Therapists in Columbus County, NC

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Photo of Tarisha McCullen, MSW, LCSW, Clinical Social Work/Therapist
Tarisha McCullen
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Online Only
My name is Tarisha McCullen. I am a LCSW and I have been working in the Mental Health field as a therapist for 10 years and have experience working with children, adults, and families who has experienced depression, anxiety, problems with self-esteem, disruptive behaviors, and other various MH disorders.
My name is Tarisha McCullen. I am a LCSW and I have been working in the Mental Health field as a therapist for 10 years and have experience working with children, adults, and families who has experienced depression, anxiety, problems with self-esteem, disruptive behaviors, and other various MH disorders.
(910) 981-2767 View (910) 981-2767
Photo of Iesha Shonta Bell, MSW, LCSW, LISW-CP, Clinical Social Work/Therapist
Iesha Shonta Bell
Clinical Social Work/Therapist, MSW, LCSW, LISW-CP
Verified Verified
Online Only
I have learned from working as a therapist for 13 years, that change takes a different amount of time and approach for everyone. I work to meet people where they are and always look for the good within the person. Using CBT, I help others alter their emotions and approach to addressing issues, and provide various strategies to assist an individual with a fulfilling peaceful response. I believe in treating others the way I want to be treated. I believe in helping fight for others to overcome. because hard times for anyone can be overcome with practice. I believe therapy is meant to help individuals come to peace life challenges.
I have learned from working as a therapist for 13 years, that change takes a different amount of time and approach for everyone. I work to meet people where they are and always look for the good within the person. Using CBT, I help others alter their emotions and approach to addressing issues, and provide various strategies to assist an individual with a fulfilling peaceful response. I believe in treating others the way I want to be treated. I believe in helping fight for others to overcome. because hard times for anyone can be overcome with practice. I believe therapy is meant to help individuals come to peace life challenges.
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Photo of Jonathan Traylor, MPhil, LCMHCS, LCAS, CSOTP, NCC
Jonathan Traylor
Licensed Clinical Mental Health Counselor, MPhil, LCMHCS, LCAS, CSOTP, NCC
Verified Verified
Whiteville, NC 28472
My interest are within the general areas of behavioral disorders and behavioral research, with a common unifying theme of this research focusing on personality development and pathology within this development. I have several areas of research that build on this general theme. One area that I have extensively examined is behavior on educational processes.
My interest are within the general areas of behavioral disorders and behavioral research, with a common unifying theme of this research focusing on personality development and pathology within this development. I have several areas of research that build on this general theme. One area that I have extensively examined is behavior on educational processes.
(910) 400-1332 View (910) 400-1332
Photo of Chante' Clark - Matters of the Heart & Mind Counseling , MSW, LCSW, Clinical Social Work/Therapist
Matters of the Heart & Mind Counseling
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Online Only
If it is on your heart and mind, it matters. We are here to help you with those matters, which may include depression, anxiety, grief or trauma. We want you to find the support you need to make sustainable changes to help you live as you desire.
If it is on your heart and mind, it matters. We are here to help you with those matters, which may include depression, anxiety, grief or trauma. We want you to find the support you need to make sustainable changes to help you live as you desire.
(910) 407-9789 View (910) 407-9789
Photo of Anna-Marie Inman, MA, LCMHC
Anna-Marie Inman
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Whiteville, NC 28472
Growing up in a military town with a vast range in population has been an asset to my life. I bring a varied life experience to meet you where you are. It has been frequently reported by clients, I am easy to identify with and authentic in my approach. I have experience working with couples, and individuals ages 13 and up with many topics such as anxiety, stress, communication, and various marital issues. It is my desire to bring my love of people, love of place, life experience, education, and counseling experience to bring about the solution a client seeks.
Growing up in a military town with a vast range in population has been an asset to my life. I bring a varied life experience to meet you where you are. It has been frequently reported by clients, I am easy to identify with and authentic in my approach. I have experience working with couples, and individuals ages 13 and up with many topics such as anxiety, stress, communication, and various marital issues. It is my desire to bring my love of people, love of place, life experience, education, and counseling experience to bring about the solution a client seeks.
(910) 387-4357 View (910) 387-4357
Photo of Lavenda T Rogers, Lavenda, MSW, LCSWA, LLMSW, LCASA
Lavenda T Rogers
LCSW Associate, Lavenda, MSW, LCSWA, LLMSW, LCASA
Verified Verified
1 Endorsed
Online Only
I am compassionate, person-centered, solution-focused, and dedicated to providing exceptional services that are treatment plan driven, as well as, consumer centered. My background consists of providing therapy to individuals, families, and children experiencing trauma and lifestyle adjustments. My credentials consist of LLMSW and LCSWA and certification in intimate partner violence.
I am compassionate, person-centered, solution-focused, and dedicated to providing exceptional services that are treatment plan driven, as well as, consumer centered. My background consists of providing therapy to individuals, families, and children experiencing trauma and lifestyle adjustments. My credentials consist of LLMSW and LCSWA and certification in intimate partner violence.
(910) 226-4400 View (910) 226-4400
Photo of Debra Bergman, LMFT, Marriage & Family Therapist
Debra Bergman
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
I am a licensed Marriage and Family Therapist with over 30 years of clinical experience. I have extensive experience working with individuals with issues like anxiety, depression, impulse control, addiction, chronic and life-threatening illness, life transitions, grief and loss, relationship/family problems, stress management, and job stress. I combine a variety of modalities, perspectives, and techniques including client-centered, cognitive behavioral, existential, humanistic, mindfulness, solution-focused, somatic, and trauma-informed care. My mission is to help you manage stress and find more balance in your life.
I am a licensed Marriage and Family Therapist with over 30 years of clinical experience. I have extensive experience working with individuals with issues like anxiety, depression, impulse control, addiction, chronic and life-threatening illness, life transitions, grief and loss, relationship/family problems, stress management, and job stress. I combine a variety of modalities, perspectives, and techniques including client-centered, cognitive behavioral, existential, humanistic, mindfulness, solution-focused, somatic, and trauma-informed care. My mission is to help you manage stress and find more balance in your life.
(336) 530-1569 View (336) 530-1569
Photo of Alysann Whitley Price, LCSW, Clinical Social Work/Therapist
Alysann Whitley Price
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hi, my name is Alysann and I'm a Licensed Clinical Social Worker with over 6 years of clinical experience. My therapeutic approach is strengths-based, which means I will empower you by building on your strengths. I specialize in OCD, Anxiety, Depression, Alcohol Addiction, Eating Disorders, Sleep/Insomnia, Stress, Self-esteem, Coping Skills, and Chronic Pain. I am trained in many different modalities such as, ERP, DBT, Mindfulness, Motivational Interviewing, CBT, and ACT, but I will tailor my therapy modality to the individual and find which approach will aid you the most to help accomplish any goals you might have.
Hi, my name is Alysann and I'm a Licensed Clinical Social Worker with over 6 years of clinical experience. My therapeutic approach is strengths-based, which means I will empower you by building on your strengths. I specialize in OCD, Anxiety, Depression, Alcohol Addiction, Eating Disorders, Sleep/Insomnia, Stress, Self-esteem, Coping Skills, and Chronic Pain. I am trained in many different modalities such as, ERP, DBT, Mindfulness, Motivational Interviewing, CBT, and ACT, but I will tailor my therapy modality to the individual and find which approach will aid you the most to help accomplish any goals you might have.
(984) 217-7344 View (984) 217-7344
Photo of Eugenia Davis, LMHC
Eugenia Davis
Licensed Clinical Mental Health Counselor, LMHC
Verified Verified
Online Only
My name is Eugenia V. Davis. I am a Licensed Clinical Mental Health Counselor and a Supervisor with over 24 years of clinical experience working with Individuals, Couples, and Families suffering from Anger Management, Anxiety, Bipolar Disorder, Depression, and Dual Diagnosis. I use a mix of Client-Centered Therapy, Cognitive Behavioral (CBT), Couples Therapy, Mindfulness-Based (MBCT), and Motivational Interviewing. I believe it is easy for a person to become wrapped up in issues they cannot rationalize, and I think I can help their cause.
My name is Eugenia V. Davis. I am a Licensed Clinical Mental Health Counselor and a Supervisor with over 24 years of clinical experience working with Individuals, Couples, and Families suffering from Anger Management, Anxiety, Bipolar Disorder, Depression, and Dual Diagnosis. I use a mix of Client-Centered Therapy, Cognitive Behavioral (CBT), Couples Therapy, Mindfulness-Based (MBCT), and Motivational Interviewing. I believe it is easy for a person to become wrapped up in issues they cannot rationalize, and I think I can help their cause.
(984) 217-5108 View (984) 217-5108
Photo of Page Rutledge, MSW, MPH, LCSW, CHT, Clinical Social Work/Therapist
Page Rutledge
Clinical Social Work/Therapist, MSW, MPH, LCSW, CHT
Verified Verified
1 Endorsed
Serves Area
Couples therapy is hard work. It is an investment of your time, your money, and your emotional energy. It is a commitment to bettering your relationship, or figuring out if & how you can separate more amicably, especially if children are involved. My focus is twofold: increasing communication skills, and teaching neurodiverse couples how to manage emotional intimacy more effectively. Are you stuck? I offer a structure that is predictable and doable, with a cost estimate you can count (check my contact page for this) on unless YOU elect to go beyond it. Isn’t your primary relationship worth this time, energy, cost, and commitment?
Couples therapy is hard work. It is an investment of your time, your money, and your emotional energy. It is a commitment to bettering your relationship, or figuring out if & how you can separate more amicably, especially if children are involved. My focus is twofold: increasing communication skills, and teaching neurodiverse couples how to manage emotional intimacy more effectively. Are you stuck? I offer a structure that is predictable and doable, with a cost estimate you can count (check my contact page for this) on unless YOU elect to go beyond it. Isn’t your primary relationship worth this time, energy, cost, and commitment?
(910) 684-5120 View (910) 684-5120
Photo of Jessie Smith, LCSW, Clinical Social Work/Therapist
Jessie Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
My name is Jessie Smith, and I am a Licensed Clinical Social Worker in the state of North Carolina. I have experience working with adults, adults with SPMI, adolescents, and families seeking support to overcome trauma, anxiety, depression, life transitions, grief, parenting issues, anger, self-esteem, codependency, and other challenges that arise in life. I earned a Bachelor's and Master of Social Work from The University of North Carolina at Pembroke.
My name is Jessie Smith, and I am a Licensed Clinical Social Worker in the state of North Carolina. I have experience working with adults, adults with SPMI, adolescents, and families seeking support to overcome trauma, anxiety, depression, life transitions, grief, parenting issues, anger, self-esteem, codependency, and other challenges that arise in life. I earned a Bachelor's and Master of Social Work from The University of North Carolina at Pembroke.
(980) 332-2508 View (980) 332-2508
Photo of Dr. Travis Andrews, PhD, LCMHC-S, ACS, CRC, NCC, Licensed Professional Counselor
Dr. Travis Andrews
Licensed Professional Counselor, PhD, LCMHC-S, ACS, CRC, NCC
Verified Verified
Serves Area
Are you navigating the challenges of Autism Spectrum Disorder (ASD) or seeking effective behavioral health interventions? Discover the transformative power of our unique approach, combining Applied Behavior Analysis (ABA) and Research-Based Behavioral Health Treatment (RB-BHT). At Andrews Counseling and Consulting, PLLC, we focus on your needs, offering personalized care that sets us apart. We understand that everyone is different, and our approach reflects this commitment to personalization. Our holistic approach addresses behavioral challenges and social, communication, and adaptive skills.
Are you navigating the challenges of Autism Spectrum Disorder (ASD) or seeking effective behavioral health interventions? Discover the transformative power of our unique approach, combining Applied Behavior Analysis (ABA) and Research-Based Behavioral Health Treatment (RB-BHT). At Andrews Counseling and Consulting, PLLC, we focus on your needs, offering personalized care that sets us apart. We understand that everyone is different, and our approach reflects this commitment to personalization. Our holistic approach addresses behavioral challenges and social, communication, and adaptive skills.
(743) 500-3757 View (743) 500-3757
Photo of Christy Vitou Miles, NCC, LCMHC
Christy Vitou Miles
Licensed Clinical Mental Health Counselor, NCC, LCMHC
Verified Verified
1 Endorsed
Online Only
Sometimes life can seem overwhelming and the pressure to be on top of everything can lead to feelings of stress, anxiety, and depression. The stress of life can also lead to feelings of inadequacy and self defeat. My goal as a LCMHC is to listen without judgement, validate your feelings, and help you develop skills to manage stress. In my therapeutic practice, I adopt a person centered approach, valuing each client as a distinct individual. This allows me to tailor interventions to the needs of the client. I provide telehealth services to adult, female clients.
Sometimes life can seem overwhelming and the pressure to be on top of everything can lead to feelings of stress, anxiety, and depression. The stress of life can also lead to feelings of inadequacy and self defeat. My goal as a LCMHC is to listen without judgement, validate your feelings, and help you develop skills to manage stress. In my therapeutic practice, I adopt a person centered approach, valuing each client as a distinct individual. This allows me to tailor interventions to the needs of the client. I provide telehealth services to adult, female clients.
(910) 996-0502 View (910) 996-0502
Photo of Tara Keel, LCSW, Clinical Social Work/Therapist
Tara Keel
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
Are you feeling stressed, defeated, or overwhelmed? Sometimes, we find ourselves feeling “stuck” and unable to move forward—or in any direction. Feeling as if you’re going nowhere, despite energy output, can be discouraging and defeating. Trust me, I understand. Everyone encounters challenging times in their lives. I think we can all agree that you never know what life will throw at you. The journey to healing can be lonely; but I am here to walk with you every step of the way. I can assure you that I will provide a safe place for you to express yourself, free from judgement.
Are you feeling stressed, defeated, or overwhelmed? Sometimes, we find ourselves feeling “stuck” and unable to move forward—or in any direction. Feeling as if you’re going nowhere, despite energy output, can be discouraging and defeating. Trust me, I understand. Everyone encounters challenging times in their lives. I think we can all agree that you never know what life will throw at you. The journey to healing can be lonely; but I am here to walk with you every step of the way. I can assure you that I will provide a safe place for you to express yourself, free from judgement.
(704) 810-2041 View (704) 810-2041
Photo of Karen T Reid, LCMHCQS, TF-CBT, Counselor
Karen T Reid
Counselor, LCMHCQS, TF-CBT
Verified Verified
Online Only
Welcome! One of my core beliefs is that counseling is a healing skill for the soul. We all encounter problems, griefs, traumas etc. The rains of life come on every individual. These rains don’t care about your age, ethnicity, socioeconomic status, or beliefs. They just come and you have a choice in how you respond to them. Will you dance in the rain, sit in the rain, or move forward in the rain? I believe counseling can help you move forward in the rain and even dance as well. I have been a counselor for over 14 years.
Welcome! One of my core beliefs is that counseling is a healing skill for the soul. We all encounter problems, griefs, traumas etc. The rains of life come on every individual. These rains don’t care about your age, ethnicity, socioeconomic status, or beliefs. They just come and you have a choice in how you respond to them. Will you dance in the rain, sit in the rain, or move forward in the rain? I believe counseling can help you move forward in the rain and even dance as well. I have been a counselor for over 14 years.
(910) 519-1530 View (910) 519-1530
Photo of Amber Turlik, LCSW, LCAS, Clinical Social Work/Therapist
Amber Turlik
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
Online Only
Hello! I am a Licensed Clinical Social Worker and Licensed Clinical Addiction Specialist with over 17 years of experience in the field. I have dedicated my life to helping others define and create the life that they want and am passionate in my efforts to serve all those that are suffering from the challenges of mental health and life transitions. My approach is holistic and I utilize several therapeutic modalities to include CBT, Acceptance and Commitment Therapy, Mindfulness Based Cognitive Therapy, DBT and Integrated Dual Diagnosis Treatment. I work to meet you where you are and utilize the appropriate interventions.
Hello! I am a Licensed Clinical Social Worker and Licensed Clinical Addiction Specialist with over 17 years of experience in the field. I have dedicated my life to helping others define and create the life that they want and am passionate in my efforts to serve all those that are suffering from the challenges of mental health and life transitions. My approach is holistic and I utilize several therapeutic modalities to include CBT, Acceptance and Commitment Therapy, Mindfulness Based Cognitive Therapy, DBT and Integrated Dual Diagnosis Treatment. I work to meet you where you are and utilize the appropriate interventions.
(980) 291-7594 View (980) 291-7594
Photo of Colleen Cash, LCSW, Clinical Social Work/Therapist
Colleen Cash
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hello! I am a counselor licensed in North and South Carolina with over 22 years of experience. I’ve worked with a wide variety of issues including depression, anxiety, family and parenting issues, ADHD, behavioral issues, and more. I determine effective therapy strategies for each unique client, and employ a combination of Cognitive Behavioral, Schema Focused, Narrative, and Brief Solution Focused techniques. My clients tell me they appreciate that I am direct, honest, and hold them accountable, while also being compassionate. I am very practical and teach techniques that can be applied to most all situations in life.
Hello! I am a counselor licensed in North and South Carolina with over 22 years of experience. I’ve worked with a wide variety of issues including depression, anxiety, family and parenting issues, ADHD, behavioral issues, and more. I determine effective therapy strategies for each unique client, and employ a combination of Cognitive Behavioral, Schema Focused, Narrative, and Brief Solution Focused techniques. My clients tell me they appreciate that I am direct, honest, and hold them accountable, while also being compassionate. I am very practical and teach techniques that can be applied to most all situations in life.
(704) 327-6147 View (704) 327-6147
Photo of Deanna L Brown-Johnson, MA, LCMHC, LCAS, Counselor
Deanna L Brown-Johnson
Counselor, MA, LCMHC, LCAS
Verified Verified
Online Only
Reaching out to a counselor can be intimidating. I get it. We've all had times in life when we can't manage on our own. You might think, "how did I get here?" Whatever the situation, sometimes it feels overwhelming until you are able to talk about it. A counselor can help guide you through it. Counseling can help you feel healthier, happier, more empowered. Let's work together to help you find the peace and resiliency you've been wanting. Give us a call. I offer flexible hours, as well as offering phone and e-counseling.
Reaching out to a counselor can be intimidating. I get it. We've all had times in life when we can't manage on our own. You might think, "how did I get here?" Whatever the situation, sometimes it feels overwhelming until you are able to talk about it. A counselor can help guide you through it. Counseling can help you feel healthier, happier, more empowered. Let's work together to help you find the peace and resiliency you've been wanting. Give us a call. I offer flexible hours, as well as offering phone and e-counseling.
(910) 387-0937 View (910) 387-0937
Photo of Tedra Slade, LCSW, Clinical Social Work/Therapist
Tedra Slade
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
My name is Tedra Slade, LCSW licensed in the states of NC, OR & SC. My therapy sessions are designed to promote personal growth as defined by you. I believe that emotional and behavioral challenges are a result of our brains not working in a way that helps us achieve our goals. In therapy, you will learn ways to help your brain heal, reframe your thoughts, and learn how to cope with daily challenges. Making time for your mental well-being shows strength and is courageous! I enjoy helping people reach their potential by removing barriers and providing alternative ways to cope.
My name is Tedra Slade, LCSW licensed in the states of NC, OR & SC. My therapy sessions are designed to promote personal growth as defined by you. I believe that emotional and behavioral challenges are a result of our brains not working in a way that helps us achieve our goals. In therapy, you will learn ways to help your brain heal, reframe your thoughts, and learn how to cope with daily challenges. Making time for your mental well-being shows strength and is courageous! I enjoy helping people reach their potential by removing barriers and providing alternative ways to cope.
(980) 414-0394 View (980) 414-0394
Photo of Devoria Keaton Berry, MSW, LCSW, LCASA, Clinical Social Work/Therapist
Devoria Keaton Berry
Clinical Social Work/Therapist, MSW, LCSW, LCASA
Verified Verified
Delco, NC 28436
(910) 405-8720 View (910) 405-8720

See more therapy options for Columbus County

How does your Therapist compare?

Number of Therapists in Columbus County, NC

20+

Average cost per session

$150

Therapists in Columbus County, NC who prioritize treating:

90% Depression
90% Anxiety
80% Coping Skills
70% Self Esteem
70% Stress
65% Relationship Issues
65% Anger Management

Average years in practice

14 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
89% Aetna
83% Cigna and Evernorth

How Therapists in Columbus County, NC see their clients

75% Online Only
25% In Person and Online

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Columbus County?

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.