Therapists in Poughkeepsie, NY

Photo of Rosemarie Antonecchia, MS , LMHC
Rosemarie Antonecchia
Mental Health Counselor, MS , LMHC
Verified Verified
Poughkeepsie, NY 12601  (Online Only)
Navigating life’s challenges can feel overwhelming, but you don’t have to go through it alone. Whether you're a senior facing the transitions that come with aging, a military family coping with unique pressures, or an individual seeking personal growth, I'm here to support you. Life's changes—whether they involve relationships, health, or identity—can be daunting, but together we can explore your strengths, uncover new perspectives, and build a path toward a more enriching, fulfilling life. You deserve to feel heard, understood, and empowered to move forward confidently.
Navigating life’s challenges can feel overwhelming, but you don’t have to go through it alone. Whether you're a senior facing the transitions that come with aging, a military family coping with unique pressures, or an individual seeking personal growth, I'm here to support you. Life's changes—whether they involve relationships, health, or identity—can be daunting, but together we can explore your strengths, uncover new perspectives, and build a path toward a more enriching, fulfilling life. You deserve to feel heard, understood, and empowered to move forward confidently.
(845) 681-6327 View (845) 681-6327
Photo of Stephen Ronda, LMHC, CASAC-M, BC-TMH, C-DBT, CCTP, Counselor
Stephen Ronda
Counselor, LMHC, CASAC-M, BC-TMH, C-DBT, CCTP
Verified Verified
2 Endorsed
Poughkeepsie, NY 12603  (Online Only)
Waitlist for new clients
If you'd like to make a difference in your life, let's work together and discover your true potential. I want to help you see your problems differently, as more manageable, and ultimately, as something you can overcome. During our time together, I'll work with you to set your goals and break down the barriers between you and progress. My aim is always to help every person I meet become a more complete and whole person. Whether you're seeking a more conventional approach through DBT or are looking for transpersonal work, I know that the journey ahead will be filled with insight and strength. Let's walk that path together soon.
If you'd like to make a difference in your life, let's work together and discover your true potential. I want to help you see your problems differently, as more manageable, and ultimately, as something you can overcome. During our time together, I'll work with you to set your goals and break down the barriers between you and progress. My aim is always to help every person I meet become a more complete and whole person. Whether you're seeking a more conventional approach through DBT or are looking for transpersonal work, I know that the journey ahead will be filled with insight and strength. Let's walk that path together soon.
(845) 668-9476 View (845) 668-9476
Photo of Laurissa DeCarlo, LCSW, Clinical Social Work/Therapist
Laurissa DeCarlo
Clinical Social Work/Therapist, LCSW
Verified Verified
Poughkeepsie, NY 12601  (Online Only)
Not accepting new clients
Does adulting or thinking about the future feel scary? Are you going through a transition or struggling with anxiety, overthinking, low self-esteem, life stressors? Looking for a therapist with a modern approach to therapy? My top priority is creating a safe, relatable, comfortable space for you. I also utilize a collaborative, non-judgmental approach to see what skills may be bets suited to help during these challenges.
Does adulting or thinking about the future feel scary? Are you going through a transition or struggling with anxiety, overthinking, low self-esteem, life stressors? Looking for a therapist with a modern approach to therapy? My top priority is creating a safe, relatable, comfortable space for you. I also utilize a collaborative, non-judgmental approach to see what skills may be bets suited to help during these challenges.
(845) 328-6691 View (845) 328-6691
Photo of Lydia Kernan, LCSW, Clinical Social Work/Therapist
Lydia Kernan
Clinical Social Work/Therapist, LCSW
Verified Verified
Poughkeepsie, NY 12604  (Online Only)
Hi! I am a Licensed Clinical Social Worker. I have a background in substance abuse counseling and mainly work with college age individuals on issues such as adjustment, depression, anxiety and identity. I currently only offer virtual sessions and book all sessions through Headway (Headway.co). Also note that I am currently offering weekend hours!
Hi! I am a Licensed Clinical Social Worker. I have a background in substance abuse counseling and mainly work with college age individuals on issues such as adjustment, depression, anxiety and identity. I currently only offer virtual sessions and book all sessions through Headway (Headway.co). Also note that I am currently offering weekend hours!
(845) 552-9253 View (845) 552-9253
Photo of Jeanne Asma, LCSWR, Clinical Social Work/Therapist
Jeanne Asma
Clinical Social Work/Therapist, LCSWR
Verified Verified
Poughkeepsie, NY 12603
I specialize in helping people have more satisfaction in all areas of their lives including relationships and work. I am trained to work with many psychological issues and specialize in: Depression issues such as low self esteem, hopelessness and guilt. Anxiety disorders including generalized anxiety, panic attacks, and post traumatic stress disorder. Relationship issues including co-dependency and ACOA issues. Grief and bereavement issues including divorce, separation and complicated grief. Women's issues such as binge eating, body image and empowerment in relationships.
I specialize in helping people have more satisfaction in all areas of their lives including relationships and work. I am trained to work with many psychological issues and specialize in: Depression issues such as low self esteem, hopelessness and guilt. Anxiety disorders including generalized anxiety, panic attacks, and post traumatic stress disorder. Relationship issues including co-dependency and ACOA issues. Grief and bereavement issues including divorce, separation and complicated grief. Women's issues such as binge eating, body image and empowerment in relationships.
(845) 393-0260 View (845) 393-0260
Photo of Justina Anne Reilly, LMHC, Counselor
Justina Anne Reilly
Counselor, LMHC
Verified Verified
1 Endorsed
Poughkeepsie, NY 12603  (Online Only)
I am a Mental Health Counselor with an empathic demeanor allowing others to feel comfortable. I am educated in cognitive behavioral therapy, evidence-based programs focused on social emotional learning and play therapy. I have experience working with children and adolescents, parents, and adults. As a therapist I practice psychoanalytic orientation, finding the “root of the problem”. I also practice the importance of living in the now, empowering clients to focus on their strengths.
I am a Mental Health Counselor with an empathic demeanor allowing others to feel comfortable. I am educated in cognitive behavioral therapy, evidence-based programs focused on social emotional learning and play therapy. I have experience working with children and adolescents, parents, and adults. As a therapist I practice psychoanalytic orientation, finding the “root of the problem”. I also practice the importance of living in the now, empowering clients to focus on their strengths.
(845) 506-8408 View (845) 506-8408
Photo of Samantha Kosier, LMHC, Counselor
Samantha Kosier
Counselor, LMHC
Verified Verified
Poughkeepsie, NY 12603  (Online Only)
Email is preferred and quickest method of contact. It’s OK that you're here. Read that again. You are taking the very first step on your healing journey and finding the right therapist can be an overwhelming task. I am here to make it easier for you and share what I value in a therapeutic relationship. I take pride in my natural instinct to empathize and understand an individual's struggles. I value connection and our relationship. I do not expect anyone to feel comfortable opening up to me without first building our rapport together. Above all, I strive to convey an open, safe, and non-judgmental space for each and every person.
Email is preferred and quickest method of contact. It’s OK that you're here. Read that again. You are taking the very first step on your healing journey and finding the right therapist can be an overwhelming task. I am here to make it easier for you and share what I value in a therapeutic relationship. I take pride in my natural instinct to empathize and understand an individual's struggles. I value connection and our relationship. I do not expect anyone to feel comfortable opening up to me without first building our rapport together. Above all, I strive to convey an open, safe, and non-judgmental space for each and every person.
(845) 209-0512 View (845) 209-0512
Photo of Randall S Thomas, PhD, Psychologist
Randall S Thomas
Psychologist, PhD
Verified Verified
Poughkeepsie, NY 12601
Dr. Thomas is a licensed psychologist and graduate of the Gordon Derner Institute of Advanced Psychological Studies at Adelphi University, the first graduate program in clinical psychology with an educational model devoted to the practicing clinician/psychotherapist. With pre- and post-doctoral experience and training in psychoanalytically-oriented psychotherapy, he has practiced for over 30 years, working with children, adolescents, and adults in individual psychotherapy, as well as providing neuropsychological evaluations to identify the learning needs of children and young adults.
Dr. Thomas is a licensed psychologist and graduate of the Gordon Derner Institute of Advanced Psychological Studies at Adelphi University, the first graduate program in clinical psychology with an educational model devoted to the practicing clinician/psychotherapist. With pre- and post-doctoral experience and training in psychoanalytically-oriented psychotherapy, he has practiced for over 30 years, working with children, adolescents, and adults in individual psychotherapy, as well as providing neuropsychological evaluations to identify the learning needs of children and young adults.
(845) 377-0655 View (845) 377-0655
Photo of Deborah Yellin, LCSW, Clinical Social Work/Therapist
Deborah Yellin
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Poughkeepsie, NY 12601  (Online Only)
Not accepting new clients
At times, we just need someone to talk to outside of our daily lives. We find ourselves with problems that we may not be able to solve on our own. Sometimes, we need a safe space where we can open-up and gain perspective and confidence. Are you overburdened with caregiver fatigue? Caregivers of all kinds often have self-doubt, guilt and shame about asking for help. Many caregivers just don't know what the next steps should be. What changes would you like to see?
At times, we just need someone to talk to outside of our daily lives. We find ourselves with problems that we may not be able to solve on our own. Sometimes, we need a safe space where we can open-up and gain perspective and confidence. Are you overburdened with caregiver fatigue? Caregivers of all kinds often have self-doubt, guilt and shame about asking for help. Many caregivers just don't know what the next steps should be. What changes would you like to see?
(845) 205-7033 View (845) 205-7033
Photo of Therapy For Mamas And Couples Dominique Couture-Sherman Gottman Level 2, MSW, LMSW, CGP, C-DBT, CPC, Clinical Social Work/Therapist
Therapy For Mamas And Couples Dominique Couture-Sherman Gottman Level 2
Clinical Social Work/Therapist, MSW, LMSW, CGP, C-DBT, CPC
Verified Verified
2 Endorsed
Poughkeepsie, NY 12603
Welcome! My practice focuses on supporting new Mom’s, parents, couples and individuals navigating the dating world. I’m also trained and certified in grief and loss and have experience supporting people moving through neonatal, newborn or child loss, loss of a parent, spouse, life partner or pet. I also have some experience in treating those moving through a diagnosis of prolonged grief. In addition, I have a special interest in supporting individuals and couples with ADHD and especially navigating ADHD within a relationship and I enjoy supporting folks around navigating the complexities of open and polyamorous relationships.
Welcome! My practice focuses on supporting new Mom’s, parents, couples and individuals navigating the dating world. I’m also trained and certified in grief and loss and have experience supporting people moving through neonatal, newborn or child loss, loss of a parent, spouse, life partner or pet. I also have some experience in treating those moving through a diagnosis of prolonged grief. In addition, I have a special interest in supporting individuals and couples with ADHD and especially navigating ADHD within a relationship and I enjoy supporting folks around navigating the complexities of open and polyamorous relationships.
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Photo of Susan Mahoney, LMSW, Clinical Social Work/Therapist
Susan Mahoney
Clinical Social Work/Therapist, LMSW
Verified Verified
Poughkeepsie, NY 12601
Life can be hard sometimes. Situations, circumstances and relationships can seem to be overwhelming or even impossible to handle. Sometimes we just need someone to talk to, to be a support through the difficult times, to help us sort things out, and to learn more healthy positive ways of overcoming these situations.
Life can be hard sometimes. Situations, circumstances and relationships can seem to be overwhelming or even impossible to handle. Sometimes we just need someone to talk to, to be a support through the difficult times, to help us sort things out, and to learn more healthy positive ways of overcoming these situations.
(845) 318-1326 View (845) 318-1326
Photo of Tara Cocurullo, LMSW, Clinical Social Work/Therapist
Tara Cocurullo
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Poughkeepsie, NY 12601  (Online Only)
Are you currently going through a major transition or struggling with anxiety, overthinking, low self-esteem, relationship issues, or other life stressors? Are you looking for a relatable therapist with a modern approach to therapy? With the flexibility of telehealth, we can find a time to meet that works within your schedule so you can put your mental health as a priority. My goal is to make therapy relatable and approachable. I hope to provide a safe and non-judgmental space to talk about these struggles and find the skills best suited to help you through these challenging times.
Are you currently going through a major transition or struggling with anxiety, overthinking, low self-esteem, relationship issues, or other life stressors? Are you looking for a relatable therapist with a modern approach to therapy? With the flexibility of telehealth, we can find a time to meet that works within your schedule so you can put your mental health as a priority. My goal is to make therapy relatable and approachable. I hope to provide a safe and non-judgmental space to talk about these struggles and find the skills best suited to help you through these challenging times.
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Photo of Dr. Deborah Ann McKee, Deborah, McKee, PhD, Psychologist
Dr. Deborah Ann McKee
Psychologist, Deborah, McKee, PhD
Verified Verified
Poughkeepsie, NY 12603  (Online Only)
I enjoy helping people who are experiencing a variety of stressors and symptoms. For example, anxiety, depression, addictions, reactions to trauma, relationship struggles, anger, loss, as well as other problems with mood or thinking. Also the every day type of stress, including problems handling school, work, family, or what life throws at us in general. I use my Circle of Life Wellness Coaching to help people get unstuck and move forward with helpful change. Are you ready to make some positive changes in your life?!
I enjoy helping people who are experiencing a variety of stressors and symptoms. For example, anxiety, depression, addictions, reactions to trauma, relationship struggles, anger, loss, as well as other problems with mood or thinking. Also the every day type of stress, including problems handling school, work, family, or what life throws at us in general. I use my Circle of Life Wellness Coaching to help people get unstuck and move forward with helpful change. Are you ready to make some positive changes in your life?!
(845) 637-2068 View (845) 637-2068
Photo of Glendalee L Muniz, LCSW, ASW-G, Clinical Social Work/Therapist
Glendalee L Muniz
Clinical Social Work/Therapist, LCSW, ASW-G
Verified Verified
Poughkeepsie, NY 12601  (Online Only)
My ideal client is someone who has always put others first—whether as a caregiver, a parentified adult, or a chronic people-pleaser—yet finds themselves struggling to meet their own needs. They may feel overwhelmed by anxiety, lost in the challenges of aging, or curious about exploring alternative healing modalities like cannabis but unsure where to start. Their goal is to reclaim their sense of self, find balance, and achieve a greater sense of peace and fulfillment. They want to break free from the patterns that have kept them stuck and are ready to embark on a journey of self-discovery and empowerment.
My ideal client is someone who has always put others first—whether as a caregiver, a parentified adult, or a chronic people-pleaser—yet finds themselves struggling to meet their own needs. They may feel overwhelmed by anxiety, lost in the challenges of aging, or curious about exploring alternative healing modalities like cannabis but unsure where to start. Their goal is to reclaim their sense of self, find balance, and achieve a greater sense of peace and fulfillment. They want to break free from the patterns that have kept them stuck and are ready to embark on a journey of self-discovery and empowerment.
(845) 393-6787 View (845) 393-6787
Photo of Meredith Madden, LMHC
Meredith Madden
LMHC
Verified Verified
Poughkeepsie, NY 12603
Waitlist for new clients
Existing as a human being these days can be rough. "Existing" translates into "not living fully." This is no fun for anybody. Many individuals suffer from uncomfortable symptoms leading to feelings of sadness, irritability, or fatigue. Others experience trouble concentrating, racing or negative thoughts, and even difficulty breathing. You are not alone in this complicated world; it's easy to get off course and/or it can be difficult to find your way due to various roadblocks. It may help to work with a person outside your friend & family groups in an effort to gain a fresh perspective, to be seen with unbiased, non-judgmental eyes.
Existing as a human being these days can be rough. "Existing" translates into "not living fully." This is no fun for anybody. Many individuals suffer from uncomfortable symptoms leading to feelings of sadness, irritability, or fatigue. Others experience trouble concentrating, racing or negative thoughts, and even difficulty breathing. You are not alone in this complicated world; it's easy to get off course and/or it can be difficult to find your way due to various roadblocks. It may help to work with a person outside your friend & family groups in an effort to gain a fresh perspective, to be seen with unbiased, non-judgmental eyes.
(845) 681-6590 View (845) 681-6590
Photo of Sara Garnot, LCSW, Clinical Social Work/Therapist
Sara Garnot
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Poughkeepsie, NY 12603
Everyone experiences life differently, but one thing that we all have in common is that we don't feel our best all of the time. I believe that each person has the ability to improve the way that they're feeling. I want to learn what your strengths are so that together we can find skills that will empower you and help you to move closer to where you want to be.
Everyone experiences life differently, but one thing that we all have in common is that we don't feel our best all of the time. I believe that each person has the ability to improve the way that they're feeling. I want to learn what your strengths are so that together we can find skills that will empower you and help you to move closer to where you want to be.
(845) 409-8055 View (845) 409-8055
Photo of Timothy D Doak, MS, LCAT, FAMI, MT-BC
Timothy D Doak
Creative Arts Therapist, MS, LCAT, FAMI, MT-BC
Verified Verified
1 Endorsed
Poughkeepsie, NY 12601  (Online Only)
Feeling stuck or constantly stressed takes an enormous toll on one’s body. It leaves you exhausted, frustrated, and extremely overwhelmed. The activities you do everyday become interrupted and difficult to complete. If these feelings resonate with you, it’s time to create alternative ways to bring balance into your lifestyle. Music therapy can assist in increasing the awareness of your mind body connection and help you live the life you deserve.
Feeling stuck or constantly stressed takes an enormous toll on one’s body. It leaves you exhausted, frustrated, and extremely overwhelmed. The activities you do everyday become interrupted and difficult to complete. If these feelings resonate with you, it’s time to create alternative ways to bring balance into your lifestyle. Music therapy can assist in increasing the awareness of your mind body connection and help you live the life you deserve.
(845) 393-3418 View (845) 393-3418
Photo of Kristen Martini, LCSW, Clinical Social Work/Therapist
Kristen Martini
Clinical Social Work/Therapist, LCSW
Verified Verified
Poughkeepsie, NY 12601
Are you currently experiencing anxiety, low self-esteem, or relationship issues? If you are reading this, you have already taken the first step to making positive changes in your life! Hello, my name is Kristen. I am a Licensed Clinical Social Worker, and I am passionate about helping others navigate through challenges, especially those struggling with anxiety.
Are you currently experiencing anxiety, low self-esteem, or relationship issues? If you are reading this, you have already taken the first step to making positive changes in your life! Hello, my name is Kristen. I am a Licensed Clinical Social Worker, and I am passionate about helping others navigate through challenges, especially those struggling with anxiety.
(845) 681-2884 View (845) 681-2884
Photo of Susan Grencer, LMSW, Clinical Social Work/Therapist
Susan Grencer
Clinical Social Work/Therapist, LMSW
Verified Verified
Poughkeepsie, NY 12603  (Online Only)
Is something getting in the way, keeping you from truly living life and experiencing joy? Does a feeling of “not good enough” seem to play in your head, keeping you stuck? I would love to partner with you and help you to clear the blocks that are keeping you from being your best.
Is something getting in the way, keeping you from truly living life and experiencing joy? Does a feeling of “not good enough” seem to play in your head, keeping you stuck? I would love to partner with you and help you to clear the blocks that are keeping you from being your best.
(845) 237-5176 View (845) 237-5176
Photo of Kaitlyn Devrous, LMHC, Counselor
Kaitlyn Devrous
Counselor, LMHC
Verified Verified
5 Endorsed
Poughkeepsie, NY 12601  (Online Only)
Waitlist for new clients
Maybe you woke up today & said, "shit, I really need to find a therapist." Maybe you've said that many mornings. Perhaps you find yourself repeating the same cycles and wanting to stop, yet you keep spinning. Cycles of all types - anxiety, depression, self-sabotage, addiction, trauma and more. It leaks into different areas of your life - work, relationships, self-esteem...and it’s exhausting. Maybe you feel stretched thin, like butter scraped over too much bread. You want to feel more at peace, to have better relationships, and to understand more yourself. Luckily, therapy can help get you there.
Maybe you woke up today & said, "shit, I really need to find a therapist." Maybe you've said that many mornings. Perhaps you find yourself repeating the same cycles and wanting to stop, yet you keep spinning. Cycles of all types - anxiety, depression, self-sabotage, addiction, trauma and more. It leaks into different areas of your life - work, relationships, self-esteem...and it’s exhausting. Maybe you feel stretched thin, like butter scraped over too much bread. You want to feel more at peace, to have better relationships, and to understand more yourself. Luckily, therapy can help get you there.
(845) 684-9193 View (845) 684-9193
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How does your Therapist compare?

Number of Therapists in Poughkeepsie, NY

300+

Average cost per session

$125

Therapists in Poughkeepsie, NY who prioritize treating:

94% Anxiety
89% Depression
78% Relationship Issues
75% Self Esteem
72% Coping Skills
69% Stress
68% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

84% Aetna
67% UnitedHealthcare UHC | UBH
63% Cigna and Evernorth

How Therapists in Poughkeepsie, NY see their clients

59% In Person and Online
41% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Poughkeepsie?

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.