools you can use outside of session. I take a collaborative approach: you set the pace and direction, and I help you clarify what’s getting in the way and how to move forward in a way that feels sustainable for you.
(984) 213-5742 View (984) 213-5742
Macks Massengill
Verified Verified
7 Endorsed
Cary, NC 27511
Accepting new clients! Have you ever struggled with being authentic, connecting with others, or respecting your own needs? You're not alone, and I'd be happy to work with you to help live a fuller life. I collaborate with adolescent and adult clients of many different backgrounds to identify their strengths and build confidence, to help them connect more deeply with themselves and with others.
Accepting new clients! Have you ever struggled with being authentic, connecting with others, or respecting your own needs? You're not alone, and I'd be happy to work with you to help live a fuller life. I collaborate with adolescent and adult clients of many different backgrounds to identify their strengths and build confidence, to help them connect more deeply with themselves and with others.
(919) 752-4322 View (919) 752-4322
Jillian Lorek
Licensed Clinical Mental Health Counselor, LCMHC
6 Endorsed
Cary, NC 27511
I work with children, teens, and adults—especially those who are neurodivergent—who feel overwhelmed, misunderstood, or “too much” for the world around them. Many struggle with anxiety, depression, ADHD, Autism, emotional intensity, suicidal ideation, self-harm, or relationship conflict. They don’t want to be fixed—they want to be understood. They want tools that actually work for their brains and nervous systems. I offer a collaborative, compassionate space where differences are honored, regulation is learned, and families grow stronger together.
I work with children, teens, and adults—especially those who are neurodivergent—who feel overwhelmed, misunderstood, or “too much” for the world around them. Many struggle with anxiety, depression, ADHD, Autism, emotional intensity, suicidal ideation, self-harm, or relationship conflict. They don’t want to be fixed—they want to be understood. They want tools that actually work for their brains and nervous systems. I offer a collaborative, compassionate space where differences are honored, regulation is learned, and families grow stronger together.
(919) 343-9255 View (919) 343-9255
Adam Carlson
Clinical Social Work/Therapist, LCSW, LCASA
1 Endorsed
Online Only
I am a neurodivergent therapist and my neurotype, ADHD, informs my therapy style. I'll follow you down those rabbit holes and tangents, reign it in when necessary, and keep an eye out for connections and common themes related to your goals for therapy. I'm all about personal agency and autonomy. I believe YOU have the answers and solutions inside you already, it's just a matter of finding them!
I am a neurodivergent therapist and my neurotype, ADHD, informs my therapy style. I'll follow you down those rabbit holes and tangents, reign it in when necessary, and keep an eye out for connections and common themes related to your goals for therapy. I'm all about personal agency and autonomy. I believe YOU have the answers and solutions inside you already, it's just a matter of finding them!
(252) 512-4407 View (252) 512-4407
Erin Hopkins
Marriage & Family Therapist, MA, LMFT
6 Endorsed
Online Only
Not accepting new clients
We all come across seasons where we need a push to start exploring, begin processing, and embrace changing. The therapy room is the perfect environment for those ground-breaking things to take place. I specialize in helping adults identify the parts of them that make them unique & help establish awareness into how that affects their everyday life. I also help individuals navigate the uncertainty of transition while developing confidence & resilience. I have experience working with stress, depression, anxiety, grief, trauma & life transitions as it affects one's ability to maintain focus, peace, & clarity in different life contexts.
We all come across seasons where we need a push to start exploring, begin processing, and embrace changing. The therapy room is the perfect environment for those ground-breaking things to take place. I specialize in helping adults identify the parts of them that make them unique & help establish awareness into how that affects their everyday life. I also help individuals navigate the uncertainty of transition while developing confidence & resilience. I have experience working with stress, depression, anxiety, grief, trauma & life transitions as it affects one's ability to maintain focus, peace, & clarity in different life contexts.
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Be a Problem Solver Services, PLLC
Licensed Clinical Mental Health Counselor, PhD
Cary, NC 27511
We provide therapy and executive functioning for children, teens, and families in Chapel Hill, Cary, and Fuquay Varina, NC, supporting challenges like ADHD, autism, anxiety, depression and more. Our team uses evidence-based approaches—including CBT, DBT, EMDR, play therapy—to meet each client’s unique needs. Whether your child is struggling to manage emotions, stay organized at school, or navigate friendships, we help them develop coping skills, confidence, resilience, and independence. At the same time, we work with families to strengthen communication, connection, and problem-solving.
We provide therapy and executive functioning for children, teens, and families in Chapel Hill, Cary, and Fuquay Varina, NC, supporting challenges like ADHD, autism, anxiety, depression and more. Our team uses evidence-based approaches—including CBT, DBT, EMDR, play therapy—to meet each client’s unique needs. Whether your child is struggling to manage emotions, stay organized at school, or navigate friendships, we help them develop coping skills, confidence, resilience, and independence. At the same time, we work with families to strengthen communication, connection, and problem-solving.
(984) 768-8948 View (984) 768-8948
Linda Sue Bell
Licensed Clinical Mental Health Counselor, MEd, LCMHC
Online Only
You wouldn't be reading this right now if you thought everything in your life was perfect. I would be honored to meet you and start working on what isn't working well. Life isn't easy, but can be full of good experiences if we heal those places that are wounded within us and relearn who we really are. Not all the messages we've internalized about ourselves are true, yet we live our lives as if they are. Whether your concerns are around relationships, parenting, feeling stuck, depression, anxiety, grief, or so many other possibilities, there are ways to heal and put these issues in the past.
You wouldn't be reading this right now if you thought everything in your life was perfect. I would be honored to meet you and start working on what isn't working well. Life isn't easy, but can be full of good experiences if we heal those places that are wounded within us and relearn who we really are. Not all the messages we've internalized about ourselves are true, yet we live our lives as if they are. Whether your concerns are around relationships, parenting, feeling stuck, depression, anxiety, grief, or so many other possibilities, there are ways to heal and put these issues in the past.
(919) 343-0426 View (919) 343-0426
Angel B Pace
Lic Clinical Mental Health Counselor Associate, LCMHCA
Online Only
Hi, I'm Angel, a Licensed Clinical Mental Health Counselor Associate (LCMHCA). I earned my master's degree in Clinical Mental Health Counseling from Wake Forest University and am currently pursuing a doctorate in Counselor Education and Supervision at Walden University. I provide telehealth counseling to teens and adults (ages 13 and up) who are navigating anxiety, depression, trauma, life transitions, self-esteem challenges, stress, and ADHD. I also welcome and affirm LGBTQ+ clients seeking a safe, supportive space.
Hi, I'm Angel, a Licensed Clinical Mental Health Counselor Associate (LCMHCA). I earned my master's degree in Clinical Mental Health Counseling from Wake Forest University and am currently pursuing a doctorate in Counselor Education and Supervision at Walden University. I provide telehealth counseling to teens and adults (ages 13 and up) who are navigating anxiety, depression, trauma, life transitions, self-esteem challenges, stress, and ADHD. I also welcome and affirm LGBTQ+ clients seeking a safe, supportive space.
(919) 439-1441 View (919) 439-1441
Melissa Penwell
Licensed Clinical Mental Health Counselor, MA, LCMHC, BC-TMH
Online Only
I have a Master's Degree in Counseling Psychology and have been practicing counseling in North Carolina for the past fifteen years. I am a Licensed Clinical Mental Health Counselor and a Board Certified-Telemental Health Provider who works with adults in an accepting, supportive environment. I utilize a variety of therapy theories including Cognitive Behavioral, Client-Centered, and Solution-Focused depending on the individual or presenting issues. I believe my education and experience will guide me in assisting you in reaching your personal and/or professional goals. Please contact me today to schedule your initial appointment.
I have a Master's Degree in Counseling Psychology and have been practicing counseling in North Carolina for the past fifteen years. I am a Licensed Clinical Mental Health Counselor and a Board Certified-Telemental Health Provider who works with adults in an accepting, supportive environment. I utilize a variety of therapy theories including Cognitive Behavioral, Client-Centered, and Solution-Focused depending on the individual or presenting issues. I believe my education and experience will guide me in assisting you in reaching your personal and/or professional goals. Please contact me today to schedule your initial appointment.
(919) 344-0945 View (919) 344-0945
Simply Thrive Therapeutic Associates
Lic Clinical Mental Health Counselor Supervisor, MS, LCMHCS, NCC
2 Endorsed
Cary, NC 27511
When life's challenges begin to affect your relationships, confidence, or sense of peace, it's easy to feel stuck. Whether you're carrying the weight of trauma, navigating anxiety or depression, struggling with compulsive behaviors, or feeling disconnected from the people who matter most, you don't have to face it alone. Together, we'll uncover what's keeping you stuck, build on your strengths, and help you create healthier relationships, greater emotional balance, and a life that feels more in your control.
When life's challenges begin to affect your relationships, confidence, or sense of peace, it's easy to feel stuck. Whether you're carrying the weight of trauma, navigating anxiety or depression, struggling with compulsive behaviors, or feeling disconnected from the people who matter most, you don't have to face it alone. Together, we'll uncover what's keeping you stuck, build on your strengths, and help you create healthier relationships, greater emotional balance, and a life that feels more in your control.
(919) 587-8378 View (919) 587-8378
Kristen Wright
Marriage & Family Therapist, LMFT
3 Endorsed
Cary, NC 27518
Not accepting new clients
Accepting new clients. In a confusing world, I’m here to help you find a path forward out of the complex diagnosis and stressors. I'm here to help you work through life's challenges and move toward healing and growth and not be a label. Therapy with me is collaborative and gently challenging in a way that helps clients meet their goals. I am not a "blank slate" therapist and bring my authentic self into each session. I enjoy using humor as well. (with background in ADHD, addiction, trauma, eating concerns, childhood stress, perfectionism, complex ptsd and diagnosis, and difficult emotions).
Accepting new clients. In a confusing world, I’m here to help you find a path forward out of the complex diagnosis and stressors. I'm here to help you work through life's challenges and move toward healing and growth and not be a label. Therapy with me is collaborative and gently challenging in a way that helps clients meet their goals. I am not a "blank slate" therapist and bring my authentic self into each session. I enjoy using humor as well. (with background in ADHD, addiction, trauma, eating concerns, childhood stress, perfectionism, complex ptsd and diagnosis, and difficult emotions).
(919) 679-5042 View (919) 679-5042
Todd Goodwin
Verified Verified
1 Endorsed
Online Only
Got unwanted thoughts, feelings, habits, or trauma? Want to fix your core issues without talking about it in therapy or relying on willpower for self-control? Most of my clients improve significantly in WEEKS, often after years of therapy and lots of struggle. They were ready for deep, lasting changes and wanted to feel more calm, present, confident, healthy, in control, and free of emotional baggage. Sound like you? I've done this work since 2007, so I'd love to help you shift your troubling memories, limiting beliefs, and unhealthy emotional and behavioral patterns. Visit my website today and schedule a Zoom consultation with me.
Got unwanted thoughts, feelings, habits, or trauma? Want to fix your core issues without talking about it in therapy or relying on willpower for self-control? Most of my clients improve significantly in WEEKS, often after years of therapy and lots of struggle. They were ready for deep, lasting changes and wanted to feel more calm, present, confident, healthy, in control, and free of emotional baggage. Sound like you? I've done this work since 2007, so I'd love to help you shift your troubling memories, limiting beliefs, and unhealthy emotional and behavioral patterns. Visit my website today and schedule a Zoom consultation with me.
(984) 230-3544 View (984) 230-3544
Quintosha Cox
Licensed Professional Counselor, MA, LCMHC
1 Endorsed
Online Only
Life can feel overwhelming at times! It comes hard, quick, unsolicited, and is indiscriminate. Am I doing enough? Am I good enough? What’s next? You may feel as though you want to seek refuge by hiding in your office away from others or perhaps in the bathroom away from family. Your plate is overflowing and trying to balance it all can be a challenge. Barely getting by, haunted by mistakes and events of the past. Your relationships are suffering, and sometimes your concept of self dwindling. Wishing you could find balance and take care of self, all while being an amazing parent, child, spouse, or coworker, etc.
Life can feel overwhelming at times! It comes hard, quick, unsolicited, and is indiscriminate. Am I doing enough? Am I good enough? What’s next? You may feel as though you want to seek refuge by hiding in your office away from others or perhaps in the bathroom away from family. Your plate is overflowing and trying to balance it all can be a challenge. Barely getting by, haunted by mistakes and events of the past. Your relationships are suffering, and sometimes your concept of self dwindling. Wishing you could find balance and take care of self, all while being an amazing parent, child, spouse, or coworker, etc.
(704) 912-0751 View (704) 912-0751
Lari Jackson
Psychologist, PsyD, LP, HSP-P
Cary, NC 27511
Sometimes life is hard! If you are experiencing anxiety, difficulties with motivation, feelings of isolation, or depression, you don’t need to manage it all on your own. Having the support of an experienced, caring, and authentic professional may help. Together we'll explore situations, patterns, and behaviors that may not be working for you. Considering your values and priorities, we will work collaboratively to develop a plan to help you feel more satisfied with life. I work with individuals aged 17 and up on a variety of issues. I am able to work virtually in 43 states, and I provide ADHD assessments for teens and adults.
Sometimes life is hard! If you are experiencing anxiety, difficulties with motivation, feelings of isolation, or depression, you don’t need to manage it all on your own. Having the support of an experienced, caring, and authentic professional may help. Together we'll explore situations, patterns, and behaviors that may not be working for you. Considering your values and priorities, we will work collaboratively to develop a plan to help you feel more satisfied with life. I work with individuals aged 17 and up on a variety of issues. I am able to work virtually in 43 states, and I provide ADHD assessments for teens and adults.
(984) 789-3242 View (984) 789-3242
Kathy B Spurlock
Counselor, LCMHC, SEP, TEB
Cary, NC 27511
Life can be challenging at times and wrought with frustrations, sadness or anxiety. However, with therapy, those challenges don't have to be insurmountable. I believe therapy is about guiding you toward an emotionally healthy path in order to create the life you desire. The fact that you are searching for a therapist who feels like a "good fit" is an important first step (and a very courageous one). My goal is to support you along your journey by providing a non-judgmental and respectful atmosphere, as we jointly work toward you finding a more balanced Life. I am a somatic therapist and believe that healing begins in the body.
Life can be challenging at times and wrought with frustrations, sadness or anxiety. However, with therapy, those challenges don't have to be insurmountable. I believe therapy is about guiding you toward an emotionally healthy path in order to create the life you desire. The fact that you are searching for a therapist who feels like a "good fit" is an important first step (and a very courageous one). My goal is to support you along your journey by providing a non-judgmental and respectful atmosphere, as we jointly work toward you finding a more balanced Life. I am a somatic therapist and believe that healing begins in the body.
(919) 759-5429 View (919) 759-5429

See more therapy options for Cary

How does your Therapist compare?

Number of Therapists in Cary, NC

1,000+

Average cost per session

$150

Therapists in Cary, NC who prioritize treating:

94% Anxiety
94% Social Anxiety
94% Health Anxiety
94% Driving Anxiety
88% Depression
76% Relationship Issues
76% Self Esteem

Average years in practice

11 Years

Top 3 insurances accepted

93% Aetna
89% BlueCross and BlueShield
58% Cigna and Evernorth

How Therapists in Cary, NC see their clients

70% In Person and Online
30% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Cary?

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.