Therapists in Moultonborough, NH

Photo of Christine Free Sabo, Counselor, LCMHC, MS, Hypno, Reiki 2
Christine Free Sabo
Counselor, LCMHC, MS, Hypno, Reiki 2
1 Endorsed
Moultonborough, NH 03254
At Merkaba Sacred Healing & Counseling, I provide a safe and supportive space for adults to heal, grow, and reconnect with their authentic selves and heal from trauma. My approach blends evidence-based therapy with holistic and psychospiritual practices, helping clients process trauma, release old patterns, and cultivate deeper self-awareness. Healing is not about perfection but about integrity, wholeness, and honoring your path. You are everything and nothing less.
At Merkaba Sacred Healing & Counseling, I provide a safe and supportive space for adults to heal, grow, and reconnect with their authentic selves and heal from trauma. My approach blends evidence-based therapy with holistic and psychospiritual practices, helping clients process trauma, release old patterns, and cultivate deeper self-awareness. Healing is not about perfection but about integrity, wholeness, and honoring your path. You are everything and nothing less.
(603) 691-1438 View (603) 691-1438
Photo of Jessica Reisner, Marriage & Family Therapist, MS, LMFT
Jessica Reisner
Marriage & Family Therapist, MS, LMFT
Moultonborough, NH 03254
When looking for a therapist to help listen, process and sort through so many of life's varying worries, concerns, and obstacles that we experience on a daily basis, whether immediate or long term, it is all about finding the right fit and developing a trusting relationship. Empathy, understanding, and the ability to listen with open ears are what I strive to provide to you and your family in your time of need. I approach you and your family as individuals while believing that you all exist within a large system made up of many moving parts that need to be included and considered as part of your healing and rebuilding process.
When looking for a therapist to help listen, process and sort through so many of life's varying worries, concerns, and obstacles that we experience on a daily basis, whether immediate or long term, it is all about finding the right fit and developing a trusting relationship. Empathy, understanding, and the ability to listen with open ears are what I strive to provide to you and your family in your time of need. I approach you and your family as individuals while believing that you all exist within a large system made up of many moving parts that need to be included and considered as part of your healing and rebuilding process.
(603) 541-7863 View (603) 541-7863
Photo of Jan Hodges Coville, CCC, MPC, MS
Jan Hodges Coville
Verified Verified
1 Endorsed
Moultonborough, NH 03254
Do you need to make a change? As a Career Counselor and Life Coach, I love helping people of all ages to design new life chapters infused with meaning and purpose. I believe that people are happiest when they are fully engaged in work that fits them and is a positive part of a well-lived life. Through a process of exploration, identifying goals and developing a plan, it is always possible to create positive change. Regardless of whether the goal is to perform better in your current role or to find a new one, let me help you to design a life you love.
Do you need to make a change? As a Career Counselor and Life Coach, I love helping people of all ages to design new life chapters infused with meaning and purpose. I believe that people are happiest when they are fully engaged in work that fits them and is a positive part of a well-lived life. Through a process of exploration, identifying goals and developing a plan, it is always possible to create positive change. Regardless of whether the goal is to perform better in your current role or to find a new one, let me help you to design a life you love.
(833) 419-2247 View (833) 419-2247
Photo of Jeffrey Friedman, Clinical Social Work/Therapist
Jeffrey Friedman
Clinical Social Work/Therapist
Online Only
I am a warm and caring therapist. Although my approach to therapy is eclectic, I emphasize the importance of the therapeutic relationship.
I am a warm and caring therapist. Although my approach to therapy is eclectic, I emphasize the importance of the therapeutic relationship.
(866) 570-3507 View (866) 570-3507

More Therapists Nearby

Photo of Stephanie Lewis - Counseling Associates of Plymouth, Pre-Licensed Professional, LCMHC
Counseling Associates of Plymouth
Pre-Licensed Professional, LCMHC
Plymouth, NH 03264
At Counseling Associates we take a strengths-based counseling approach to assist you in moving toward your goals and opening doors to new possibilities. With multiple clinicians and areas of expertise, we are able to offer comprehensive, specialized services for adults, children, adolescents, couples and families. It is common for those new to therapy to feel both eager to get going and uncomfortable about starting the process of therapy. Do not let some awkwardness keep you from beginning what you know will be in your long-term best interest. We look forward to working with you.
At Counseling Associates we take a strengths-based counseling approach to assist you in moving toward your goals and opening doors to new possibilities. With multiple clinicians and areas of expertise, we are able to offer comprehensive, specialized services for adults, children, adolescents, couples and families. It is common for those new to therapy to feel both eager to get going and uncomfortable about starting the process of therapy. Do not let some awkwardness keep you from beginning what you know will be in your long-term best interest. We look forward to working with you.
(603) 865-1321 View (603) 865-1321
Photo of Kimberly Parker, Licensed Clinical Mental Health Counselor, MA, R-DMT
Kimberly Parker
Licensed Clinical Mental Health Counselor, MA, R-DMT
2 Endorsed
Laconia, NH 03246
Waitlist for new clients
Hi there! My name is Kim Parker and I’m a licensed clinician practicing at Bodhi Counseling. I’m passionate about helping people a deeper understanding of themselves. I believe therapy is a powerful space to slow down, explore who you are, make sense of what you’ve been through, and begin transforming pain into self-compassion and clarity. I aim to create a space that feels safe, grounding, and gently curious—where you can show up just as you are. Whether you're navigating anxiety, depression, self-doubt, past trauma, or just feeling stuck, I’m here to offer support, validation, and a space where you can feel truly seen and heard.
Hi there! My name is Kim Parker and I’m a licensed clinician practicing at Bodhi Counseling. I’m passionate about helping people a deeper understanding of themselves. I believe therapy is a powerful space to slow down, explore who you are, make sense of what you’ve been through, and begin transforming pain into self-compassion and clarity. I aim to create a space that feels safe, grounding, and gently curious—where you can show up just as you are. Whether you're navigating anxiety, depression, self-doubt, past trauma, or just feeling stuck, I’m here to offer support, validation, and a space where you can feel truly seen and heard.
View
Photo of Kaitlyn Zupka, Counselor, LPC-S, LCMHC, CEDS
Kaitlyn Zupka
Counselor, LPC-S, LCMHC, CEDS
Online Only
Taking the first step towards a more fulfilling life is hard. A strong therapeutic relationship is among the most important factors in achieving lasting change. I view the therapeutic process as a safe and confidential process in which my clients and I work together to foster personal growth and increase self-awareness. My practice utilizes a collaborative approach to draw in those closest to you and most important in your recovery process. I am licensed to provide services to clients residing in New Hampshire, Maine, Vermont, and Virginia. All sessions are currently conducted via Telehealth.
Taking the first step towards a more fulfilling life is hard. A strong therapeutic relationship is among the most important factors in achieving lasting change. I view the therapeutic process as a safe and confidential process in which my clients and I work together to foster personal growth and increase self-awareness. My practice utilizes a collaborative approach to draw in those closest to you and most important in your recovery process. I am licensed to provide services to clients residing in New Hampshire, Maine, Vermont, and Virginia. All sessions are currently conducted via Telehealth.
(603) 207-8795 View (603) 207-8795
Photo of Robert C. McCoul, Counselor, PsyD, NCC
Robert C. McCoul
Counselor, PsyD, NCC
Serves Area
We all experience anger, anxiety, worry & panic at some time in our lives that can feel overwhelming. Struggling with emotional pain does not need to control our lives. Anger, pain, and resentment do not have to keep us from living lives with meaning and purpose. Learn to channel emotions to enhance your life with meaning and vitality. As a therapist, I aim to integrate the language of the heart with the guidance of science. I am particularly focused on helping people who suffer from chronic shame, self-criticism, anger, and anxiety.
We all experience anger, anxiety, worry & panic at some time in our lives that can feel overwhelming. Struggling with emotional pain does not need to control our lives. Anger, pain, and resentment do not have to keep us from living lives with meaning and purpose. Learn to channel emotions to enhance your life with meaning and vitality. As a therapist, I aim to integrate the language of the heart with the guidance of science. I am particularly focused on helping people who suffer from chronic shame, self-criticism, anger, and anxiety.
(603) 471-3030 View (603) 471-3030
Photo of Julianna Labul, Pre-Licensed Professional, MSW
Julianna Labul
Pre-Licensed Professional, MSW
Laconia, NH 03246
Not accepting new clients
Hi there! My name is Julianna, I use She/Her pronouns. I am a pre-licensed Master of Social Work clinician. While I work with all ages thirteen and older, I am especially passionate about working with LGBTQ+ folks, adolescents, and young adults. I am dedicated to providing culturally competent and neurodivergent-affirming therapy. I do this by meeting each client where they're at, striving to make my space comfortable and welcoming, and being open to all types of feedback. Therapy is an ever-evolving work that I am committed to by continuously updating my approaches and knowledge.
Hi there! My name is Julianna, I use She/Her pronouns. I am a pre-licensed Master of Social Work clinician. While I work with all ages thirteen and older, I am especially passionate about working with LGBTQ+ folks, adolescents, and young adults. I am dedicated to providing culturally competent and neurodivergent-affirming therapy. I do this by meeting each client where they're at, striving to make my space comfortable and welcoming, and being open to all types of feedback. Therapy is an ever-evolving work that I am committed to by continuously updating my approaches and knowledge.
(802) 230-7779 View (802) 230-7779
Photo of Ann Bastille, Counselor, LMHC
Ann Bastille
Counselor, LMHC
Online Only
Welcome to my virtual practice! I’m Ann Bastille, a licensed clinical mental health counselor serving clients in the beautiful state of New Hampshire. I offer in-person sessions in Campton NH by appointment only as well as securely online. My specialty is Eye Movement Desensitization and Reprocessing (EMDR) therapy with adults for a variety of concerns. I have found EMDR works just as well via tele-health, so don’t hesitate to contact me to get the support you need. With compassion, respect for you as an individual, and the wisdom of 30 years in practice, we first come to understand what may be creating difficulties in the present.
Welcome to my virtual practice! I’m Ann Bastille, a licensed clinical mental health counselor serving clients in the beautiful state of New Hampshire. I offer in-person sessions in Campton NH by appointment only as well as securely online. My specialty is Eye Movement Desensitization and Reprocessing (EMDR) therapy with adults for a variety of concerns. I have found EMDR works just as well via tele-health, so don’t hesitate to contact me to get the support you need. With compassion, respect for you as an individual, and the wisdom of 30 years in practice, we first come to understand what may be creating difficulties in the present.
(877) 460-7085 View (877) 460-7085
Photo of Erin Crangle, Counselor, LCMHC
Erin Crangle
Counselor, LCMHC
Online Only
It is my belief as a counselor and in life that all individuals are capable of purposeful, mindful and positive change. Sometimes part of that change is made easier with the assistance and guidance of a therapist. I ascribe to a mindfulness based practice of therapy, focusing on setting realistic goals while also bringing increased attention to thoughts, feelings and behaviors that both interfere with and assist you in reaching your goals. I look forward to hearing your story and joining with you in this process.
It is my belief as a counselor and in life that all individuals are capable of purposeful, mindful and positive change. Sometimes part of that change is made easier with the assistance and guidance of a therapist. I ascribe to a mindfulness based practice of therapy, focusing on setting realistic goals while also bringing increased attention to thoughts, feelings and behaviors that both interfere with and assist you in reaching your goals. I look forward to hearing your story and joining with you in this process.
(833) 417-2186 View (833) 417-2186
Photo of Emma Denson, Counselor, LPC, CMHC
Emma Denson
Counselor, LPC, CMHC
1 Endorsed
Online Only
Whether you’re navigating mental health challenges like anxiety or stress, or a caregiver juggling huge responsibilities with trying to care for yourself, you don’t have to face it alone. Together, we can explore what’s holding you back, develop strategies to manage personal struggles, & create space for growth. We'll work to break generational cycles of trauma & abuse. Whether your goal is building confidence & thriving as an individual or refining your caregiving or partner style to better support your loved ones, I’m here to help you feel heard, supported, & empowered to move forward.
Whether you’re navigating mental health challenges like anxiety or stress, or a caregiver juggling huge responsibilities with trying to care for yourself, you don’t have to face it alone. Together, we can explore what’s holding you back, develop strategies to manage personal struggles, & create space for growth. We'll work to break generational cycles of trauma & abuse. Whether your goal is building confidence & thriving as an individual or refining your caregiving or partner style to better support your loved ones, I’m here to help you feel heard, supported, & empowered to move forward.
(603) 420-2540 View (603) 420-2540
Photo of Marie McDonald, Clinical Social Work/Therapist, LCSW
Marie McDonald
Clinical Social Work/Therapist, LCSW
Online Only
My name is Marie McDonald and I am a Licensed Independent Clinical Social Worker. I work with adults, specializing in substance use disorders, relapse prevention, anxiety and depression, relationships, and communication. My communication style is collaborative and straightforward. I work together with clients to explore difficulties and challenges without judgment.
My name is Marie McDonald and I am a Licensed Independent Clinical Social Worker. I work with adults, specializing in substance use disorders, relapse prevention, anxiety and depression, relationships, and communication. My communication style is collaborative and straightforward. I work together with clients to explore difficulties and challenges without judgment.
(833) 308-0623 View (833) 308-0623
Photo of Lynda Torento, APRN, PMHNP
Lynda Torento
Verified Verified
Online Only
Hello! I'm Lynda, a Psychiatric NP specializing in therapy and prescribing medications for ages 12+. I offer meds for a variety of behavioral health challenges, such as anxiety, depression, trauma, OCD, mild psychosis, alcohol use, and more. I also offer therapy for trauma, phobias, anxiety, and depression, as well as co-occurring issues such as eating disorders and addictions. Many people read self-improvement books, motivational videos, and journal their hearts out, but continually find it difficult to achieve goals. While these resources are helpful for showing us what is possible, they rarely teach us HOW it is possible.
Hello! I'm Lynda, a Psychiatric NP specializing in therapy and prescribing medications for ages 12+. I offer meds for a variety of behavioral health challenges, such as anxiety, depression, trauma, OCD, mild psychosis, alcohol use, and more. I also offer therapy for trauma, phobias, anxiety, and depression, as well as co-occurring issues such as eating disorders and addictions. Many people read self-improvement books, motivational videos, and journal their hearts out, but continually find it difficult to achieve goals. While these resources are helpful for showing us what is possible, they rarely teach us HOW it is possible.
(855) 513-7593 View (855) 513-7593
Photo of Ashley Mavrikos, Drug & Alcohol Counselor, LADC
Ashley Mavrikos
Drug & Alcohol Counselor, LADC
1 Endorsed
Franklin, NH 03235
Accepting New Clients- Innate Therapeutic Services is an outpatient counseling center located in Franklin, NH serving those struggling with substance use and/or mental health concerns. We provide individual and group therapy, LADC evaluations, case management, and peer support in person and via telehealth. We are a NH approved Impaired Driver Service provider and work closely with IDCMPs for those convicted of DUI/DWI. We specialize in new state of the art approaches and have years of experience working with clients from all backgrounds in various stages of recovery. Call (603) 671-7045 to schedule an intake appointment.
Accepting New Clients- Innate Therapeutic Services is an outpatient counseling center located in Franklin, NH serving those struggling with substance use and/or mental health concerns. We provide individual and group therapy, LADC evaluations, case management, and peer support in person and via telehealth. We are a NH approved Impaired Driver Service provider and work closely with IDCMPs for those convicted of DUI/DWI. We specialize in new state of the art approaches and have years of experience working with clients from all backgrounds in various stages of recovery. Call (603) 671-7045 to schedule an intake appointment.
(866) 620-8141 View (866) 620-8141
Photo of Kathleen Gestewitz, Pre-Licensed Professional, MHC
Kathleen Gestewitz
Pre-Licensed Professional, MHC
1 Endorsed
Wolfeboro, NH 03894
Past trauma and stressors have a way of unexpectedly surprising survivors at the most inopportune time leaving them feeling vulnerable, alone, overwhelmed, and stuck. Work, school, church, social events, and family functions become places to avoid because big emotions, panic, anxiety, guilt, and shame rob survivors of the self-esteem, self-confidence, and self-efficacy needed to build healthy relationships, balanced lives, and freedom. Learn to have more confidence, self-control over reactions and inner strength.
Past trauma and stressors have a way of unexpectedly surprising survivors at the most inopportune time leaving them feeling vulnerable, alone, overwhelmed, and stuck. Work, school, church, social events, and family functions become places to avoid because big emotions, panic, anxiety, guilt, and shame rob survivors of the self-esteem, self-confidence, and self-efficacy needed to build healthy relationships, balanced lives, and freedom. Learn to have more confidence, self-control over reactions and inner strength.
(833) 536-1845 View (833) 536-1845
Photo of Jed Wilson, Clinical Social Work/Therapist, LCSW, LICSW
Jed Wilson
Clinical Social Work/Therapist, LCSW, LICSW
5 Endorsed
Online Only
Not accepting new clients
People seek out psychotherapy for various reasons—sometimes to solve a particular problem, more often in hopes of remedying a deeper sense of unease. The conversation may begin with a specific source of pain and then evolve to encompass the whole of one's life. We speak our desires and fears, our pride and shame, fantasies, regrets, and more. It's a process in which we make some sense of our perplexing repetitive patterns; equally, it's a way to learn to bear what is ultimately incomprehensible. In time, we can come to terms with our history and find new avenues of enjoyment, purpose, and action.
People seek out psychotherapy for various reasons—sometimes to solve a particular problem, more often in hopes of remedying a deeper sense of unease. The conversation may begin with a specific source of pain and then evolve to encompass the whole of one's life. We speak our desires and fears, our pride and shame, fantasies, regrets, and more. It's a process in which we make some sense of our perplexing repetitive patterns; equally, it's a way to learn to bear what is ultimately incomprehensible. In time, we can come to terms with our history and find new avenues of enjoyment, purpose, and action.
(207) 209-4477 View (207) 209-4477
Photo of Brogan Carson, Licensed Clinical Mental Health Counselor, LCMHC
Brogan Carson
Licensed Clinical Mental Health Counselor, LCMHC
Serves Area
My name is Brogan, welcome to my practice. Here we can work toward therapy making a difference in your life. Great therapy has changed my life and the lives of many I have worked with for the better. My best work with others has been a creative process that connects us to ourselves and others in meaningful ways. Weather you feel fully in the dark, or are looking to lighten specific areas of your life, I'm a passionate participant in the process of healing. Welcome!
My name is Brogan, welcome to my practice. Here we can work toward therapy making a difference in your life. Great therapy has changed my life and the lives of many I have worked with for the better. My best work with others has been a creative process that connects us to ourselves and others in meaningful ways. Weather you feel fully in the dark, or are looking to lighten specific areas of your life, I'm a passionate participant in the process of healing. Welcome!
(866) 972-5959 View (866) 972-5959
Photo of Margaret Soles, Pre-Licensed Professional, MA
Margaret Soles
Pre-Licensed Professional, MA
Serves Area
I view therapy as a whole-person journey—one that honors the connection between mind, body, and spirit. I hold a Master’s in Transpersonal Counseling Psychology from Naropa University and a Bachelor’s in Human Ecology from the College of the Atlantic. In addition to my clinical training, I am a certified Hatha, Vinyasa Sadhana, and Kundalini yoga teacher and have trained as a Birth Doula as well as a Midwifery Assistant. These experiences bring a holistic, body-centered perspective to my work and reflect my belief that healing unfolds through both insight and embodied presence.
I view therapy as a whole-person journey—one that honors the connection between mind, body, and spirit. I hold a Master’s in Transpersonal Counseling Psychology from Naropa University and a Bachelor’s in Human Ecology from the College of the Atlantic. In addition to my clinical training, I am a certified Hatha, Vinyasa Sadhana, and Kundalini yoga teacher and have trained as a Birth Doula as well as a Midwifery Assistant. These experiences bring a holistic, body-centered perspective to my work and reflect my belief that healing unfolds through both insight and embodied presence.
(603) 665-0763 View (603) 665-0763
Photo of Ray Howard, Clinical Social Work/Therapist, LICSW
Ray Howard
Clinical Social Work/Therapist, LICSW
Serves Area
Human beings are wired to attach and to exist in relationship. Disruption to primary relationships generates grief and fear, anger, shame and guilt, as well as an absence of joy. Despite our best intentions, we struggle with the same challenges repeatedly over the course of our lives, often with the people we love most, the people we work with, or we take up behaviors designed to protect us such as addictive, isolative, or extreme responses. Through all of this we feel alone and cutoff from the those we love and need most. Psychotherapy can jump start the healing process.
Human beings are wired to attach and to exist in relationship. Disruption to primary relationships generates grief and fear, anger, shame and guilt, as well as an absence of joy. Despite our best intentions, we struggle with the same challenges repeatedly over the course of our lives, often with the people we love most, the people we work with, or we take up behaviors designed to protect us such as addictive, isolative, or extreme responses. Through all of this we feel alone and cutoff from the those we love and need most. Psychotherapy can jump start the healing process.
(603) 329-3258 View (603) 329-3258

See more therapy options for Moultonborough

How does your Therapist compare?

Number of Therapists in Moultonborough, NH

< 10

Therapists in Moultonborough, NH who prioritize treating:

100% Self Esteem
75% Relationship Issues
75% Anxiety
75% ADHD
75% Women's Issues
75% Stress
75% Life Transitions

Average years in practice

19 Years

Top 3 insurances accepted

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

How Therapists in Moultonborough, NH see their clients

75% In Person and Online
25% Online Only

Gender breakdown

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

How can I find a therapist in Moultonborough?

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.