Therapists in Harrisburg, PA

Photo of Diane Edmond Therapy and LPC Supervsion, Licensed Professional Counselor in Harrisburg, PA
Diane Edmond Therapy and LPC Supervsion
Licensed Professional Counselor, MS, LPC, CAADC
Verified Verified
1 Endorsed
Harrisburg, PA 17110
Waitlist for new clients
Are you struggling with depression, anxiety or bipolar disorder? Are you coping with the aftermath of trauma, abuse or effects of active military experience? Are you or a family member using drugs or alcohol to self-medicate? My clinical experience includes over 25 years in the field working in a variety of settings including inpatient and outpatient substance abuse, outpatient mental health , and working with children in foster care. I have an eclectic approach with a emphasis on cognitive therapy. I have an advanced certification in addictions and extensive work with trauma including EMDR.
Are you struggling with depression, anxiety or bipolar disorder? Are you coping with the aftermath of trauma, abuse or effects of active military experience? Are you or a family member using drugs or alcohol to self-medicate? My clinical experience includes over 25 years in the field working in a variety of settings including inpatient and outpatient substance abuse, outpatient mental health , and working with children in foster care. I have an eclectic approach with a emphasis on cognitive therapy. I have an advanced certification in addictions and extensive work with trauma including EMDR.
(717) 454-2377 View (717) 454-2377
Photo of Kyle Newkam, Licensed Professional Counselor in Harrisburg, PA
Kyle Newkam
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
1 Endorsed
Harrisburg, PA 17102
Not accepting new clients
Availability: None at this time. I work with children, adolescents, and adults. I am a believer that counseling is a place where an individual can work to understand themselves (developing self-awareness) and manage themselves (managing mind-body and true self). My job is to help you in your journey of personal growth. Every person has unique and valuable skills within them. Our goal in therapy is to find what you want to change, what those unique skills are, and to work toward your goals. Often times people come to therapy because they feel disconnected and struggling. Our therapy will be a place for rejuvenation.
Availability: None at this time. I work with children, adolescents, and adults. I am a believer that counseling is a place where an individual can work to understand themselves (developing self-awareness) and manage themselves (managing mind-body and true self). My job is to help you in your journey of personal growth. Every person has unique and valuable skills within them. Our goal in therapy is to find what you want to change, what those unique skills are, and to work toward your goals. Often times people come to therapy because they feel disconnected and struggling. Our therapy will be a place for rejuvenation.
(717) 384-2418 View (717) 384-2418
Photo of Charles Rob Reed, Licensed Professional Counselor in Harrisburg, PA
Charles Rob Reed
Licensed Professional Counselor, LPC
Verified Verified
Harrisburg, PA 17112
Rob Reed is a Licensed Professional Counselor in Pennsylvania who has been practicing since 2021. Rob is passionate about helping people find freedom from anxiety, depression, addiction, or any other life struggles that are holding them back. Rob wants to help his clients understand who they are, and live healthy fulfilling lives mentally, relationally, physically, and spiritually. Counseling is going to be whatever you make of it. Rob is here to help you identify your wants and needs then work through how to achieve these goals.
Rob Reed is a Licensed Professional Counselor in Pennsylvania who has been practicing since 2021. Rob is passionate about helping people find freedom from anxiety, depression, addiction, or any other life struggles that are holding them back. Rob wants to help his clients understand who they are, and live healthy fulfilling lives mentally, relationally, physically, and spiritually. Counseling is going to be whatever you make of it. Rob is here to help you identify your wants and needs then work through how to achieve these goals.
(717) 971-4556 View (717) 971-4556
Photo of Collaborative Mental Wellness, Clinical Social Work/Therapist in Harrisburg, PA
Collaborative Mental Wellness
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Harrisburg, PA 17110
My name is Duronn Stern and I am the owner of Collaborative Mental Wellness. I know dealing with life can be difficult. Creating a pathway towards change to improve your life sometimes requires help without the fear of being judged. Allow me to collaborate with you a trustworthy, confidential, and therapeutic alliance. Together we can navigate issues and/or concerns that prevent you from fully thriving. Whether it be an obstacle you are currently facing, or past trauma, together we can do the work to help reposition you to reach your full potential. I know how important it is to be heard, understood, and accepted.
My name is Duronn Stern and I am the owner of Collaborative Mental Wellness. I know dealing with life can be difficult. Creating a pathway towards change to improve your life sometimes requires help without the fear of being judged. Allow me to collaborate with you a trustworthy, confidential, and therapeutic alliance. Together we can navigate issues and/or concerns that prevent you from fully thriving. Whether it be an obstacle you are currently facing, or past trauma, together we can do the work to help reposition you to reach your full potential. I know how important it is to be heard, understood, and accepted.
(717) 219-5349 View (717) 219-5349
Photo of Corey Burton, Licensed Professional Counselor in Harrisburg, PA
Corey Burton
Licensed Professional Counselor, MS, LPC
Verified Verified
3 Endorsed
Harrisburg, PA 17102
Waitlist for new clients
Have you experienced changes in your life? Has these changes caused you to feel stuck or under pressure? There is resiliency in all of our stories, but it can leave us feeling unheard and misunderstood. We all have a unique journey. Learning to navigate these changes and understand your resiliency. Learning to use your strength to survive as a skill to live life to the fullest. It would be my pleasure to walk with you on your journey of growth. This starts with assurance of a judgement free environment and acceptance. We all need a space to be heard and seen.
Have you experienced changes in your life? Has these changes caused you to feel stuck or under pressure? There is resiliency in all of our stories, but it can leave us feeling unheard and misunderstood. We all have a unique journey. Learning to navigate these changes and understand your resiliency. Learning to use your strength to survive as a skill to live life to the fullest. It would be my pleasure to walk with you on your journey of growth. This starts with assurance of a judgement free environment and acceptance. We all need a space to be heard and seen.
(223) 217-2336 View (223) 217-2336
Photo of Joy Hutchinson, Clinical Social Work/Therapist in Harrisburg, PA
Joy Hutchinson
Clinical Social Work/Therapist, LCSW
Verified Verified
Harrisburg, PA 17112  (Online Only)
There have been a lot of changes in the past two years. With those changes, I have witnessed an increase in depression and anxiety of those around me. If this describes you, I am here to help. I am available to help anyone who is looking to increase their coping skills and get back to enjoying their lives. I utilize evidenced-based practices such as Cognitive Behavioral Therapy to address how someone's thoughts are interfering with achieving their goals. We set small, baby steps each week to work towards obtaining their treatment goal, and will evaluate barriers to their success.
There have been a lot of changes in the past two years. With those changes, I have witnessed an increase in depression and anxiety of those around me. If this describes you, I am here to help. I am available to help anyone who is looking to increase their coping skills and get back to enjoying their lives. I utilize evidenced-based practices such as Cognitive Behavioral Therapy to address how someone's thoughts are interfering with achieving their goals. We set small, baby steps each week to work towards obtaining their treatment goal, and will evaluate barriers to their success.
(717) 946-8415 View (717) 946-8415
Photo of CityCouples Online Therapy, Marriage & Family Therapist in Harrisburg, PA
CityCouples Online Therapy
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Harrisburg, PA 17109  (Online Only)
You're going through a relationship crisis, feeling confused about how to get on the same page, or frustrated with the state of your connection. You remember when things were different, and you're ready to make changes that will get you on the path to the future you hope to have, together. We know how to help! We offer expert online therapy for couples in New York, Pennsylvania, Florida, and Worldwide. Take a look at our available therapists at citycouples.net/meet-our-team. Our specialities include communication, betrayal recovery, ENM, LGBTQIA+ relationships, and more.
You're going through a relationship crisis, feeling confused about how to get on the same page, or frustrated with the state of your connection. You remember when things were different, and you're ready to make changes that will get you on the path to the future you hope to have, together. We know how to help! We offer expert online therapy for couples in New York, Pennsylvania, Florida, and Worldwide. Take a look at our available therapists at citycouples.net/meet-our-team. Our specialities include communication, betrayal recovery, ENM, LGBTQIA+ relationships, and more.
(833) 204-3561 View (833) 204-3561
Photo of Valarie Bielicki, Licensed Professional Counselor in Harrisburg, PA
Valarie Bielicki
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Harrisburg, PA 17110  (Online Only)
Therapy can be scary, but so is remaining exactly the same. If you are looking to reach your goals, improve your relationships, or just have an overall better quality of life, I want to help. My goal is to create a comfortable, safe, and supportive environment where you can work at your own pace to achieve what you want out of therapy and out of life.
Therapy can be scary, but so is remaining exactly the same. If you are looking to reach your goals, improve your relationships, or just have an overall better quality of life, I want to help. My goal is to create a comfortable, safe, and supportive environment where you can work at your own pace to achieve what you want out of therapy and out of life.
(717) 229-9409 View (717) 229-9409
Photo of Sean M. O'Dell, Psychologist in Harrisburg, PA
Sean M. O'Dell
Psychologist, PhD, LP, HSP-P
Verified Verified
Harrisburg, PA 17110
After asking your teenager countless times to clean their room, you walk in to see them playing video games with their dirty socks all over the floor! Now you’re seeing red. You’re either giving in to their bad behavior, snapping in frustration, and then feeling guilty about it. You know your kid needs extra support. His teachers have been throwing around “ADHD” as a diagnosis, but no one has any helpful advice. You’re in over your head. The habits he learns now will affect the rest of his life, and you feel like you’re failing him as a parent. You want what’s best for your child­, but this feels like more than you can handle alone.
After asking your teenager countless times to clean their room, you walk in to see them playing video games with their dirty socks all over the floor! Now you’re seeing red. You’re either giving in to their bad behavior, snapping in frustration, and then feeling guilty about it. You know your kid needs extra support. His teachers have been throwing around “ADHD” as a diagnosis, but no one has any helpful advice. You’re in over your head. The habits he learns now will affect the rest of his life, and you feel like you’re failing him as a parent. You want what’s best for your child­, but this feels like more than you can handle alone.
(717) 923-5351 View (717) 923-5351
Photo of Katie Novak Counseling, Licensed Professional Counselor in Harrisburg, PA
Katie Novak Counseling
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
Harrisburg, PA 17110
Every person has the ability to tap into their potential and recognize that they are a unique gift to the world. Many of my clients have not been aware that they can learn self-control, problem solving, courage, spiritual serenity, and find joy in life. They may be held back by internalized negative beliefs about themselves and others. We all need to be heard, validated, challenged, and supported as we take the next step. I love to help people find balance in their lives, and build healthy relationships. Depending on the needs of the client, I may use worksheets, visual aids, bibliotherapy, therapy games, play therapy techniques.
Every person has the ability to tap into their potential and recognize that they are a unique gift to the world. Many of my clients have not been aware that they can learn self-control, problem solving, courage, spiritual serenity, and find joy in life. They may be held back by internalized negative beliefs about themselves and others. We all need to be heard, validated, challenged, and supported as we take the next step. I love to help people find balance in their lives, and build healthy relationships. Depending on the needs of the client, I may use worksheets, visual aids, bibliotherapy, therapy games, play therapy techniques.
(717) 429-0493 View (717) 429-0493
Photo of Tony Reigle, Licensed Professional Counselor in Harrisburg, PA
Tony Reigle
Licensed Professional Counselor, PhD, CCTP-II, NLP
Verified Verified
1 Endorsed
Harrisburg, PA 17109
Reigle Therapeutics Group uses virtual and office based services to meet your every day needs! We provide psychotherapeutic support to Adults, Adolescents, and Children in individual, couples, or family settings as well as specialize in psychotherapeutic support to First Responders, Veterans/Military and Healthcare Workers trying to manage the personal and professional impacts of the work they do.
Reigle Therapeutics Group uses virtual and office based services to meet your every day needs! We provide psychotherapeutic support to Adults, Adolescents, and Children in individual, couples, or family settings as well as specialize in psychotherapeutic support to First Responders, Veterans/Military and Healthcare Workers trying to manage the personal and professional impacts of the work they do.
(717) 952-9508 View (717) 952-9508
Photo of Cameron Manahan, Clinical Social Work/Therapist in Harrisburg, PA
Cameron Manahan
Clinical Social Work/Therapist, LCSW
Verified Verified
Harrisburg, PA 17104
Empowering people to help find their true actualized selves- I will help support and inspire you to be the best you can be with tools in your toolbox to facilitate more hope for the future. I support those living in West Virginia, Delaware, Ohio as well is Pennsylvania online and for Pa; in person. I look forward to working with you!
Empowering people to help find their true actualized selves- I will help support and inspire you to be the best you can be with tools in your toolbox to facilitate more hope for the future. I support those living in West Virginia, Delaware, Ohio as well is Pennsylvania online and for Pa; in person. I look forward to working with you!
(223) 332-4252 View (223) 332-4252
Photo of Jessica Hendrix, Clinical Social Work/Therapist in Harrisburg, PA
Jessica Hendrix
Clinical Social Work/Therapist, LPC
Verified Verified
Harrisburg, PA 17112
Jessica is a Licensed Professional Counselor who earned her Master of Science degree in Community Counseling from Columbus State University in Georgia. Jessica works with adults who are experiencing problems with anxiety, depression, trauma, relationship concerns, and adjustment problems. She uses an eclectic style that includes Cognitive Behavioral Therapy (CBT). Her therapy focus is to aid her clients in recognizing and addressing unhelpful thinking styles so that they may find more effective means for working through problems.
Jessica is a Licensed Professional Counselor who earned her Master of Science degree in Community Counseling from Columbus State University in Georgia. Jessica works with adults who are experiencing problems with anxiety, depression, trauma, relationship concerns, and adjustment problems. She uses an eclectic style that includes Cognitive Behavioral Therapy (CBT). Her therapy focus is to aid her clients in recognizing and addressing unhelpful thinking styles so that they may find more effective means for working through problems.
(717) 922-4988 View (717) 922-4988
Photo of Sarah Miller LCSW, Clinical Social Work/Therapist in Harrisburg, PA
Sarah Miller LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Harrisburg, PA 17102
Navigating these challenging times can often feel impossible. You’re not alone! Whether you are grieving the loss of a dear friend or loved one, coping with changes in relationships and routines, facing a chronic illness that is making it hard to even get out of bed some days, or you just feel stuck, overwhelmed, and don’t see a way through your circumstances, I’m here to help! Together, we can develop tools that will prove to be a steady anchor, allowing you to weather life’s future storms.
Navigating these challenging times can often feel impossible. You’re not alone! Whether you are grieving the loss of a dear friend or loved one, coping with changes in relationships and routines, facing a chronic illness that is making it hard to even get out of bed some days, or you just feel stuck, overwhelmed, and don’t see a way through your circumstances, I’m here to help! Together, we can develop tools that will prove to be a steady anchor, allowing you to weather life’s future storms.
(717) 937-8065 View (717) 937-8065
Photo of Alexandria L Jones ( Holistic Sex And Relationship Therapist), Clinical Social Work/Therapist in Harrisburg, PA
Alexandria L Jones ( Holistic Sex And Relationship Therapist)
Clinical Social Work/Therapist, MSW, LMSW, KAP-C
Verified Verified
1 Endorsed
Harrisburg, PA 17109
Welcome to RHS, I hold a Master of Social Work Degree from Kutztown University of Pennsylvania. Currently specializing in Sex and Relationship Therapy, Ketamine Assisted Psychotherapy, Family systems therapy, and a wide variety of mindfulness-based holistic clinical approaches. I am currently being supervised by Dr. Tony Reigle, PhD, LPC and Dr. Estefanía Simich Muñoz, PhD, LCPC, CST, CST-S, Patricia Rich LCSW, CST-S, CST. I work with women, men, 2SLGBTQ+, survivors of abuse, folks with HIV/AIDS, in the Kink/BDSM lifestyle, folks struggling with sexual function issues, and those in relationships struggling to build intimacy.
Welcome to RHS, I hold a Master of Social Work Degree from Kutztown University of Pennsylvania. Currently specializing in Sex and Relationship Therapy, Ketamine Assisted Psychotherapy, Family systems therapy, and a wide variety of mindfulness-based holistic clinical approaches. I am currently being supervised by Dr. Tony Reigle, PhD, LPC and Dr. Estefanía Simich Muñoz, PhD, LCPC, CST, CST-S, Patricia Rich LCSW, CST-S, CST. I work with women, men, 2SLGBTQ+, survivors of abuse, folks with HIV/AIDS, in the Kink/BDSM lifestyle, folks struggling with sexual function issues, and those in relationships struggling to build intimacy.
(717) 970-5545 View (717) 970-5545
Photo of InStride Health, Psychologist in Harrisburg, PA
InStride Health
Psychologist, PhD
Verified Verified
Harrisburg, PA 17101  (Online Only)
InStride Health specializes in treating young patients whose anxiety or OCD is causing significant impairment in life (ie., school avoidance, social isolation, family disruption, and physical manifestations.) Practicing evidence-based treatment (CBT, ACT, components of DBT) with an emphasis on exposure, the InStride team empowers youth to face their fears and build resilience.
InStride Health specializes in treating young patients whose anxiety or OCD is causing significant impairment in life (ie., school avoidance, social isolation, family disruption, and physical manifestations.) Practicing evidence-based treatment (CBT, ACT, components of DBT) with an emphasis on exposure, the InStride team empowers youth to face their fears and build resilience.
(223) 217-5270 View (223) 217-5270
Photo of Betsy Earnest, LPC LLC, Licensed Professional Counselor in Harrisburg, PA
Betsy Earnest, LPC LLC
Licensed Professional Counselor, MS, LPC
Verified Verified
Harrisburg, PA 17111  (Online Only)
Are feelings of anxiety or self-doubt keeping you from enjoying life? Do you feel your relationships could be better? No matter how stuck you may feel, together we can uncover the obstacles that stand in your way and find your inner strength to make the changes you desire.
Are feelings of anxiety or self-doubt keeping you from enjoying life? Do you feel your relationships could be better? No matter how stuck you may feel, together we can uncover the obstacles that stand in your way and find your inner strength to make the changes you desire.
(717) 229-1325 View (717) 229-1325
Photo of Andrea Love-Sanders, Pre-Licensed Professional in Harrisburg, PA
Andrea Love-Sanders
Pre-Licensed Professional, MA
Verified Verified
Harrisburg, PA 17109
Have you been considering beginning therapy for some time? Do you need to talk to someone about any troubles you are currently experiencing or from the past? Do you sense that you're having a bad day but don't know why? Do you and your partner have relationship issues?
Have you been considering beginning therapy for some time? Do you need to talk to someone about any troubles you are currently experiencing or from the past? Do you sense that you're having a bad day but don't know why? Do you and your partner have relationship issues?
(717) 493-8667 x705 View (717) 493-8667 x705
Photo of Cognitive Behavior Institute, Clinical Social Work/Therapist in Harrisburg, PA
Cognitive Behavior Institute
Clinical Social Work/Therapist
Verified Verified
Harrisburg, PA 17112
Welcome to Cognitive Behavior Institute! We are committed to providing the best care possible through established treatment methods. These treatment methods are proven to be effective for a wide range of mental health diagnoses and psychological distresses. Cognitive Behavior Institute (CBI) is proud to employ adept licensed clinicians, board-certified psychiatrists, and compassionate administrative staff with diverse experience in their respective fields.
Welcome to Cognitive Behavior Institute! We are committed to providing the best care possible through established treatment methods. These treatment methods are proven to be effective for a wide range of mental health diagnoses and psychological distresses. Cognitive Behavior Institute (CBI) is proud to employ adept licensed clinicians, board-certified psychiatrists, and compassionate administrative staff with diverse experience in their respective fields.
(717) 539-5807 View (717) 539-5807
Photo of Relationship Consultants in Harrisburg, PA
Relationship Consultants
MA
Verified Verified
1 Endorsed
Harrisburg, PA 17109  (Online Only)
As an agency we have been supporting people via online sessions, with everything that falls “outside the box”. If you are encountering relationship problems, you may have found that it is easier to procrastinate rather than to seek the relationship advice and tools that you need. You may have even been waiting to seek consulting or coaching services for years. Meanwhile your relationship difficulties have only been getting worse. Our consulting services are designed to help you communicate better and make sustainable changes that will benefit you and your family throughout your lives to come back to loving one another.
As an agency we have been supporting people via online sessions, with everything that falls “outside the box”. If you are encountering relationship problems, you may have found that it is easier to procrastinate rather than to seek the relationship advice and tools that you need. You may have even been waiting to seek consulting or coaching services for years. Meanwhile your relationship difficulties have only been getting worse. Our consulting services are designed to help you communicate better and make sustainable changes that will benefit you and your family throughout your lives to come back to loving one another.
(223) 215-5426 View (223) 215-5426

How does your Therapist compare?

Number of Therapists in Harrisburg, PA

300+

Average cost per session

$125

Therapists in Harrisburg, PA who prioritize treating:

94% Anxiety
89% Depression
72% Trauma and PTSD
72% Self Esteem
70% Coping Skills
68% Relationship Issues
63% Stress

Average years in practice

11 Years

Top 3 insurances accepted

80% Highmark
74% Optum
71% Aetna

How Therapists in Harrisburg, PA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

74% Female
24% Male
2% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Harrisburg?

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.