Therapists in Custer, SD

Photo of Sonja Tennyson - Healing Reflections, LCSW, Clinical Social Work/Therapist
Healing Reflections
Clinical Social Work/Therapist, LCSW
Verified Verified
Custer, SD 57730
If your child or teen is struggling to navigate life's challenges, know that you're not alone. I am here to walk alongside you on your journey toward healing and growth. Whether they are coping with the effects of trauma, facing difficulties at school, struggling with anxiety, depression, self-esteem, behavioral challenges, or many of the life transitions we go through, I offer a safe and supportive space where we can explore your emotions and find the strength within you and your child to overcome obstacles.
If your child or teen is struggling to navigate life's challenges, know that you're not alone. I am here to walk alongside you on your journey toward healing and growth. Whether they are coping with the effects of trauma, facing difficulties at school, struggling with anxiety, depression, self-esteem, behavioral challenges, or many of the life transitions we go through, I offer a safe and supportive space where we can explore your emotions and find the strength within you and your child to overcome obstacles.
(605) 657-4487 View (605) 657-4487
Photo of Nancy Peterson - Black Hills Fireside Counseling LLC, MSEd, LPC-MH, QMHP, Licensed Professional Counselor
Black Hills Fireside Counseling LLC
Licensed Professional Counselor, MSEd, LPC-MH, QMHP
Verified Verified
Custer, SD 57730
No-one likes to feel that life is out of balance or spinning out of control. It is a sign of strength and determination to seek help. No matter what challenges you are facing, there is help and there is hope. Black Hills Fireside Counseling LLC provides a comfortable and inviting environment in which you can safely share the issues you are facing, helping you towards a good resolution.
No-one likes to feel that life is out of balance or spinning out of control. It is a sign of strength and determination to seek help. No matter what challenges you are facing, there is help and there is hope. Black Hills Fireside Counseling LLC provides a comfortable and inviting environment in which you can safely share the issues you are facing, helping you towards a good resolution.
(605) 250-3577 View (605) 250-3577
Photo of Lesley Anne Dzintars, LPC-MH, QMHP, CBP, Licensed Professional Counselor
Lesley Anne Dzintars
Licensed Professional Counselor, LPC-MH, QMHP, CBP
Verified Verified
Serves Area
Are you being the best version of yourself? Does life seem to flow with ease? Do you feel joyful? Therapy is a tool that can move you toward this state of being and way of living. Much of what we observe and experience in today's world may be chaotic, stressful and perhaps painful. How can we be "in the world" but not "of the world?" How can we be our best selves regardless of what surrounds us? Thinking patterns and unconscious habits are often barriers to living fully. How can we learn to transcend and live a life of hope and love.
Are you being the best version of yourself? Does life seem to flow with ease? Do you feel joyful? Therapy is a tool that can move you toward this state of being and way of living. Much of what we observe and experience in today's world may be chaotic, stressful and perhaps painful. How can we be "in the world" but not "of the world?" How can we be our best selves regardless of what surrounds us? Thinking patterns and unconscious habits are often barriers to living fully. How can we learn to transcend and live a life of hope and love.
(605) 250-4634 View (605) 250-4634
Photo of Casey Raby - Tree of Life Counseling Services, LLC, MA, Pre-Licensed Professional
Tree of Life Counseling Services, LLC
Pre-Licensed Professional, MA
Verified Verified
Serves Area
Does life feel overwhelming at times? Do life’s storms sometimes feel like more than you can handle? I would be honored to walk with you as you traverse life’s stormiest seasons. I believe counseling is a collaborative partnership between counselor and client, and I am passionate about working with individuals and couples who are struggling with both large and small life issues. I believe in a client-centered, integrative framework in which we work together to identify and build on your strengths while addressing any issues that are causing you difficulty.
Does life feel overwhelming at times? Do life’s storms sometimes feel like more than you can handle? I would be honored to walk with you as you traverse life’s stormiest seasons. I believe counseling is a collaborative partnership between counselor and client, and I am passionate about working with individuals and couples who are struggling with both large and small life issues. I believe in a client-centered, integrative framework in which we work together to identify and build on your strengths while addressing any issues that are causing you difficulty.
(605) 525-6500 View (605) 525-6500
Photo of Triscell Evonne Knuppe - Knuppe Counseling, LLC, LCSW, PIP, MSW, Clinical Social Work/Therapist
Knuppe Counseling, LLC
Clinical Social Work/Therapist, LCSW, PIP, MSW
Verified Verified
1 Endorsed
Serves Area
Not accepting new clients
I have worked with all ages, as well as individuals, couples and families with a variety of challenges. I have specialty training in family therapy, helping families dealing with challenging behaviors and communication. I am trauma focused, cognitive behavioral therapy trained. I am also EMDR trained. I have facilitated group therapy for parenting and will be doing more groups on other issues. I am solution focused and offer unconditional, positive regard for all. This is an LGBTQ+ safe space.
I have worked with all ages, as well as individuals, couples and families with a variety of challenges. I have specialty training in family therapy, helping families dealing with challenging behaviors and communication. I am trauma focused, cognitive behavioral therapy trained. I am also EMDR trained. I have facilitated group therapy for parenting and will be doing more groups on other issues. I am solution focused and offer unconditional, positive regard for all. This is an LGBTQ+ safe space.
(605) 413-4219 View (605) 413-4219
Photo of Gaylen Bendewald, MSW, Clinical Social Work/Therapist
Gaylen Bendewald
Clinical Social Work/Therapist, MSW
Verified Verified
1 Endorsed
Serves Area
People ask me how I am able to listen to people's problems all day without going crazy and getting depressed myself. The fact is, if that was all that there was to it -listening to people's problems - I probably would go crazy. The great joy in my work, and the satisfaction, is in seeing people get better. This desire keeps me on the learners edge, and it is my passion. I am a capable guide who will respect your individuality and choices along the way while providing you a sureness of foot that only experience can provide.
People ask me how I am able to listen to people's problems all day without going crazy and getting depressed myself. The fact is, if that was all that there was to it -listening to people's problems - I probably would go crazy. The great joy in my work, and the satisfaction, is in seeing people get better. This desire keeps me on the learners edge, and it is my passion. I am a capable guide who will respect your individuality and choices along the way while providing you a sureness of foot that only experience can provide.
(605) 956-4114 View (605) 956-4114
Photo of Dallas Jerome Caylor, Pre-Licensed Professional
Dallas Jerome Caylor
Pre-Licensed Professional
Verified Verified
1 Endorsed
Serves Area
(605) 453-4250 View (605) 453-4250

More Therapists Nearby

Photo of Norma Pansch - U Rock Counseling Services, MA, LPC-MH, Licensed Professional Counselor
U Rock Counseling Services
Licensed Professional Counselor, MA, LPC-MH
Verified Verified
Rapid City, SD 57702
Not accepting new clients
Hi, my name is Norma, welcome to U Rock Counseling. I work with individuals ages 22-adulthood and specialize in trauma, grief, loss, loneliness, depression, anxiety, and issues unique to your stage of life. You will learn to connect to that joy that's been missing and feel the passion you once had. Your voice will not only be heard but also respected by me in a nonjudgmental and safe environment of empathy.
Hi, my name is Norma, welcome to U Rock Counseling. I work with individuals ages 22-adulthood and specialize in trauma, grief, loss, loneliness, depression, anxiety, and issues unique to your stage of life. You will learn to connect to that joy that's been missing and feel the passion you once had. Your voice will not only be heard but also respected by me in a nonjudgmental and safe environment of empathy.
(605) 349-2975 View (605) 349-2975
Photo of Nicholas Waldon Isaacs - Isaacs Behavioral Health LLC, CSW-PIP, LAC, QMHP, MEd, MSW, Clinical Social Work/Therapist
Isaacs Behavioral Health LLC
Clinical Social Work/Therapist, CSW-PIP, LAC, QMHP, MEd, MSW
Verified Verified
Rapid City, SD 57702
I help clients recognize their strengths, regain confidence, and find their voice again. I see mostly trauma patients, a few couples and some addictions. Trauma, (PTSD), Depression and Anxiety affect an individual's moods, thoughts, ability to change, pattern of thinking, coping mechanisms, fears, safety, calm, self-esteem, and confidence. I help my clients, "help themselves," by using a blend of modalities, including EMDR, healthy models, and professional experience, to untangle and compartmentalize their issues. My clients have an opportunity to learn proven, healthy coping mechanisms and healthy behaviors to self-regulate.
I help clients recognize their strengths, regain confidence, and find their voice again. I see mostly trauma patients, a few couples and some addictions. Trauma, (PTSD), Depression and Anxiety affect an individual's moods, thoughts, ability to change, pattern of thinking, coping mechanisms, fears, safety, calm, self-esteem, and confidence. I help my clients, "help themselves," by using a blend of modalities, including EMDR, healthy models, and professional experience, to untangle and compartmentalize their issues. My clients have an opportunity to learn proven, healthy coping mechanisms and healthy behaviors to self-regulate.
(605) 250-2060 View (605) 250-2060
Photo of Kelcey Roberts, LPCMH, Counselor
Kelcey Roberts
Counselor, LPCMH
Verified Verified
Online Only
Hello :) My name is Kelcey Roberts, MS, LPC, LIMHP, LPC-MH. I have been a counselor for 15 years, specializing in children and families. I provide support for individuals struggling in relationships with children, parents, spouses, and family. I approach therapy from a relationship-based view. I am here to support you in identifying your goals and then guiding you to find the tools you need to accomplish those goals. I am trauma informed. I implement cognitive behavioral therapy when appropriate for clients. I also implement attachment-based therapy, particularly when working with children.
Hello :) My name is Kelcey Roberts, MS, LPC, LIMHP, LPC-MH. I have been a counselor for 15 years, specializing in children and families. I provide support for individuals struggling in relationships with children, parents, spouses, and family. I approach therapy from a relationship-based view. I am here to support you in identifying your goals and then guiding you to find the tools you need to accomplish those goals. I am trauma informed. I implement cognitive behavioral therapy when appropriate for clients. I also implement attachment-based therapy, particularly when working with children.
(605) 600-2126 View (605) 600-2126
Photo of Ian Charnley, LPC , Licensed Professional Counselor
Ian Charnley
Licensed Professional Counselor, LPC
Verified Verified
Online Only
With 10+ yrs. as a licensed therapist and 15+ yrs. working in the human services field, I have assisted many individuals, couples, and families through life’s challenges. I have extensive experience working in a variety of settings. Settings have included private practice, non-profit organizations, in-home therapy, therapeutic group homes, and juvenile & adult detention centers. I believe in a holistic approach to wellness in which a healthy mind, body, and soul lead to a happier, more fulfilling life. I look to strengthen the core of each individual and couple to be able to strive, not just survive, through difficult moments.
With 10+ yrs. as a licensed therapist and 15+ yrs. working in the human services field, I have assisted many individuals, couples, and families through life’s challenges. I have extensive experience working in a variety of settings. Settings have included private practice, non-profit organizations, in-home therapy, therapeutic group homes, and juvenile & adult detention centers. I believe in a holistic approach to wellness in which a healthy mind, body, and soul lead to a happier, more fulfilling life. I look to strengthen the core of each individual and couple to be able to strive, not just survive, through difficult moments.
(605) 674-6258 View (605) 674-6258
Photo of Scott Wiley, LPC , Licensed Professional Counselor
Scott Wiley
Licensed Professional Counselor, LPC
Verified Verified
Online Only
Scott Wiley is a Licensed Professional Counselor in the state of South Dakota and nationally certified by the National Board for Certified Counselors, Inc. He is also an ordained minister of The Wesleyan Church denomination and has over 30 years of pastoral experience. Scott has been trained from both secular and Christian perspectives and has nearly 20 years of clinical experience in both realms. Based on the goals you to the table, I draw heavily from Cognitive Behavioral Therapy, including its offshoots, Dialectical Behavioral Therapy, and Acceptance and Commitment Therapy.
Scott Wiley is a Licensed Professional Counselor in the state of South Dakota and nationally certified by the National Board for Certified Counselors, Inc. He is also an ordained minister of The Wesleyan Church denomination and has over 30 years of pastoral experience. Scott has been trained from both secular and Christian perspectives and has nearly 20 years of clinical experience in both realms. Based on the goals you to the table, I draw heavily from Cognitive Behavioral Therapy, including its offshoots, Dialectical Behavioral Therapy, and Acceptance and Commitment Therapy.
(605) 315-5904 View (605) 315-5904
Photo of Nicole Marie Weron - Understood Therapy by Nicole Weron, LPC-MH, NCSC, NCC, RPT, QMHP, Licensed Professional Counselor
Understood Therapy by Nicole Weron
Licensed Professional Counselor, LPC-MH, NCSC, NCC, RPT, QMHP
Verified Verified
Rapid City, SD 57702
Ever feel like you can’t shake your case of feeling like you are not good enough? This persistent feeling comes from trying to be someone you’re not. Constantly striving to be perfect or to fit into everyone else’s expectations depletes you. When you come to therapy, you get to drop the pretensions. You get to be vulnerable and explore the fears and tough feelings that you worry you can’t reveal to the people you love. As you get more comfortable talking and exploring with me about your real wants and needs, you will build the skills that will enable you to show your true self to your family, friends, and colleagues.
Ever feel like you can’t shake your case of feeling like you are not good enough? This persistent feeling comes from trying to be someone you’re not. Constantly striving to be perfect or to fit into everyone else’s expectations depletes you. When you come to therapy, you get to drop the pretensions. You get to be vulnerable and explore the fears and tough feelings that you worry you can’t reveal to the people you love. As you get more comfortable talking and exploring with me about your real wants and needs, you will build the skills that will enable you to show your true self to your family, friends, and colleagues.
(605) 303-6608 View (605) 303-6608
Beth Keizer
Clinical Social Work/Therapist, MSW, LCSW, PIP
Verified Verified
Rapid City, SD 57702
As a therapist with twenty years of experience helping children and their families heal and learn to cope with trauma, I have extensive experience working with children with extreme behavioral issues, such as aggression, defiance, problematic sexual behaviors, school problems, and other acting out behaviors. I utilize a trauma informed approach to help alleviate symptoms of trauma and improve resilience. I work to help families gain tools and strategies to navigate these issues, along with providing therapy to enhance abilities to cope and work through trauma so that it doesn't impact daily living.
As a therapist with twenty years of experience helping children and their families heal and learn to cope with trauma, I have extensive experience working with children with extreme behavioral issues, such as aggression, defiance, problematic sexual behaviors, school problems, and other acting out behaviors. I utilize a trauma informed approach to help alleviate symptoms of trauma and improve resilience. I work to help families gain tools and strategies to navigate these issues, along with providing therapy to enhance abilities to cope and work through trauma so that it doesn't impact daily living.
(605) 861-2958 View (605) 861-2958
Photo of Sharon K Hansen, MA, CNS, Marriage & Family Therapist
Sharon K Hansen
Marriage & Family Therapist, MA, CNS
Verified Verified
Online Only
Are you looking for a solution focused therapist? We will set goals together, establish priorities, and work on building positive individual and/or family change. I will guide you in the therapy process towards a more fulfilling life, free of excessive worry and sadness, with relationships that are healthier and more satisfying.
Are you looking for a solution focused therapist? We will set goals together, establish priorities, and work on building positive individual and/or family change. I will guide you in the therapy process towards a more fulfilling life, free of excessive worry and sadness, with relationships that are healthier and more satisfying.
(605) 610-8974 View (605) 610-8974
Photo of Beverly D Dafler - Crossroads Counseling Services, EdS, LPC-MH, NCC, Counselor
Crossroads Counseling Services
Counselor, EdS, LPC-MH, NCC
Verified Verified
Serves Area
Life is full of changes and decisions. When those become critical, you can find yourself at a crossroads, unsure of what to do or where to go. As a licensed mental health counselor, I can provide professional support in sorting through all the issues. Together we will explore all your life changes and conflicts and devise a treatment plan that addresses your needs and wants.
Life is full of changes and decisions. When those become critical, you can find yourself at a crossroads, unsure of what to do or where to go. As a licensed mental health counselor, I can provide professional support in sorting through all the issues. Together we will explore all your life changes and conflicts and devise a treatment plan that addresses your needs and wants.
(605) 593-5190 View (605) 593-5190
Photo of Terry Irvine, MS, NCC, Pre-Licensed Professional
Terry Irvine
Pre-Licensed Professional, MS, NCC
Verified Verified
1 Endorsed
Rapid City, SD 57702
Hello. I am Terry, a Master's level counselor under supervision, and I am here to support you. Life's challenges can be daunting. I offer a safe and reflective space to explore these challenges together. Are you or your child/teen struggling with grief, adjusting to a new school/area, or planning what comes next? I assist adults and teens in navigating these challenging times. Are you lost navigating the complexities of your relationship? I also work with adults to navigate relationship issues individually or as couples. Each step we take is an opportunity for personal growth.
Hello. I am Terry, a Master's level counselor under supervision, and I am here to support you. Life's challenges can be daunting. I offer a safe and reflective space to explore these challenges together. Are you or your child/teen struggling with grief, adjusting to a new school/area, or planning what comes next? I assist adults and teens in navigating these challenging times. Are you lost navigating the complexities of your relationship? I also work with adults to navigate relationship issues individually or as couples. Each step we take is an opportunity for personal growth.
(605) 318-9064 View (605) 318-9064
Photo of Kris Jeakins, MS, NCC, LPC-MH, QMHP, CCTP-II, Licensed Professional Counselor
Kris Jeakins
Licensed Professional Counselor, MS, NCC, LPC-MH, QMHP, CCTP-II
Verified Verified
1 Endorsed
Rapid City, SD 57702
Waitlist for new clients
I have provided mental health services for over 12+ years to adults, couples, and 16+ who are struggling with mental health issues. I guide people in their healing of trauma including complex trauma, dissociative issues, depression, anxiety, grief, psychotic spectrum, and personality disorders. I will create a safe space of honesty and empathy. I will guide you to strengthen self-trust and empower yourself to solve issues within all your relationships, inside and outside of therapy. I believe that our minds and bodies are connected through thoughts, emotions, and behaviors.
I have provided mental health services for over 12+ years to adults, couples, and 16+ who are struggling with mental health issues. I guide people in their healing of trauma including complex trauma, dissociative issues, depression, anxiety, grief, psychotic spectrum, and personality disorders. I will create a safe space of honesty and empathy. I will guide you to strengthen self-trust and empower yourself to solve issues within all your relationships, inside and outside of therapy. I believe that our minds and bodies are connected through thoughts, emotions, and behaviors.
(605) 423-7529 View (605) 423-7529
Photo of Emily Lake - Phoenix Counseling, LLC, PhD, LPC, NCC, QMHP, Licensed Professional Counselor
Phoenix Counseling, LLC
Licensed Professional Counselor, PhD, LPC, NCC, QMHP
Verified Verified
Rapid City, SD 57702
Not accepting new clients
As a clinician, I believe that my clients know themselves best and I am here to support them in their journey of self-exploration. My passion is to assist individuals in creating positive change in their life. I primarily assist clients in creating goals from a Cognitive Behavior Therapy perspective while pulling from Person-Centered and Solution-Focused techniques. Creating awareness in the mind-body connection is incredibly important to me as a clinician. I encourage this by creating the space for my clients to gain emotional and physical awareness in their minds and bodies.
As a clinician, I believe that my clients know themselves best and I am here to support them in their journey of self-exploration. My passion is to assist individuals in creating positive change in their life. I primarily assist clients in creating goals from a Cognitive Behavior Therapy perspective while pulling from Person-Centered and Solution-Focused techniques. Creating awareness in the mind-body connection is incredibly important to me as a clinician. I encourage this by creating the space for my clients to gain emotional and physical awareness in their minds and bodies.
(605) 316-3227 View (605) 316-3227
Photo of Stephanie Beard, CSW-PIP, QMHP, CST, Clinical Social Work/Therapist
Stephanie Beard
Clinical Social Work/Therapist, CSW-PIP, QMHP, CST
Verified Verified
1 Endorsed
Rapid City, SD 57702
Waitlist for new clients
Stephanie is a trauma and AASECT-certified sex therapist who works primarily with teens and adults. They have been formally trained in TF-CBT, sex therapy, and expressive art therapy. They are passionate about survivors of sexual assault reclaiming their passion and sexuality, as well as teens finding their voice. She is a board member of TPAN and prides herself on being a fierce advocate for the LGBTQIA2S+ community. They have been asked to speak all over the US as well as internationally on many different issues. She is also licensed to practice in South Dakota, Minnesota, Arizona, and Oregon.
Stephanie is a trauma and AASECT-certified sex therapist who works primarily with teens and adults. They have been formally trained in TF-CBT, sex therapy, and expressive art therapy. They are passionate about survivors of sexual assault reclaiming their passion and sexuality, as well as teens finding their voice. She is a board member of TPAN and prides herself on being a fierce advocate for the LGBTQIA2S+ community. They have been asked to speak all over the US as well as internationally on many different issues. She is also licensed to practice in South Dakota, Minnesota, Arizona, and Oregon.
(605) 453-4634 View (605) 453-4634

See more therapy options for Custer

How does your Therapist compare?

Number of Therapists in Custer, SD

< 10

Therapists in Custer, SD who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
86% Self Esteem
71% Coping Skills
71% Stress
71% Life Transitions

Average years in practice

20 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Sanford Health Plan
100% Wellmark BCBS

How Therapists in Custer, SD see their clients

100% In Person and Online

Gender breakdown

60% Female
40% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Custer?

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.