Therapists in Upper Darby, PA

Photo of Sherita Jamison-Hinkson - SMJ Behavioral Consultants, LLC, LMSW, LBS
SMJ Behavioral Consultants, LLC
LMSW, LBS
Verified Verified
Upper Darby, PA 19082  (Online Only)
SMJ Consultants provides Individual, In-Home and Community services to individuals ages 2-21. SMJ Consultants uses Applied Behavior Analysis techniques and Cognitive Behavior Therapy. My service entails helping to assist individuals as they transition into an inclusive learning environment. We work closely with parents and assist them with advocating and becoming a voice for their children. As children grow and develop into teenagers, we support them with our mentorship programs and job readiness groups. "Taking one piece at a time, together we will complete the puzzle"
SMJ Consultants provides Individual, In-Home and Community services to individuals ages 2-21. SMJ Consultants uses Applied Behavior Analysis techniques and Cognitive Behavior Therapy. My service entails helping to assist individuals as they transition into an inclusive learning environment. We work closely with parents and assist them with advocating and becoming a voice for their children. As children grow and develop into teenagers, we support them with our mentorship programs and job readiness groups. "Taking one piece at a time, together we will complete the puzzle"
(484) 218-2586 View (484) 218-2586
Photo of Sharell Wilson - Holistic Therapeutic Solutions , LSW, MSW, Clinical Social Work/Therapist
Holistic Therapeutic Solutions
Clinical Social Work/Therapist, LSW, MSW
Verified Verified
1 Endorsed
Upper Darby, PA 19082
Deciding to get therapy is not easy, you maybe fearful, nervous and anxious. Rest assured, it’s ok and you are right where you need to be. I am committed to working with someone trying to improve their life; someone trying to overcome self-defeating thoughts, experiencing depression, having trouble managing anger, experiencing conflict in relationships, having trouble with forgiving self or others who may have caused harm.
Deciding to get therapy is not easy, you maybe fearful, nervous and anxious. Rest assured, it’s ok and you are right where you need to be. I am committed to working with someone trying to improve their life; someone trying to overcome self-defeating thoughts, experiencing depression, having trouble managing anger, experiencing conflict in relationships, having trouble with forgiving self or others who may have caused harm.
(610) 708-0757 View (610) 708-0757
Photo of Michele Hurtt - Lifebulb Counseling & Therapy, LPC, Licensed Professional Counselor
Lifebulb Counseling & Therapy
Licensed Professional Counselor, LPC
Verified Verified
Upper Darby, PA 19082  (Online Only)
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
(610) 819-7245 View (610) 819-7245
Photo of Rochelle Polao, MSW, LCSW, Clinical Social Work/Therapist
Rochelle Polao
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Upper Darby, PA 19082
I can help you lead a happier, more fulfilling life by resolving the issues that hold you back. Specialties include Parenting, Relationships, Divorce, Depression, Anxiety, Chemical Dependency; Addictions, including Gambling & Sexual Compulsivity), Recovery Issues; Assessment for ADHD/ADD in children & adults; Bereavement; Career and life changes. Call me at 610-853-9431. .
I can help you lead a happier, more fulfilling life by resolving the issues that hold you back. Specialties include Parenting, Relationships, Divorce, Depression, Anxiety, Chemical Dependency; Addictions, including Gambling & Sexual Compulsivity), Recovery Issues; Assessment for ADHD/ADD in children & adults; Bereavement; Career and life changes. Call me at 610-853-9431. .
(610) 853-9431 View (610) 853-9431
Photo of Janet D Thurston - Janet Thurston, MA, MS, MS, MA, Pre-Licensed Professional
Janet Thurston, MA, MS
Pre-Licensed Professional, MS, MA
Verified Verified
Upper Darby, PA 19082  (Online Only)
Sometimes we experience life's hardships, and do not know how to face them. Instead, we avoid talking or thinking about them. Traumas may occur in our childhood, in our relationships, or during significant losses. Unfortunately, the effects of past experiences are felt in current relationships, on the job, or in the body. In order to move forward in our lives, I believe that gradually telling the story of painful life events with a professional is healing. Once you have gradually told me about your pain, we can then work together to develop ways of coping and moving forward.
Sometimes we experience life's hardships, and do not know how to face them. Instead, we avoid talking or thinking about them. Traumas may occur in our childhood, in our relationships, or during significant losses. Unfortunately, the effects of past experiences are felt in current relationships, on the job, or in the body. In order to move forward in our lives, I believe that gradually telling the story of painful life events with a professional is healing. Once you have gradually told me about your pain, we can then work together to develop ways of coping and moving forward.
(484) 232-5403 View (484) 232-5403
Photo of Sheree Patterson, Pre-Licensed Professional
Sheree Patterson
Pre-Licensed Professional
Verified Verified
1 Endorsed
Upper Darby, PA 19082
As a passionate advocate for mental health and well-being, I am eager to contribute to psychology and counseling through my unique perspective and unwavering commitment. My journey in counseling and schooling has been marked by a profound desire to understand the intricacies of the human mind and positively impact individuals' lives. I am excited about joining Psychology Today as a contributor, where I can continue bridging the gap between academic knowledge and practical application, ultimately impacting the lives of those seeking understanding and support.
As a passionate advocate for mental health and well-being, I am eager to contribute to psychology and counseling through my unique perspective and unwavering commitment. My journey in counseling and schooling has been marked by a profound desire to understand the intricacies of the human mind and positively impact individuals' lives. I am excited about joining Psychology Today as a contributor, where I can continue bridging the gap between academic knowledge and practical application, ultimately impacting the lives of those seeking understanding and support.
(610) 998-3458 View (610) 998-3458
Photo of Dawn A Jackson, MS, MFT, PT, Pre-Licensed Professional
Dawn A Jackson
Pre-Licensed Professional, MS, MFT, PT
Verified Verified
Upper Darby, PA 19082
"Every Conversation Matters." Counselors facilitate healing through a process of genuine dialogue with their clients. In a world of challenges or going through a life transition can feel overwhelming. These challenges may bring about anxiety, hopelessness, and a sense of isolation, but you do not have to face them alone. Having a safe space to process everyday obstacles-whether from past or present challenges, and identifying solutions that works with a person that is nonjudgmental, and will help you to get to the root of the problem so you can begin to rebuild your life or your relationship is what makes all the difference.
"Every Conversation Matters." Counselors facilitate healing through a process of genuine dialogue with their clients. In a world of challenges or going through a life transition can feel overwhelming. These challenges may bring about anxiety, hopelessness, and a sense of isolation, but you do not have to face them alone. Having a safe space to process everyday obstacles-whether from past or present challenges, and identifying solutions that works with a person that is nonjudgmental, and will help you to get to the root of the problem so you can begin to rebuild your life or your relationship is what makes all the difference.
(610) 890-7596 View (610) 890-7596
Kia M. Hunter
MS, LBC
Verified Verified
Upper Darby, PA 19082  (Online Only)
Hello, my name is Kia M. Hunter, and it brings me joy to assist others with being able to problem solve and become the best version of themselves. I really love what I do and I am passionate about being able to work with a diverse group of people. I have experience working with children, families, couples, individuals, and the LGBTQ community. I have over 17 years of therapeutic experience with the ability to apply effective behavioral strategies and tools. I am empathetic and non-judgmental. " My mantra is " Let the healing begin".
Hello, my name is Kia M. Hunter, and it brings me joy to assist others with being able to problem solve and become the best version of themselves. I really love what I do and I am passionate about being able to work with a diverse group of people. I have experience working with children, families, couples, individuals, and the LGBTQ community. I have over 17 years of therapeutic experience with the ability to apply effective behavioral strategies and tools. I am empathetic and non-judgmental. " My mantra is " Let the healing begin".
(610) 467-5440 View (610) 467-5440
Photo of Christina R Russell, MSW, LCSW, Clinical Social Work/Therapist
Christina R Russell
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Upper Darby, PA 19082
Not accepting new clients
The core focus of my therapeutic intervention is a holistic approach based on a simple word, 'accountability.' Accountability is key in making necessary and beneficial changes in your life. In therapy we will explore your presenting problems, past hurts, traumas and relationships. How a client feels is essential, however how a client takes responsibility to change their behaviors is key. Even though this may sound great, being held accountable can be challenging, tough and even frightening. However, in the end, you will see the benefits of holding your own self accountable by working through hurts and pains... EMPOWERING!
The core focus of my therapeutic intervention is a holistic approach based on a simple word, 'accountability.' Accountability is key in making necessary and beneficial changes in your life. In therapy we will explore your presenting problems, past hurts, traumas and relationships. How a client feels is essential, however how a client takes responsibility to change their behaviors is key. Even though this may sound great, being held accountable can be challenging, tough and even frightening. However, in the end, you will see the benefits of holding your own self accountable by working through hurts and pains... EMPOWERING!
(267) 223-0258 View (267) 223-0258
Photo of Michelle Renee Davis - Where Faith Meets Mental Health, LPC, Licensed Professional Counselor
Where Faith Meets Mental Health
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Upper Darby, PA 19082
Michelle’s most rewarding aspect of working with the individual served, is ensuring that their physical and emotional state are addressed. Helping the client to understand and process trauma and micro-trauma that impacts every area of functioning. She assist clients with identifying barriers and challenges, providing and exploring positive coping strategies, cognitive restructuring, resources, support, empathy, compassion, and effective quality of care to increase the clients likelihood of meeting their desired personal goals for success. She helps individuals with exploring their past and present to help them understand themselves.
Michelle’s most rewarding aspect of working with the individual served, is ensuring that their physical and emotional state are addressed. Helping the client to understand and process trauma and micro-trauma that impacts every area of functioning. She assist clients with identifying barriers and challenges, providing and exploring positive coping strategies, cognitive restructuring, resources, support, empathy, compassion, and effective quality of care to increase the clients likelihood of meeting their desired personal goals for success. She helps individuals with exploring their past and present to help them understand themselves.
(484) 214-2207 View (484) 214-2207
Photo of Andréa Durnell-Grady, LCSW, Clinical Social Work/Therapist
Andréa Durnell-Grady
Clinical Social Work/Therapist, LCSW
Verified Verified
Upper Darby, PA 19082  (Online Only)
Not accepting new clients
I am a licensed clinical social worker specializing in treating anxiety, depression, and trauma disorders. I have experience providing therapy in school, outpatient settings, and in private practice. If you are looking for a therapy provider to honor your lived experiences while creating the structure to heal, grow and learn healthy coping skills, you and I may be a good therapist-client fit. I establish a safe, supportive, and nurturing space and have an integrative approach to therapy: this allows me to honor your unique journey. I believe that each person is the expert in their own life and therapy.
I am a licensed clinical social worker specializing in treating anxiety, depression, and trauma disorders. I have experience providing therapy in school, outpatient settings, and in private practice. If you are looking for a therapy provider to honor your lived experiences while creating the structure to heal, grow and learn healthy coping skills, you and I may be a good therapist-client fit. I establish a safe, supportive, and nurturing space and have an integrative approach to therapy: this allows me to honor your unique journey. I believe that each person is the expert in their own life and therapy.
(484) 302-4661 View (484) 302-4661
Photo of Davier Daniels, MS, NCC, Pre-Licensed Professional
Davier Daniels
Pre-Licensed Professional, MS, NCC
Verified Verified
Upper Darby, PA 19082
My counseling approach involves meeting people where they are. I support clients through a variety of issues, such as anxiety, depression, self-esteem, relationship issues, and many more. I incorporate Person Centered, CBT, ACT, Mindfulness, Solution Focused, and Strength-Based counseling. I believe that therapy should be a tool in everyone's toolbox to not only deal with life's major crisis, but also to manage and learn how to be an overall healthy individual.
My counseling approach involves meeting people where they are. I support clients through a variety of issues, such as anxiety, depression, self-esteem, relationship issues, and many more. I incorporate Person Centered, CBT, ACT, Mindfulness, Solution Focused, and Strength-Based counseling. I believe that therapy should be a tool in everyone's toolbox to not only deal with life's major crisis, but also to manage and learn how to be an overall healthy individual.
(610) 890-7373 View (610) 890-7373
Photo of Lewis Johnson, MS, NCC, CTP, CET II, Pre-Licensed Professional
Lewis Johnson
Pre-Licensed Professional, MS, NCC, CTP, CET II
Verified Verified
2 Endorsed
Upper Darby, PA 19082
At the Lotus Center for Wellness and Healing, the focus is on you… the human, the individual, the person sharing space with me. Historically, Black, Indigenous, and Persons of Color and the lesbian, gay, bisexual, transgender, queer, intersex, asexual, and gender expansive (LGBTQIA+) folks have experienced oppression and marginalization that can make one feel isolated, misunderstood, and without choice. Racial and identity-based trauma can have lasting effects on a person without them knowing the significant impact.
At the Lotus Center for Wellness and Healing, the focus is on you… the human, the individual, the person sharing space with me. Historically, Black, Indigenous, and Persons of Color and the lesbian, gay, bisexual, transgender, queer, intersex, asexual, and gender expansive (LGBTQIA+) folks have experienced oppression and marginalization that can make one feel isolated, misunderstood, and without choice. Racial and identity-based trauma can have lasting effects on a person without them knowing the significant impact.
(484) 265-9608 View (484) 265-9608
Photo of Precious George, LPC , Licensed Professional Counselor
Precious George
Licensed Professional Counselor, LPC
Verified Verified
Upper Darby, PA 19082  (Online Only)
My name is Precious George. I am a Licensed Professional Counselor (PC012479) in the state of Pennsylvania. I care about my client's well-beings and provide the tools they need, in order to seize the day and learn how to tackle even the most challenging circumstances. Psychotherapy is a professional relationship that involves lots of talking, however the content is explored through the lens of a theoretical orientation. There are a variety of theoretical orientations that include but are not limited to, dialectical behavior therapy, psychoanalysis, family systems, attachment theory, and cognitive behavior therapy.
My name is Precious George. I am a Licensed Professional Counselor (PC012479) in the state of Pennsylvania. I care about my client's well-beings and provide the tools they need, in order to seize the day and learn how to tackle even the most challenging circumstances. Psychotherapy is a professional relationship that involves lots of talking, however the content is explored through the lens of a theoretical orientation. There are a variety of theoretical orientations that include but are not limited to, dialectical behavior therapy, psychoanalysis, family systems, attachment theory, and cognitive behavior therapy.
(717) 716-6188 View (717) 716-6188
Photo of Claire Rysavy, LMSW, Clinical Social Work/Therapist
Claire Rysavy
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Upper Darby, PA 19082  (Online Only)
I will work with you to validate your experiences and emotions and create true, positive change. I specialize in adults with ADHD, anxiety, and depression, life transitions, as well as people who are postpartum and/or parents of young children.
I will work with you to validate your experiences and emotions and create true, positive change. I specialize in adults with ADHD, anxiety, and depression, life transitions, as well as people who are postpartum and/or parents of young children.
(215) 608-2941 View (215) 608-2941
Photo of LaKeith Sutton - For Us Therapeutics-Counseling & Consulting, Clinical Social Work/Therapist
For Us Therapeutics-Counseling & Consulting
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Upper Darby, PA 19082  (Online Only)
At For Us Therapeutics, a minority-owned private mental health practice, we are dedicated to serving the diverse communities of Washington, DC, Maryland, Virginia, and Pennsylvania. Our expert team of clinicians is committed to helping individuals overcome their challenges through compassionate and culturally competent therapy. We specialize in treating a wide range of disorders, including anxiety, stress, depression, and trauma. We aim to provide effective, personalized mental health care that empowers our clients to achieve lasting wellness. Join us at For Us Therapeutics and take the first step toward healing and growth.
At For Us Therapeutics, a minority-owned private mental health practice, we are dedicated to serving the diverse communities of Washington, DC, Maryland, Virginia, and Pennsylvania. Our expert team of clinicians is committed to helping individuals overcome their challenges through compassionate and culturally competent therapy. We specialize in treating a wide range of disorders, including anxiety, stress, depression, and trauma. We aim to provide effective, personalized mental health care that empowers our clients to achieve lasting wellness. Join us at For Us Therapeutics and take the first step toward healing and growth.
(267) 619-8920 View (267) 619-8920
Photo of Shana Williams, MHS, Pre-Licensed Professional
Shana Williams
Pre-Licensed Professional, MHS
Verified Verified
2 Endorsed
Upper Darby, PA 19082
I believe we should all have access to a space where we can be open and honest with who we are and what we need to thrive. It is important to me that I support individuals in cultivating such a space with safety and freedom of feelings, thoughts and emotions. We all deserve a chance to thrive in life and find some sense of peace and understanding of experiences that make us who we are. I am here to challenge any notions that you cannot be your best self and find solace in that.
I believe we should all have access to a space where we can be open and honest with who we are and what we need to thrive. It is important to me that I support individuals in cultivating such a space with safety and freedom of feelings, thoughts and emotions. We all deserve a chance to thrive in life and find some sense of peace and understanding of experiences that make us who we are. I am here to challenge any notions that you cannot be your best self and find solace in that.
(267) 633-8981 View (267) 633-8981
Photo of Michael M. Green, MDiv, MA, LPC, Licensed Professional Counselor
Michael M. Green
Licensed Professional Counselor, MDiv, MA, LPC
Verified Verified
2 Endorsed
Upper Darby, PA 19082
As a Licensed Professional Counselor I provide therapy to individuals, couples, and families. I have several years of experience working with a diverse array of people and have had the privilege to walk alongside people as they navigated a variety of life conditions and issues. I treat individuals that are dealing with such issues as anxiety, depression, self-esteem issues, divorce recovery, grief and loss, ADHD, anger and conduct issues, trauma, substance use and abuse issues, gambling, sexual and process addictions, addict in the family issues, codependency, attachment issues, personality disorders, and spiritual conflicts.
As a Licensed Professional Counselor I provide therapy to individuals, couples, and families. I have several years of experience working with a diverse array of people and have had the privilege to walk alongside people as they navigated a variety of life conditions and issues. I treat individuals that are dealing with such issues as anxiety, depression, self-esteem issues, divorce recovery, grief and loss, ADHD, anger and conduct issues, trauma, substance use and abuse issues, gambling, sexual and process addictions, addict in the family issues, codependency, attachment issues, personality disorders, and spiritual conflicts.
(484) 222-4971 View (484) 222-4971
Photo of Stacy Sebro - Stacy Sebro Counseling Services, MS, LPC, Licensed Professional Counselor
Stacy Sebro Counseling Services
Licensed Professional Counselor, MS, LPC
Verified Verified
Upper Darby, PA 19082
With the many challenges in our society, people often feel overwhelmed and misunderstood in their individual and family lives. Stacy Sebro Counseling Services is a private practice that focuses on helping people to work through their problems in a safe, non-judgmental environment. Family life, work, school and the community may present difficulties that can discourage people from achieving their potential. My mission is to help people find solutions to their problems, thereby empowering them to find fulfillment in their lives and become productive members of society.
With the many challenges in our society, people often feel overwhelmed and misunderstood in their individual and family lives. Stacy Sebro Counseling Services is a private practice that focuses on helping people to work through their problems in a safe, non-judgmental environment. Family life, work, school and the community may present difficulties that can discourage people from achieving their potential. My mission is to help people find solutions to their problems, thereby empowering them to find fulfillment in their lives and become productive members of society.
(610) 550-8103 View (610) 550-8103
Photo of Valerie Anne Davis
Valerie Anne Davis
Verified Verified
Upper Darby, PA 19082
I specialize in helping clients to become focused as they set their goals through the challenging events that is taking place in their lives. I help them to see that they do not have to be in fear when it comes to setting their goals. They can relax while setting their goals one at a time at a pace that is comfortable for them.
I specialize in helping clients to become focused as they set their goals through the challenging events that is taking place in their lives. I help them to see that they do not have to be in fear when it comes to setting their goals. They can relax while setting their goals one at a time at a pace that is comfortable for them.
(267) 613-9514 View (267) 613-9514
1

How does your Therapist compare?

Number of Therapists in Upper Darby, PA

50+

Average cost per session

$120

Therapists in Upper Darby, PA who prioritize treating:

94% Anxiety
92% Depression
71% Relationship Issues
65% Trauma and PTSD
61% Self Esteem
59% Coping Skills
57% Grief

Average years in practice

11 Years

Top 3 insurances accepted

92% Aetna
76% Cigna and Evernorth
71% UnitedHealthcare UHC | UBH

How Therapists in Upper Darby, PA see their clients

63% In Person and Online
37% Online Only

Gender breakdown

76% Female
24% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Upper Darby?

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.