Therapists in Staatsburg, NY

Photo of Elizabeth Ann Harnett - Moving Mountains Occupational Therapy, PC, MS, OTR/L, Occupational Therapist
Moving Mountains Occupational Therapy, PC
Occupational Therapist, MS, OTR/L
Verified Verified
Staatsburg, NY 12580
If you are facing stress, life transitions, or pain and seek support and strategies to help with participation in daily routines, physical and mental well-being, coping skills, relationships with others, and overall growth, we can help you. We love to help those with disabilities or have a family member with a disability. We also would love to help other healthcare workers, first responders, and caretakers/DSP's to support their mental health, routines, prevent burn out in their professional, and physical well-being. We want everyone seeking support find what they love to do or help them get back to doing what they love.
If you are facing stress, life transitions, or pain and seek support and strategies to help with participation in daily routines, physical and mental well-being, coping skills, relationships with others, and overall growth, we can help you. We love to help those with disabilities or have a family member with a disability. We also would love to help other healthcare workers, first responders, and caretakers/DSP's to support their mental health, routines, prevent burn out in their professional, and physical well-being. We want everyone seeking support find what they love to do or help them get back to doing what they love.
(845) 402-2539 View (845) 402-2539
Photo of Elizabeth Cobb, LCSW, ACT, Clinical Social Work/Therapist
Elizabeth Cobb
Clinical Social Work/Therapist, LCSW, ACT
Verified Verified
1 Endorsed
Staatsburg, NY 12580
What is holding you back? I work with young adults who don't know the answer to that question, who are struggling with life transitions, finding a purpose, and may be having a life "crisis." Often my clients are dealing with depression and anxiety related to difficulty making decisions, are stuck in an unsatisfying job, or are feeling confused and uncertain about the next step in their life. My goal is to help you understand what you want and what's holding you back.
What is holding you back? I work with young adults who don't know the answer to that question, who are struggling with life transitions, finding a purpose, and may be having a life "crisis." Often my clients are dealing with depression and anxiety related to difficulty making decisions, are stuck in an unsatisfying job, or are feeling confused and uncertain about the next step in their life. My goal is to help you understand what you want and what's holding you back.
(347) 242-5639 View (347) 242-5639
Photo of John Nathan, LCSWR, Clinical Social Work/Therapist
John Nathan
Clinical Social Work/Therapist, LCSWR
Verified Verified
Staatsburg, NY 12580
By better understanding who you are and where you want to go, you can live a happier more fulfilling life. My approach is supportive and empathic but, above all, practical. While I believe an understanding of the past is essential, positive change occurs in the present. I work with individuals and couples who are interested in seeking a better understanding of themselves and each other and the skills involved to know oneself and communicate more effectively.
By better understanding who you are and where you want to go, you can live a happier more fulfilling life. My approach is supportive and empathic but, above all, practical. While I believe an understanding of the past is essential, positive change occurs in the present. I work with individuals and couples who are interested in seeking a better understanding of themselves and each other and the skills involved to know oneself and communicate more effectively.
(917) 518-3849 View (917) 518-3849
Photo of Meghan Cibelli, MSW,  LCSW, Clinical Social Work/Therapist
Meghan Cibelli
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Staatsburg, NY 12580
Meghan Cibelli, LCSW, is a therapist at LifeStance Health in New York, where she is dedicated to helping individuals take control of their futures and achieve long-term lifestyle changes. Meghan offers a supportive and non-judgmental space for clients to share their stories, providing guidance and skills to help them align their actions with their goals. Whether working with children, adolescents, adults, or seniors, Meghan emphasizes transparency, honesty, and empathy in her therapeutic approach, ensuring that each client feels genuinely invested in their personal growth.
Meghan Cibelli, LCSW, is a therapist at LifeStance Health in New York, where she is dedicated to helping individuals take control of their futures and achieve long-term lifestyle changes. Meghan offers a supportive and non-judgmental space for clients to share their stories, providing guidance and skills to help them align their actions with their goals. Whether working with children, adolescents, adults, or seniors, Meghan emphasizes transparency, honesty, and empathy in her therapeutic approach, ensuring that each client feels genuinely invested in their personal growth.
(845) 599-7695 View (845) 599-7695
Photo of Kathy Smith, LCSW, Clinical Social Work/Therapist
Kathy Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
Staatsburg, NY 12580
Kathy Smith is a Licensed Clinical Social Worker in New York who has been practicing since 1995. It can be difficult to reach out for help. With Kathy, you can expect a warm, welcoming place to freely express yourself. Together you will address the issues you identify as problematic, build on your strengths and work on changes you would like to make. Together you and Kathy will set goals for treatment and work towards achieving them. In her free time, Kathy enjoys arts and crafts, outdoor activities, and family time.
Kathy Smith is a Licensed Clinical Social Worker in New York who has been practicing since 1995. It can be difficult to reach out for help. With Kathy, you can expect a warm, welcoming place to freely express yourself. Together you will address the issues you identify as problematic, build on your strengths and work on changes you would like to make. Together you and Kathy will set goals for treatment and work towards achieving them. In her free time, Kathy enjoys arts and crafts, outdoor activities, and family time.
(845) 250-5843 View (845) 250-5843
Photo of Jacquelyn Elbel, PhD, Psychologist
Jacquelyn Elbel
Psychologist, PhD
Verified Verified
Staatsburg, NY 12580
Dr. Jacquelyn Elbel is a licensed Psychologist in New York who has been practicing since 1988. She holds a Master's and a Doctoral degree in Counseling Psychology from the University of North Texas. Dr. Elbel is easy to talk to "“ she listens well and opens the space for clients to explore their situation and issues. She is able to build relationships quickly with empathy, affirmation, and unconditional, nonjudgmental support. Dr. Elbel is able to EITHER allow the client space to process their own emotions and consider options OR help identify areas of concern and provide resources and direction.
Dr. Jacquelyn Elbel is a licensed Psychologist in New York who has been practicing since 1988. She holds a Master's and a Doctoral degree in Counseling Psychology from the University of North Texas. Dr. Elbel is easy to talk to "“ she listens well and opens the space for clients to explore their situation and issues. She is able to build relationships quickly with empathy, affirmation, and unconditional, nonjudgmental support. Dr. Elbel is able to EITHER allow the client space to process their own emotions and consider options OR help identify areas of concern and provide resources and direction.
(845) 328-3746 View (845) 328-3746
Photo of Melinda Zappone, LMHC, CCTP2, LFYP, Counselor
Melinda Zappone
Counselor, LMHC, CCTP2, LFYP
Verified Verified
Staatsburg, NY 12580
I have just completed Level 3 Training in Relational Life Therapy and advanced to Level 2 Certified Clinical Trauma Professional (CCTP) with membership in the International Association of Trauma Professionals. I have a Master’s in Mental Health Counseling am currently licensed as a Mental Health Counselor in New York (LMHC). I have completed LifeForce Yoga Practitioner Training, Somatic Experiencing certifications and several Trauma Informed Yoga/Care certifications. I have been dedicated to giving back and worked on community projects for 20+ years as well as developed a free resource company Everyone Needs You Always, ENYA.
I have just completed Level 3 Training in Relational Life Therapy and advanced to Level 2 Certified Clinical Trauma Professional (CCTP) with membership in the International Association of Trauma Professionals. I have a Master’s in Mental Health Counseling am currently licensed as a Mental Health Counselor in New York (LMHC). I have completed LifeForce Yoga Practitioner Training, Somatic Experiencing certifications and several Trauma Informed Yoga/Care certifications. I have been dedicated to giving back and worked on community projects for 20+ years as well as developed a free resource company Everyone Needs You Always, ENYA.
(845) 289-8413 View (845) 289-8413
Photo of Allyson Puzzo, LCMHC, Counselor
Allyson Puzzo
Counselor, LCMHC
Verified Verified
Online Only
Therapy can be a difficult step, and even more difficult to find a therapist you connect with. I work to develop a therapeutic relationship in which realizations can occur and positive changes can be made. I have experience with both group and individuals, and the intention is always to help enhance the client's current level of functioning and overall condition. My areas of expertise include behavioral issues, childhood trauma, insecure attachments, familial issues, relationship issues, depression, and anxiety.
Therapy can be a difficult step, and even more difficult to find a therapist you connect with. I work to develop a therapeutic relationship in which realizations can occur and positive changes can be made. I have experience with both group and individuals, and the intention is always to help enhance the client's current level of functioning and overall condition. My areas of expertise include behavioral issues, childhood trauma, insecure attachments, familial issues, relationship issues, depression, and anxiety.
(646) 825-6929 View (646) 825-6929
Dawn Terralavoro-Short
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Staatsburg, NY 12580
LCSWR. Masters of Social Work specializing in Child and Family Therapy from Fordham University. Post Masters in Child and Adolescent Therapy from Fordham University. Field instructor (SIFI) for NYU.
LCSWR. Masters of Social Work specializing in Child and Family Therapy from Fordham University. Post Masters in Child and Adolescent Therapy from Fordham University. Field instructor (SIFI) for NYU.
(845) 622-7032 View (845) 622-7032
Photo of Stephen Kahn, LMHC, Counselor
Stephen Kahn
Counselor, LMHC
Verified Verified
Online Only
Stephen Kahn is a Licensed Mental Health Counselor in New York. He has an EdM/MA Counseling/Clinical Psychology from Columbia University and a BA in Psychology from American University. Stephen has been practicing in various areas of Mental Health and Psychiatry for over 35 years. He has treated patients who have suffered from Addiction to Bipolar Disorders and Anxiety and Depression to even more serious clinical issues. Stephen treats his patients with dignity and respect and each of them as individuals as he tries to meet each of their needs using therapeutic techniques and processes with which they are comfortable.
Stephen Kahn is a Licensed Mental Health Counselor in New York. He has an EdM/MA Counseling/Clinical Psychology from Columbia University and a BA in Psychology from American University. Stephen has been practicing in various areas of Mental Health and Psychiatry for over 35 years. He has treated patients who have suffered from Addiction to Bipolar Disorders and Anxiety and Depression to even more serious clinical issues. Stephen treats his patients with dignity and respect and each of them as individuals as he tries to meet each of their needs using therapeutic techniques and processes with which they are comfortable.
(845) 420-3787 View (845) 420-3787
Photo of Claudia Mitchell-Gambino, LMHC, Counselor
Claudia Mitchell-Gambino
Counselor, LMHC
Verified Verified
Staatsburg, NY 12580
Claudia Mitchell-Gambino, LMHC, NCC is a New York State licensed mental health counselor and board certified by the National Board for Certified Counselors (NBCC). She has worked with individuals ranging in age from 18 "“ 75+ suffering from severe mental illness, as well as children and adolescents with emotional & behavioral issues. Areas of interest include mood disorders, anxiety disorders, obsessive-compulsive disorders, substance use and trauma & stress disorders.
Claudia Mitchell-Gambino, LMHC, NCC is a New York State licensed mental health counselor and board certified by the National Board for Certified Counselors (NBCC). She has worked with individuals ranging in age from 18 "“ 75+ suffering from severe mental illness, as well as children and adolescents with emotional & behavioral issues. Areas of interest include mood disorders, anxiety disorders, obsessive-compulsive disorders, substance use and trauma & stress disorders.
(845) 713-9649 View (845) 713-9649
Photo of Anne Whitton, LCSW, Clinical Social Work/Therapist
Anne Whitton
Clinical Social Work/Therapist, LCSW
Verified Verified
Staatsburg, NY 12580
Anne Whitton is a Licensed Clinical Social Worker in New York who has been practicing since 1991. She has an Undergraduate degree in Human Services from University of Bridgeport, and a Master's degree in Social Work from SUNY Stonybrook. Anne promotes the connection with body, mind, and spirit. In her practice, she addresses issues of vulnerability, trust and healing, positive self-esteem, as well spirituality, and self-worthiness. Outside of work, Anne enjoys outdoor activities as well as time with family.
Anne Whitton is a Licensed Clinical Social Worker in New York who has been practicing since 1991. She has an Undergraduate degree in Human Services from University of Bridgeport, and a Master's degree in Social Work from SUNY Stonybrook. Anne promotes the connection with body, mind, and spirit. In her practice, she addresses issues of vulnerability, trust and healing, positive self-esteem, as well spirituality, and self-worthiness. Outside of work, Anne enjoys outdoor activities as well as time with family.
(845) 713-8540 View (845) 713-8540
Photo of Jennifer Mott, LMHC, Counselor
Jennifer Mott
Counselor, LMHC
Verified Verified
Online Only
Jennifer Mott is a New York State Licensed Mental Health Counselor. Jennifer graduated with her undergraduate degree from Nazareth College and then continued on to get her master's degree from SUNY Oswego in Mental Health Counseling. Before coming to LifeStance Health, Jennifer worked with both children and adults in various matters surrounding the foster care system. Jennifer uses a person-centered approach while incorporating various techniques from cognitive behavioral therapy. Jennifer works in both the Millbrook and Yorktown Heights offices.
Jennifer Mott is a New York State Licensed Mental Health Counselor. Jennifer graduated with her undergraduate degree from Nazareth College and then continued on to get her master's degree from SUNY Oswego in Mental Health Counseling. Before coming to LifeStance Health, Jennifer worked with both children and adults in various matters surrounding the foster care system. Jennifer uses a person-centered approach while incorporating various techniques from cognitive behavioral therapy. Jennifer works in both the Millbrook and Yorktown Heights offices.
(845) 690-3256 View (845) 690-3256
Photo of Jennifer Volino - Pleasant Valley Mental Health Counseling, PLLC, MA, LMHC, Counselor
Pleasant Valley Mental Health Counseling, PLLC
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Online Only
PVMHC has a variety of highly trained clinicians who treat many clients including those with; anxiety, depression, postpartum, trauma, gender dysphoria, learning disabilities, ADHD, & more. We work to build long-term relationships, offer fast/flexible scheduling, and aim to make each session as beneficial as possible for you. Primarily, we work with adolescents and adults who are looking to better understand themselves, manage their emotions/stressors, and find their path to an enjoyable future. We offer a safe virtual space for you to understand your needs, set goals, and incorporate beneficial coping skills into your daily life.
PVMHC has a variety of highly trained clinicians who treat many clients including those with; anxiety, depression, postpartum, trauma, gender dysphoria, learning disabilities, ADHD, & more. We work to build long-term relationships, offer fast/flexible scheduling, and aim to make each session as beneficial as possible for you. Primarily, we work with adolescents and adults who are looking to better understand themselves, manage their emotions/stressors, and find their path to an enjoyable future. We offer a safe virtual space for you to understand your needs, set goals, and incorporate beneficial coping skills into your daily life.
(845) 681-2676 View (845) 681-2676
Photo of Maydeline Morales, LMHC, Counselor
Maydeline Morales
Counselor, LMHC
Verified Verified
Staatsburg, NY 12580
Maydeline Morales is a bi-lingual, Spanish speaking, New York State Licensed Mental Health Counselor and NYS Certified School Psychologist. Maydeline has experience working with children, adolescents, teenagers, adults, families and couples in individual and group settings. She specializes in various treatment approaches including play therapy, cognitive behavioral therapy (CBT) trauma-focused cognitive behavioral therapy and Eye Movement Desensitization Reprocessing (EMDR).
Maydeline Morales is a bi-lingual, Spanish speaking, New York State Licensed Mental Health Counselor and NYS Certified School Psychologist. Maydeline has experience working with children, adolescents, teenagers, adults, families and couples in individual and group settings. She specializes in various treatment approaches including play therapy, cognitive behavioral therapy (CBT) trauma-focused cognitive behavioral therapy and Eye Movement Desensitization Reprocessing (EMDR).
(845) 506-8051 View (845) 506-8051
Photo of Anne Whitton - LifeStance Health, LCSW, Clinical Social Work/Therapist
LifeStance Health
Clinical Social Work/Therapist, LCSW
Verified Verified
Staatsburg, NY 12580
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(844) 990-3969 View (844) 990-3969
Photo of Cailin Welch, LMHC, Counselor
Cailin Welch
Counselor, LMHC
Verified Verified
Staatsburg, NY 12580
Ms. Welch is a New York State licensed mental health counselor who treats children, adolescents, adults and families. She received her master's in mental health counseling from Marist College. She is trained in Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Eye Movement Desensitization Reprocessing (EMDR). She has experience working with anxiety disorders, mood disorders, behavioral issues, trauma, family relational issues, and partner relational issues. She works in the Carmel and Millbrook offices.
Ms. Welch is a New York State licensed mental health counselor who treats children, adolescents, adults and families. She received her master's in mental health counseling from Marist College. She is trained in Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Eye Movement Desensitization Reprocessing (EMDR). She has experience working with anxiety disorders, mood disorders, behavioral issues, trauma, family relational issues, and partner relational issues. She works in the Carmel and Millbrook offices.
(845) 668-6362 View (845) 668-6362

More Therapists Nearby

Photo of Roberta E Goldman, PhD, Psychologist
Roberta E Goldman
Psychologist, PhD
Verified Verified
Cold Spring, NY 10516
I believe that in order to be healthy, we need to be able to work, to love, and to play. If you are overwhelmed with anxiety or feelings of being lost, unsure of what you want, feeling less than whole, finding yourself procrastinating when you don't know why, or having repeated difficulty in relationships, I am hopeful you have come to the right place. By looking closely at what may be holding you back, we will be able to understand it with fresh eyes. This can lead you to your goals of relief from suffering, a greater sense of choice, and more freedom to express the self you most want to be.
I believe that in order to be healthy, we need to be able to work, to love, and to play. If you are overwhelmed with anxiety or feelings of being lost, unsure of what you want, feeling less than whole, finding yourself procrastinating when you don't know why, or having repeated difficulty in relationships, I am hopeful you have come to the right place. By looking closely at what may be holding you back, we will be able to understand it with fresh eyes. This can lead you to your goals of relief from suffering, a greater sense of choice, and more freedom to express the self you most want to be.
(914) 506-5174 View (914) 506-5174
Photo of Julia Cole, LMHC, LP, Pre-Licensed Professional
Julia Cole
Pre-Licensed Professional, LMHC, LP
Verified Verified
Online Only
I view therapy as a partnership and work well with clients who are driven to gain understandings of themselves and life, both autonomously and collaboratively. Every person has their own strengths, which can be harnessed to develop insight and change into their lifestyles and perspectives. I also acknowledge that everyone has their own past experiences that have led them to today. I strive to establish rapport with my clients and a space to feel safe and validated to foster a deeper level of empowerment, personal growth and self-acceptance.
I view therapy as a partnership and work well with clients who are driven to gain understandings of themselves and life, both autonomously and collaboratively. Every person has their own strengths, which can be harnessed to develop insight and change into their lifestyles and perspectives. I also acknowledge that everyone has their own past experiences that have led them to today. I strive to establish rapport with my clients and a space to feel safe and validated to foster a deeper level of empowerment, personal growth and self-acceptance.
(585) 440-7074 View (585) 440-7074
Photo of Alexandra Geiger, LCSW-R, Clinical Social Work/Therapist
Alexandra Geiger
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Rhinebeck, NY 12572
Has your tender heart shut down, yet you long to open it again? Are you grieving the loss of a loved one or life as you knew it? Do you live with trauma, anxiety, unworthiness, shame, sadness? A relentless inner critic & obsessive thoughts? Are you ready to prioritize your inner healing so your heart can open? You will develop ways to practice more self-love & learn to receive and give safe love again. You will learn to accept the "unacceptable" parts of you, reclaim your frozen lost parts (Wounded Inner Child) gradually re-connect to your soul's true identity. You will move from survival/fear mode into more fun, creativity and joy.
Has your tender heart shut down, yet you long to open it again? Are you grieving the loss of a loved one or life as you knew it? Do you live with trauma, anxiety, unworthiness, shame, sadness? A relentless inner critic & obsessive thoughts? Are you ready to prioritize your inner healing so your heart can open? You will develop ways to practice more self-love & learn to receive and give safe love again. You will learn to accept the "unacceptable" parts of you, reclaim your frozen lost parts (Wounded Inner Child) gradually re-connect to your soul's true identity. You will move from survival/fear mode into more fun, creativity and joy.
(727) 977-5447 View (727) 977-5447

See more therapy options for Staatsburg

How does your Therapist compare?

Number of Therapists in Staatsburg, NY

10+

Average cost per session

$87

Therapists in Staatsburg, NY who prioritize treating:

94% Depression
94% Anxiety
82% Trauma and PTSD
76% Life Transitions
71% Grief
59% Relationship Issues
53% Pregnancy, Prenatal, Postpartum

Average years in practice

12 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% UnitedHealthcare UHC | UBH

How Therapists in Staatsburg, NY see their clients

77% In Person and Online
23% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Staatsburg?

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.