Therapists in Fishkill, NY

Photo of Matthew Warner, PsyD, Psychologist
Matthew Warner
Psychologist, PsyD
Verified Verified
Fishkill, NY 12524
The journey toward recovery from addiction is difficult, but worth the struggle. That's where I come in. I see my role as a collaborator in your recovery. I believe that much of the knowledge for a successful recovery is within you, and with the support of therapy a set of tools can be developed to increase your chances of success. My practice is an alternative to 12 step programs, and centers around helping you shift your thoughts and behaviors connected with the addiction, and make better decisions based on your personal values. Together we develop a relapse prevention plan to cope with potential pitfalls.
The journey toward recovery from addiction is difficult, but worth the struggle. That's where I come in. I see my role as a collaborator in your recovery. I believe that much of the knowledge for a successful recovery is within you, and with the support of therapy a set of tools can be developed to increase your chances of success. My practice is an alternative to 12 step programs, and centers around helping you shift your thoughts and behaviors connected with the addiction, and make better decisions based on your personal values. Together we develop a relapse prevention plan to cope with potential pitfalls.
(347) 472-1518 View (347) 472-1518
Photo of Renee MacDonald, LCSW, Clinical Social Work/Therapist
Renee MacDonald
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
Let’s make anxiety and unfulfilling relationships a thing of the past. Maybe you’re infamous for overthinking. You get lost in your head even when you’ve thought about a situation from every possible angle. You’re good at analysis, but it comes at a cost. Sometimes thinking this hard is exhausting, isolating, and things still don’t feel clear. You’re afraid of making mistakes. You feel responsible for everything and take on way more than you can handle. You are overwhelmed and it feels like you are on a sinking ship. The anxiety impacts everything in your life, including your relationships and the people you care about most.
Let’s make anxiety and unfulfilling relationships a thing of the past. Maybe you’re infamous for overthinking. You get lost in your head even when you’ve thought about a situation from every possible angle. You’re good at analysis, but it comes at a cost. Sometimes thinking this hard is exhausting, isolating, and things still don’t feel clear. You’re afraid of making mistakes. You feel responsible for everything and take on way more than you can handle. You are overwhelmed and it feels like you are on a sinking ship. The anxiety impacts everything in your life, including your relationships and the people you care about most.
(845) 599-0864 View (845) 599-0864
Photo of R. Kevin Douglas - AASK Therapeutic Services, LCSW-R, MPS, Clinical Social Work/Therapist
AASK Therapeutic Services
Clinical Social Work/Therapist, LCSW-R, MPS
Verified Verified
6 Endorsed
Fishkill, NY 12524
I believe the healing process can begin by developing a compassionate and collaborative working relationship. Whether relational issues, mental health concerns, or addiction challenges have become overwhelming, working together can bring positive results.
I believe the healing process can begin by developing a compassionate and collaborative working relationship. Whether relational issues, mental health concerns, or addiction challenges have become overwhelming, working together can bring positive results.
(914) 873-0284 View (914) 873-0284
Photo of Ronald Field - Riverview Psychological Services, PhD, Psychologist
Riverview Psychological Services
Psychologist, PhD
Verified Verified
Fishkill, NY 12524
Riverview Psychological Services offers an experienced and dedicated staff of mental health professionals with diverse backgrounds, interests, and skills. We provide therapeutic services and psychological / neuropsychological assessment for children, adolescents, adults, families, and couples. Conveniently located in Fishkill, NY, we accept many insurance plans and Medicare. Immediate appointments available. ........................OVER 65 and on Medicare? Ask about NO-COST memory / cognitive testing. You will receive a free report with your results and recommendations to help preserve or improve your thinking skills.
Riverview Psychological Services offers an experienced and dedicated staff of mental health professionals with diverse backgrounds, interests, and skills. We provide therapeutic services and psychological / neuropsychological assessment for children, adolescents, adults, families, and couples. Conveniently located in Fishkill, NY, we accept many insurance plans and Medicare. Immediate appointments available. ........................OVER 65 and on Medicare? Ask about NO-COST memory / cognitive testing. You will receive a free report with your results and recommendations to help preserve or improve your thinking skills.
(845) 719-4960 x2 View (845) 719-4960 x2
Photo of Alicia Alfred, LCSW, BS, Clinical Social Work/Therapist
Alicia Alfred
Clinical Social Work/Therapist, LCSW, BS
Verified Verified
Fishkill, NY 12524
*MOBILE THERAPY SERVICE* When traditional 'mental health' services are not meeting your needs-CALL. This could be a result from a medical condition, limitations to transportation, or many other reasons that pose a barrier to meeting your emotional support needs in an office. Mobile Therapy is a way to have the service come to you and allow you the ability to mold the service in a way that would be most convenient for you. I view the therapeutic process as a journey, to achieve goals, improve your life for the better and feel that therapy should be catered to your needs.
*MOBILE THERAPY SERVICE* When traditional 'mental health' services are not meeting your needs-CALL. This could be a result from a medical condition, limitations to transportation, or many other reasons that pose a barrier to meeting your emotional support needs in an office. Mobile Therapy is a way to have the service come to you and allow you the ability to mold the service in a way that would be most convenient for you. I view the therapeutic process as a journey, to achieve goals, improve your life for the better and feel that therapy should be catered to your needs.
(845) 640-5302 View (845) 640-5302
Photo of Michael Stanet, LCSW-R, Clinical Social Work/Therapist
Michael Stanet
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Fishkill, NY 12524
I am a Licensed Clinical Social Worker with 26 years of experience providing treatment to children, families, and adults struggling with issues related to mental health and substance abuse. In my therapy practice I provide a safe and supportive environment for people to talk about their troubles and help them develop solutions that will work for their individual situation. I strongly believe that a therapist’s primary role is to work in partnership with their client, to empower their client to achieve the goals they have identified.
I am a Licensed Clinical Social Worker with 26 years of experience providing treatment to children, families, and adults struggling with issues related to mental health and substance abuse. In my therapy practice I provide a safe and supportive environment for people to talk about their troubles and help them develop solutions that will work for their individual situation. I strongly believe that a therapist’s primary role is to work in partnership with their client, to empower their client to achieve the goals they have identified.
(845) 538-4487 View (845) 538-4487
Photo of Christine Kelly, LCSW, Clinical Social Work/Therapist
Christine Kelly
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Currently Accepting New Clients Life is full of challenges, from work and school challenges through relationships and major milestones, there are so many times it is helpful to have someone to bounce life's oppositions at. I am seasoned in working with people of all walks of life, during so many of life challenges. I am an experience provider to support lgbtqia+ clients as they explore their journey of better understanding themselves and cope with the challenges around them.
Currently Accepting New Clients Life is full of challenges, from work and school challenges through relationships and major milestones, there are so many times it is helpful to have someone to bounce life's oppositions at. I am seasoned in working with people of all walks of life, during so many of life challenges. I am an experience provider to support lgbtqia+ clients as they explore their journey of better understanding themselves and cope with the challenges around them.
(845) 851-0499 View (845) 851-0499
Photo of Leslie Kotzker, LCSW, Clinical Social Work/Therapist
Leslie Kotzker
Clinical Social Work/Therapist, LCSW
Verified Verified
Fishkill, NY 12524
Life can be challenging . Therapy is a way to help break down the barriers of life’s challenges. I provide a safe, non judgmental , supportive space to work through issues. I work with a wide array of clients that are dealing with current or past challenges. Some of my own specific goals are to help you increase your quality of life , move forward with desired goals, and have a more positive sense of self.
Life can be challenging . Therapy is a way to help break down the barriers of life’s challenges. I provide a safe, non judgmental , supportive space to work through issues. I work with a wide array of clients that are dealing with current or past challenges. Some of my own specific goals are to help you increase your quality of life , move forward with desired goals, and have a more positive sense of self.
(845) 443-7540 View (845) 443-7540
Photo of Dana Treacy, LMSW, Clinical Social Work/Therapist
Dana Treacy
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Fishkill, NY 12524
Are stress, anxiety, depression or other challenges getting in the way of living your best life? Together we can develop the tools to create the life you want filled with positive thoughts, behaviors, strengths and healthy relationships. In my practice, I work with individuals and couples to create a safe, trusting, non-judgmental environment that allows us to work as a team to help you to achieve your current goals and maybe even some that you have not yet identified.
Are stress, anxiety, depression or other challenges getting in the way of living your best life? Together we can develop the tools to create the life you want filled with positive thoughts, behaviors, strengths and healthy relationships. In my practice, I work with individuals and couples to create a safe, trusting, non-judgmental environment that allows us to work as a team to help you to achieve your current goals and maybe even some that you have not yet identified.
(845) 202-2466 View (845) 202-2466
Photo of Elizabeth Schilling, PhD, Psychologist
Elizabeth Schilling
Psychologist, PhD
Verified Verified
Fishkill, NY 12524
Waitlist for new clients
We are most likely to seek psychotherapy when we hit a rough patch in life. We may need to adjust to a new reality after beginning a long-planned transition or experiencing an unexpected event. We may be grappling with a relationship problem, or struggling with an unexplained episode of depression or anxiety. As difficult as these periods can be, they provide an opportunity for questioning our beliefs about what we want for ourselves and what we can give to the world. I work best with persons who are interested in finding a path through anxiety, confusion, grief, and loneliness that leads to a more fulfilling and authentic life.
We are most likely to seek psychotherapy when we hit a rough patch in life. We may need to adjust to a new reality after beginning a long-planned transition or experiencing an unexpected event. We may be grappling with a relationship problem, or struggling with an unexplained episode of depression or anxiety. As difficult as these periods can be, they provide an opportunity for questioning our beliefs about what we want for ourselves and what we can give to the world. I work best with persons who are interested in finding a path through anxiety, confusion, grief, and loneliness that leads to a more fulfilling and authentic life.
(845) 409-8672 View (845) 409-8672
Photo of Elisha S. Fisch - The Taconic Counseling Group, Elisha S. Fisch, PhD, PhD, Psychologist
The Taconic Counseling Group, Elisha S. Fisch, PhD
Psychologist, PhD
Verified Verified
Fishkill, NY 12524
Hello, I am Elisha Fisch. We, at Taconic, know that finding the right therapist can be a difficult process. We help you find the right match with a member of our group because we recognize that the match between you and your counselor makes all the difference in your having a good therapy experience. I am one of our 6 psychologists with PhD's plus advanced training and over 30 years of experience. Because each of us has different as well as overlapping specialties, we benefit from our many perspectives as your therapist crafts, with you, a therapy plan that is right for you, in a warm and caring environment.
Hello, I am Elisha Fisch. We, at Taconic, know that finding the right therapist can be a difficult process. We help you find the right match with a member of our group because we recognize that the match between you and your counselor makes all the difference in your having a good therapy experience. I am one of our 6 psychologists with PhD's plus advanced training and over 30 years of experience. Because each of us has different as well as overlapping specialties, we benefit from our many perspectives as your therapist crafts, with you, a therapy plan that is right for you, in a warm and caring environment.
(914) 873-0453 View (914) 873-0453
Photo of Marie C Carstens, LCAT, BC-DMT, CMA
Marie C Carstens
LCAT, BC-DMT, CMA
Verified Verified
Fishkill, NY 12524
Struggling with anxiety and depression can be exhausting. Whether you have coped for a long time or a new situation has emerged, the sensations connected to feelings can seem overwhelming. The knot in your stomach, tension gripped shoulders, tightening up, shrinking in, weighted down, these are all embodied experiences of anxiety and depression. This is where I join in, meeting your feelings on a body level. If you are seeking a creative, body and movement based way to find more ease, or have been diagnosed with Parkinson's disease and want a movement oriented therapy, dance/movement therapy might be for you.
Struggling with anxiety and depression can be exhausting. Whether you have coped for a long time or a new situation has emerged, the sensations connected to feelings can seem overwhelming. The knot in your stomach, tension gripped shoulders, tightening up, shrinking in, weighted down, these are all embodied experiences of anxiety and depression. This is where I join in, meeting your feelings on a body level. If you are seeking a creative, body and movement based way to find more ease, or have been diagnosed with Parkinson's disease and want a movement oriented therapy, dance/movement therapy might be for you.
(845) 630-1043 View (845) 630-1043
Photo of Kristle M Rosado, LCSW, Clinical Social Work/Therapist
Kristle M Rosado
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Life can be messy and complex, and sometimes we need some help navigating it. Whether you are struggling to make sense of life, feel like it's out of control at the moment, or feel like something is missing. Maybe you are stressed, struggling with depression, anxiety, or trauma? Whatever may be bringing you here, I can assure you therapy can help. I believe that the therapeutic process is an opportunity for individuals to create a place just for them where they can discuss their concerns openly without judgment. Together we create a space to explore who they are, where they have been, and where they want to go next.
Life can be messy and complex, and sometimes we need some help navigating it. Whether you are struggling to make sense of life, feel like it's out of control at the moment, or feel like something is missing. Maybe you are stressed, struggling with depression, anxiety, or trauma? Whatever may be bringing you here, I can assure you therapy can help. I believe that the therapeutic process is an opportunity for individuals to create a place just for them where they can discuss their concerns openly without judgment. Together we create a space to explore who they are, where they have been, and where they want to go next.
(845) 244-5772 View (845) 244-5772
Photo of Mari Flamm, MSS, LMSW, Clinical Social Work/Therapist
Mari Flamm
Clinical Social Work/Therapist, MSS, LMSW
Verified Verified
1 Endorsed
Fishkill, NY 12524
Not accepting new clients
Are you experiencing issues in your relationships? Are you concerned that these issues have affected your relationship with yourself? I work with individuals experiencing feelings of anxiety and depression that affect their self-worth and self-image. Understanding that many of our thoughts and behaviors come from what we learned from our circumstances and those around us over the years, I’m committed to supporting you in overcoming beliefs and patterns that stem from painful childhood and adult relationships and experiences. Together, we’ll help you cultivate healthier, more fulfilling relationships with yourself and others.
Are you experiencing issues in your relationships? Are you concerned that these issues have affected your relationship with yourself? I work with individuals experiencing feelings of anxiety and depression that affect their self-worth and self-image. Understanding that many of our thoughts and behaviors come from what we learned from our circumstances and those around us over the years, I’m committed to supporting you in overcoming beliefs and patterns that stem from painful childhood and adult relationships and experiences. Together, we’ll help you cultivate healthier, more fulfilling relationships with yourself and others.
(845) 552-4219 View (845) 552-4219
Photo of Lisa Spittal, LCSW, Clinical Social Work/Therapist
Lisa Spittal
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fishkill, NY 12524
It is easy to become overwhelmed by the sadness, anger, or anxiety we experience. During these times we often feel uncertain and insecure. My goal is to help you find balance and to restore a sense of control and inner strength. I believe it is important to listen and to be supportive as well as to provide guidance as you explore where you have been, where you are and where you hope to go. I believe it is important for you to set realistic and reasonable expectations of yourself as well as others. And to develop the communication skills that will allow you to share your thoughts and feelings in healthy and appropriate ways.
It is easy to become overwhelmed by the sadness, anger, or anxiety we experience. During these times we often feel uncertain and insecure. My goal is to help you find balance and to restore a sense of control and inner strength. I believe it is important to listen and to be supportive as well as to provide guidance as you explore where you have been, where you are and where you hope to go. I believe it is important for you to set realistic and reasonable expectations of yourself as well as others. And to develop the communication skills that will allow you to share your thoughts and feelings in healthy and appropriate ways.
(845) 209-1605 View (845) 209-1605
Photo of Marci Cox, LCSW, Clinical Social Work/Therapist
Marci Cox
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
Looking for support or someone to talk to? Life can be complicated and there is no need to face challenges on your own. I am here to help you identify and work through those challenges so you can live the life you want to lead. We will uncover any negative thoughts, feelings or behaviors that are standing in your way. I have 20+ years of experience working with individuals dealing with depression, anxiety, trauma, relationship/family issues and life transitions/stressors.
Looking for support or someone to talk to? Life can be complicated and there is no need to face challenges on your own. I am here to help you identify and work through those challenges so you can live the life you want to lead. We will uncover any negative thoughts, feelings or behaviors that are standing in your way. I have 20+ years of experience working with individuals dealing with depression, anxiety, trauma, relationship/family issues and life transitions/stressors.
(845) 524-8082 View (845) 524-8082
Photo of Samantha Tinter, MSW, LCSW, Clinical Social Work/Therapist
Samantha Tinter
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Fishkill, NY 12524
Are you juggling multiple responsibilities? Feeling pulled in 99 different directions? Wondering if there is any escape from the stress and frustrations that can overwhelm us? Your pleasure of the day should not be grocery shopping without your kids in tow. It is so easy to lose our identity, especially now that we are trying to be all things to all people. Adulting in 2020, right? Up until now you have managed to kind of, sort of, keep it all together but it is obvious that this is not sustainable. Self-care should not be a luxury! Let's carve out time to focus on you and increase your bandwidth to be able to enjoy your life!
Are you juggling multiple responsibilities? Feeling pulled in 99 different directions? Wondering if there is any escape from the stress and frustrations that can overwhelm us? Your pleasure of the day should not be grocery shopping without your kids in tow. It is so easy to lose our identity, especially now that we are trying to be all things to all people. Adulting in 2020, right? Up until now you have managed to kind of, sort of, keep it all together but it is obvious that this is not sustainable. Self-care should not be a luxury! Let's carve out time to focus on you and increase your bandwidth to be able to enjoy your life!
(845) 637-3910 View (845) 637-3910
Photo of Kimberly King, MSW, LMSW
Kimberly King
Licensed Master Social Worker, MSW, LMSW
Verified Verified
Fishkill, NY 12524
Not accepting new clients
Welcome! I am so glad that you are here. Life can be overwhelming at times with many bumps along the way. However, it can also be beautiful! I am passionate about working with adolescents and young adults as they navigate their way through the stressors of life including anxiety, stress, depression, and struggles with self-esteem. My therapeutic style encourages clients to develop a sense of autonomy through the use of an engaging, empathic, strength-based approach.
Welcome! I am so glad that you are here. Life can be overwhelming at times with many bumps along the way. However, it can also be beautiful! I am passionate about working with adolescents and young adults as they navigate their way through the stressors of life including anxiety, stress, depression, and struggles with self-esteem. My therapeutic style encourages clients to develop a sense of autonomy through the use of an engaging, empathic, strength-based approach.
(845) 202-2409 View (845) 202-2409
Photo of Heather Lopez - Heather Lopez, LCSW, PLLC, LCSW, Clinical Social Work/Therapist
Heather Lopez, LCSW, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Are you feeling unhappy or even miserable? Are you struggling with managing or coping with the stressors that are overwhelming your life? Have you tried to feel better on your own and nothing seems to be working? If the answer is yes to any of these questions and you are willing to invest in yourself, I may be able to help. We will work together using evidence-based therapeutic interventions such as Dialectical Behavioral Therapy (DBT) and Cognitive Behavioral Therapy (CBT). More often than not, I find individuals view change or a transition as uncomfortable and scary.
Are you feeling unhappy or even miserable? Are you struggling with managing or coping with the stressors that are overwhelming your life? Have you tried to feel better on your own and nothing seems to be working? If the answer is yes to any of these questions and you are willing to invest in yourself, I may be able to help. We will work together using evidence-based therapeutic interventions such as Dialectical Behavioral Therapy (DBT) and Cognitive Behavioral Therapy (CBT). More often than not, I find individuals view change or a transition as uncomfortable and scary.
(845) 393-2741 View (845) 393-2741
Photo of Melanie Beck, LMHC, Counselor
Melanie Beck
Counselor, LMHC
Verified Verified
1 Endorsed
Fishkill, NY 12524
Not accepting new clients
Welcome! I am a Licensed Mental Health Counselor with nearly a decade of experience counseling teens and adults through their emotional health issues. I have specific training in Dialectical Behavioral Therapy, Cognitive Behavioral Therapy, and Motivational Interviewing. I am comfortable treating individuals with a wide variety of issues using a professional, supportive, person-centered approach.
Welcome! I am a Licensed Mental Health Counselor with nearly a decade of experience counseling teens and adults through their emotional health issues. I have specific training in Dialectical Behavioral Therapy, Cognitive Behavioral Therapy, and Motivational Interviewing. I am comfortable treating individuals with a wide variety of issues using a professional, supportive, person-centered approach.
(845) 203-8604 View (845) 203-8604
1

How does your Therapist compare?

Number of Therapists in Fishkill, NY

90+

Average cost per session

$135

Therapists in Fishkill, NY who prioritize treating:

95% Anxiety
88% Depression
83% Relationship Issues
83% Self Esteem
74% Coping Skills
73% Stress
68% Family Conflict

Average years in practice

14 Years

Top 3 insurances accepted

82% Aetna
75% Cigna and Evernorth
72% UnitedHealthcare UHC | UBH

How Therapists in Fishkill, NY see their clients

70% In Person and Online
30% Online Only

Gender breakdown

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

How can I find a therapist in Fishkill?

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.