Therapists in Katy, TX

Photo of Maira Carrillo, Licensed Professional Counselor in Katy, TX
Maira Carrillo
Licensed Professional Counselor, LPC, LCDC-I , NCC
Verified Verified
Katy, TX 77494
As human beings, we behave according to what has worked for us in the past. Such behaviors may not necessarily be healthy or positive ones, and that is what brings you in today. This desire to work and get better at doing life in a more positive and healthier manner. Yes, we may encounter ourselves revolving around unhealthy coping skills and not very strong boundaries with those around us which may be what makes us feel in greater need of connection and positivity in our lives. If there is anything that life has taught us, is that we are capable of change, of rebuilding of shaping ourselves into that person you have always desired.
As human beings, we behave according to what has worked for us in the past. Such behaviors may not necessarily be healthy or positive ones, and that is what brings you in today. This desire to work and get better at doing life in a more positive and healthier manner. Yes, we may encounter ourselves revolving around unhealthy coping skills and not very strong boundaries with those around us which may be what makes us feel in greater need of connection and positivity in our lives. If there is anything that life has taught us, is that we are capable of change, of rebuilding of shaping ourselves into that person you have always desired.
(346) 818-2408 View (346) 818-2408
Photo of Stella Lessert, Clinical Social Work/Therapist in Katy, TX
Stella Lessert
Clinical Social Work/Therapist, LCSW
Verified Verified
Katy, TX 77450  (Online Only)
As you have probably learned by now, life doesn't come with a road map. Life's journeys are uniquely individual! When you feel stuck, overwhelmed or seem to be going in circles, you've hit a boulder. Life transitions can be difficult, sometimes painful and tough to maneuver. They typically involve family relationships, career changes, peer interactions, or are related to loss, terminal illness, or caregiver responsibilities. Often, we experience feelings of anxiety, sadness, loneliness or fear; your not alone. Together, in a supportive, non-judgemental environment, we will explore and clarify these issues and underlying feelings.
As you have probably learned by now, life doesn't come with a road map. Life's journeys are uniquely individual! When you feel stuck, overwhelmed or seem to be going in circles, you've hit a boulder. Life transitions can be difficult, sometimes painful and tough to maneuver. They typically involve family relationships, career changes, peer interactions, or are related to loss, terminal illness, or caregiver responsibilities. Often, we experience feelings of anxiety, sadness, loneliness or fear; your not alone. Together, in a supportive, non-judgemental environment, we will explore and clarify these issues and underlying feelings.
(832) 569-7943 View (832) 569-7943
Photo of Rebecca Lauren Heron, Psychologist in Katy, TX
Rebecca Lauren Heron
Psychologist, PhD
Verified Verified
Katy, TX 77450
I am non-judgmental experienced Licensed psychologist who has over 14 years of experience in the mental health field. My mission in life is to help people on their journey and to help them to overcome any trauma, set back or challenges that they have. My therapeutic style is warm, empathic, and down-to-earth and I believe in creating a safe space for everyone. I have a background in academia as a professor teaching in both Europe and the USA. I have published various scientific papers within the area of psychology and presented research worldwide. The client populations I work with are children, adolescents, adults and couples.
I am non-judgmental experienced Licensed psychologist who has over 14 years of experience in the mental health field. My mission in life is to help people on their journey and to help them to overcome any trauma, set back or challenges that they have. My therapeutic style is warm, empathic, and down-to-earth and I believe in creating a safe space for everyone. I have a background in academia as a professor teaching in both Europe and the USA. I have published various scientific papers within the area of psychology and presented research worldwide. The client populations I work with are children, adolescents, adults and couples.
(832) 246-7857 View (832) 246-7857
Photo of Ryan C Warner, Psychologist in Katy, TX
Ryan C Warner
Psychologist, PhD
Verified Verified
1 Endorsed
Katy, TX 77449  (Online Only)
Have you ever felt tired of just going through the motions of life? Are you dealing with insecurities, feeling down, anxious, or facing challenges at work or within your relationships? If so, I am here to help! I am passionate about connecting with clients who are eager to find happiness and purpose in their lives so that they can go from surviving, to thriving. In therapy we will discover helpful ways to cope and see things in a new light, so you can pursue a more joyful and fulfilling life. Let's start this journey of growth and healing together!
Have you ever felt tired of just going through the motions of life? Are you dealing with insecurities, feeling down, anxious, or facing challenges at work or within your relationships? If so, I am here to help! I am passionate about connecting with clients who are eager to find happiness and purpose in their lives so that they can go from surviving, to thriving. In therapy we will discover helpful ways to cope and see things in a new light, so you can pursue a more joyful and fulfilling life. Let's start this journey of growth and healing together!
(281) 916-3321 View (281) 916-3321
Photo of Wendy Pellegrino, Licensed Professional Counselor in Katy, TX
Wendy Pellegrino
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Katy, TX 77450
My name is Wendy Pellegrino, I am a Licensed Professional Counselor. My counseling style is patient centered, and solution focused. I believe in treating everyone with compassion empathy, and respect. I also encourage learning and growing during our sessions. My treatment is bases in a safe and a supportive environment to be able to allow individuals to share their unique experiences, gain additional insights, and learn positive coping skills to improve their overall psychosocial functioning.
My name is Wendy Pellegrino, I am a Licensed Professional Counselor. My counseling style is patient centered, and solution focused. I believe in treating everyone with compassion empathy, and respect. I also encourage learning and growing during our sessions. My treatment is bases in a safe and a supportive environment to be able to allow individuals to share their unique experiences, gain additional insights, and learn positive coping skills to improve their overall psychosocial functioning.
(832) 551-1905 View (832) 551-1905
Photo of Martin Counseling, Licensed Professional Counselor in Katy, TX
Martin Counseling
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Katy, TX 77450
I am a Licensed Professional Counselor providing in-person services to those in need living in the West Houston/Katy/Cypress area. I graduated from the University of Houston Victoria- Katy campus with a Master of Science degree in Clinical Mental Health Counseling. I completed my undergraduate studies at Sam Houston State University where I received a Bachelor of Science degree in Criminal Justice.
I am a Licensed Professional Counselor providing in-person services to those in need living in the West Houston/Katy/Cypress area. I graduated from the University of Houston Victoria- Katy campus with a Master of Science degree in Clinical Mental Health Counseling. I completed my undergraduate studies at Sam Houston State University where I received a Bachelor of Science degree in Criminal Justice.
(832) 240-7561 View (832) 240-7561
Photo of Ellie Mental Health-Katy, Clinical Social Work/Therapist in Katy, TX
Ellie Mental Health-Katy
Clinical Social Work/Therapist
Verified Verified
Katy, TX 77494
Through education and experience, our clinicians know that clients are doing the best they can at all times. Life can be so difficult, and we as humans are tasked with the complex job of navigating those difficulties. Our clinicians utilize a trauma-informed and multi-dimensional approach to help clients understand themselves, others, and their place in the world. However, when working with anyone, our goal is to give you tools, skills, and support to help clients navigate the world outside of therapy. You deserve to feel safe, heard, seen, and understood.
Through education and experience, our clinicians know that clients are doing the best they can at all times. Life can be so difficult, and we as humans are tasked with the complex job of navigating those difficulties. Our clinicians utilize a trauma-informed and multi-dimensional approach to help clients understand themselves, others, and their place in the world. However, when working with anyone, our goal is to give you tools, skills, and support to help clients navigate the world outside of therapy. You deserve to feel safe, heard, seen, and understood.
(346) 545-4082 View (346) 545-4082
Photo of Michael Weinberger, Licensed Professional Counselor in Katy, TX
Michael Weinberger
Licensed Professional Counselor, MS, LPC-S
Verified Verified
Katy, TX 77494
If you are feeling overwhelmed with emotions, depression, anxiety, frustration or anger, it is my hope that we can work together as a team to help you achieve a more happy and fulfilling life. I can assist you by providing an atmosphere of unconditional acceptance, as we work together on any issues, goals and changes you desire. I strongly believe everyone has the right to choose the path they want to follow in life.
If you are feeling overwhelmed with emotions, depression, anxiety, frustration or anger, it is my hope that we can work together as a team to help you achieve a more happy and fulfilling life. I can assist you by providing an atmosphere of unconditional acceptance, as we work together on any issues, goals and changes you desire. I strongly believe everyone has the right to choose the path they want to follow in life.
(832) 234-9570 View (832) 234-9570
Photo of Bashen Behavioral Health PLLC, Clinical Social Work/Therapist in Katy, TX
Bashen Behavioral Health PLLC
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Katy, TX 77450  (Online Only)
I help clients address concerns that include anxious thoughts, burn-out/depression, perfectionistic tendencies, familial/relationship issues & symptoms related to stress and anxiety. I work with adults of all backgrounds to cultivate self-awareness & implement practical coping strategies.
I help clients address concerns that include anxious thoughts, burn-out/depression, perfectionistic tendencies, familial/relationship issues & symptoms related to stress and anxiety. I work with adults of all backgrounds to cultivate self-awareness & implement practical coping strategies.
(832) 990-9616 View (832) 990-9616
Photo of Alexa Stern Fagan, Psychologist in Katy, TX
Alexa Stern Fagan
Psychologist, PhD
Verified Verified
2 Endorsed
Katy, TX 77494
I specialize in working with children, adolescents, and families to encourage social-emotional growth, wellness, and resilience. My areas of expertise include assessing and providing therapy to children/adolescents ages 8+ with anxiety, depression, low self-esteem, coping with chronic illness, ADHD, learning disorders, and stressors related to life transitions. I am a Licensed Psychologist (LP). I use evidence-based approaches to guide comprehensive diagnostic evaluations, therapy, and treatment recommendations.
I specialize in working with children, adolescents, and families to encourage social-emotional growth, wellness, and resilience. My areas of expertise include assessing and providing therapy to children/adolescents ages 8+ with anxiety, depression, low self-esteem, coping with chronic illness, ADHD, learning disorders, and stressors related to life transitions. I am a Licensed Psychologist (LP). I use evidence-based approaches to guide comprehensive diagnostic evaluations, therapy, and treatment recommendations.
(281) 609-8249 View (281) 609-8249
Photo of Nikquan Lewis Intimate Connections Pllc, Marriage & Family Therapist in Katy, TX
Nikquan Lewis Intimate Connections Pllc
Marriage & Family Therapist, MS, LMFT, LPC, ST
Verified Verified
4 Endorsed
Katy, TX 77494  (Online Only)
Are you sick and tired of being sick and tired? Have you lost that spark of intimacy and passion that once brought you close? Has the sexual connection in your relationship dimmed, leaving you longing for more fulfilling intimacy? Are you struggling with trust issues or feeling emotionally distant from each other? Is there a mismatch in sexual desires or frequency that's causing tension in your relationship? Are you finding it difficult to communicate effectively? Do negative thoughts cloud your self-image, making self-love feel like it’s not possible? Are your relationships mirroring unhealthy patterns leaving you feeling stuck?
Are you sick and tired of being sick and tired? Have you lost that spark of intimacy and passion that once brought you close? Has the sexual connection in your relationship dimmed, leaving you longing for more fulfilling intimacy? Are you struggling with trust issues or feeling emotionally distant from each other? Is there a mismatch in sexual desires or frequency that's causing tension in your relationship? Are you finding it difficult to communicate effectively? Do negative thoughts cloud your self-image, making self-love feel like it’s not possible? Are your relationships mirroring unhealthy patterns leaving you feeling stuck?
(832) 219-8624 View (832) 219-8624
Photo of Fernald Z Berry, Marriage & Family Therapist in Katy, TX
Fernald Z Berry
Marriage & Family Therapist, LMFT
Verified Verified
Katy, TX 77494
Waitlist for new clients
I am an African American male whose life experience provides significant insight and resourcefulness for those struggling with relational issues, regardless of race or ethnic background. I have found, along with the richness of diversity, there is far more commonality amongst our species. It is on this ground we meet and explore this experience of life and the solutions to it's dilemmas...your dilemmas.
I am an African American male whose life experience provides significant insight and resourcefulness for those struggling with relational issues, regardless of race or ethnic background. I have found, along with the richness of diversity, there is far more commonality amongst our species. It is on this ground we meet and explore this experience of life and the solutions to it's dilemmas...your dilemmas.
(832) 430-1907 View (832) 430-1907
Photo of Lauren Jaggers, Licensed Professional Counselor in Katy, TX
Lauren Jaggers
Licensed Professional Counselor, LPC, CAS
Verified Verified
Katy, TX 77494
I am a Licensed Professional Counselor who enjoys working with individuals with ADHD, Anxiety, and Autism. I have an undergraduate degree from Texas A&M in Special Education and a Masters Degree in Clinical Mental Health Counseling. I was a Special Education teacher for eight years. I have a younger brother with autism and have worked with people with autism for most of my life so I have personal and professional experience in this field.
I am a Licensed Professional Counselor who enjoys working with individuals with ADHD, Anxiety, and Autism. I have an undergraduate degree from Texas A&M in Special Education and a Masters Degree in Clinical Mental Health Counseling. I was a Special Education teacher for eight years. I have a younger brother with autism and have worked with people with autism for most of my life so I have personal and professional experience in this field.
(346) 637-4269 View (346) 637-4269
Photo of Ruth C Wilson, Licensed Professional Counselor in Katy, TX
Ruth C Wilson
Licensed Professional Counselor, MEd, LPC, CAS
Verified Verified
1 Endorsed
Katy, TX 77494
Here you will experience hope and healing. My approach is collaborative, empowering, transformational and empathetic. Together we will discover your inner strengths and work towards conquering the barriers that exist between you and your goals. I have a passion for helping clients cope with life's road bumps and empower them to move forward. I assist clients in understanding who they are and helping them get to where they want to be in life. I am a mom with a young adult on the Autism Spectrum and I am a Certified Autism Specialist. I can assist families and individuals in navigating life with Autism.
Here you will experience hope and healing. My approach is collaborative, empowering, transformational and empathetic. Together we will discover your inner strengths and work towards conquering the barriers that exist between you and your goals. I have a passion for helping clients cope with life's road bumps and empower them to move forward. I assist clients in understanding who they are and helping them get to where they want to be in life. I am a mom with a young adult on the Autism Spectrum and I am a Certified Autism Specialist. I can assist families and individuals in navigating life with Autism.
(832) 895-7802 View (832) 895-7802
Photo of Stone Creek Psychotherapy & Wellness Center in Katy, TX
Stone Creek Psychotherapy & Wellness Center
LCSW
Verified Verified
1 Endorsed
Katy, TX 77450
ADHD is often misunderstood, and by default, so are those who suffer from it. For this reason, it often goes undetected for many years. Un-diagnosed children are often seen as lazy and unmotivated or defiant and lacking discipline. As they transition into adolescence, symptoms of anxiety or depression may surface. As adults, they continue to struggle with underachieving, believing that "if they only tried harder" things could be better. ADHD often impact people mentally, emotionally, socially and physically. The effects are often painful and long-lasting. It can be equally frustrating for loved ones who want to help.
ADHD is often misunderstood, and by default, so are those who suffer from it. For this reason, it often goes undetected for many years. Un-diagnosed children are often seen as lazy and unmotivated or defiant and lacking discipline. As they transition into adolescence, symptoms of anxiety or depression may surface. As adults, they continue to struggle with underachieving, believing that "if they only tried harder" things could be better. ADHD often impact people mentally, emotionally, socially and physically. The effects are often painful and long-lasting. It can be equally frustrating for loved ones who want to help.
(832) 780-2187 View (832) 780-2187
Photo of Shartazia Warren, Clinical Social Work/Therapist in Katy, TX
Shartazia Warren
Clinical Social Work/Therapist, LCSW
Verified Verified
Katy, TX 77449  (Online Only)
Starting therapy can be intimidating but you are taking the first steps by seeking help. Whether you are looking for support navigating life challenges or wanting to develop new skills, you have come to the right place! Everyone deserves a safe space to openly express themselves without fear of judgment; and as a therapist trained in Accelerated Resolution Therapy (ART), Cognitive Behavioral Therapy (CBT), Play Therapy, etc., I am prepared to accompany you on your personal path.
Starting therapy can be intimidating but you are taking the first steps by seeking help. Whether you are looking for support navigating life challenges or wanting to develop new skills, you have come to the right place! Everyone deserves a safe space to openly express themselves without fear of judgment; and as a therapist trained in Accelerated Resolution Therapy (ART), Cognitive Behavioral Therapy (CBT), Play Therapy, etc., I am prepared to accompany you on your personal path.
(281) 666-2816 View (281) 666-2816
Photo of Mark Howell, Licensed Professional Counselor in Katy, TX
Mark Howell
Licensed Professional Counselor, LPC, MA MFC, MA RE
Verified Verified
Katy, TX 77450
If you need strategies to navigate the maze of infidelity, disconnection, or the dreaded "roommate" dynamic, call me! Over the last 20+ years as an LPC, I have guided many couples back to intimacy, trust, and reconnection. Maybe I can help you too. I offer both in-office and video appointments Monday through Thursday 8 am - 8 pm and Friday 8 am - 5 pm. Regardless of your relationship status, I can teach you healthy relationship skills and the mindset that is necessary to make these behaviors into new habits. If you are willing to work, a better marriage can be yours.
If you need strategies to navigate the maze of infidelity, disconnection, or the dreaded "roommate" dynamic, call me! Over the last 20+ years as an LPC, I have guided many couples back to intimacy, trust, and reconnection. Maybe I can help you too. I offer both in-office and video appointments Monday through Thursday 8 am - 8 pm and Friday 8 am - 5 pm. Regardless of your relationship status, I can teach you healthy relationship skills and the mindset that is necessary to make these behaviors into new habits. If you are willing to work, a better marriage can be yours.
(281) 843-8718 View (281) 843-8718
Photo of Daniela Huerta Lira, Licensed Professional Counselor in Katy, TX
Daniela Huerta Lira
Licensed Professional Counselor, LPC
Verified Verified
Katy, TX 77494
Hello. Hola. Life can be so overwhelming at times where we need because we cannot do life alone. My goal in therapy is to help you navigate life’s storms with you as the captain and I as the vessel to help take you where you feel like you want to be. Trauma, depression, anxiety and situations out of our control can deeply affect the way we see ourselves and others. Through our work together we can explore how you can be the best version of yourself and find peace.
Hello. Hola. Life can be so overwhelming at times where we need because we cannot do life alone. My goal in therapy is to help you navigate life’s storms with you as the captain and I as the vessel to help take you where you feel like you want to be. Trauma, depression, anxiety and situations out of our control can deeply affect the way we see ourselves and others. Through our work together we can explore how you can be the best version of yourself and find peace.
(832) 558-9109 View (832) 558-9109
Photo of Ioana Avery, Marriage & Family Therapist Associate in Katy, TX
Ioana Avery
Marriage & Family Therapist Associate, LMFT-A, CST-C, MA
Verified Verified
2 Endorsed
Katy, TX 77494
You have this intense void inside of you and nothing can fulfil it. Your better half that was once a match made in heaven became your worst enemy. You feel like you are stuck in a Groundhog Day where somebody else has pressed repeat: shuffling kids from an activity to another, endless nights spent on job demands, exhausted has become your middle name. You have been trying so hard to cope: God knows how many self help books, meditation practices, yoga classes, self-medicating with alcohol, adult sites you have been trying! Yet nothing seems to work and you find yourself feeling stuck.
You have this intense void inside of you and nothing can fulfil it. Your better half that was once a match made in heaven became your worst enemy. You feel like you are stuck in a Groundhog Day where somebody else has pressed repeat: shuffling kids from an activity to another, endless nights spent on job demands, exhausted has become your middle name. You have been trying so hard to cope: God knows how many self help books, meditation practices, yoga classes, self-medicating with alcohol, adult sites you have been trying! Yet nothing seems to work and you find yourself feeling stuck.
(281) 214-8574 View (281) 214-8574
Photo of Shandrieka Poree Vallare, Clinical Social Work/Therapist in Katy, TX
Shandrieka Poree Vallare
Clinical Social Work/Therapist, LCSW
Verified Verified
Katy, TX 77494  (Online Only)
Shandrieka Poree Vallare is a Licensed Clinical Social Worker (LCSW) with over 15 years of experience helping children, teens, adults, and seniors to better manage their anxiety, depression, anger management difficulties, relationship difficulties, coping skills, life transitional issues, academic problems, low self-esteem, chronic stress, and women’s issues. Shandrieka earned her Master's degree in Social Work from Southern University-New Orleans.
Shandrieka Poree Vallare is a Licensed Clinical Social Worker (LCSW) with over 15 years of experience helping children, teens, adults, and seniors to better manage their anxiety, depression, anger management difficulties, relationship difficulties, coping skills, life transitional issues, academic problems, low self-esteem, chronic stress, and women’s issues. Shandrieka earned her Master's degree in Social Work from Southern University-New Orleans.
(346) 472-4461 View (346) 472-4461

How does your Therapist compare?

Number of Therapists in Katy, TX

700+

Average cost per session

$140

Therapists in Katy, TX who prioritize treating:

93% Anxiety
87% Depression
78% Self Esteem
75% Coping Skills
72% Relationship Issues
69% Stress
64% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

84% Aetna
77% Cigna and Evernorth
74% UnitedHealthcare UHC | UBH

How Therapists in Katy, TX see their clients

68% In Person and Online
32% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Katy?

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.