Therapists in Hartley, Lincoln, NE

Photo of Holly Zerse Luedke, Counselor in Hartley, Lincoln, NE
Holly Zerse Luedke
Counselor, LIMHP
Verified
Hartley, Lincoln, NE 68510
I believe the best way to help people is to encourage and teach them how to help themselves. Each of us has gifts and strengths. Sometimes we need help uncovering or realizing how our strengths can lead us to solutions. I strive to provide a nonjudgmental, safe, confidential, and nurturing environment where clients can talk about tough stuff. Using an eclectic, integrative therapy approach, I create treatment plans to meet each client’s individual needs. Additionally, I offer a welcoming place for clients to talk about their faith and religious or spiritual beliefs and values.
I believe the best way to help people is to encourage and teach them how to help themselves. Each of us has gifts and strengths. Sometimes we need help uncovering or realizing how our strengths can lead us to solutions. I strive to provide a nonjudgmental, safe, confidential, and nurturing environment where clients can talk about tough stuff. Using an eclectic, integrative therapy approach, I create treatment plans to meet each client’s individual needs. Additionally, I offer a welcoming place for clients to talk about their faith and religious or spiritual beliefs and values.
(402) 809-9920 View (402) 809-9920
Photo of McKenzie Collins, Provisional Mental Health Practitioner in Hartley, Lincoln, NE
McKenzie Collins
Provisional Mental Health Practitioner, MA, PLMHP
Verified
Hartley, Lincoln, NE 68510
While receiving my Masters I was skillfully trained in incorporating sound biblical principles into the therapeutic session, however, I always give my clients full choice in how much spirituality is integrated into sessions. I never push or shove religion on my clients. I think that it’s important to note that I haven’t always been the one in the therapist’s chair, but I’ve been on the couch divulging the hardest parts of my life. I’ve experienced, the lack of desire, the desperation, breakthrough moments, falling back into patterns, etc. I am equipped to help carry other’s burdens in a safe and open space because I can relate.
While receiving my Masters I was skillfully trained in incorporating sound biblical principles into the therapeutic session, however, I always give my clients full choice in how much spirituality is integrated into sessions. I never push or shove religion on my clients. I think that it’s important to note that I haven’t always been the one in the therapist’s chair, but I’ve been on the couch divulging the hardest parts of my life. I’ve experienced, the lack of desire, the desperation, breakthrough moments, falling back into patterns, etc. I am equipped to help carry other’s burdens in a safe and open space because I can relate.
(531) 571-5122 View (531) 571-5122
Photo of Leslie Seybold, Counselor in Hartley, Lincoln, NE
Leslie Seybold
Counselor, MS, LIMHP, NCC
Verified
2 Endorsed
Hartley, Lincoln, NE 68510
Waitlist for new clients
I truly believe in the effectiveness of counseling when the client and counselor can work together to identify concerns and generate effective and realistic solutions. My approach to counseling stems from the belief that you are the expert on your own life and I will work with you to find insight and create meaningful solutions that will impact the quality of your life. My goal is not to judge, but is instead to create a safe space where we can explore areas of difficulty together. Client’s I’ve worked with appreciate my ability recognize the uniqueness of each person’s story and provide an individualized approach.
I truly believe in the effectiveness of counseling when the client and counselor can work together to identify concerns and generate effective and realistic solutions. My approach to counseling stems from the belief that you are the expert on your own life and I will work with you to find insight and create meaningful solutions that will impact the quality of your life. My goal is not to judge, but is instead to create a safe space where we can explore areas of difficulty together. Client’s I’ve worked with appreciate my ability recognize the uniqueness of each person’s story and provide an individualized approach.
(531) 233-2986 View (531) 233-2986
Photo of Jillian Miles, Pre-Licensed Professional in Hartley, Lincoln, NE
Jillian Miles
Pre-Licensed Professional, PLMHP
Verified
Hartley, Lincoln, NE 68510
Jillian is passionate about working with diverse individuals, couples, and families in an inclusive and affirming manner. Jillian has a special interest in providing trauma-informed therapy services to people who have been impacted by race-based traumatic stress and historical trauma. Jillian enjoys working to strengthen intimate relationships and families, and is especially interested in supporting multigenerational families. She also enjoys using an affirming perspective with LGBTQ+ individuals and families who have both spirituality and sexual identity concerns.
Jillian is passionate about working with diverse individuals, couples, and families in an inclusive and affirming manner. Jillian has a special interest in providing trauma-informed therapy services to people who have been impacted by race-based traumatic stress and historical trauma. Jillian enjoys working to strengthen intimate relationships and families, and is especially interested in supporting multigenerational families. She also enjoys using an affirming perspective with LGBTQ+ individuals and families who have both spirituality and sexual identity concerns.
(402) 940-7854 View (402) 940-7854
Photo of Sanders Counseling Services, Counselor in Hartley, Lincoln, NE
Sanders Counseling Services
Counselor, LIMHP, MSW
Verified
Hartley, Lincoln, NE 68503
Erica provides counseling services to address mental health areas including anxiety, depression, trauma, periods of transition/adjustment, ADHD, relationships/ couples, social skills, family dynamics, parenting skills, behavioral challenges, LGBTQIA+, grief, substance use, women's issues, self-image, mood disorders, and more. While much of her work has centered around children, adolescents, and families, Erica has experience with clients representing many demographics. Past clients have encompassed a variety of cultures, ethnicities, ages, sexual orientations, races, levels of mental and physical abilities, sexes, and walks of life.
Erica provides counseling services to address mental health areas including anxiety, depression, trauma, periods of transition/adjustment, ADHD, relationships/ couples, social skills, family dynamics, parenting skills, behavioral challenges, LGBTQIA+, grief, substance use, women's issues, self-image, mood disorders, and more. While much of her work has centered around children, adolescents, and families, Erica has experience with clients representing many demographics. Past clients have encompassed a variety of cultures, ethnicities, ages, sexual orientations, races, levels of mental and physical abilities, sexes, and walks of life.
(402) 307-5225 View (402) 307-5225
Photo of Barbara L Dewey, LICSW, Clinical Social Work/Therapist in Hartley, Lincoln, NE
Barbara L Dewey, LICSW
Clinical Social Work/Therapist, LICSW
Verified
Hartley, Lincoln, NE 68509
Our children and families can be healthy and healing. I work with birth parents, adoptive parents, and foster parents to help their children and teens have the best life possible. I have a heart for foster and adoptive children and teens. I particularly enjoy identity development, and launching into adulthood.
Our children and families can be healthy and healing. I work with birth parents, adoptive parents, and foster parents to help their children and teens have the best life possible. I have a heart for foster and adoptive children and teens. I particularly enjoy identity development, and launching into adulthood.
(402) 993-4619 View (402) 993-4619
Photo of Scott J Swagger, Marriage & Family Therapist in Hartley, Lincoln, NE
Scott J Swagger
Marriage & Family Therapist, MS, LIMHP
Verified
Hartley, Lincoln, NE 68509
Because every kind of emotional suffering deserves relief... 1) I treat trauma survivors with PTSD and depression; 2) I help couples or individuals who are struggling in partner relationships; and 3) I advise adults who are frustrated in their parenting adventures. Also, if you are surviving dissociative symptoms, are recovering from secret habits, are suffering with anxiety or bipolar disorder, hear voices, have a history of several psychiatric diagnoses, or haven't responded well to psychotropic medications, come talk to me. (**If you prefer a female clinician, I can connect you with a trusted, experienced female therapist.**)
Because every kind of emotional suffering deserves relief... 1) I treat trauma survivors with PTSD and depression; 2) I help couples or individuals who are struggling in partner relationships; and 3) I advise adults who are frustrated in their parenting adventures. Also, if you are surviving dissociative symptoms, are recovering from secret habits, are suffering with anxiety or bipolar disorder, hear voices, have a history of several psychiatric diagnoses, or haven't responded well to psychotropic medications, come talk to me. (**If you prefer a female clinician, I can connect you with a trusted, experienced female therapist.**)
(402) 810-7112 View (402) 810-7112
Photo of Stephen J Abraham, Counselor in Hartley, Lincoln, NE
Stephen J Abraham
Counselor, MS, CGP, LIMHP
Verified
1 Endorsed
Hartley, Lincoln, NE 68509
I work with individuals, couples, families, adolescents, children, and LGBTQs. I like to delve into the depression, anxiety, or whatever is troubling you to get at and transform, moving towards a productive satisfying life. I'm good at getting at the potential, power, genius, and strength which lies within, surfacing creativity, health, and well being. Usually, when one discovers their potential it is like dropping a pebble in the calm lake, rippling goodness for all around them.
I work with individuals, couples, families, adolescents, children, and LGBTQs. I like to delve into the depression, anxiety, or whatever is troubling you to get at and transform, moving towards a productive satisfying life. I'm good at getting at the potential, power, genius, and strength which lies within, surfacing creativity, health, and well being. Usually, when one discovers their potential it is like dropping a pebble in the calm lake, rippling goodness for all around them.
(402) 519-4063 View (402) 519-4063
Photo of Lincoln Behavioral Health Clinic, Counselor in Hartley, Lincoln, NE
Lincoln Behavioral Health Clinic
Counselor, MA, LMHP, LPC
Verified
Hartley, Lincoln, NE 68503
I joined the Lincoln Behavioral Health Clinic team in 2017 as a Licensed Mental Health Practitioner and a Licensed Professional Counselor. I have practiced as a counselor since 2013 when I graduated from Doane College with a Master of Arts degree in Counseling.
I joined the Lincoln Behavioral Health Clinic team in 2017 as a Licensed Mental Health Practitioner and a Licensed Professional Counselor. I have practiced as a counselor since 2013 when I graduated from Doane College with a Master of Arts degree in Counseling.
(402) 850-2174 View (402) 850-2174
Photo of Ryan W Tenopir, Counselor in Hartley, Lincoln, NE
Ryan W Tenopir
Counselor, MA, LIMHP
Verified
Hartley, Lincoln, NE 68509
I feel every individual is unique; therefore every therapeutic relationship is unique. For therapy to be successful it is essential that you find a therapist with whom you feel comfortable and understood. I respect the difficulty of undertaking the therapeutic journey, and therefore consider myself challenging yet empathetic. I consider myself and active therapist, yet the session is not about me...this is your time. I work with adolescents and adults on an individual basis. I also work with couples, families and groups.
I feel every individual is unique; therefore every therapeutic relationship is unique. For therapy to be successful it is essential that you find a therapist with whom you feel comfortable and understood. I respect the difficulty of undertaking the therapeutic journey, and therefore consider myself challenging yet empathetic. I consider myself and active therapist, yet the session is not about me...this is your time. I work with adolescents and adults on an individual basis. I also work with couples, families and groups.
(402) 835-4385 View (402) 835-4385
Photo of Lindsay A Tweten, Marriage & Family Therapist in Hartley, Lincoln, NE
Lindsay A Tweten
Marriage & Family Therapist, MS, LMHP, LMFT
Verified
1 Endorsed
Hartley, Lincoln, NE 68509  (Online Only)
Counseling provides a safe place to resolve many of the symptoms of emotional and physical stress related to addiction, depression, anxiety or trauma. Through relationship counseling, people learn how to reconnect after conflict and discover the power of truly listening to others in conversation. Helping people learn how to respond rather than react in close and intimate relationships, resolving conflict through healthy communication.
Counseling provides a safe place to resolve many of the symptoms of emotional and physical stress related to addiction, depression, anxiety or trauma. Through relationship counseling, people learn how to reconnect after conflict and discover the power of truly listening to others in conversation. Helping people learn how to respond rather than react in close and intimate relationships, resolving conflict through healthy communication.
(402) 810-7988 View (402) 810-7988
Photo of Tina D Hoffman, Psychologist in Hartley, Lincoln, NE
Tina D Hoffman
Psychologist, PhD
Verified
3 Endorsed
Hartley, Lincoln, NE 68503
I offer services for each and every client and enjoy working with collaboratively with my clients to build insight, understanding, resiliency, and empowerment. We begin by getting to know one another, establishing goals that match your current needs, and work toward finding happiness and balance in your life while managing symptoms and other general life events that can affect personal wellness.
I offer services for each and every client and enjoy working with collaboratively with my clients to build insight, understanding, resiliency, and empowerment. We begin by getting to know one another, establishing goals that match your current needs, and work toward finding happiness and balance in your life while managing symptoms and other general life events that can affect personal wellness.
(402) 810-8833 View (402) 810-8833
Photo of Allyson G. Northup, Marriage & Family Therapist in Hartley, Lincoln, NE
Allyson G. Northup
Marriage & Family Therapist, MS, LMFT, LIMHP
Verified
2 Endorsed
Hartley, Lincoln, NE 68509  (Online Only)
Not accepting new clients
I believe therapy offers people an opportunity to gain a better understanding of who they are, where they've come from, who they'd like to be, & where they'd like to go. Life can become overwhelming quickly. Too often people forget that it's okay to stop and ask for directions. As a therapist, I believe the most important part of the human experience is feeling comfortable in your own skin and feeling in control of your own life. When it all becomes too much, support from a therapist can be one of the most gratifying and rewarding experiences.
I believe therapy offers people an opportunity to gain a better understanding of who they are, where they've come from, who they'd like to be, & where they'd like to go. Life can become overwhelming quickly. Too often people forget that it's okay to stop and ask for directions. As a therapist, I believe the most important part of the human experience is feeling comfortable in your own skin and feeling in control of your own life. When it all becomes too much, support from a therapist can be one of the most gratifying and rewarding experiences.
(402) 260-5188 View (402) 260-5188
Photo of Elissa Rae McGill, Counselor in Hartley, Lincoln, NE
Elissa Rae McGill
Counselor, MSEd, LIMHP, LMHP, LPC
Verified
Hartley, Lincoln, NE 68503
I have tremendous amount of patience, compassion, empathy, and respect for individuals. My clinical work as a therapist for the past 16 years has given me the opportunity in working with young children, adolescents, adults, and geriatrics. If you are struggling with daily life struggles, women's issues, postpartum, anxiety, depression, grief, adjustment to change issues, relationship Issues, and/or other mental health conditions please reach out.
I have tremendous amount of patience, compassion, empathy, and respect for individuals. My clinical work as a therapist for the past 16 years has given me the opportunity in working with young children, adolescents, adults, and geriatrics. If you are struggling with daily life struggles, women's issues, postpartum, anxiety, depression, grief, adjustment to change issues, relationship Issues, and/or other mental health conditions please reach out.
(402) 682-7322 View (402) 682-7322
Photo of Blue Valley Behavioral Health in Hartley, Lincoln, NE
Blue Valley Behavioral Health
Verified
Hartley, Lincoln, NE 68503
Blue Valley Behavioral Health (BVBH) has been providing outpatient Mental Health, Community Support, Medication Management and Substance Abuse counseling for over 50 years to adults, youth and families. BVBH has a long standing reputation of providing professional and quality treatment to people of all ages who are dealing with problems such as anxiety, depression, anger, relationship difficulties, substance abuse and other related issues that are common to all of us.
Blue Valley Behavioral Health (BVBH) has been providing outpatient Mental Health, Community Support, Medication Management and Substance Abuse counseling for over 50 years to adults, youth and families. BVBH has a long standing reputation of providing professional and quality treatment to people of all ages who are dealing with problems such as anxiety, depression, anger, relationship difficulties, substance abuse and other related issues that are common to all of us.
(402) 814-8404 View (402) 814-8404
Photo of Dr. Cassandra Leow, Marriage & Family Therapist in Hartley, Lincoln, NE
Dr. Cassandra Leow
Marriage & Family Therapist, PhD, LIMHP, LMFT, CMFT
Verified
4 Endorsed
Hartley, Lincoln, NE 68503
Mental illness does not discriminate; everyone can struggle with challenges that are unique to them, such as anxiety, depression, relationship issues and many more. It takes a lot of courage to seek therapy; it involves facing our shortcomings and accepting that we need help. It is a journey of self-discovery and growth, and it is an opportunity to learn more about ourselves and grow to be the person we were always made to be. This journey is a vulnerable journey, and therapy can serve as a safe space and supportive environment to help you reach your goals and lead fulfilling lives.
Mental illness does not discriminate; everyone can struggle with challenges that are unique to them, such as anxiety, depression, relationship issues and many more. It takes a lot of courage to seek therapy; it involves facing our shortcomings and accepting that we need help. It is a journey of self-discovery and growth, and it is an opportunity to learn more about ourselves and grow to be the person we were always made to be. This journey is a vulnerable journey, and therapy can serve as a safe space and supportive environment to help you reach your goals and lead fulfilling lives.
(402) 937-1767 View (402) 937-1767
Photo of Jessica Grossnicklaus, Psychologist in Hartley, Lincoln, NE
Jessica Grossnicklaus
Psychologist, PsyD
Verified
Hartley, Lincoln, NE 68503
Do you feel your life is moving too fast and you can’t gain control? You wake up with an uncertainty and fear in your stomach for what the day will bring. You wonder if you’re on the right path. Maybe you’re getting ready to graduate college and are doubting your abilities and who you are as you transition to this new chapter. Or maybe you’re navigating a new relationship, job, or family conflict. Perhaps you're having trouble finding joy in your day to day.
Do you feel your life is moving too fast and you can’t gain control? You wake up with an uncertainty and fear in your stomach for what the day will bring. You wonder if you’re on the right path. Maybe you’re getting ready to graduate college and are doubting your abilities and who you are as you transition to this new chapter. Or maybe you’re navigating a new relationship, job, or family conflict. Perhaps you're having trouble finding joy in your day to day.
(402) 576-5225 View (402) 576-5225
Photo of Lotus Counseling LLC, Counselor in Hartley, Lincoln, NE
Lotus Counseling LLC
Counselor, LIMHP, LMHP , LADC
Verified
Hartley, Lincoln, NE 68503
Jenee' is a LIMHP, LMHP, LADC in North Platte, NE. I work with individuals between ages 6-90. Many of my clients come in when struggling with mental health like depression, anxiety, severe mental illness, co-dependency, needing drug and alcohol evaluations, and co-occurring disorders involving mental health and addiction. I also have advanced training in EMDR, DBT, TF-CBT, Equine Psychotherapy, and CPP. My website is www.lotuscounselingllc.org.
Jenee' is a LIMHP, LMHP, LADC in North Platte, NE. I work with individuals between ages 6-90. Many of my clients come in when struggling with mental health like depression, anxiety, severe mental illness, co-dependency, needing drug and alcohol evaluations, and co-occurring disorders involving mental health and addiction. I also have advanced training in EMDR, DBT, TF-CBT, Equine Psychotherapy, and CPP. My website is www.lotuscounselingllc.org.
(308) 270-5426 View (308) 270-5426
Photo of Alicia Webber, Clinical Social Work/Therapist in Hartley, Lincoln, NE
Alicia Webber
Clinical Social Work/Therapist, LICSW
Verified
1 Endorsed
Hartley, Lincoln, NE 68509  (Online Only)
Your authentic self is beautiful. Unfortunately sometimes we lose ourselves when we get caught up in the way we think we "should" be in various relationships, workspaces, and societal expectations. Losing or ignoring who we truly are can lead to relationship issues, depression, anxiety, and general life dissatisfaction. Sometimes losing ourselves happens due to traumatic life circumstances and sometimes it's due to years of unrelenting pressures. Let's get curious about your passions, work together to let go of what's not working, and build a roadmap so you can step in to a more authentic you.
Your authentic self is beautiful. Unfortunately sometimes we lose ourselves when we get caught up in the way we think we "should" be in various relationships, workspaces, and societal expectations. Losing or ignoring who we truly are can lead to relationship issues, depression, anxiety, and general life dissatisfaction. Sometimes losing ourselves happens due to traumatic life circumstances and sometimes it's due to years of unrelenting pressures. Let's get curious about your passions, work together to let go of what's not working, and build a roadmap so you can step in to a more authentic you.
(402) 872-0866 View (402) 872-0866

Online Therapists

Photo of Diane C. Marti, Psychologist in Hartley, Lincoln, NE
Diane C. Marti
Psychologist, PhD, LP
Verified
4 Endorsed
Lincoln, NE 68516
My training has been quite diverse thus I enjoy working with individuals of all ages and needs. My ideal client is an individual who understands the need to seek help or guidance and is willing to work with me on these concerns. I have over 18 years of clinical experience and enjoy working with "systems" (e.g., schools, families, support systems). I prioritize consultation with schools when addressing school-based behaviors such as underachievement, learning disabilities, and bullying concerns. I take a "strength-based" approach, always attempting to work within the clients talents and building from that point forward.
My training has been quite diverse thus I enjoy working with individuals of all ages and needs. My ideal client is an individual who understands the need to seek help or guidance and is willing to work with me on these concerns. I have over 18 years of clinical experience and enjoy working with "systems" (e.g., schools, families, support systems). I prioritize consultation with schools when addressing school-based behaviors such as underachievement, learning disabilities, and bullying concerns. I take a "strength-based" approach, always attempting to work within the clients talents and building from that point forward.
(402) 620-6867 View (402) 620-6867

How does your Therapist compare?

Number of Therapists in Hartley, Lincoln, NE

10+

Average cost per session

$135

Therapists in Hartley, Lincoln, NE who prioritize treating:

89% Depression
89% Anxiety
84% Relationship Issues
84% Trauma and PTSD
79% Self Esteem
74% Coping Skills
58% Grief

Average years in practice

10 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
65% Aetna
65% Medicaid

How Therapists in Hartley, Lincoln, NE see their clients

85% In Person and Online
15% Online Only

Gender breakdown

75% Female
25% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Hartley, Lincoln?

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.