Therapists in Winston Salem, NC

Photo of Deidre Montgomery, Clinical Social Work/Therapist in Winston Salem, NC
Deidre Montgomery
Clinical Social Work/Therapist, MSW, LCSWA
Verified
Winston Salem, NC 27101
Seeking therapeutic counseling can be challenging for any number of reasons, from being ready to take the first step on your mental health journey to finding a therapist that's right for you. Wherever you are in your journey, I aim to provide a comforting, non-judgemental environment where you feel heard and comfortable being yourself. Therapy is a collaborative process where you are the expert in your own life and your goals are the focus. There are numerous techniques that exist and I will work with you to find what best suits your needs. No matter who you are or what you need, I will work hard to deliver the best care for you.
Seeking therapeutic counseling can be challenging for any number of reasons, from being ready to take the first step on your mental health journey to finding a therapist that's right for you. Wherever you are in your journey, I aim to provide a comforting, non-judgemental environment where you feel heard and comfortable being yourself. Therapy is a collaborative process where you are the expert in your own life and your goals are the focus. There are numerous techniques that exist and I will work with you to find what best suits your needs. No matter who you are or what you need, I will work hard to deliver the best care for you.
(336) 396-5798 View (336) 396-5798
Photo of Lucy Romanik, Licensed Mental Health Counselor in Winston Salem, NC
Lucy Romanik
Licensed Mental Health Counselor, ATR, LMHC
Verified
2 Endorsed
Winston Salem, NC 27104  (Online Only)
I believe one of the bravest things you can do is begin to understand and build your own story. My goal is to help you figure out the person, the parent, the partner, whoever it is you want to be, and to help you develop skills to cope with the hardships that come with being that person. Being human comes with its own set of challenges and we each face different struggles based on our experiences in the world; whether that is anxiety, depression, substance use or difficulty with body image or identity. I enjoy practicing from a creative approach, and I don’t mind stepping outside of the traditional box.
I believe one of the bravest things you can do is begin to understand and build your own story. My goal is to help you figure out the person, the parent, the partner, whoever it is you want to be, and to help you develop skills to cope with the hardships that come with being that person. Being human comes with its own set of challenges and we each face different struggles based on our experiences in the world; whether that is anxiety, depression, substance use or difficulty with body image or identity. I enjoy practicing from a creative approach, and I don’t mind stepping outside of the traditional box.
(850) 808-7649 View (850) 808-7649
Photo of Jazmine T Crumpton, Licensed Clinical Mental Health Counselor in Winston Salem, NC
Jazmine T Crumpton
Licensed Clinical Mental Health Counselor, MS, LCMHC, NCC
Verified
1 Endorsed
Winston Salem, NC 27106
I work with clients who have a wide range of concerns from depression & anxiety, to relationship issues & life changes, parenting problems, career challenges, and ADHD. I believe the counseling process helps clients move from simple goal formation to achieving more than they knew possible. My counseling style is warm, down-to-earth, interactive, and easy with humor. I believe in treating everyone with respect, sensitivity, and compassion, and I don't believe in stigmatizing labels. I will tailor our dialogue and treatment plan to meet your unique and specific needs.
I work with clients who have a wide range of concerns from depression & anxiety, to relationship issues & life changes, parenting problems, career challenges, and ADHD. I believe the counseling process helps clients move from simple goal formation to achieving more than they knew possible. My counseling style is warm, down-to-earth, interactive, and easy with humor. I believe in treating everyone with respect, sensitivity, and compassion, and I don't believe in stigmatizing labels. I will tailor our dialogue and treatment plan to meet your unique and specific needs.
(336) 502-2242 View (336) 502-2242
Photo of Rhonda L. Dickens, Clinical Social Work/Therapist in Winston Salem, NC
Rhonda L. Dickens
Clinical Social Work/Therapist, MSW, LCSW
Verified
Winston Salem, NC 27106
Not accepting new clients
Have you ever looked in the mirror and not recognized the face looking at back at you? Has life ever knocked you down so hard that you didn't know how to get back up? When was the last time you genuinely smiled? If you answered yes to any of those questions, I would love to assist you! You see, it’s my belief that we all enter the world as blank slates until this thing called life begins to write our stories for us! Many of our stories have been written with trauma, pain, depression, low self-worth and fear. So much of our vision has been tainted by the past that we no longer dream of the future! Together, we can change that!!!
Have you ever looked in the mirror and not recognized the face looking at back at you? Has life ever knocked you down so hard that you didn't know how to get back up? When was the last time you genuinely smiled? If you answered yes to any of those questions, I would love to assist you! You see, it’s my belief that we all enter the world as blank slates until this thing called life begins to write our stories for us! Many of our stories have been written with trauma, pain, depression, low self-worth and fear. So much of our vision has been tainted by the past that we no longer dream of the future! Together, we can change that!!!
(336) 891-3737 View (336) 891-3737
Photo of Jane Tastet, Lic Clinical Mental Health Counselor Associate in Winston Salem, NC
Jane Tastet
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA
Verified
3 Endorsed
Winston Salem, NC 27103
If you struggle to trust, to find contentedness with life, or to feel like you truly know yourself, then I can help you access your inner guidance. My goal is to meet you where you are, hear you- hear what you say, and what you don't, and then work together to find the empowerment and resilience to adapt and overcome the suffering you're faced with. I believe you are inherently worthy and have goodness and wisdom inside. I believe the nervous system can get in the way of presence and happiness but with some processing, unlearning, and relearning you can break free from old patterns and meet the self that you've wanted to be.
If you struggle to trust, to find contentedness with life, or to feel like you truly know yourself, then I can help you access your inner guidance. My goal is to meet you where you are, hear you- hear what you say, and what you don't, and then work together to find the empowerment and resilience to adapt and overcome the suffering you're faced with. I believe you are inherently worthy and have goodness and wisdom inside. I believe the nervous system can get in the way of presence and happiness but with some processing, unlearning, and relearning you can break free from old patterns and meet the self that you've wanted to be.
(336) 560-8689 View (336) 560-8689
Photo of Paige Bentley, Licensed Professional Counselor in Winston Salem, NC
Paige Bentley
Licensed Professional Counselor, PhD, LCMHCS, ACC, SEP, RYT
Verified
1 Endorsed
Winston Salem, NC 27101  (Online Only)
Life. Joys, sorrows, curve balls. In the midst of it all, we sometimes forget that we are naturally resilient, creative, and whole. We sometimes lose our compass. I’ve been there. When I was diagnosed with a chronic illness, I was convinced that I had lost my ability to do the things that were meaningful to me and to feel alive. The reality of chronic illness-- as with life -- is that we never know what tomorrow will bring. Now, I see illness as a gift that reminds me to live each moment fully, trust in my capacity to accept and adapt, and listen to my soul’s calling for my time on this planet. I want that for you. You matter.
Life. Joys, sorrows, curve balls. In the midst of it all, we sometimes forget that we are naturally resilient, creative, and whole. We sometimes lose our compass. I’ve been there. When I was diagnosed with a chronic illness, I was convinced that I had lost my ability to do the things that were meaningful to me and to feel alive. The reality of chronic illness-- as with life -- is that we never know what tomorrow will bring. Now, I see illness as a gift that reminds me to live each moment fully, trust in my capacity to accept and adapt, and listen to my soul’s calling for my time on this planet. I want that for you. You matter.
(336) 489-4621 View (336) 489-4621
Photo of Christine Ridley, Clinical Social Work/Therapist in Winston Salem, NC
Christine Ridley
Clinical Social Work/Therapist, LCSW
Verified
1 Endorsed
Winston Salem, NC 27104
My ideal client would be one that is ready to do some self-exploration, be open to the therapeutic process, and have openness for change. I am a firm believer that my clients are their own experts. I enjoy working the therapeutic process to watch people unlock their true potential. I find that therapy can be the bridge to unlocking your emotions. I specialize in treating adolescent and adult anxiety, depression, mood and thought disorders, addictive behaviors and co- dependency issues.
My ideal client would be one that is ready to do some self-exploration, be open to the therapeutic process, and have openness for change. I am a firm believer that my clients are their own experts. I enjoy working the therapeutic process to watch people unlock their true potential. I find that therapy can be the bridge to unlocking your emotions. I specialize in treating adolescent and adult anxiety, depression, mood and thought disorders, addictive behaviors and co- dependency issues.
(336) 360-6581 View (336) 360-6581
Photo of Harvest TimeReaping Seeds Sown, Licensed Professional Counselor in Winston Salem, NC
Harvest TimeReaping Seeds Sown
Licensed Professional Counselor, LCMHC
Verified
Winston Salem, NC 27107
Your needs will be addressed with providing you the tools and interventions to improve your quality of life. Furthermore, being able to empower clients to utilize the skills and techniques for improving their lives.
Your needs will be addressed with providing you the tools and interventions to improve your quality of life. Furthermore, being able to empower clients to utilize the skills and techniques for improving their lives.
(336) 864-2531 View (336) 864-2531
Photo of Justin Rountree, Marriage & Family Therapist in Winston Salem, NC
Justin Rountree
Marriage & Family Therapist, MMFT, LMFT
Verified
Winston Salem, NC 27101
Enacting change in our lives is never easy, especially when it pertains to our mental health and our relationships. However, it is a worthwhile process that can have a profound impact on your life and the lives of those closest to you. The healthier we are in these areas the healthier we are as individuals, family members, friends, and coworkers. My goal is to create a safe, therapeutic atmosphere for you to explore these areas and enact the change that you need to be a happier and more whole version of yourself.
Enacting change in our lives is never easy, especially when it pertains to our mental health and our relationships. However, it is a worthwhile process that can have a profound impact on your life and the lives of those closest to you. The healthier we are in these areas the healthier we are as individuals, family members, friends, and coworkers. My goal is to create a safe, therapeutic atmosphere for you to explore these areas and enact the change that you need to be a happier and more whole version of yourself.
(336) 360-5515 View (336) 360-5515
Photo of Judy Pisarro-Grant, Marriage & Family Therapist in Winston Salem, NC
Judy Pisarro-Grant
Marriage & Family Therapist, MS, LMFT
Verified
Winston Salem, NC 27106
Not accepting new clients
Many people struggle with feelings of depression and anxiety, experience challenges in parenting, family life or relationships, have concerns about self-esteem, or worry about their own or family members’ troubling behaviors. As a highly experienced Licensed Marriage and Family Therapist, these are issues that I have helped many people successfully navigate and resolve, and I welcome the opportunity to help new clients do the same. I work with adults and adolescent individuals.
Many people struggle with feelings of depression and anxiety, experience challenges in parenting, family life or relationships, have concerns about self-esteem, or worry about their own or family members’ troubling behaviors. As a highly experienced Licensed Marriage and Family Therapist, these are issues that I have helped many people successfully navigate and resolve, and I welcome the opportunity to help new clients do the same. I work with adults and adolescent individuals.
(336) 560-9347 View (336) 560-9347
Photo of Samuel B. Gray, Psychologist in Winston Salem, NC
Samuel B. Gray
Psychologist, PsyD
Verified
2 Endorsed
Winston Salem, NC 27101
Dr. Sam Gray is a licensed psychologist with a broad array of experience from working in a state mental hospital to community mental health and forensic practice. Dr. Gray received his doctorate from the Minnesota School of Professional Psychology in 2004 and specializes in psychological and forensic assessments, expert testimony, and psychological evaluations. He opened Carolina Psychology Group, PLLC in 2008 in Winston-Salem, where Dr. Gray grew up and now lives with his wife and two children.
Dr. Sam Gray is a licensed psychologist with a broad array of experience from working in a state mental hospital to community mental health and forensic practice. Dr. Gray received his doctorate from the Minnesota School of Professional Psychology in 2004 and specializes in psychological and forensic assessments, expert testimony, and psychological evaluations. He opened Carolina Psychology Group, PLLC in 2008 in Winston-Salem, where Dr. Gray grew up and now lives with his wife and two children.
(336) 814-8191 View (336) 814-8191
Photo of Chelsea Rogers, Licensed Professional Counselor in Winston Salem, NC
Chelsea Rogers
Licensed Professional Counselor, LCMHC, QS, RPT-S
Verified
1 Endorsed
Winston Salem, NC 27103
Waitlist for new clients
I work with all ages struggling with various issues but many common issues I see are anxiety, trauma, depression, mood fluctuations, self-harm, school and home behavioral issues, aggression, attachment problems, relationship issues, sexual identity, and eating disorders. I also work with families to improve communication patterns, enhance relationships, shift responsibilities in the household, prevent enabling of maladaptive behaviors, implement a behavioral system, improve harmony, and regain order in the home. I am a Qualified Clinical Supervisor and I am available to provide supervision for LCMHC-A and Master's Level interns.
I work with all ages struggling with various issues but many common issues I see are anxiety, trauma, depression, mood fluctuations, self-harm, school and home behavioral issues, aggression, attachment problems, relationship issues, sexual identity, and eating disorders. I also work with families to improve communication patterns, enhance relationships, shift responsibilities in the household, prevent enabling of maladaptive behaviors, implement a behavioral system, improve harmony, and regain order in the home. I am a Qualified Clinical Supervisor and I am available to provide supervision for LCMHC-A and Master's Level interns.
(336) 901-9380 View (336) 901-9380
Photo of Amanda Blackwell, Clinical Social Work/Therapist in Winston Salem, NC
Amanda Blackwell
Clinical Social Work/Therapist, LCSW, CCM
Verified
Winston Salem, NC 27103  (Online Only)
Not accepting new clients
Although I welcome the opportunity to work with any person, I specialize in women’s issues, trauma, anxiety, life transitions, parenting and spirituality. I have experience working with adults of all ages. I respect all persons and strive to create a safe and welcoming environment for each individual - regardless of gender, sexual orientation, ethnicity, nationality, religion, or belief. I believe everyone has the right to pursue happiness and healing, and I would love to work with you and support you in your journey.
Although I welcome the opportunity to work with any person, I specialize in women’s issues, trauma, anxiety, life transitions, parenting and spirituality. I have experience working with adults of all ages. I respect all persons and strive to create a safe and welcoming environment for each individual - regardless of gender, sexual orientation, ethnicity, nationality, religion, or belief. I believe everyone has the right to pursue happiness and healing, and I would love to work with you and support you in your journey.
(336) 360-6163 View (336) 360-6163
Photo of Amanda Beck, Licensed Clinical Mental Health Counselor in Winston Salem, NC
Amanda Beck
Licensed Clinical Mental Health Counselor, LCMHC
Verified
Winston Salem, NC 27104  (Online Only)
I take special pride in providing individual therapy to adult clients who are overfunctioners or perfectionists in the face of stress, those who demonstrate compassion towards others but have difficulty extending the same compassion to themselves, individuals who feel stretched thin by the demands of their life, those who wish to explore their relationship with drugs and/or alcohol or have a loved one with a substance use issue, and individuals impacted by trauma. Clients often work with me to address their anxiety (including OCD), depression, substance use, stress related to life changes, and relational difficulties.
I take special pride in providing individual therapy to adult clients who are overfunctioners or perfectionists in the face of stress, those who demonstrate compassion towards others but have difficulty extending the same compassion to themselves, individuals who feel stretched thin by the demands of their life, those who wish to explore their relationship with drugs and/or alcohol or have a loved one with a substance use issue, and individuals impacted by trauma. Clients often work with me to address their anxiety (including OCD), depression, substance use, stress related to life changes, and relational difficulties.
(336) 203-0418 View (336) 203-0418
Photo of Rachel Tegowski, Marriage & Family Therapist in Winston Salem, NC
Rachel Tegowski
Marriage & Family Therapist, MS, LMFT
Verified
1 Endorsed
Winston Salem, NC 27101
Let me begin by commending you for demonstrating the strength to take the first step of reaching out for support. By having the courage to begin the therapeutic process, you are taking the first step towards overcoming whatever difficulties you are currently facing and creating a more positive future for yourself, your relationship, or your family. Oftentimes the stressors of life can become overwhelming for us to handle on our own and can negatively impact our relationships with others. Fortunately, you are not alone as I am here to listen with empathy and compassion.
Let me begin by commending you for demonstrating the strength to take the first step of reaching out for support. By having the courage to begin the therapeutic process, you are taking the first step towards overcoming whatever difficulties you are currently facing and creating a more positive future for yourself, your relationship, or your family. Oftentimes the stressors of life can become overwhelming for us to handle on our own and can negatively impact our relationships with others. Fortunately, you are not alone as I am here to listen with empathy and compassion.
(336) 276-2470 View (336) 276-2470
Photo of Diamond Melendez, Lic Clinical Mental Health Counselor Associate in Winston Salem, NC
Diamond Melendez
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA
Verified
Winston Salem, NC 27101
I’m Diamond, a friendly, down-to-earth therapist and a proud M.A. graduate of Northwestern University. Yep, the Wildcats taught me a thing or two about life, and now I’m here to share that wisdom with you! Being a Licensed Clinical Mental Health Counselor Associate means I am your go-to person for navigating the world of mental health. I specialize in anxiety, depression, relationship/attachment issues, mood disorders and trauma in all ages. I also am experienced in play therapy for children, couples counseling, and anger management therapy.
I’m Diamond, a friendly, down-to-earth therapist and a proud M.A. graduate of Northwestern University. Yep, the Wildcats taught me a thing or two about life, and now I’m here to share that wisdom with you! Being a Licensed Clinical Mental Health Counselor Associate means I am your go-to person for navigating the world of mental health. I specialize in anxiety, depression, relationship/attachment issues, mood disorders and trauma in all ages. I also am experienced in play therapy for children, couples counseling, and anger management therapy.
(336) 901-9269 View (336) 901-9269
Photo of Katherine Bautista, Licensed Professional Counselor in Winston Salem, NC
Katherine Bautista
Licensed Professional Counselor, MS, LCMHC, LCAS, CCS
Verified
1 Endorsed
Winston Salem, NC 27103
I am so excited that you found my page and I appreciate you taking the time to review my information and consider establishing a working relationship with me. I have 11+ years in working with adults doing what I love to do. I get to support people in making dreams and goals come true. I focus on the counseling relationship and collaborate in working towards your goals. I would describe the experience as you choose the destination and drive, I am the GPS. This can range from working through a tough time and building some skills to make life better to a complete overhaul and working to create the life and functioning you dream of.
I am so excited that you found my page and I appreciate you taking the time to review my information and consider establishing a working relationship with me. I have 11+ years in working with adults doing what I love to do. I get to support people in making dreams and goals come true. I focus on the counseling relationship and collaborate in working towards your goals. I would describe the experience as you choose the destination and drive, I am the GPS. This can range from working through a tough time and building some skills to make life better to a complete overhaul and working to create the life and functioning you dream of.
(336) 849-5678 View (336) 849-5678
Photo of Paul Flores, MSW LCSW PC, Clinical Social Work/Therapist in Winston Salem, NC
Paul Flores, MSW LCSW PC
Clinical Social Work/Therapist, MSW, LCSW
Verified
Winston Salem, NC 27101
Are your ready for "better"? Lets talk about ways to make that happen.
Are your ready for "better"? Lets talk about ways to make that happen.
(336) 802-1165 View (336) 802-1165
Photo of Robert Casares, Licensed Professional Counselor in Winston Salem, NC
Robert Casares
Licensed Professional Counselor, PhD, LCMHC, NCC
Verified
1 Endorsed
Winston Salem, NC 27103
Many of my clients come to counseling wanting to work through struggles, strengthen relationships, or process painful experiences. As a counselor, I strive to respond to the unique needs of my clients with genuineness, respect, and support. Over the past eight years, I have provided counseling to individuals, couples, and families for issues related to anxiety, depression, relational conflict, parenting struggles, managing stress, navigating career transitions, and coping with loss.
Many of my clients come to counseling wanting to work through struggles, strengthen relationships, or process painful experiences. As a counselor, I strive to respond to the unique needs of my clients with genuineness, respect, and support. Over the past eight years, I have provided counseling to individuals, couples, and families for issues related to anxiety, depression, relational conflict, parenting struggles, managing stress, navigating career transitions, and coping with loss.
(336) 652-3485 View (336) 652-3485
Photo of Ellie Mental Health-Winston Salem in Winston Salem, NC
Ellie Mental Health-Winston Salem
LCMHCS, EdS, CSI, LCAS
Verified
Winston Salem, NC 27103
Ellie Mental Health in Winston Salem, NC isn’t your average therapy clinic. We’ve created a comfy, judgment-free zone where you can be authentic, get real about where you’re at in your mental health, and receive the compassionate care you deserve. We strive to break down treatment barriers and provide you with customized counseling services that meet your therapy needs.
Ellie Mental Health in Winston Salem, NC isn’t your average therapy clinic. We’ve created a comfy, judgment-free zone where you can be authentic, get real about where you’re at in your mental health, and receive the compassionate care you deserve. We strive to break down treatment barriers and provide you with customized counseling services that meet your therapy needs.
(336) 395-5316 View (336) 395-5316

See more therapy options for Winston Salem

How does your Therapist compare?

Number of Therapists in Winston Salem, NC

500+

Average cost per session

$135

Therapists in Winston Salem, NC who prioritize treating:

92% Anxiety
89% Depression
76% Self Esteem
73% Relationship Issues
73% Stress
72% Coping Skills
71% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

88% BlueCross and BlueShield
63% Aetna
48% Cigna and Evernorth

How Therapists in Winston Salem, NC see their clients

73% In Person and Online
27% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Winston Salem?

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.