Therapists in Plattsmouth, NE

Photo of Gwendolyn Burns, Provisional Master Social Worker, PLCSW, PLMHP
Gwendolyn Burns
Provisional Master Social Worker, PLCSW, PLMHP
1 Endorsed
Plattsmouth, NE 68048
My ideal client is someone who is ready to make a positive change in their life. While the specific issues they bring may vary, such as challenges with relationships, stress, emotions, or personal growth, the most important part is their willingness to engage in the process. Their needs often include support, guidance, and a safe space to explore their struggles. Their goals are meaningful and achievable, set by them based on what they truly want to accomplish. Ultimately, they want to feel empowered, gain new skills, and move closer to the life they envision for themselves.
My ideal client is someone who is ready to make a positive change in their life. While the specific issues they bring may vary, such as challenges with relationships, stress, emotions, or personal growth, the most important part is their willingness to engage in the process. Their needs often include support, guidance, and a safe space to explore their struggles. Their goals are meaningful and achievable, set by them based on what they truly want to accomplish. Ultimately, they want to feel empowered, gain new skills, and move closer to the life they envision for themselves.
(402) 771-4412 View (402) 771-4412
Photo of Samantha J Christensen, Pre-Licensed Professional, PLMHP
Samantha J Christensen
Pre-Licensed Professional, PLMHP
1 Endorsed
Plattsmouth, NE 68048
Hello and Welcome! I’m Samantha Christensen, a therapist who believes in creating a safe, comfortable space where you can be yourself. I’m here to support you through life’s challenges, whether big or small, and help you find clarity, balance, and growth along the way. With a warm, compassionate approach, I work collaboratively to explore what truly matters to you. Therapy is a journey we take together, and I’m honored to walk alongside you as you navigate through your unique path. Whether you’re seeking to heal, grow, or simply find a listening ear, I’m here for you. Let’s connect and start this journey together!
Hello and Welcome! I’m Samantha Christensen, a therapist who believes in creating a safe, comfortable space where you can be yourself. I’m here to support you through life’s challenges, whether big or small, and help you find clarity, balance, and growth along the way. With a warm, compassionate approach, I work collaboratively to explore what truly matters to you. Therapy is a journey we take together, and I’m honored to walk alongside you as you navigate through your unique path. Whether you’re seeking to heal, grow, or simply find a listening ear, I’m here for you. Let’s connect and start this journey together!
(402) 892-8270 View (402) 892-8270
Photo of Samantha Christensen, Provisional Mental Health Practitioner, PLMHP
Samantha Christensen
Provisional Mental Health Practitioner, PLMHP
1 Endorsed
Plattsmouth, NE 68048
I’m so glad you’re here. In this space, you’ll find warmth, understanding, and a genuine commitment to your well-being. Whether you’re navigating challenges, seeking personal growth, or simply looking for support, I’m here to listen and help. With a complex mix of issues, needs, and goals that reflect a journey toward personal growth and healing, I am here to support you every step of the way. Many clients want connection, a sense of control, personal growth, and healing. By the client's motivation to create and achieve a fulfilling life despite the challenges they face, clients will find success in therapy.
I’m so glad you’re here. In this space, you’ll find warmth, understanding, and a genuine commitment to your well-being. Whether you’re navigating challenges, seeking personal growth, or simply looking for support, I’m here to listen and help. With a complex mix of issues, needs, and goals that reflect a journey toward personal growth and healing, I am here to support you every step of the way. Many clients want connection, a sense of control, personal growth, and healing. By the client's motivation to create and achieve a fulfilling life despite the challenges they face, clients will find success in therapy.
(402) 781-8850 View (402) 781-8850
Photo of Megan Matulka, Counselor, MS, LIMHP, LMHC, LIPC
Megan Matulka
Counselor, MS, LIMHP, LMHC, LIPC
2 Endorsed
Plattsmouth, NE 68048
Hello there. I am a compassionate advocate for mental health and the LGBTQIA+ community. I am licensed in Iowa and Nebraska, a certified HeartMath provider, trained in ACT and DBT. My specialty populations include LGBTQIA+, gender and sexuality, stress, anxiety, depression, anger, codependency/ boundary concerns. My counseling approach is centered on getting to know you, your strengths, your challenges, and what your goals are. We can work together to establish a treatment to achieve them.
Hello there. I am a compassionate advocate for mental health and the LGBTQIA+ community. I am licensed in Iowa and Nebraska, a certified HeartMath provider, trained in ACT and DBT. My specialty populations include LGBTQIA+, gender and sexuality, stress, anxiety, depression, anger, codependency/ boundary concerns. My counseling approach is centered on getting to know you, your strengths, your challenges, and what your goals are. We can work together to establish a treatment to achieve them.
(712) 214-8266 View (712) 214-8266
Photo of Jared Langemeier, Counselor, MS, PLMHP
Jared Langemeier
Counselor, MS, PLMHP
1 Endorsed
Online Only
Have you been through some stuff? Have you seen or done things that no person should ever have to see or do? It is normal to have reactions to abnormal situations that life sometimes puts us through. Let's work together to get back on track and enjoying life like you used to.
Have you been through some stuff? Have you seen or done things that no person should ever have to see or do? It is normal to have reactions to abnormal situations that life sometimes puts us through. Let's work together to get back on track and enjoying life like you used to.
(531) 231-2080 View (531) 231-2080
Photo of Joyce Hicks-Kalvinek, Counselor, LIMHP, LIPC, LADC, CCPT-II
Joyce Hicks-Kalvinek
Counselor, LIMHP, LIPC, LADC, CCPT-II
1 Endorsed
Plattsmouth, NE 68048
Just when the caterpillar thought their world was over, it became a butterfly". I know transformation is often painful, but you are not falling apart. Like that caterpillar, you are transforming into something more beautiful! In my experience as a therapist, I have learned that others want to be heard, listened to, be emotionally validated and have someone to talk to through the transformation. I will listen to your needs and concerns then help you to build upon your strengths in order to achieve your mental health goals in a safe and judgment free space. You deserve to feel and be the best version of yourself!
Just when the caterpillar thought their world was over, it became a butterfly". I know transformation is often painful, but you are not falling apart. Like that caterpillar, you are transforming into something more beautiful! In my experience as a therapist, I have learned that others want to be heard, listened to, be emotionally validated and have someone to talk to through the transformation. I will listen to your needs and concerns then help you to build upon your strengths in order to achieve your mental health goals in a safe and judgment free space. You deserve to feel and be the best version of yourself!
(402) 864-8314 View (402) 864-8314
Photo of Joel Wallace, Counselor, LICSW, LMSW
Joel Wallace
Counselor, LICSW, LMSW
1 Endorsed
Plattsmouth, NE 68048
With over 10 years of experience as a Licensed Master Social Worker (LMSW) and more than 6 years providing outpatient therapy, I specialize in helping individuals navigate a wide variety of mental health challenges, including anxiety, depression, ADHD, trauma, relationship struggles, communication issues, and mood disorders. My therapeutic approach is designed to create a supportive, non-judgmental space where clients can explore their experiences and work toward their personal goals and growth.
With over 10 years of experience as a Licensed Master Social Worker (LMSW) and more than 6 years providing outpatient therapy, I specialize in helping individuals navigate a wide variety of mental health challenges, including anxiety, depression, ADHD, trauma, relationship struggles, communication issues, and mood disorders. My therapeutic approach is designed to create a supportive, non-judgmental space where clients can explore their experiences and work toward their personal goals and growth.
(402) 821-0982 View (402) 821-0982
Photo of Chelsey Hirt, Counselor, MA, LMHC, LIMHP
Chelsey Hirt
Counselor, MA, LMHC, LIMHP
Plattsmouth, NE 68048
Mental Health Therapy can enhance your ability to manage multiple stressors within individual and/or family emotions as well as with difficult relationships, communication, anxious thoughts, depressive thoughts and other stress like symptoms. I currently work with persons from 5-65 years old. Typical clients I see tend to struggle with relationships, depression, anxiety, self-esteem, trauma, and behavioral issues. I use Cognitive Behavioral Techniques, Gestalt Techniques and utilize mindfulness strategies. My goal is to utilize a therapy approach based on the client's needs/ goals to help ensure a positive therapeutic experience.
Mental Health Therapy can enhance your ability to manage multiple stressors within individual and/or family emotions as well as with difficult relationships, communication, anxious thoughts, depressive thoughts and other stress like symptoms. I currently work with persons from 5-65 years old. Typical clients I see tend to struggle with relationships, depression, anxiety, self-esteem, trauma, and behavioral issues. I use Cognitive Behavioral Techniques, Gestalt Techniques and utilize mindfulness strategies. My goal is to utilize a therapy approach based on the client's needs/ goals to help ensure a positive therapeutic experience.
(712) 847-8255 View (712) 847-8255
Photo of Carol Sheffield - Carol Sheffield Counseling Services, LLC, Counselor, LIMHP
Carol Sheffield Counseling Services, LLC
Counselor, LIMHP
3 Endorsed
Serves Area
Waitlist for new clients
I have over twenty years of experience working with adolescents, adults and families dealing with issues pertaining to depression and anxiety disorders, past trauma, stress and anger management, family and relationship difficulties, behavioral problems, positive decision making, and grief/loss. As the wife of a retired Air Force veteran, I have a comprehensive understanding of the issues and difficulties facing service members and their families. I also have extensive experience addressing client trauma and aspire to assist clients in reprocessing their trauma so that they can lead full and healthy lives.
I have over twenty years of experience working with adolescents, adults and families dealing with issues pertaining to depression and anxiety disorders, past trauma, stress and anger management, family and relationship difficulties, behavioral problems, positive decision making, and grief/loss. As the wife of a retired Air Force veteran, I have a comprehensive understanding of the issues and difficulties facing service members and their families. I also have extensive experience addressing client trauma and aspire to assist clients in reprocessing their trauma so that they can lead full and healthy lives.
(402) 241-5671 View (402) 241-5671
Photo of Ida-Marie Hebrank - IM Hebrank Psychotherapy, Master Social Work, CMSW, LIMHP, LADAC
IM Hebrank Psychotherapy
Master Social Work, CMSW, LIMHP, LADAC
2 Endorsed
Serves Area
Welcome to the beginning of a potentially transforming time in your life. The decision to seek therapy is both scary and courageous as it requires a person to be vulnerable with a perfect stranger. Every time I begin to work with a new person, I am always awed by the motivation and fortitude it takes to make changes in one's life. To explore our fears, motivations, dreams, goals and strengths is not necessarily the norm of our society, however, to embark on this journey provides a significantly more fulfilled life.
Welcome to the beginning of a potentially transforming time in your life. The decision to seek therapy is both scary and courageous as it requires a person to be vulnerable with a perfect stranger. Every time I begin to work with a new person, I am always awed by the motivation and fortitude it takes to make changes in one's life. To explore our fears, motivations, dreams, goals and strengths is not necessarily the norm of our society, however, to embark on this journey provides a significantly more fulfilled life.
(402) 382-9586 View (402) 382-9586
Photo of Randy Lyle Ruhge, Provisional Mental Health Practitioner, LIMHP, MSW
Randy Lyle Ruhge
Provisional Mental Health Practitioner, LIMHP, MSW
Serves Area
I specialize in First Responders. I personally have 20 years experience as a EMT/Firefighter mostly volunteer, 15 years experience with Emergency Management agency volunteer, and 30 years experience as a law enforcement officer working with a county department and a city department. I have worked with teenagers. I work with adults mostly. Emotional problems go undetected until they become a major problem. I work with preventive, crisis, and post crisis. I believe in Positive Psychology, CBT, Mindfulness, Solution Focused. I am a registered state provider for drug and alcohol treatment and assessments.
I specialize in First Responders. I personally have 20 years experience as a EMT/Firefighter mostly volunteer, 15 years experience with Emergency Management agency volunteer, and 30 years experience as a law enforcement officer working with a county department and a city department. I have worked with teenagers. I work with adults mostly. Emotional problems go undetected until they become a major problem. I work with preventive, crisis, and post crisis. I believe in Positive Psychology, CBT, Mindfulness, Solution Focused. I am a registered state provider for drug and alcohol treatment and assessments.
(402) 256-5840 View (402) 256-5840
Photo of Annie Lara, Counselor, MA, LIMHP
Annie Lara
Counselor, MA, LIMHP
Serves Area
Waitlist for new clients
Are you exhausted from carrying emotions that feel too heavy to explain? Do you often find yourself making choices out of fear or to please others? If you’re struggling with anxiety, depression, mood swings, grief and loss, crisis or low self-esteem, you are not broken and you are not alone. The right support can make the difference between simply surviving and truly thriving. Annie has experience supporting older children, teens and adults through some of life’s most painful transitions.
Are you exhausted from carrying emotions that feel too heavy to explain? Do you often find yourself making choices out of fear or to please others? If you’re struggling with anxiety, depression, mood swings, grief and loss, crisis or low self-esteem, you are not broken and you are not alone. The right support can make the difference between simply surviving and truly thriving. Annie has experience supporting older children, teens and adults through some of life’s most painful transitions.
(402) 687-3536 View (402) 687-3536
Photo of Karen Baber, Counselor, LCSW
Karen Baber
Counselor, LCSW
Serves Area
Welcome. Life is a journey filled with experiences that shape who we are. Sometimes, we encounter negative or challenging events that make coping difficult. These experiences can lead to a range of emotional struggles and trauma-related responses such as; fear, anxiety, depression, intrusive thoughts, and unhealthy habits. Such responses often leave a lasting impact on our sense of safety and self worth. Your are not alone-healing is possible.
Welcome. Life is a journey filled with experiences that shape who we are. Sometimes, we encounter negative or challenging events that make coping difficult. These experiences can lead to a range of emotional struggles and trauma-related responses such as; fear, anxiety, depression, intrusive thoughts, and unhealthy habits. Such responses often leave a lasting impact on our sense of safety and self worth. Your are not alone-healing is possible.
(531) 625-2974 View (531) 625-2974
Photo of Sherry Hubbard, Marriage & Family Therapist, LIMHP, CMFT, CPC
Sherry Hubbard
Marriage & Family Therapist, LIMHP, CMFT, CPC
1 Endorsed
Serves Area
Not accepting new clients
Currently unavailable for new clients. Thank you for looking! The relationship between you and your partner is one of the most rewarding and challenging of all of relationships in life. This relationship can poke at our tender parts, creating a sense of vulnerability, questioning, and distress. When other issues are part of the picture, such as past or current trauma, infidelity, or unhealthy patterns of coping or communicating, these add more complexity to an already fragile system.
Currently unavailable for new clients. Thank you for looking! The relationship between you and your partner is one of the most rewarding and challenging of all of relationships in life. This relationship can poke at our tender parts, creating a sense of vulnerability, questioning, and distress. When other issues are part of the picture, such as past or current trauma, infidelity, or unhealthy patterns of coping or communicating, these add more complexity to an already fragile system.
(402) 347-7940 View (402) 347-7940
Photo of Jessica Cox, Provisional Mental Health Practitioner, PLMHP
Jessica Cox
Provisional Mental Health Practitioner, PLMHP
3 Endorsed
Serves Area
You deserve to feel seen, heard, and supported just as you are. As a person-centered therapist, I believe that every individual holds the inner resources for growth, healing, and self-discovery. I work to provide a compassionate, nonjudgmental space where clients feel seen, heard, and deeply understood. My approach is rooted in empathy, authenticity, and unconditional positive regard, allowing clients to explore their thoughts and emotions at their own pace.
You deserve to feel seen, heard, and supported just as you are. As a person-centered therapist, I believe that every individual holds the inner resources for growth, healing, and self-discovery. I work to provide a compassionate, nonjudgmental space where clients feel seen, heard, and deeply understood. My approach is rooted in empathy, authenticity, and unconditional positive regard, allowing clients to explore their thoughts and emotions at their own pace.
(402) 267-9445 View (402) 267-9445

More Therapists Nearby

Photo of Harsha Duggirala, Counselor, LMHP, CPC
Harsha Duggirala
Counselor, LMHP, CPC
3 Endorsed
Omaha, NE 68144
As a South-Asian immigrant and New Yorker that grew up in the 80s, I’ve lived through lots of changes and challenges, but I’ve learned how resilient humans can be. I've helped adults and children face life challenges like anxiety, depression, and numerous mental health challenges. I have a particular passion for working with people of all ages with trauma histories, grief, adults with parenting struggles, men with relationship issues, and issues relating to attachment or tough upbringing. Modalities Include: CBT, TF-CBT, DBT, ACT, Brainspotting, PCIT
As a South-Asian immigrant and New Yorker that grew up in the 80s, I’ve lived through lots of changes and challenges, but I’ve learned how resilient humans can be. I've helped adults and children face life challenges like anxiety, depression, and numerous mental health challenges. I have a particular passion for working with people of all ages with trauma histories, grief, adults with parenting struggles, men with relationship issues, and issues relating to attachment or tough upbringing. Modalities Include: CBT, TF-CBT, DBT, ACT, Brainspotting, PCIT
(531) 202-5951 View (531) 202-5951
Photo of Anna Wheeler, Counselor, LMHP, LPC, PMH-C
Anna Wheeler
Counselor, LMHP, LPC, PMH-C
Omaha, NE 68154
Transitions are a natural part of life, whether it’s childhood, adolescence, or the journey into motherhood and parenting. With support, these changes can become opportunities for growth. I believe therapy is a place where individuals should feel validated, understood, and empowered. My specialties include child therapy, prenatal anxiety, postpartum depression, adjustment to parenthood, and women’s issues.
Transitions are a natural part of life, whether it’s childhood, adolescence, or the journey into motherhood and parenting. With support, these changes can become opportunities for growth. I believe therapy is a place where individuals should feel validated, understood, and empowered. My specialties include child therapy, prenatal anxiety, postpartum depression, adjustment to parenthood, and women’s issues.
(402) 674-6905 View (402) 674-6905
Photo of Ti' Esha Jones, LIMHP, CPC, PLADC
Ti' Esha Jones
Verified Verified
Omaha, NE 68137
At Ebbs and Flows Therapy, our mission is to empower clients with the tools needed to cultivate lives worth living. Ebbs and Flows is the place for you if you are going through changes that have you questioning your identity, capabilities, reality, or all of the above. Change in life is inevitable. It's how you address and process through said change that makes or breaks you. Whether the change is exciting and planned or devastating and catches you by surprise, we are here for you. We provide a nonjudgemental space for exploring alternative ways of coping and being.
At Ebbs and Flows Therapy, our mission is to empower clients with the tools needed to cultivate lives worth living. Ebbs and Flows is the place for you if you are going through changes that have you questioning your identity, capabilities, reality, or all of the above. Change in life is inevitable. It's how you address and process through said change that makes or breaks you. Whether the change is exciting and planned or devastating and catches you by surprise, we are here for you. We provide a nonjudgemental space for exploring alternative ways of coping and being.
(402) 532-1968 View (402) 532-1968
Photo of Stephani McKee, Counselor, MS, LIMHP, NCC
Stephani McKee
Counselor, MS, LIMHP, NCC
1 Endorsed
Serves Area
Are you struggling with anxiety and depression due to life transitions such as divorce, infertility, the death of a loved one, college stress or the loss of a dream, and seeking Christian counseling? Have you experienced trauma in your life and you feel stuck under the weight of worry and fear? Are “shoulds” and “musts” leaving you paralyzed with thoughts of “I’m not good enough” and “I don’t matter”? Often people wait to reach out until they feel depleted, resentful, and ashamed. I believe we get stuck due to our thinking, and the way we get unstuck is to change our thinking! But is it possible? Yes! It doesn't have to be this way.
Are you struggling with anxiety and depression due to life transitions such as divorce, infertility, the death of a loved one, college stress or the loss of a dream, and seeking Christian counseling? Have you experienced trauma in your life and you feel stuck under the weight of worry and fear? Are “shoulds” and “musts” leaving you paralyzed with thoughts of “I’m not good enough” and “I don’t matter”? Often people wait to reach out until they feel depleted, resentful, and ashamed. I believe we get stuck due to our thinking, and the way we get unstuck is to change our thinking! But is it possible? Yes! It doesn't have to be this way.
(402) 698-4892 View (402) 698-4892
Photo of Alisha Ann Hurst, Provisional Mental Health Practitioner, MS, PLMHP
Alisha Ann Hurst
Provisional Mental Health Practitioner, MS, PLMHP
6 Endorsed
Papillion, NE 68046
As a graduate in marriage & family therapy I try to provide the best options for my clients to help them face the struggles that impede their life. We work on goals that they feel they want to accomplish during our time together. We collaborate together in order to reach the best successful scenario that we can for each client. Change is inevitable. We all go through changes. How a client changes is completely up to them with the influence of a good therapist by their side.
As a graduate in marriage & family therapy I try to provide the best options for my clients to help them face the struggles that impede their life. We work on goals that they feel they want to accomplish during our time together. We collaborate together in order to reach the best successful scenario that we can for each client. Change is inevitable. We all go through changes. How a client changes is completely up to them with the influence of a good therapist by their side.
(402) 313-4924 x2 View (402) 313-4924 x2

How does your Therapist compare?

Number of Therapists in Plattsmouth, NE

10+

Average cost per session

$150

Therapists in Plattsmouth, NE who prioritize treating:

87% Depression
87% Anxiety
80% Relationship Issues
80% Self Esteem
73% Stress
67% Grief
60% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

92% BlueCross and BlueShield
75% Medicaid
67% Aetna

How Therapists in Plattsmouth, NE see their clients

93% In Person and Online
7% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Plattsmouth?

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.