Therapists in Butte County, SD

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Photo of Hannah Simms - Rise Alone Therapy, Clinical Social Work/Therapist, LISW-CP
Rise Alone Therapy
Clinical Social Work/Therapist, LISW-CP
Online Only
Seeking therapy can feel overwhelming — especially within the unique pressures of military life. Rise Alone Therapy is a virtual group practice serving individuals and military families across South Dakota, Illinois, and New Mexico. We specialize in working with active-duty service members, military spouses, veterans, and those navigating deployments, PCS moves, relationship strain, career transitions, and the stigma that can surround asking for help. Our licensed therapists bring both clinical expertise and lived understanding of military culture.
Seeking therapy can feel overwhelming — especially within the unique pressures of military life. Rise Alone Therapy is a virtual group practice serving individuals and military families across South Dakota, Illinois, and New Mexico. We specialize in working with active-duty service members, military spouses, veterans, and those navigating deployments, PCS moves, relationship strain, career transitions, and the stigma that can surround asking for help. Our licensed therapists bring both clinical expertise and lived understanding of military culture.
(605) 640-6962 View (605) 640-6962
Photo of Patricia Aurand, Clinical Social Work/Therapist, CSW-PIP, MSW, MDiv
Patricia Aurand
Clinical Social Work/Therapist, CSW-PIP, MSW, MDiv
Belle Fourche, SD 57717
Have you ever been looking for something that seems out of reach, and then celebrated once you've reached what you were striving for? Or have you ever experienced a moment of great insight or understanding where suddenly everything makes sense? Those are both examples of what it is to have an "epiphany". Epiphany Mental Health was founded to provide space for you to reflect and explore where you are on life's journey and a partner to help guide you towards your desired destination.
Have you ever been looking for something that seems out of reach, and then celebrated once you've reached what you were striving for? Or have you ever experienced a moment of great insight or understanding where suddenly everything makes sense? Those are both examples of what it is to have an "epiphany". Epiphany Mental Health was founded to provide space for you to reflect and explore where you are on life's journey and a partner to help guide you towards your desired destination.
(605) 349-1694 View (605) 349-1694
Photo of William Kirk, Clinical Social Work/Therapist, LCSW
William Kirk
Clinical Social Work/Therapist, LCSW
Online Only
I value deep self-exploration and find real meaning in the continued growth and change we experience as humans. That often shows up in conversations about identity, purpose, meaning-making, and spirituality. I take your well-being seriously, but I do not believe therapy has to feel rigid or overly formal. I aim to show up authentically and create a space where you feel safe enough to do the same.
I value deep self-exploration and find real meaning in the continued growth and change we experience as humans. That often shows up in conversations about identity, purpose, meaning-making, and spirituality. I take your well-being seriously, but I do not believe therapy has to feel rigid or overly formal. I aim to show up authentically and create a space where you feel safe enough to do the same.
(605) 646-4352 View (605) 646-4352
Photo of Kristal Steeves, Licensed Professional Counselor, LPC
Kristal Steeves
Licensed Professional Counselor, LPC
Online Only
You've spent decades showing up for everyone else. And now — somewhere in your 30s, 40s, or 50s — something has shifted. Your sleep is fractured. Emotions feel out of sync. Your focus slips in ways that scare you. Your sense of self feels blurry. No one prepared you for this. Maybe doctors have told you it's "just stress" or "just aging." But what you're experiencing has a neurological explanation. Perimenopause and menopause change your brain, not just your body. That's not weakness. That's biology meeting an unsupported life transition.
You've spent decades showing up for everyone else. And now — somewhere in your 30s, 40s, or 50s — something has shifted. Your sleep is fractured. Emotions feel out of sync. Your focus slips in ways that scare you. Your sense of self feels blurry. No one prepared you for this. Maybe doctors have told you it's "just stress" or "just aging." But what you're experiencing has a neurological explanation. Perimenopause and menopause change your brain, not just your body. That's not weakness. That's biology meeting an unsupported life transition.
(605) 659-7211 View (605) 659-7211
Photo of Chelsie Ogaard, Clinical Social Work/Therapist, MSW, CSWPIP, QMHP
Chelsie Ogaard
Clinical Social Work/Therapist, MSW, CSWPIP, QMHP
1 Endorsed
Belle Fourche, SD 57717
I specialize in supporting older adults as they navigate changing health, increasing care needs, and the loss of independence. I also work with caregivers of aging parents—especially those supporting a loved one with dementia—who often carry exhaustion, guilt, grief, and deep love all at once. My approach is grounded in compassion, respect, and a steady presence. Whether you are an older adult facing new challenges or a caregiver trying to hold everything together, you don’t have to walk this path alone. Together, we’ll honor the realities of aging, and find support that feels both sustainable and hopeful.
I specialize in supporting older adults as they navigate changing health, increasing care needs, and the loss of independence. I also work with caregivers of aging parents—especially those supporting a loved one with dementia—who often carry exhaustion, guilt, grief, and deep love all at once. My approach is grounded in compassion, respect, and a steady presence. Whether you are an older adult facing new challenges or a caregiver trying to hold everything together, you don’t have to walk this path alone. Together, we’ll honor the realities of aging, and find support that feels both sustainable and hopeful.
(605) 349-3143 View (605) 349-3143
Photo of David G May, Marriage & Family Therapist, MFT
David G May
Marriage & Family Therapist, MFT
Serves Area
It is time for you to spread your wings and fly. Children, teen, adult, couple, or family, my proven, unique, modern approach works through unresolved emotions of past relationships that affect who we are, the decisions we make, behaviors we have, reactions we have, relationships we seek and even relationships we avoid that keep us from being who we want to be. If you have been through other therapies or learning coping skills that no longer work, or are new and want to get to the root of healing, this is the place for you.
It is time for you to spread your wings and fly. Children, teen, adult, couple, or family, my proven, unique, modern approach works through unresolved emotions of past relationships that affect who we are, the decisions we make, behaviors we have, reactions we have, relationships we seek and even relationships we avoid that keep us from being who we want to be. If you have been through other therapies or learning coping skills that no longer work, or are new and want to get to the root of healing, this is the place for you.
(605) 641-7786 View (605) 641-7786
Photo of Michele M Clodfelder, Licensed Professional Counselor, MS, LPC-MH, EAP
Michele M Clodfelder
Licensed Professional Counselor, MS, LPC-MH, EAP
1 Endorsed
Serves Area
I get it, being overwhelmed, worried about everything and just plain tired of life is an issue we will experience at some point in our lives. I can help. Anxiety pushing you to do more - then you realize no matter what you do it's not enough. I can help. Every phase of our life means we are relearning the same lesson, different situation. I can help. Feeling stuck and not seeing any way out of a situation can be paralyzing. I can help. Grief true deep grief, not understanding how to move through it. I can help. ANGER all the time, easily irritated? I can help. Give me a chance I can help.
I get it, being overwhelmed, worried about everything and just plain tired of life is an issue we will experience at some point in our lives. I can help. Anxiety pushing you to do more - then you realize no matter what you do it's not enough. I can help. Every phase of our life means we are relearning the same lesson, different situation. I can help. Feeling stuck and not seeing any way out of a situation can be paralyzing. I can help. Grief true deep grief, not understanding how to move through it. I can help. ANGER all the time, easily irritated? I can help. Give me a chance I can help.
(605) 534-8669 View (605) 534-8669
Photo of Amber Mckinney, Licensed Professional Counselor, LPCMH
Amber Mckinney
Licensed Professional Counselor, LPCMH
Online Only
My name is Amber and I am just your average woman living life in the midwest. I am a wife, mother to 3 littles and therapist. I have served all kinds of populations from incarceration to outpatient working with kiddos as young as 3 to adults in their 80s. What you see in session, the laid back, goofy but can be blunt person is who you'd meet on the street if you saw me in public. I believe healing comes from within but also from the people you choose to surround yourself with. Some people have a great support system and others have me as their cheerleader and I strive to be a good one.
My name is Amber and I am just your average woman living life in the midwest. I am a wife, mother to 3 littles and therapist. I have served all kinds of populations from incarceration to outpatient working with kiddos as young as 3 to adults in their 80s. What you see in session, the laid back, goofy but can be blunt person is who you'd meet on the street if you saw me in public. I believe healing comes from within but also from the people you choose to surround yourself with. Some people have a great support system and others have me as their cheerleader and I strive to be a good one.
(605) 836-6589 View (605) 836-6589
Photo of Brecken Wilkinson, Pre-Licensed Professional, MS, MFT/sup
Brecken Wilkinson
Pre-Licensed Professional, MS, MFT/sup
Serves Area
Are you wanting to process past experiences or looking for tools to manage everyday stress? I believe healing looks different for everyone, and I enjoy working collaboratively and authentically to discover what feels most helpful and empowering for you. At Ensō Mental Health, we offer compassionate and competent mental health care in an environment that is just as healthy for our staff as it is for you, our client! We practice what we teach, and we want to teach you to live your best life.
Are you wanting to process past experiences or looking for tools to manage everyday stress? I believe healing looks different for everyone, and I enjoy working collaboratively and authentically to discover what feels most helpful and empowering for you. At Ensō Mental Health, we offer compassionate and competent mental health care in an environment that is just as healthy for our staff as it is for you, our client! We practice what we teach, and we want to teach you to live your best life.
(605) 633-5079 View (605) 633-5079
Photo of Tracy Candace Hunt - Tracy Hunt, The Life Counseling, Licensed Professional Counselor, LPC, MH
Tracy Hunt, The Life Counseling
Licensed Professional Counselor, LPC, MH
2 Endorsed
Serves Area
I believe in a holistic, person-centered approach to wellness, one that honors the complexity of each individual and takes into account the full spectrum of who you are—physical, mental, emotional, and spiritual. In my work, I strive to create a safe, collaborative space where we can explore your experiences and challenges together, tailoring strategies that evolve as you do. Every person is unique, and I’m committed to an approach that’s as individualized as you are. I strive to help clients achieve their goals and heal from issues that may be interfering with personal growth and fulfilling relationships with themselves and others
I believe in a holistic, person-centered approach to wellness, one that honors the complexity of each individual and takes into account the full spectrum of who you are—physical, mental, emotional, and spiritual. In my work, I strive to create a safe, collaborative space where we can explore your experiences and challenges together, tailoring strategies that evolve as you do. Every person is unique, and I’m committed to an approach that’s as individualized as you are. I strive to help clients achieve their goals and heal from issues that may be interfering with personal growth and fulfilling relationships with themselves and others
(605) 847-7145 View (605) 847-7145
Photo of Jessica L Ruzicka, Licensed Professional Counselor, MS, LPC-MH, QMHP, NCC
Jessica L Ruzicka
Licensed Professional Counselor, MS, LPC-MH, QMHP, NCC
2 Endorsed
Serves Area
You deserve a supportive, genuine connection built on trust and respect. This is a place where your authenticity and vulnerability are deeply valued—because I believe they are the keys to a strong healing foundation. My approach is rooted in seeing you as a unique individual with the inherent potential for growth and well-being. At Ensō Mental Health, we offer compassionate and competent mental health care in an environment that is just as healthy for our staff as it is for you, our client! We practice what we teach, and we want to teach you to live your best life.
You deserve a supportive, genuine connection built on trust and respect. This is a place where your authenticity and vulnerability are deeply valued—because I believe they are the keys to a strong healing foundation. My approach is rooted in seeing you as a unique individual with the inherent potential for growth and well-being. At Ensō Mental Health, we offer compassionate and competent mental health care in an environment that is just as healthy for our staff as it is for you, our client! We practice what we teach, and we want to teach you to live your best life.
(605) 570-5094 View (605) 570-5094
Photo of Shannon Maxwell - Black Hills Psychology, Psychologist, PhD, CNP, LCSW
Black Hills Psychology
Psychologist, PhD, CNP, LCSW
Serves Area
Black Hills Psychology was formed to provide a comprehensive range of behavioral health services within one group practice. As a team of experienced and licensed psychologists, therapists, and medication providers, we offer a wide range of specialties and approaches to care for individuals of all ages. At Black Hills Psychology, you can be rest assured that you will be provided with the best care possible by a professional who is skilled to help you with the specific issues you are seeking to address. Each professional at our clinic has completed training and gained additional practical experience in their own areas of expertise.
Black Hills Psychology was formed to provide a comprehensive range of behavioral health services within one group practice. As a team of experienced and licensed psychologists, therapists, and medication providers, we offer a wide range of specialties and approaches to care for individuals of all ages. At Black Hills Psychology, you can be rest assured that you will be provided with the best care possible by a professional who is skilled to help you with the specific issues you are seeking to address. Each professional at our clinic has completed training and gained additional practical experience in their own areas of expertise.
(605) 657-4971 View (605) 657-4971
Photo of Julie Marie Birner - Addiction Recovery Centers of the Black Hills, Clinical Social Work/Therapist, LCSW, PIP, LAC
Addiction Recovery Centers of the Black Hills
Clinical Social Work/Therapist, LCSW, PIP, LAC
Serves Area
Have you been struggling with trauma and or substance use problems past or current in your life and find yourself stuck? We can help with sorting out these issues and give you tools to be able to live life to your fullest potential. I am trained in Motivational Interviewing, Cognitive Behavioral Therapy, and Accelerated Resolution Therapy (ART). ART is a technique that helps to restore mental health by changing the way distressing memories and images are stored in the brain. If we can change the images, we can eliminate the symptoms. It is just that simple.
Have you been struggling with trauma and or substance use problems past or current in your life and find yourself stuck? We can help with sorting out these issues and give you tools to be able to live life to your fullest potential. I am trained in Motivational Interviewing, Cognitive Behavioral Therapy, and Accelerated Resolution Therapy (ART). ART is a technique that helps to restore mental health by changing the way distressing memories and images are stored in the brain. If we can change the images, we can eliminate the symptoms. It is just that simple.
(605) 827-1273 View (605) 827-1273
Photo of Jeri K Fowler - Transformations Mental Health, Pre-Licensed Professional, MS, Pre-LPC, NCC
Transformations Mental Health
Pre-Licensed Professional, MS, Pre-LPC, NCC
1 Endorsed
Serves Area
I am Jeri Fowler a counselor at Transformations Mental Health. Seeking therapy requires courage, and I understand the importance of finding a therapist you can trust. My approach is grounded in honesty, transparency, and a commitment to the client's wellbeing.
I am Jeri Fowler a counselor at Transformations Mental Health. Seeking therapy requires courage, and I understand the importance of finding a therapist you can trust. My approach is grounded in honesty, transparency, and a commitment to the client's wellbeing.
(605) 467-8042 View (605) 467-8042

Online Therapists

Photo of Katie Schwenk, Clinical Social Work/Therapist, CSW-PIP, LCSW
Katie Schwenk
Clinical Social Work/Therapist, CSW-PIP, LCSW
Rapid City, SD 57701
Are you feeling overwhelmed by stress, anxiety, or challenging emotions? Do relationships and everyday struggles make it hard for you to feel at ease or fully enjoy life? If you're searching for ways to improve both your mental and physical well-being, I’m here to help you discover a path to healing that feels right for you. I believe that true wellness comes from nurturing all aspects of health—mental, emotional, and physical. Together, we’ll explore ways to calm your nervous system, improve sleep, nutrition, and exercise habits, and develop practical strategies for managing stress. Small changes can greatly effect how you feel.
Are you feeling overwhelmed by stress, anxiety, or challenging emotions? Do relationships and everyday struggles make it hard for you to feel at ease or fully enjoy life? If you're searching for ways to improve both your mental and physical well-being, I’m here to help you discover a path to healing that feels right for you. I believe that true wellness comes from nurturing all aspects of health—mental, emotional, and physical. Together, we’ll explore ways to calm your nervous system, improve sleep, nutrition, and exercise habits, and develop practical strategies for managing stress. Small changes can greatly effect how you feel.
(605) 453-5224 View (605) 453-5224
Photo of Tecie Turner-Newman, Clinical Social Work/Therapist, CSW-PIP
Tecie Turner-Newman
Clinical Social Work/Therapist, CSW-PIP
1 Endorsed
Rapid City, SD 57702
Living with chronic pain, dysautonomia, or symptoms that medicine can’t quite explain can feel like your own body is working against you. It is exhausting to feel "stuck" in a cycle of insomnia and anxiety, often while feeling deeply misunderstood by the world around you. I specialize in the nervous system dysregulation that drives these physical symptoms, and I have supported countless people to feel well in their bodies. I want you to know that even when a diagnosis feels hopeless, there is a biological path back to feeling well.
Living with chronic pain, dysautonomia, or symptoms that medicine can’t quite explain can feel like your own body is working against you. It is exhausting to feel "stuck" in a cycle of insomnia and anxiety, often while feeling deeply misunderstood by the world around you. I specialize in the nervous system dysregulation that drives these physical symptoms, and I have supported countless people to feel well in their bodies. I want you to know that even when a diagnosis feels hopeless, there is a biological path back to feeling well.
(605) 388-2036 View (605) 388-2036
Photo of Danielle Finn, Clinical Social Work/Therapist, CSW-PIP
Danielle Finn
Clinical Social Work/Therapist, CSW-PIP
1 Endorsed
Rapid City, SD 57701
I am passionate about assisting children, adolescents, and adults as they navigate family and relationship issues. Whether it is being a single parent, going through a divorce, having parents who are divorcing, the loss of a loved one, or the everyday stressors that come from the different relationships in your life, I am here to provide a safe space for you to share your feelings, navigate the transitions, and find peace along your journey. Book with me now by clicking on my website!
I am passionate about assisting children, adolescents, and adults as they navigate family and relationship issues. Whether it is being a single parent, going through a divorce, having parents who are divorcing, the loss of a loved one, or the everyday stressors that come from the different relationships in your life, I am here to provide a safe space for you to share your feelings, navigate the transitions, and find peace along your journey. Book with me now by clicking on my website!
(605) 808-0365 View (605) 808-0365
Photo of Kelly Reinhart, Clinical Social Work/Therapist, LCSW
Kelly Reinhart
Clinical Social Work/Therapist, LCSW
6 Endorsed
Rapid City, SD 57702
Waitlist for new clients
Do you find yourself striving for perfection, yet it never feels like enough? Do you struggle to express what you truly want or need—or even feel unsure of what those are? Are you feeling drained by your career or the stresses of daily life, and unsure how to feel like yourself again? These struggles are common, but they don’t have to define your life. Together, we can work toward clarity, confidence, and a renewed sense of self. I specialize in helping high-achieving professionals and caregivers who give so much to others learn how to reconnect with themselves, set healthy boundaries, and find fulfillment without burning out.
Do you find yourself striving for perfection, yet it never feels like enough? Do you struggle to express what you truly want or need—or even feel unsure of what those are? Are you feeling drained by your career or the stresses of daily life, and unsure how to feel like yourself again? These struggles are common, but they don’t have to define your life. Together, we can work toward clarity, confidence, and a renewed sense of self. I specialize in helping high-achieving professionals and caregivers who give so much to others learn how to reconnect with themselves, set healthy boundaries, and find fulfillment without burning out.
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Photo of Melissa Watson Davis, Counselor, MA, NCC
Melissa Watson Davis
Counselor, MA, NCC
2 Endorsed
Online Only
Waitlist for new clients
I have an innate desire to help others find relief from psychological distress and look forward to helping pre-marital couples, marriage, family, children, adolescent, and women tell their story, discover growth and healing, and create a life they love. As a previous military spouse, I understand these unique challenges as well. I also have over seven years of experience in early childhood education, have a firm grasp on childhood challenges, and look forward to learning more. Furthermore, I have a passion to empower and encourage women of all ages to explore, discover, heal, and grow into the person they desire.
I have an innate desire to help others find relief from psychological distress and look forward to helping pre-marital couples, marriage, family, children, adolescent, and women tell their story, discover growth and healing, and create a life they love. As a previous military spouse, I understand these unique challenges as well. I also have over seven years of experience in early childhood education, have a firm grasp on childhood challenges, and look forward to learning more. Furthermore, I have a passion to empower and encourage women of all ages to explore, discover, heal, and grow into the person they desire.
(605) 599-1433 View (605) 599-1433
Photo of David Nilsen, Clinical Social Work/Therapist, LCSW
David Nilsen
Clinical Social Work/Therapist, LCSW
Online Only
I am a licensed clinical social worker with an endorsement in addiction. I am dedicated to providing compassionate care and support to help you navigate your mental health journey. Using techniques such as motivational interviewing, cognitive-behavioral therapy (CBT), and harm reduction, I aim to empower you with the tools and resources needed for a brighter, healthier future.
I am a licensed clinical social worker with an endorsement in addiction. I am dedicated to providing compassionate care and support to help you navigate your mental health journey. Using techniques such as motivational interviewing, cognitive-behavioral therapy (CBT), and harm reduction, I aim to empower you with the tools and resources needed for a brighter, healthier future.
(605) 597-8510 View (605) 597-8510

See more therapy options for Butte County

How does your Therapist compare?

Number of Therapists in Butte County, SD

10+

Average cost per session

$209

Therapists in Butte County, SD who prioritize treating:

93% Anxiety
86% Grief
79% Depression
79% Trauma and PTSD
71% Self Esteem
71% Stress
64% Marriage Counseling

Average years in practice

13 Years

Top 3 insurances accepted

57% BlueCross and BlueShield
57% Medicaid
57% Wellmark BCBS

How Therapists in Butte County, SD see their clients

71% In Person and Online
29% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Butte County?

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.