Therapists in Cuyahoga Falls, OH

Photo of Anthony DelSignore, Counselor, MEd, LPCC
Anthony DelSignore
Counselor, MEd, LPCC
Verified Verified
Online Only
Not accepting new clients
I am a graduate of Kent State University with a Master’s of Education in Clinical Mental Health Counseling. I have had many years of experience working with children, adolescents, adults, and families as both a counselor and a case manager. I have worked both in private practice settings and community agency settings as well. I am trained in EMDR, DBT, LGBTQIA+ inclusion, Adventure Therapy and Structured Sensory Interventions for Traumatized Children, Adolescents and Parents. I am able to assist with a variety of concerns including: trauma, anxiety, depression, parenting, adoption and fostering, grief and loss, and gender identity.
I am a graduate of Kent State University with a Master’s of Education in Clinical Mental Health Counseling. I have had many years of experience working with children, adolescents, adults, and families as both a counselor and a case manager. I have worked both in private practice settings and community agency settings as well. I am trained in EMDR, DBT, LGBTQIA+ inclusion, Adventure Therapy and Structured Sensory Interventions for Traumatized Children, Adolescents and Parents. I am able to assist with a variety of concerns including: trauma, anxiety, depression, parenting, adoption and fostering, grief and loss, and gender identity.
(234) 657-2781 View (234) 657-2781
Photo of Mary Beth Stevens, Counselor, MEd, LPCC, BCN
Mary Beth Stevens
Counselor, MEd, LPCC, BCN
Verified Verified
2 Endorsed
Cuyahoga Falls, OH 44223
The human brain is shaped by experience. Sometimes those experiences can be overwhelming, leaving us at a loss for how to integrate them into the greater context of our lives. No matter how much we talk about it, we can often still feel stuck, sometimes even after years of talk therapy! Through a powerful combination of trauma-informed approaches, it is possible for these patterns to be reversed. I hold out tremendous hope for change because I have seen the power of the brain to heal from deep wounding.
The human brain is shaped by experience. Sometimes those experiences can be overwhelming, leaving us at a loss for how to integrate them into the greater context of our lives. No matter how much we talk about it, we can often still feel stuck, sometimes even after years of talk therapy! Through a powerful combination of trauma-informed approaches, it is possible for these patterns to be reversed. I hold out tremendous hope for change because I have seen the power of the brain to heal from deep wounding.
(330) 302-2190 View (330) 302-2190
Photo of Lindsey Conway, Licensed Professional Clinical Counselor, MA, LPCC, LMFT
Lindsey Conway
Licensed Professional Clinical Counselor, MA, LPCC, LMFT
Verified Verified
1 Endorsed
Online Only
Not accepting new clients
One of the most important aspects of therapy is the quality of the therapeutic relationship. With each individual, couple, or family I work with, I strive to foster an empathic, trusting connection that supports the exploration of strengths and encourages your authentic self.
One of the most important aspects of therapy is the quality of the therapeutic relationship. With each individual, couple, or family I work with, I strive to foster an empathic, trusting connection that supports the exploration of strengths and encourages your authentic self.
(234) 272-3202 View (234) 272-3202
Photo of Jennifer F. Yensel - The Cole Center, Counselor, LPCC, PhD, LISW, LMFT
The Cole Center
Counselor, LPCC, PhD, LISW, LMFT
Verified Verified
Cuyahoga Falls, OH 44221
We are a small private practice, established to grow a brand based on transparency in therapy, clinicians who are passionate about their jobs and ongoing interpersonal and professional growth. Our clinicians are trained to treat all mental health diagnoses. Contact us for help selecting which therapist may meet your personal needs including scheduling, insurance coverage, and unique styles.
We are a small private practice, established to grow a brand based on transparency in therapy, clinicians who are passionate about their jobs and ongoing interpersonal and professional growth. Our clinicians are trained to treat all mental health diagnoses. Contact us for help selecting which therapist may meet your personal needs including scheduling, insurance coverage, and unique styles.
(216) 342-3771 View (216) 342-3771
Photo of Lisa Allison, Licensed Professional Counselor
Lisa Allison
Licensed Professional Counselor
Verified Verified
Online Only
I have over 20 years experience as a Licensed Therapist. I have been certified as a School Psychologist as well. I graduated from The Ohio State University with a Masters in Social Work and National Louis in Chicago with an Ed.S in School Psychology. I am board certified in Ohio and Illinois. I have worked in a variety of inpatient, out patient and residential settings. I have experience in schools, hospitals, treatment centers, cancer wellness facilities and as a consultant. My different experiences inspire me to draw from my past to best help a variety of clients.
I have over 20 years experience as a Licensed Therapist. I have been certified as a School Psychologist as well. I graduated from The Ohio State University with a Masters in Social Work and National Louis in Chicago with an Ed.S in School Psychology. I am board certified in Ohio and Illinois. I have worked in a variety of inpatient, out patient and residential settings. I have experience in schools, hospitals, treatment centers, cancer wellness facilities and as a consultant. My different experiences inspire me to draw from my past to best help a variety of clients.
(330) 993-3894 View (330) 993-3894
Photo of Samantha Miller, Licensed Professional Counselor, MA, LPC
Samantha Miller
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Cuyahoga Falls, OH 44223
Life is a journey full of joys and challenges. Some seasons can be harder than others and make everyday tasks feel impossible and overwhelming. Whether it is the search for identity, understanding your personal history, navigating shifting moods, or facing big life changes, there is always hope and healing to be found. Together we can work towards the life you want by understanding who you are and breaking down movement towards growth into small achievable steps. However you may feel right now, you are in the right place.
Life is a journey full of joys and challenges. Some seasons can be harder than others and make everyday tasks feel impossible and overwhelming. Whether it is the search for identity, understanding your personal history, navigating shifting moods, or facing big life changes, there is always hope and healing to be found. Together we can work towards the life you want by understanding who you are and breaking down movement towards growth into small achievable steps. However you may feel right now, you are in the right place.
(330) 302-1373 View (330) 302-1373
Photo of Kristen Buchannan, Clinical Social Work/Therapist
Kristen Buchannan
Clinical Social Work/Therapist
Verified Verified
Online Only
Do you feel that one of the most important aspects of counseling is relationship building and establishing trust? I like to meet my clients where they are and help them to grow from there. Counseling is a safe place to be vulnerable, express feelings of fear or sadness, and a place to plant seeds of hope and develop self-efficacy and peace. Counseling can involve a great deal of self-reflection and I also like to work from a goal and solution focused approach. I am a Licensed Independent Social Worker Supervisor with a master’s degree from Case Western Reserve University.
Do you feel that one of the most important aspects of counseling is relationship building and establishing trust? I like to meet my clients where they are and help them to grow from there. Counseling is a safe place to be vulnerable, express feelings of fear or sadness, and a place to plant seeds of hope and develop self-efficacy and peace. Counseling can involve a great deal of self-reflection and I also like to work from a goal and solution focused approach. I am a Licensed Independent Social Worker Supervisor with a master’s degree from Case Western Reserve University.
(330) 992-8931 View (330) 992-8931
Photo of Shawna Stillwell, Marriage & Family Therapist, IMFT
Shawna Stillwell
Marriage & Family Therapist, IMFT
Verified Verified
Online Only
Not accepting new clients
I'm guessing there's a part of you looking for a way out of the suffering, or maybe you're looking to understand yourself a little better. In our work together, I will help you to turn inward to get to know all of the various thoughts, feelings, beliefs, and experiences that are impacting the way you view and interact with yourself and the world around you. I might be a good fit for you if you are looking for collaboration on this journey towards greater inner peace, and if you're looking to deepen your understanding of your experience. I pride myself on offering compassionate, affirmative care.
I'm guessing there's a part of you looking for a way out of the suffering, or maybe you're looking to understand yourself a little better. In our work together, I will help you to turn inward to get to know all of the various thoughts, feelings, beliefs, and experiences that are impacting the way you view and interact with yourself and the world around you. I might be a good fit for you if you are looking for collaboration on this journey towards greater inner peace, and if you're looking to deepen your understanding of your experience. I pride myself on offering compassionate, affirmative care.
(330) 919-5639 View (330) 919-5639
Photo of Natalie Ricciutti, Licensed Professional Clinical Counselor , PhD, LPCC, NCC
Natalie Ricciutti
Licensed Professional Clinical Counselor , PhD, LPCC, NCC
Verified Verified
1 Endorsed
Cuyahoga Falls, OH 44221
Admitting you need help can be scary. Whether you want to make major life changes, need help navigating difficult situations, or simply get some extra support, I'm here to help! I am a licensed counselor, addiction specialist, and counselor educator with 7 years of experience. I have worked with clients with substance use issues, anxiety, depression, and grief among other mental health problems. My goal with every client is to help them explore their existing struggles and support them as they begin to lead productive and happier lives. Being engaged in therapy with a counselor you trust can make all the difference!
Admitting you need help can be scary. Whether you want to make major life changes, need help navigating difficult situations, or simply get some extra support, I'm here to help! I am a licensed counselor, addiction specialist, and counselor educator with 7 years of experience. I have worked with clients with substance use issues, anxiety, depression, and grief among other mental health problems. My goal with every client is to help them explore their existing struggles and support them as they begin to lead productive and happier lives. Being engaged in therapy with a counselor you trust can make all the difference!
(234) 224-1871 View (234) 224-1871
Photo of Chyanne Farris, Licensed Professional Counselor, MS, LPC
Chyanne Farris
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Online Only
Do you find that sometimes life feels too difficult to manage? Have you felt like your mind has 20 tabs open at one time? Are you overwhelmed and ready for change? I can help your life become more manageable by adding positive skills and coping mechanisms for issues such as depression, anxiety, anger, ADHD. I offer a holistic and traditional point of view on things. For a holistic approach, we can focus on relaxation techniques, meditation, music, and mindfulness. For traditional approach, we can use talk therapy that focuses on targeting and changing behaviors and thoughts. You will experience support in figuring out what you are
Do you find that sometimes life feels too difficult to manage? Have you felt like your mind has 20 tabs open at one time? Are you overwhelmed and ready for change? I can help your life become more manageable by adding positive skills and coping mechanisms for issues such as depression, anxiety, anger, ADHD. I offer a holistic and traditional point of view on things. For a holistic approach, we can focus on relaxation techniques, meditation, music, and mindfulness. For traditional approach, we can use talk therapy that focuses on targeting and changing behaviors and thoughts. You will experience support in figuring out what you are
(330) 576-8748 View (330) 576-8748
Photo of Stephanie Burbridge, Licensed Professional Clinical Counselor
Stephanie Burbridge
Licensed Professional Clinical Counselor
Verified Verified
Online Only
Taking the first step to start counseling is difficult, but I believe engaging in therapy can be a rewarding and positive experience that can change your life. My goal is to help you learn tools and skills you can use to manage stress and reduce symptoms that interfere with your daily life. I specialize in treating anxiety and depression; however, I also have experience in helping clients with bipolar disorder, ADHD, PTSD, substance abuse, and relationship concerns. I rely on evidence-based practices in my approach to counseling, such as cognitive behavioral therapy, person-centered therapy, motivational interviewing
Taking the first step to start counseling is difficult, but I believe engaging in therapy can be a rewarding and positive experience that can change your life. My goal is to help you learn tools and skills you can use to manage stress and reduce symptoms that interfere with your daily life. I specialize in treating anxiety and depression; however, I also have experience in helping clients with bipolar disorder, ADHD, PTSD, substance abuse, and relationship concerns. I rely on evidence-based practices in my approach to counseling, such as cognitive behavioral therapy, person-centered therapy, motivational interviewing
(330) 919-6270 View (330) 919-6270
Photo of Kassandra Johnston, Licensed Professional Clinical Counselor , LPCC, LICDC
Kassandra Johnston
Licensed Professional Clinical Counselor , LPCC, LICDC
Verified Verified
1 Endorsed
Cuyahoga Falls, OH 44221
Kassandra is a Licensed Professional Clinical Counselor as well as a Licensed Independent Chemical Dependency Counselor in the State of Ohio. She is a graduate of Grand Canyon University with a Masters of Science in Professional Counseling. Kassandra especially enjoys working with young adults who experience mood disorders, ADHD, phase of life issues or those who are experiencing the impact of chronic illness in their daily lives. Kassandra also has experience working with couples- both traditional and polyamory- and individuals who align themselves with the LGBTQIA+ communities.
Kassandra is a Licensed Professional Clinical Counselor as well as a Licensed Independent Chemical Dependency Counselor in the State of Ohio. She is a graduate of Grand Canyon University with a Masters of Science in Professional Counseling. Kassandra especially enjoys working with young adults who experience mood disorders, ADHD, phase of life issues or those who are experiencing the impact of chronic illness in their daily lives. Kassandra also has experience working with couples- both traditional and polyamory- and individuals who align themselves with the LGBTQIA+ communities.
(234) 204-3072 View (234) 204-3072
Photo of Hailey Adams, Licensed Professional Counselor, MA Ed, LPC
Hailey Adams
Licensed Professional Counselor, MA Ed, LPC
Verified Verified
Cuyahoga Falls, OH 44223
Our life experiences are responsible for shaping our brain. So what do we do when those experiences are overwhelming or traumatic, leaving us feeling stuck in negative patterns? Well the good news is that our brains can form new pathways and connections, meaning we have the ability for change and healing! In our work together, I will help you turn inward and explore the experiences that may be impacting the way you view and interact with yourself and the world around you. I am passionate about providing trauma-informed, person-centered care tailored to the unique life experiences of each client.
Our life experiences are responsible for shaping our brain. So what do we do when those experiences are overwhelming or traumatic, leaving us feeling stuck in negative patterns? Well the good news is that our brains can form new pathways and connections, meaning we have the ability for change and healing! In our work together, I will help you turn inward and explore the experiences that may be impacting the way you view and interact with yourself and the world around you. I am passionate about providing trauma-informed, person-centered care tailored to the unique life experiences of each client.
(330) 249-1499 View (330) 249-1499
Photo of Dora Holliday, Licensed Professional Counselor, MA, LPCC, LPC, CCTP
Dora Holliday
Licensed Professional Counselor, MA, LPCC, LPC, CCTP
Verified Verified
1 Endorsed
Online Only
Many life events can leave us struggling, overwhelmed, and in chaos. I work with adult and first responder clients to support a journey of healing from impactful experiences, grief, developmental/childhood abuse and trauma, PTSD, anxiety and depression, addiction, and codependency. I believe in collaborative treatment, compassionately addressing the whole person to identify individual strengths, skills and resources to empower healing and transformation in a supportive and safe environment.
Many life events can leave us struggling, overwhelmed, and in chaos. I work with adult and first responder clients to support a journey of healing from impactful experiences, grief, developmental/childhood abuse and trauma, PTSD, anxiety and depression, addiction, and codependency. I believe in collaborative treatment, compassionately addressing the whole person to identify individual strengths, skills and resources to empower healing and transformation in a supportive and safe environment.
(330) 222-3984 View (330) 222-3984
Photo of Greg Hoefler, Counselor, PCC-S, MC
Greg Hoefler
Counselor, PCC-S, MC
Verified Verified
Cuyahoga Falls, OH 44221
I have over 30 years of experience working in community mental health, private practice, and hospital settings. I am trained in a number of modalities including Cognitive Behavior Therapy (CBT), Couples Counseling, and Solution-Focused Counseling. My personal and professional experience brings substance to our counseling relationship. I have moved several times across the country, made several job changes, and experienced family illness and loss, which makes me quite familiar with hitting obstacles, falling down, and getting up again.
I have over 30 years of experience working in community mental health, private practice, and hospital settings. I am trained in a number of modalities including Cognitive Behavior Therapy (CBT), Couples Counseling, and Solution-Focused Counseling. My personal and professional experience brings substance to our counseling relationship. I have moved several times across the country, made several job changes, and experienced family illness and loss, which makes me quite familiar with hitting obstacles, falling down, and getting up again.
(833) 944-7571 View (833) 944-7571
Photo of Noura Al-Khafif, LPC Intern, CT
Noura Al-Khafif
LPC Intern, CT
Verified Verified
Cuyahoga Falls, OH 44223
Hi, I’m Noura. Therapy is a space to feel heard, understood, and supported in a way that reflects your experiences. I bring authenticity into my work, creating a space where you can express yourself freely and without judgment. I provide therapy in both English and Arabic to ensure you can communicate in the way that feels most natural. Using a person-centered approach and Motivational Interviewing, I help clients work through trauma, anxiety, depression, self-esteem struggles, ADHD, PMDD, and women’s issues while respecting their values and background.
Hi, I’m Noura. Therapy is a space to feel heard, understood, and supported in a way that reflects your experiences. I bring authenticity into my work, creating a space where you can express yourself freely and without judgment. I provide therapy in both English and Arabic to ensure you can communicate in the way that feels most natural. Using a person-centered approach and Motivational Interviewing, I help clients work through trauma, anxiety, depression, self-esteem struggles, ADHD, PMDD, and women’s issues while respecting their values and background.
(330) 542-5851 View (330) 542-5851
Photo of Jamie Lizak, Counselor, MA, LPCC-S
Jamie Lizak
Counselor, MA, LPCC-S
Verified Verified
Cuyahoga Falls, OH 44221
Are you looking to make a change, but aren't sure where to begin? Maybe you're wanting to improve your relationships, navigate a life transition, better understand your emotions, or learn new ways to cope with depression or anxiety. You do not have to embark on this journey alone, connecting with a counselor is a great place to start. I believe that we flourish when we find relationships that empower us to embrace ourselves fully, challenge us when we're stuck, and honor our unique perspectives.
Are you looking to make a change, but aren't sure where to begin? Maybe you're wanting to improve your relationships, navigate a life transition, better understand your emotions, or learn new ways to cope with depression or anxiety. You do not have to embark on this journey alone, connecting with a counselor is a great place to start. I believe that we flourish when we find relationships that empower us to embrace ourselves fully, challenge us when we're stuck, and honor our unique perspectives.
(234) 235-3661 View (234) 235-3661
Photo of Megan Lachowski, Licensed Professional Clinical Counselor, MEd, LPCC-S
Megan Lachowski
Licensed Professional Clinical Counselor, MEd, LPCC-S
Verified Verified
1 Endorsed
Online Only
You feel like you’re trapped in a maze of emotions. You’re constantly being pulled between moments of intense distress and moments of numb detachment. Fear, anger, and sadness keep you from feeling any sense of stability or peace. You’re struggling to trust others and nothing feels safe. You’re feeling exhausted and isolated and it’s time for a change. You want to get through your day without being constantly on edge, waiting for the next intrusive thought to appear. You’d like to enjoy life without constant worry or fear. You think it would also feel wonderful to achieve a sense of inner peace. I can help you get there.
You feel like you’re trapped in a maze of emotions. You’re constantly being pulled between moments of intense distress and moments of numb detachment. Fear, anger, and sadness keep you from feeling any sense of stability or peace. You’re struggling to trust others and nothing feels safe. You’re feeling exhausted and isolated and it’s time for a change. You want to get through your day without being constantly on edge, waiting for the next intrusive thought to appear. You’d like to enjoy life without constant worry or fear. You think it would also feel wonderful to achieve a sense of inner peace. I can help you get there.
(330) 426-7184 View (330) 426-7184
Photo of Kathryn Burke, Licensed Professional Counselor
Kathryn Burke
Licensed Professional Counselor
Verified Verified
Online Only
I am an LPCC-S with over 20 years counseling experience. I view counseling as an opportunity to help you explore life challenges in a supportive space. New skills can help free your mind from unnecessary suffering. I focus on using cognitive behavioral therapy to help adult clients with struggles around mood, anxiety and adjustment to life changes. I offer appointments on weekends only. You can schedule yourself directly on my calendar with three days notice. All the best, Kate
I am an LPCC-S with over 20 years counseling experience. I view counseling as an opportunity to help you explore life challenges in a supportive space. New skills can help free your mind from unnecessary suffering. I focus on using cognitive behavioral therapy to help adult clients with struggles around mood, anxiety and adjustment to life changes. I offer appointments on weekends only. You can schedule yourself directly on my calendar with three days notice. All the best, Kate
(216) 424-7113 View (216) 424-7113
Photo of Lindsay Ibos, Licensed Professional Counselor, MA, LPC
Lindsay Ibos
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Cuyahoga Falls, OH 44221
Before entering the mental health field, I taught for almost a decade in the public school system, working with a diverse population of teens and emerging adults. I value and respect the autonomy of all of my clients, and believe each person already has within themselves the solutions which they seek.
Before entering the mental health field, I taught for almost a decade in the public school system, working with a diverse population of teens and emerging adults. I value and respect the autonomy of all of my clients, and believe each person already has within themselves the solutions which they seek.
(330) 975-6781 View (330) 975-6781

See more therapy options for Cuyahoga Falls

How does your Therapist compare?

Number of Therapists in Cuyahoga Falls, OH

100+

Average cost per session

$112

Therapists in Cuyahoga Falls, OH who prioritize treating:

93% Anxiety
88% Depression
78% Trauma and PTSD
78% Stress
61% Life Transitions
57% Family Conflict
56% Self Esteem

Average years in practice

8 Years

Top 3 insurances accepted

85% UnitedHealthcare UHC | UBH
83% Aetna
80% Anthem

How Therapists in Cuyahoga Falls, OH see their clients

56% In Person and Online
44% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Cuyahoga Falls?

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.