Therapists in West Islip, NY

Photo of Ashley Vandewater, Clinical Social Work/Therapist in West Islip, NY
Ashley Vandewater
Clinical Social Work/Therapist, LCSW, RN
Verified
1 Endorsed
West Islip, NY 11795  (Online Only)
I am a licensed clinical social worker With over 10 years experience treating adults and adolescents struggling with mental health and wellness in various settings (inpatient/outpatient). I returned to school several years into my career as a social worker and became a registered nurse. I bring a unique perspective to my practice having experience in both medicine and psychiatry.
I am a licensed clinical social worker With over 10 years experience treating adults and adolescents struggling with mental health and wellness in various settings (inpatient/outpatient). I returned to school several years into my career as a social worker and became a registered nurse. I bring a unique perspective to my practice having experience in both medicine and psychiatry.
(631) 859-7178 View (631) 859-7178
Photo of Kaleighan Mills, Clinical Social Work/Therapist in West Islip, NY
Kaleighan Mills
Clinical Social Work/Therapist, LMSW
Verified
1 Endorsed
West Islip, NY 11795
Kaleighan Mills, LMSW is a Licensed Master Social Worker and received her Bachelors in Psychology and Sociology at Stony Brook University and Masters degree in Social Work at Long Island University. Kaleighan specializes in working with young adults battling anxiety, depression, family stressors and trauma. She also has experience working with young children, adolescents and their families in foster care prevention, the juvenile court systems and school based settings. She assists clients with anxiety, depression, adverse childhood experiences, trauma and life transitions through evidence based treatments such as CBT and MI.
Kaleighan Mills, LMSW is a Licensed Master Social Worker and received her Bachelors in Psychology and Sociology at Stony Brook University and Masters degree in Social Work at Long Island University. Kaleighan specializes in working with young adults battling anxiety, depression, family stressors and trauma. She also has experience working with young children, adolescents and their families in foster care prevention, the juvenile court systems and school based settings. She assists clients with anxiety, depression, adverse childhood experiences, trauma and life transitions through evidence based treatments such as CBT and MI.
(631) 212-9289 View (631) 212-9289
Photo of Gregory J Mahoney, Clinical Social Work/Therapist in West Islip, NY
Gregory J Mahoney
Clinical Social Work/Therapist, LCSW-R
Verified
5 Endorsed
West Islip, NY 11795
Not accepting new clients
Having problems with excessive worries, self-doubt, lingering sadness, feelings of frustration, hopelessness or troubles getting past traumatic experiences? Parents, are you worried about your child, teen or young adult & want to try to reach them or provide them with more support? Work problems, relationship issues, school struggles or just generally feeling lost? Therapy can be a great avenue to take back & reclaim your life! Facing hard issues can be difficult, scary even -however- it can be much easier & worthwhile with someone who has both extensive clinical & real-life experience to guide and support you through life's maze.
Having problems with excessive worries, self-doubt, lingering sadness, feelings of frustration, hopelessness or troubles getting past traumatic experiences? Parents, are you worried about your child, teen or young adult & want to try to reach them or provide them with more support? Work problems, relationship issues, school struggles or just generally feeling lost? Therapy can be a great avenue to take back & reclaim your life! Facing hard issues can be difficult, scary even -however- it can be much easier & worthwhile with someone who has both extensive clinical & real-life experience to guide and support you through life's maze.
(631) 529-2178 View (631) 529-2178
Photo of Danielle Baumann, Counselor in West Islip, NY
Danielle Baumann
Counselor, LMHC
Verified
West Islip, NY 11795  (Online Only)
For years I have worked with both adolescents and adults with a variety of therapeutic needs including working through anxiety, depression, mood management, relationship issues, life adjustments, as well as the common ups and downs of life. I am confident that together we will achieve the goals you set for yourself. As your therapist, I will be there to guide you in creating your happiness, so you can live your best life.
For years I have worked with both adolescents and adults with a variety of therapeutic needs including working through anxiety, depression, mood management, relationship issues, life adjustments, as well as the common ups and downs of life. I am confident that together we will achieve the goals you set for yourself. As your therapist, I will be there to guide you in creating your happiness, so you can live your best life.
(631) 250-2663 View (631) 250-2663
Photo of Courtney Jacobson, Clinical Social Work/Therapist in West Islip, NY
Courtney Jacobson
Clinical Social Work/Therapist, LCSW, PMH-C
Verified
1 Endorsed
West Islip, NY 11795  (Online Only)
As a therapist I try to provide a safe place for my clients to attend where they can feel supported and comfortable. I believe in the importance of openness, honesty, and sincerity, as I feel that it helps to build a strong therapeutic relationship. I use a collaborative approach that incorporates the strengths, skills, and interests of my clients into their treatment. I believe by being flexible and integrating multiple therapeutic modalities, I can best support my clients. My ultimate goal is that my clients will leave therapy feeling a new sense of empowerment in their ability to cope with all of life’s challenges.
As a therapist I try to provide a safe place for my clients to attend where they can feel supported and comfortable. I believe in the importance of openness, honesty, and sincerity, as I feel that it helps to build a strong therapeutic relationship. I use a collaborative approach that incorporates the strengths, skills, and interests of my clients into their treatment. I believe by being flexible and integrating multiple therapeutic modalities, I can best support my clients. My ultimate goal is that my clients will leave therapy feeling a new sense of empowerment in their ability to cope with all of life’s challenges.
(631) 869-7459 View (631) 869-7459
Photo of Jennifer Lye, Counselor in West Islip, NY
Jennifer Lye
Counselor, LMHC, PMH-C
Verified
West Islip, NY 11795  (Online Only)
I am a New York State Licensed Mental Health Counselor with over 10 years experience in various outpatient settings. I specialize in working with adults (18+) and have extensively worked with symptoms including, but not limited to, depression, anxiety, trauma, and loss. I utilize an eclectic approach to therapy by implementing techniques and evidenced based practices based on the specific needs of the client.
I am a New York State Licensed Mental Health Counselor with over 10 years experience in various outpatient settings. I specialize in working with adults (18+) and have extensively worked with symptoms including, but not limited to, depression, anxiety, trauma, and loss. I utilize an eclectic approach to therapy by implementing techniques and evidenced based practices based on the specific needs of the client.
(631) 904-7961 View (631) 904-7961
Photo of Audrey Pfeifer in West Islip, NY
Audrey Pfeifer
CAT
Verified
1 Endorsed
West Islip, NY 11795
I am a Limited Permit holder in Creative Arts Therapy and actively working toward my Licensure and Board Certification. My experience includes working with adults and seniors in various settings such as inpatient psychiatric hospitals, out-patient clinics and day programs. I have worked with clients in both individual sessions and group settings. I have experience with with individuals with anxiety, depression, traumatic brain injuries, Dementia & Alzheimer’s, developmental and physical disabilities.
I am a Limited Permit holder in Creative Arts Therapy and actively working toward my Licensure and Board Certification. My experience includes working with adults and seniors in various settings such as inpatient psychiatric hospitals, out-patient clinics and day programs. I have worked with clients in both individual sessions and group settings. I have experience with with individuals with anxiety, depression, traumatic brain injuries, Dementia & Alzheimer’s, developmental and physical disabilities.
(631) 212-0267 View (631) 212-0267
Photo of Beth Burke, Clinical Social Work/Therapist in West Islip, NY
Beth Burke
Clinical Social Work/Therapist
Verified
West Islip, NY 11795  (Online Only)
I have been intent on working with individuals afflicted with eating disorders and disordered eating since personally seeing the effects they can have on an individual's life. I recognize the difference that a well rounded therapist can have in supporting the individual on their road to recovery. My goal is for all of my clients is to help them find the best version of their life, supporting and encouraging them through the process any way I can. While I specialize in the treatment of eating disorders, I recognize the complex nature of an individual's life and am here to discuss anything an individual may need!
I have been intent on working with individuals afflicted with eating disorders and disordered eating since personally seeing the effects they can have on an individual's life. I recognize the difference that a well rounded therapist can have in supporting the individual on their road to recovery. My goal is for all of my clients is to help them find the best version of their life, supporting and encouraging them through the process any way I can. While I specialize in the treatment of eating disorders, I recognize the complex nature of an individual's life and am here to discuss anything an individual may need!
(631) 641-7035 View (631) 641-7035
Photo of Deborah Green, Art Therapist in West Islip, NY
Deborah Green
Art Therapist, LCAT , CASAC
Verified
West Islip, NY 11795
Working with me, you can expect relatable, down-to-earth conversations that lead to real change. You may even find relief after our first session. We will work together to help you improve your self esteem, and make healthy choices. We will identify your strengths and learn how to use them to help you handle whatever the world throws your way. We will also use a variety of holistic interventions like meditation, mindfulness and creative arts therapies to help you gain insight and find perspective. You have choices. My goal is to help you find peace of mind. For your convenience I am now accepting Clients on Saturdays and Sundays.
Working with me, you can expect relatable, down-to-earth conversations that lead to real change. You may even find relief after our first session. We will work together to help you improve your self esteem, and make healthy choices. We will identify your strengths and learn how to use them to help you handle whatever the world throws your way. We will also use a variety of holistic interventions like meditation, mindfulness and creative arts therapies to help you gain insight and find perspective. You have choices. My goal is to help you find peace of mind. For your convenience I am now accepting Clients on Saturdays and Sundays.
(631) 518-2372 View (631) 518-2372
Photo of Peace of Mind Psychological Services, PLLC, Psychologist in West Islip, NY
Peace of Mind Psychological Services, PLLC
Psychologist, PsyD
Verified
4 Endorsed
West Islip, NY 11795
As Aaron Beck, father of Cognitive Therapy states, "It is not bad things happening to us, but it is our interpretation of them that makes all the difference." Therapy will allow you to feel heard and understood in a safe environment, so that you can gain insight and the tools to learn how to cope with various challenges. A individualized treatment plan will help you understand why you are experiencing difficulties, such as anxiety, depression, relationship issues, etc. If you are ready to STOP being the passenger in this journey called life and get in the driver's seat, call Dr.Gawrych today. Email dr.amygawrych@peaceofmindpsych.com
As Aaron Beck, father of Cognitive Therapy states, "It is not bad things happening to us, but it is our interpretation of them that makes all the difference." Therapy will allow you to feel heard and understood in a safe environment, so that you can gain insight and the tools to learn how to cope with various challenges. A individualized treatment plan will help you understand why you are experiencing difficulties, such as anxiety, depression, relationship issues, etc. If you are ready to STOP being the passenger in this journey called life and get in the driver's seat, call Dr.Gawrych today. Email dr.amygawrych@peaceofmindpsych.com
(631) 309-2498 View (631) 309-2498
Photo of Dr. Jessica Thalhamer, Clinical Social Work/Therapist in West Islip, NY
Dr. Jessica Thalhamer
Clinical Social Work/Therapist, DC, LCSW
Verified
West Islip, NY 11795  (Online Only)
Finding the right therapist can be difficult. I have over 15 years of experience in the field of mental health and integrated holistic approaches. As a child. I was interested in the mind, medicine, and alternative healing. I was eager to learn about these topics and devoured myself in literature on these topics. Very spiritually driven as a child, I began my lifelong path of helping others. From a very young age I understood that the mind and body are connected.
Finding the right therapist can be difficult. I have over 15 years of experience in the field of mental health and integrated holistic approaches. As a child. I was interested in the mind, medicine, and alternative healing. I was eager to learn about these topics and devoured myself in literature on these topics. Very spiritually driven as a child, I began my lifelong path of helping others. From a very young age I understood that the mind and body are connected.
(631) 856-1312 View (631) 856-1312
Photo of Nicole Mayer, Clinical Social Work/Therapist in West Islip, NY
Nicole Mayer
Clinical Social Work/Therapist, LCSW
Verified
2 Endorsed
West Islip, NY 11795  (Online Only)
Are you ready to take back control of your life by making positive adjustments? Maybe you are experiencing a change in mood and don't know why. I am a Licensed Clinical Social Worker and therapist providing a welcoming, safe, supportive and accepting environment for individuals of all ages and families impacted by Autism, developmental disabilities, ADHD, anxiety, OCD and depression. I am here to help individuals process any challenges that they are facing, and help them develop solutions for coping and managing their challenges and needs in a healthy and safe manner.
Are you ready to take back control of your life by making positive adjustments? Maybe you are experiencing a change in mood and don't know why. I am a Licensed Clinical Social Worker and therapist providing a welcoming, safe, supportive and accepting environment for individuals of all ages and families impacted by Autism, developmental disabilities, ADHD, anxiety, OCD and depression. I am here to help individuals process any challenges that they are facing, and help them develop solutions for coping and managing their challenges and needs in a healthy and safe manner.
(631) 503-0899 View (631) 503-0899
Photo of Kim Callahan, Clinical Social Work/Therapist in West Islip, NY
Kim Callahan
Clinical Social Work/Therapist, LCSW
Verified
West Islip, NY 11795
I am so glad you are here! I work from a person-centered approach to assist my client in finding their desire to break down the challenges that need to be addressed and to empower each and every person to find their courage to believe in their worth and, their strength. This means our work together will be conversation based. There are techniques and approaches that won’t feel like you are being put under a microscope, but hopefully validated and heard. My goal is to help others think outside the typical, to be creative and see things and obstacles from a different perspective.
I am so glad you are here! I work from a person-centered approach to assist my client in finding their desire to break down the challenges that need to be addressed and to empower each and every person to find their courage to believe in their worth and, their strength. This means our work together will be conversation based. There are techniques and approaches that won’t feel like you are being put under a microscope, but hopefully validated and heard. My goal is to help others think outside the typical, to be creative and see things and obstacles from a different perspective.
(631) 305-4910 View (631) 305-4910
Photo of Pathway Counseling, LCSW, PC, Clinical Social Work/Therapist in West Islip, NY
Pathway Counseling, LCSW, PC
Clinical Social Work/Therapist, LCSWR
Verified
14 Endorsed
West Islip, NY 11795
As a Licensed Clinical Social Worker, I work with children, adolescents, and adults. I have experience in various settings including psychiatric hospital programs, private schools, outpatient clinics, and residential treatment facilities. I provide individual and family therapy to help manage difficult obstacles and mental illnesses by utilizing different types of interventions such as CBT (cognitive behavioral therapy), play therapy and supportive counseling. I have experience with working with symptoms of depression, anxiety, suicidal ideation, self harm, trauma, behavioral issues, abuse/neglect, and loss.
As a Licensed Clinical Social Worker, I work with children, adolescents, and adults. I have experience in various settings including psychiatric hospital programs, private schools, outpatient clinics, and residential treatment facilities. I provide individual and family therapy to help manage difficult obstacles and mental illnesses by utilizing different types of interventions such as CBT (cognitive behavioral therapy), play therapy and supportive counseling. I have experience with working with symptoms of depression, anxiety, suicidal ideation, self harm, trauma, behavioral issues, abuse/neglect, and loss.
(631) 594-9390 View (631) 594-9390
Photo of Counseling Services Marriage & Family Therapy, Marriage & Family Therapist in West Islip, NY
Counseling Services Marriage & Family Therapy
Marriage & Family Therapist, MA, LMFT, PsyD, CFT
Verified
West Islip, NY 11795
At Counseling Services for Marriage and Family Therapy the goal is to create the healthiest solutions and most effective outcomes possible. Clients come to counseling who are having problems in their relationship which leads frustration. With a combination of therapeutic approaches many clients gain a new perspective that leads to deeper insights and transformation. At Counseling services guidance is provided to clients using approaches that have therapeutic value. This means that clients can trust that the counseling services will be both gentle and highly effective. The intention is on creating a confidence and clarity.
At Counseling Services for Marriage and Family Therapy the goal is to create the healthiest solutions and most effective outcomes possible. Clients come to counseling who are having problems in their relationship which leads frustration. With a combination of therapeutic approaches many clients gain a new perspective that leads to deeper insights and transformation. At Counseling services guidance is provided to clients using approaches that have therapeutic value. This means that clients can trust that the counseling services will be both gentle and highly effective. The intention is on creating a confidence and clarity.
(516) 714-5601 View (516) 714-5601
Photo of Michele Lanza, Counselor in West Islip, NY
Michele Lanza
Counselor, LMCH, PD, MPS
Verified
West Islip, NY 11795
It takes courage to take a step to feel better. There is grace in that moment we choose to lift ourselves up. I would love to help you along your healing journey. I specialize in Anxiety, Depression and trauma. I utilize traditional talk therapy techniques as well as guided imagery and hypnotherapy. I work with adults 18+ I accept private pay only however I can provide you with a superbill, you can seek reimbursement from your insurance company.
It takes courage to take a step to feel better. There is grace in that moment we choose to lift ourselves up. I would love to help you along your healing journey. I specialize in Anxiety, Depression and trauma. I utilize traditional talk therapy techniques as well as guided imagery and hypnotherapy. I work with adults 18+ I accept private pay only however I can provide you with a superbill, you can seek reimbursement from your insurance company.
(631) 515-7919 View (631) 515-7919
Photo of Dena Damaskinos, Counselor in West Islip, NY
Dena Damaskinos
Counselor, LMHC, CRC, CASAC
Verified
4 Endorsed
West Islip, NY 11795  (Online Only)
Welcome! I am excited to work with you. My approach offers both support and insight to help you in your journey. If you have struggled with feeling stuck, discouraged or dissatisfied, indecisive, lack confidence, personal addiction or a family/friend with an addiction, meeting/identifying goals, relationships, work issues, and/or other life challenges then let’s explore these challenges together to either cope and/or empower you to make decisions in support of the life you want to live! YOU deserve it. Together, we can get clear on your goals for the life you want to live!
Welcome! I am excited to work with you. My approach offers both support and insight to help you in your journey. If you have struggled with feeling stuck, discouraged or dissatisfied, indecisive, lack confidence, personal addiction or a family/friend with an addiction, meeting/identifying goals, relationships, work issues, and/or other life challenges then let’s explore these challenges together to either cope and/or empower you to make decisions in support of the life you want to live! YOU deserve it. Together, we can get clear on your goals for the life you want to live!
(631) 759-8617 View (631) 759-8617
Photo of Dandelion Wellness Counseling, Clinical Social Work/Therapist in West Islip, NY
Dandelion Wellness Counseling
Clinical Social Work/Therapist, LCSW
Verified
1 Endorsed
West Islip, NY 11795
We are so glad you are here! Our therapists work from a person-centered approach to assist in finding a client's desire to break down challenges that need to be addressed and to empower each and every person to find their courage to believe in their worth, and, their strength. This means working together will be conversation based and using techniques and approaches that won’t make you feel like you are being put under a microscope. Our goal is to make you feel validated and heard. Our therapists assist to help others think outside the typical, to be creative and see things and obstacles from a different perspective.
We are so glad you are here! Our therapists work from a person-centered approach to assist in finding a client's desire to break down challenges that need to be addressed and to empower each and every person to find their courage to believe in their worth, and, their strength. This means working together will be conversation based and using techniques and approaches that won’t make you feel like you are being put under a microscope. Our goal is to make you feel validated and heard. Our therapists assist to help others think outside the typical, to be creative and see things and obstacles from a different perspective.
(631) 823-7652 View (631) 823-7652
Photo of Dominique Walker, Counselor in West Islip, NY
Dominique Walker
Counselor, LMHC
Verified
West Islip, NY 11795
This is your first step! Every step matters! You may be feeling exhausted, confused, tired, hopeless, not sure what to do next. You may just be little off your road, and need some assistance to get back on. I'm here to support and guide you with honesty, compassion and non judgement. I want to help you through the difficult moments, the obstacles and the detours in the road that you may not be able to see the light. I believe with time, patience, work and compassion for yourself, together we can achieve your goals, get you to your light, provide a peace within and to know there is hope.
This is your first step! Every step matters! You may be feeling exhausted, confused, tired, hopeless, not sure what to do next. You may just be little off your road, and need some assistance to get back on. I'm here to support and guide you with honesty, compassion and non judgement. I want to help you through the difficult moments, the obstacles and the detours in the road that you may not be able to see the light. I believe with time, patience, work and compassion for yourself, together we can achieve your goals, get you to your light, provide a peace within and to know there is hope.
(631) 212-2041 View (631) 212-2041
Photo of Donna Fodera, Clinical Social Work/Therapist in West Islip, NY
Donna Fodera
Clinical Social Work/Therapist, LCSW
Verified
West Islip, NY 11795
As a clinical social worker and psychotherapist with a wide range of expertise, I can help guide you toward self-awareness in a supportive environment . I have had tremendous success dealing with individuals suffering from anxiety and depression along with families, couples and individuals looking for change in their lives. As a cancer survivor I have learned from my own recovery how to support and nurture others and help you find the answers you seek.
As a clinical social worker and psychotherapist with a wide range of expertise, I can help guide you toward self-awareness in a supportive environment . I have had tremendous success dealing with individuals suffering from anxiety and depression along with families, couples and individuals looking for change in their lives. As a cancer survivor I have learned from my own recovery how to support and nurture others and help you find the answers you seek.
(631) 876-1152 View (631) 876-1152

See more therapy options for West Islip

How does your Therapist compare?

Number of Therapists in West Islip, NY

80+

Average cost per session

$120

Therapists in West Islip, NY who prioritize treating:

94% Anxiety
90% Depression
83% Self Esteem
82% Relationship Issues
77% Stress
75% Coping Skills
69% Family Conflict

Average years in practice

13 Years

Top 3 insurances accepted

84% Aetna
75% Cigna and Evernorth
63% UnitedHealthcare UHC | UBH

How Therapists in West Islip, NY see their clients

74% In Person and Online
26% Online Only

Gender breakdown

83% Female
17% Male

FAQs - About Therapy and Counseling

How can I find a therapist in West Islip?

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.