Therapists in Highlands, NC

Photo of Nicole Dilbeck, Licensed Clinical Mental Health Counselor, LCMHC, LCASA
Nicole Dilbeck
Licensed Clinical Mental Health Counselor, LCMHC, LCASA
Highlands, NC 28741
Society has often viewed vulnerability as a sign of weakness. I believe that by embracing and sharing our weaknesses we are demonstrating true strength. I am honored to walk beside my clients through some of their most difficult times in life. I respect and understand that the decision to process and heal from individual life experiences can be intimidating. I strive to build healthy and encouraging counselor-client relationships that will allow each person to feel safe and supported. In person and telehealth in North Carolina. Telehealth services only in Florida and South Carolina.
Society has often viewed vulnerability as a sign of weakness. I believe that by embracing and sharing our weaknesses we are demonstrating true strength. I am honored to walk beside my clients through some of their most difficult times in life. I respect and understand that the decision to process and heal from individual life experiences can be intimidating. I strive to build healthy and encouraging counselor-client relationships that will allow each person to feel safe and supported. In person and telehealth in North Carolina. Telehealth services only in Florida and South Carolina.
(828) 235-4333 View (828) 235-4333
Photo of Michelle Baker, MA, LCMHCA
Michelle Baker
Verified Verified
4 Endorsed
Online Only
Waitlist for new clients
My clients are motivated and ready for change. Many are searching for meaning and navigating significant life transitions such as career changes, empty-nesting, second-act identity work/retirement, aging, caregiving, and grief. I also support clients through the loss of a loved one and the stress of taking care of the legal steps and decisions that follow. These challenges invite us to reassess our values, roles, and identity—work that can be transformative and meaningful at any age. Please note, I work with clients (21+) living in North Carolina via Telehealth only.
My clients are motivated and ready for change. Many are searching for meaning and navigating significant life transitions such as career changes, empty-nesting, second-act identity work/retirement, aging, caregiving, and grief. I also support clients through the loss of a loved one and the stress of taking care of the legal steps and decisions that follow. These challenges invite us to reassess our values, roles, and identity—work that can be transformative and meaningful at any age. Please note, I work with clients (21+) living in North Carolina via Telehealth only.
(828) 525-8481 View (828) 525-8481
Photo of Tracy Stribling Franklin, Licensed Professional Counselor, LPC
Tracy Stribling Franklin
Licensed Professional Counselor, LPC
Highlands, NC 28741
I am a Licensed Professional Counselor who mainly utilizes Cognitive Behavioral Therapy (CBT) to help my clients. My goal is to help people identify ways to alter their own thinking in order to improve communication and decrease feelings of fear, anxiety, sadness, loneliness, etc,. By utilizing active listening skills and applying different therapeutic approaches, I strive to help my clients recognize patterns in behaviors and/or negative thoughts which may be keeping them from living the life they desire. Small changes can be made to help clients recognize these patterns and live a more fulfilling and meaningful life. I look forward to working with you.
I am a Licensed Professional Counselor who mainly utilizes Cognitive Behavioral Therapy (CBT) to help my clients. My goal is to help people identify ways to alter their own thinking in order to improve communication and decrease feelings of fear, anxiety, sadness, loneliness, etc,. By utilizing active listening skills and applying different therapeutic approaches, I strive to help my clients recognize patterns in behaviors and/or negative thoughts which may be keeping them from living the life they desire. Small changes can be made to help clients recognize these patterns and live a more fulfilling and meaningful life. I look forward to working with you.
(870) 639-4538 View (870) 639-4538
Photo of Edward B Kizer, Counselor, LPC, LCMHC
Edward B Kizer
Counselor, LPC, LCMHC
1 Endorsed
Online Only
We are products of our environment, experiences and relationships. Along the way, we have gathered deeply internalized beliefs - some that serve our growth and wellbeing, some that don’t - emotions, both positive and negative, and chronic stress or trauma. All of this has impacted our life and much of what has happened in the past still resides deeply in our body, manifesting as behavioral, relational or emotional struggles, often unexplained and sometimes inexplicable.
We are products of our environment, experiences and relationships. Along the way, we have gathered deeply internalized beliefs - some that serve our growth and wellbeing, some that don’t - emotions, both positive and negative, and chronic stress or trauma. All of this has impacted our life and much of what has happened in the past still resides deeply in our body, manifesting as behavioral, relational or emotional struggles, often unexplained and sometimes inexplicable.
(864) 400-7096 View (864) 400-7096
Photo of Dana E Mills, Licensed Professional Counselor, LCMHC, LCAS, CCS
Dana E Mills
Licensed Professional Counselor, LCMHC, LCAS, CCS
2 Endorsed
Serves Area
Everyone faces difficulties in life at some point and can use discreet, compassionate, non-judgemental support to develop strategies to manage and overcome those difficulties. No single therapeutic approach can treat every individual. I believe that recovery and improvement are possible for everyone. Therapy helps find solutions that foster a sense of personal empowerment to make choices in your own recovery. My therapeutic approach focuses on an individual's strengths to engage in their life. Learn skills to help manage and treat anxiety, depression, mood and personality disorders, substance use issues, and trauma resolution.
Everyone faces difficulties in life at some point and can use discreet, compassionate, non-judgemental support to develop strategies to manage and overcome those difficulties. No single therapeutic approach can treat every individual. I believe that recovery and improvement are possible for everyone. Therapy helps find solutions that foster a sense of personal empowerment to make choices in your own recovery. My therapeutic approach focuses on an individual's strengths to engage in their life. Learn skills to help manage and treat anxiety, depression, mood and personality disorders, substance use issues, and trauma resolution.
(828) 634-4378 View (828) 634-4378
Photo of Julie Shepardson, Counselor, MA, LMHC, LPC, LCMHC
Julie Shepardson
Counselor, MA, LMHC, LPC, LCMHC
Serves Area
I help people discover & eliminate problematic personal & interpersonal patterns, make difficult life decisions & work through deep seated traumas. Maybe you feel sad, anxious or overwhelmed. Have you experienced a trauma that you're struggling to work through? Is your relationship in trouble? Therapy can help you turn the Struggle you have today into the Strength you experience tomorrow. You'll find that I have a warm, non-judgmental, and easy style that helps people relax. I will help you actively learn new ways to cope, gain new insights, and experience new ways of relating to people or situations.
I help people discover & eliminate problematic personal & interpersonal patterns, make difficult life decisions & work through deep seated traumas. Maybe you feel sad, anxious or overwhelmed. Have you experienced a trauma that you're struggling to work through? Is your relationship in trouble? Therapy can help you turn the Struggle you have today into the Strength you experience tomorrow. You'll find that I have a warm, non-judgmental, and easy style that helps people relax. I will help you actively learn new ways to cope, gain new insights, and experience new ways of relating to people or situations.
(910) 613-9331 View (910) 613-9331
Photo of Stephanie Cheryl Bowman, Lic Clinical Mental Health Counselor Associate, LCMHCA
Stephanie Cheryl Bowman
Lic Clinical Mental Health Counselor Associate, LCMHCA
3 Endorsed
Serves Area
Not accepting new clients
My passion lies in working with individuals who have experienced complex trauma and those currently living with eating disorders or disordered eating. It is my goal to help my clients no longer feel alone, and to move from a place of shame and guilt to one of believing and knowing that all of their parts are good.
My passion lies in working with individuals who have experienced complex trauma and those currently living with eating disorders or disordered eating. It is my goal to help my clients no longer feel alone, and to move from a place of shame and guilt to one of believing and knowing that all of their parts are good.
(828) 200-5332 View (828) 200-5332
Photo of Kevin Reed Inabinet, Clinical Social Work/Therapist, LCSW
Kevin Reed Inabinet
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
After being in the helping field for over 25 years, I understand what a leap of faith it is to reach out for help as well as how stressful and scary it can be. I also know how important it is to be treated with respect, professionalism, and dignity. This need is surely magnified when it involves the people you care about the most. Seeking help for your family can also become very confusing and frustrating. I am working hard to eliminate those unnecessary barriers. My experience is with children, adolescents, and their families.
After being in the helping field for over 25 years, I understand what a leap of faith it is to reach out for help as well as how stressful and scary it can be. I also know how important it is to be treated with respect, professionalism, and dignity. This need is surely magnified when it involves the people you care about the most. Seeking help for your family can also become very confusing and frustrating. I am working hard to eliminate those unnecessary barriers. My experience is with children, adolescents, and their families.
(828) 237-4115 View (828) 237-4115

More Therapists Nearby

Photo of Anna Clark, Counselor, LCMHC
Anna Clark
Counselor, LCMHC
2 Endorsed
Sylva, NC 28779
Waitlist for new clients
Life is often full of unexpected twists, turns, and bumps that can leave us feeling uncertain about how to feel or move forward. Although it can seem dauting to take the steps to talk about these challenges, therapy can be an extremely rewarding tool to support validating your experiences and compassionately continuing that journey. My approach to therapy is that it involves understanding how our past impacts current feelings, behaviors, and patterns through a safe and trusting therapeutic relationship that supports positive change and healing. I also believe therapy needs to utilize humor and I enjoy having my dog join in as well.
Life is often full of unexpected twists, turns, and bumps that can leave us feeling uncertain about how to feel or move forward. Although it can seem dauting to take the steps to talk about these challenges, therapy can be an extremely rewarding tool to support validating your experiences and compassionately continuing that journey. My approach to therapy is that it involves understanding how our past impacts current feelings, behaviors, and patterns through a safe and trusting therapeutic relationship that supports positive change and healing. I also believe therapy needs to utilize humor and I enjoy having my dog join in as well.
(828) 586-5555 View (828) 586-5555
Photo of Rachel Rosenthal, Licensed Clinical Mental Health Counselor, LCMHC, C-DBT
Rachel Rosenthal
Licensed Clinical Mental Health Counselor, LCMHC, C-DBT
Brevard, NC 28712
I believe in the quiet brilliance that lives within everyone. A light that may flicker beneath exhaustion, doubt, or the weight of being everything to everyone, but never entirely goes out. You are the steady one, the go-to, the fixer of things. Yet in still moments, the whisper comes: 
"What if they find out I’m barely holding on?" Here, you are invited to lay it all down. 
To exhale. 
To listen inward, my mission is to help you return to your own knowing. The fierce, intuitive, radiant self that may have been buried beneath roles, expectations, and the noise of the world.
I believe in the quiet brilliance that lives within everyone. A light that may flicker beneath exhaustion, doubt, or the weight of being everything to everyone, but never entirely goes out. You are the steady one, the go-to, the fixer of things. Yet in still moments, the whisper comes: 
"What if they find out I’m barely holding on?" Here, you are invited to lay it all down. 
To exhale. 
To listen inward, my mission is to help you return to your own knowing. The fierce, intuitive, radiant self that may have been buried beneath roles, expectations, and the noise of the world.
(336) 594-2658 View (336) 594-2658
Photo of Jessica Chastain Tewell, Clinical Social Work/Therapist, MSW, MDiv, LCSW
Jessica Chastain Tewell
Clinical Social Work/Therapist, MSW, MDiv, LCSW
2 Endorsed
Franklin, NC 28734
I believe therapy should be a space where you feel truly seen and supported. Together, we’ll build tools to help you navigate anxiety, depression, ADHD, autism, life changes, trauma, or whatever’s weighing you down. My goal is to help you move from just surviving to feeling more in control, more connected, and more yourself. Let’s take that next step together.
I believe therapy should be a space where you feel truly seen and supported. Together, we’ll build tools to help you navigate anxiety, depression, ADHD, autism, life changes, trauma, or whatever’s weighing you down. My goal is to help you move from just surviving to feeling more in control, more connected, and more yourself. Let’s take that next step together.
View
Photo of Carol VanderWoude, Clinical Social Work/Therapist, MSW, LCSW
Carol VanderWoude
Clinical Social Work/Therapist, MSW, LCSW
Franklin, NC 28734
If you’ve experienced abandonment, abuse, or relationship wounds, you may feel anxious, disconnected, or unsure how to trust again. Healing is possible. Together, we can help you move toward greater emotional stability, self-compassion, and healthier relationships. I believe in treating the whole person by honoring your emotional, relational, physical, intellectual and spiritual well-being. Therapy with me is not just about managing symptoms, it’s about creating deeper peace, resilience and connection in your daily life.
If you’ve experienced abandonment, abuse, or relationship wounds, you may feel anxious, disconnected, or unsure how to trust again. Healing is possible. Together, we can help you move toward greater emotional stability, self-compassion, and healthier relationships. I believe in treating the whole person by honoring your emotional, relational, physical, intellectual and spiritual well-being. Therapy with me is not just about managing symptoms, it’s about creating deeper peace, resilience and connection in your daily life.
(828) 332-5651 View (828) 332-5651
Photo of Jennifer Harr - Cornbread & Roses Community Counseling, Clinical Social Work/Therapist, LCSW
Cornbread & Roses Community Counseling
Clinical Social Work/Therapist, LCSW
Sylva, NC 28779
Waitlist for new clients
We have a waitlist for new clients. We provide individual therapy for all ages, genders, and backgrounds. We accept most major insurances. If you do not have insurance, we can discuss our sliding scale options or you can work with a clinical intern for free of charge or by donation. All sessions are scheduled by appointment only. We do not have walk-in hours.
We have a waitlist for new clients. We provide individual therapy for all ages, genders, and backgrounds. We accept most major insurances. If you do not have insurance, we can discuss our sliding scale options or you can work with a clinical intern for free of charge or by donation. All sessions are scheduled by appointment only. We do not have walk-in hours.
(828) 501-0987 View (828) 501-0987
Photo of Heather Herman - Joy Spring Mental Health, PMHNP-C, PMH-C, ADHD-CP
Joy Spring Mental Health
Verified Verified
2 Endorsed
Serves Area
Does it feel like you’re holding everything together—but just barely? You’re not alone. At Joy Spring Mental Health, we understand how exhausting it can be to push through stress, burnout, or overwhelm while trying to keep up with the demands of life. If your best never feels like enough, it’s time for support that goes beyond quick fixes. We believe healing starts with being truly heard. That’s why we take a whole-person, root-cause approach to mental health. Whether you're dealing with anxiety, depression, trauma, OCD, or just a sense that something’s off—we’ll work with you to figure out why and what to do next.
Does it feel like you’re holding everything together—but just barely? You’re not alone. At Joy Spring Mental Health, we understand how exhausting it can be to push through stress, burnout, or overwhelm while trying to keep up with the demands of life. If your best never feels like enough, it’s time for support that goes beyond quick fixes. We believe healing starts with being truly heard. That’s why we take a whole-person, root-cause approach to mental health. Whether you're dealing with anxiety, depression, trauma, OCD, or just a sense that something’s off—we’ll work with you to figure out why and what to do next.
(336) 485-4668 View (336) 485-4668
Photo of Jennifer Lynn Schmieding, Licensed Professional Counselor, MS , LCMHC
Jennifer Lynn Schmieding
Licensed Professional Counselor, MS , LCMHC
Brevard, NC 28712
I have over 20 years experience in Marriage and Family Therapy working with individuals, couples and families. I offer research based couples counseling as well as co-parenting counseling after separation. I teach proactive divorce education, and am professionally trained in court ordered high conflict coparenting techniques and parenting plans. I provide therapy for children as they navigate adolescence and young adulthood and offer support for couples and families during difficult transition periods.
I have over 20 years experience in Marriage and Family Therapy working with individuals, couples and families. I offer research based couples counseling as well as co-parenting counseling after separation. I teach proactive divorce education, and am professionally trained in court ordered high conflict coparenting techniques and parenting plans. I provide therapy for children as they navigate adolescence and young adulthood and offer support for couples and families during difficult transition periods.
(828) 330-9358 View (828) 330-9358
Photo of Michael James Tui- II, Counselor, MSCP, NCC, LCMHC
Michael James Tui- II
Counselor, MSCP, NCC, LCMHC
2 Endorsed
Serves Area
Waitlist for new clients
Life can be such a challenge especially if we find ourselves walking our path alone. On this journey, my hope is to help guide and provide skill training that will help you increase confidence, self-worth, and self-empowerment. I serve all ages and have specialized training to address disorders and challenges in ages 3 years old - 100+ My love and passion is supporting the health of our families. I passionately that by healing our families we heal the world.
Life can be such a challenge especially if we find ourselves walking our path alone. On this journey, my hope is to help guide and provide skill training that will help you increase confidence, self-worth, and self-empowerment. I serve all ages and have specialized training to address disorders and challenges in ages 3 years old - 100+ My love and passion is supporting the health of our families. I passionately that by healing our families we heal the world.
(828) 523-8936 View (828) 523-8936
Photo of Judith Preiato, Clinical Social Work/Therapist, LCSW
Judith Preiato
Clinical Social Work/Therapist, LCSW
Online Only
Hello and welcome. Let me introduce myself as one who knows her soul’s purpose is to assist others find their soul’s purpose so that they may live a life of authenticity, abundance and joy just as I have learned. Often times we don’t even know that we have the capacity to create anything new. When we look around at our life’s circumstances sometimes all we can see is why we can’t. How do I know that? Because that was me. My thinking was so negatively conditioned from old emotional wounds and familial/societal conditioning. Let me show you how you have everything you need within to heal.
Hello and welcome. Let me introduce myself as one who knows her soul’s purpose is to assist others find their soul’s purpose so that they may live a life of authenticity, abundance and joy just as I have learned. Often times we don’t even know that we have the capacity to create anything new. When we look around at our life’s circumstances sometimes all we can see is why we can’t. How do I know that? Because that was me. My thinking was so negatively conditioned from old emotional wounds and familial/societal conditioning. Let me show you how you have everything you need within to heal.
(828) 383-0789 View (828) 383-0789
Photo of Margie Allison, Clinical Social Work/Therapist, MSW, LCSW, LCAS, LISW-CP
Margie Allison
Clinical Social Work/Therapist, MSW, LCSW, LCAS, LISW-CP
4 Endorsed
Online Only
It's an honor and privilege to use my experience, education and skills to guide people toward a deeper love and acceptance of themselves. My passion is working with those who are ready to heal and transform what no longer serves them on their way to creating lives of meaning, purpose and joy. I've accumulated a "toolkit" of effective modalities and those, combined with your own desire to grow and evolve is a powerful combination. I believe many of us repeat strategies from the past that may have worked then, but are no longer helping us become who we want to be either personally or professionally.
It's an honor and privilege to use my experience, education and skills to guide people toward a deeper love and acceptance of themselves. My passion is working with those who are ready to heal and transform what no longer serves them on their way to creating lives of meaning, purpose and joy. I've accumulated a "toolkit" of effective modalities and those, combined with your own desire to grow and evolve is a powerful combination. I believe many of us repeat strategies from the past that may have worked then, but are no longer helping us become who we want to be either personally or professionally.
(828) 373-1557 View (828) 373-1557
Photo of Tara Tecce, Lic Clinical Mental Health Counselor , MEdS, LCMHC
Tara Tecce
Lic Clinical Mental Health Counselor , MEdS, LCMHC
4 Endorsed
Brevard, NC 28712
Hello! I am Tara, and I am grateful to be part of your journey. I work with children and adolescents who are struggling with stress and anxiety, low self-esteem, social difficulties, perfectionism, and grief. I work with adults seeking support and motivation through life transitions, navigating achievement culture, or feeling disconnected from themselves, their purpose, or others. I believe learning often happens best through play and connection, positive change is most supported when you are an active participant in the process, and, although failure is inevitable, through failure can come resilience.
Hello! I am Tara, and I am grateful to be part of your journey. I work with children and adolescents who are struggling with stress and anxiety, low self-esteem, social difficulties, perfectionism, and grief. I work with adults seeking support and motivation through life transitions, navigating achievement culture, or feeling disconnected from themselves, their purpose, or others. I believe learning often happens best through play and connection, positive change is most supported when you are an active participant in the process, and, although failure is inevitable, through failure can come resilience.
(828) 209-8034 View (828) 209-8034
Photo of Sunny Volano, Licensed Professional Counselor, LPC, CPCS
Sunny Volano
Licensed Professional Counselor, LPC, CPCS
4 Endorsed
Serves Area
Things can feel out of control and difficult to slow down. Life can feel like a whirlwind sometimes. Maybe thoughts are irrational, but you cannot stop them. Maybe you are starting to realize you do not always make the best choices. Maybe you have driven yourself into a state of panic. Maybe your child has hit a breaking point and you don’t know how to help. We can figure this out together. I want to help you achieve that balance you are looking for so you can start living the life you want. I have worked with children and adults for the past 13 years in community mental health, in schools, and in private practice.
Things can feel out of control and difficult to slow down. Life can feel like a whirlwind sometimes. Maybe thoughts are irrational, but you cannot stop them. Maybe you are starting to realize you do not always make the best choices. Maybe you have driven yourself into a state of panic. Maybe your child has hit a breaking point and you don’t know how to help. We can figure this out together. I want to help you achieve that balance you are looking for so you can start living the life you want. I have worked with children and adults for the past 13 years in community mental health, in schools, and in private practice.
(706) 707-5983 View (706) 707-5983

How does your Therapist compare?

Number of Therapists in Highlands, NC

< 10

Therapists in Highlands, NC who prioritize treating:

100% Self Esteem
88% Relationship Issues
88% Anxiety
88% Grief
75% Trauma and PTSD
63% Depression
63% Stress

Average years in practice

11 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
20% Cigna and Evernorth

How Therapists in Highlands, NC see their clients

75% In Person and Online
25% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Highlands?

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.