Therapists in Rocky River, OH

Photo of Jack (John) Meehan, Licensed Professional Counselor in Rocky River, OH
Jack (John) Meehan
Licensed Professional Counselor, LPCC
Verified Verified
Rocky River, OH 44116
Jack Meehan, LPC Jack Meehan is a Licensed Professional Counselor in Ohio who has been practicing since 2021. He received his Master's in Clinical Mental Health Counseling from John Carroll University. Since graduation, he has continued his education with a focus on Cognitive Behavioral therapy and EMDR. Jack has experience working with clients in several different phases and enjoys taking a collaborative approach toward counseling. He uses a collective approach borrowing from CBT, MI, and DBT, and he is also trained in EMDR. Together you can work to identify your strengths and motivation toward positive change in your life.
Jack Meehan, LPC Jack Meehan is a Licensed Professional Counselor in Ohio who has been practicing since 2021. He received his Master's in Clinical Mental Health Counseling from John Carroll University. Since graduation, he has continued his education with a focus on Cognitive Behavioral therapy and EMDR. Jack has experience working with clients in several different phases and enjoys taking a collaborative approach toward counseling. He uses a collective approach borrowing from CBT, MI, and DBT, and he is also trained in EMDR. Together you can work to identify your strengths and motivation toward positive change in your life.
(440) 760-6153 View (440) 760-6153
Photo of Anjelica Miele Nelson, Marriage & Family Therapist in Rocky River, OH
Anjelica Miele Nelson
Marriage & Family Therapist, MEd, LPCC-S, IMFT-S
Verified Verified
1 Endorsed
Rocky River, OH 44116
Not accepting new clients
Couples, families, and individuals all benefit from mental health services. Whether it be relationship concerns, anxiety, depression, LGBTQ+, general coping skills, or more severe concerns, mental health services can be incredibly helpful. Together, we can create goals and set realistic expectations for growth and development to work through the issue at hand. I hope to be fortunate enough to join you on this journey of healing.
Couples, families, and individuals all benefit from mental health services. Whether it be relationship concerns, anxiety, depression, LGBTQ+, general coping skills, or more severe concerns, mental health services can be incredibly helpful. Together, we can create goals and set realistic expectations for growth and development to work through the issue at hand. I hope to be fortunate enough to join you on this journey of healing.
(216) 508-8216 View (216) 508-8216
Photo of Lindsay Catanzarite, Counselor in Rocky River, OH
Lindsay Catanzarite
Counselor, MA, LPCC
Verified Verified
Rocky River, OH 44116
When we are out of balance in mind, body, or spirit, the overall effect is that we don’t feel well. We become plagued by knowing something is wrong, but perhaps do not know exactly what that is, how we got there, or how to begin changing it. As the imbalance worsens, so does our discomfort, and we begin to suffer the effects of emotional dis-ease and physical disease. An imbalance commonly presents itself (for example) as anxiety or depression. When a struggle wages in the mind, its effects are often felt throughout the body in the form of fatigue, distractability, digestive problems, muscle tension, chronic pain, and more.
When we are out of balance in mind, body, or spirit, the overall effect is that we don’t feel well. We become plagued by knowing something is wrong, but perhaps do not know exactly what that is, how we got there, or how to begin changing it. As the imbalance worsens, so does our discomfort, and we begin to suffer the effects of emotional dis-ease and physical disease. An imbalance commonly presents itself (for example) as anxiety or depression. When a struggle wages in the mind, its effects are often felt throughout the body in the form of fatigue, distractability, digestive problems, muscle tension, chronic pain, and more.
(440) 652-8040 View (440) 652-8040
Photo of Simone Sollisch, Licensed Professional Counselor in Rocky River, OH
Simone Sollisch
Licensed Professional Counselor, L, P, C
Verified Verified
Rocky River, OH 44116
Hello! It’s a brave first step looking for counseling, be proud you made it this far! I commend the courage to embark on this part of your life. In my office, I work with my clients to face their biggest fears or deepest emotions through creating a safe, non-judgmental environment. I find satisfaction in working with couples, individuals struggling with relationship issues, depression, anxiety, and self-esteem. Clients that are ready to work through their issues and trust the therapeutic process see the most progress.
Hello! It’s a brave first step looking for counseling, be proud you made it this far! I commend the courage to embark on this part of your life. In my office, I work with my clients to face their biggest fears or deepest emotions through creating a safe, non-judgmental environment. I find satisfaction in working with couples, individuals struggling with relationship issues, depression, anxiety, and self-esteem. Clients that are ready to work through their issues and trust the therapeutic process see the most progress.
(216) 859-4324 View (216) 859-4324
Photo of Lalei E. Gutierrez, Psychologist in Rocky River, OH
Lalei E. Gutierrez
Psychologist, PhD, IMFT, BCC, BCPP
Verified Verified
Rocky River, OH 44116
Now Accepting New Clients! I love working with individuals, couples, families and groups who want to grow as human beings. In connecting with their true selves, they heal from past wounds, practice life-relationship skills in the present, and find meaning and purpose in their life journey. I assist with fostering well-being in their evolving life, cultivate healing relationships and integrate mind-body-emotion-energy-soul-spirit in their life and relations.
Now Accepting New Clients! I love working with individuals, couples, families and groups who want to grow as human beings. In connecting with their true selves, they heal from past wounds, practice life-relationship skills in the present, and find meaning and purpose in their life journey. I assist with fostering well-being in their evolving life, cultivate healing relationships and integrate mind-body-emotion-energy-soul-spirit in their life and relations.
(440) 723-3936 View (440) 723-3936
Photo of Lindsy Rivera, Counselor in Rocky River, OH
Lindsy Rivera
Counselor, LSW, LPCC-S, ATR-BC
Verified Verified
1 Endorsed
Rocky River, OH 44116
In today’s world most people have experienced a variety of stressors that seem to weave throughout life. Trying to balance a sense of normalcy in the day to day can become overwhelming when you don’t understand why you think, act, or cope the way you do. Anxiety, depression, grief, trauma, stress and destructive thoughts can impact the relationship you have with yourself and others. Realizing you are at a point where you may need more insight or guidance can be distressing. Finding the right type of help shouldn't cause additional worry.
In today’s world most people have experienced a variety of stressors that seem to weave throughout life. Trying to balance a sense of normalcy in the day to day can become overwhelming when you don’t understand why you think, act, or cope the way you do. Anxiety, depression, grief, trauma, stress and destructive thoughts can impact the relationship you have with yourself and others. Realizing you are at a point where you may need more insight or guidance can be distressing. Finding the right type of help shouldn't cause additional worry.
(440) 306-3268 View (440) 306-3268
Photo of Beth Tibbetts Williams, Counselor in Rocky River, OH
Beth Tibbetts Williams
Counselor, MEd, LPCC-S
Verified Verified
1 Endorsed
Rocky River, OH 44116
Counseling can help with issues such as communication difficulties, marital/relationship concerns, life changes, stress/anxiety, depression, grief, trauma and behavioral problems. Clients come to me with an overall feeling that life could be better or more meaningful. I understand it can be challenging to reach out for help but remember that you are doing to make positive changes in your life! Please contact me and we can discuss your needs and decide together if I am the best option for you. My direct email is beth@fitmindcleveland.com or call me directly at 216-509-6511.
Counseling can help with issues such as communication difficulties, marital/relationship concerns, life changes, stress/anxiety, depression, grief, trauma and behavioral problems. Clients come to me with an overall feeling that life could be better or more meaningful. I understand it can be challenging to reach out for help but remember that you are doing to make positive changes in your life! Please contact me and we can discuss your needs and decide together if I am the best option for you. My direct email is beth@fitmindcleveland.com or call me directly at 216-509-6511.
(216) 672-5876 View (216) 672-5876
Photo of Edward Hill, Clinical Social Work/Therapist in Rocky River, OH
Edward Hill
Clinical Social Work/Therapist, MBA, MSW, LISW-S
Verified Verified
2 Endorsed
Rocky River, OH 44116
I can serve as your trusted Wise Counsel. Have you found yourself in the position of seeking therapy at your partner's suggestion, only to realize that perhaps it's time for your own individual therapeutic journey? Are you growing weary of waiting for change and contemplating the need to move forward, either by breaking up or taking a bold new path? Are your current habits and actions not aligning with the person you aspire to be? These are just a few of the questions my clients often explore with me. Let's embark on a collaborative journey to uncover the answers to life's profound inquiries together.
I can serve as your trusted Wise Counsel. Have you found yourself in the position of seeking therapy at your partner's suggestion, only to realize that perhaps it's time for your own individual therapeutic journey? Are you growing weary of waiting for change and contemplating the need to move forward, either by breaking up or taking a bold new path? Are your current habits and actions not aligning with the person you aspire to be? These are just a few of the questions my clients often explore with me. Let's embark on a collaborative journey to uncover the answers to life's profound inquiries together.
(440) 682-1147 View (440) 682-1147
Photo of Johnna Miska, Licensed Professional Counselor in Rocky River, OH
Johnna Miska
Licensed Professional Counselor, LPC
Verified Verified
Rocky River, OH 44116
Johnna Miska is a Licensed Professional Counselor in Ohio who has been practicing since 2020. She has a BFA from Ohio University and an MA from Adler University. Coming from an artistic background, Johnna has a unique and passionate approach to therapy. Johnna offers general psychotherapy as well as art therapy to suit clients' individual needs and aims to break down the barriers of the sterile therapeutic environment.
Johnna Miska is a Licensed Professional Counselor in Ohio who has been practicing since 2020. She has a BFA from Ohio University and an MA from Adler University. Coming from an artistic background, Johnna has a unique and passionate approach to therapy. Johnna offers general psychotherapy as well as art therapy to suit clients' individual needs and aims to break down the barriers of the sterile therapeutic environment.
(440) 291-5238 View (440) 291-5238
Photo of Francis J Matese, Psychologist in Rocky River, OH
Francis J Matese
Psychologist, PhD
Verified Verified
Rocky River, OH 44116
If you are troubled by stress, depression, or anxiety, please call. If you are having difficulties in a relationship, I want to help. If your teenager is struggling, I can help. I have over 30 years experience in working with persons struggling with with their emotions, anger, and/or drug/alcohol problems.
If you are troubled by stress, depression, or anxiety, please call. If you are having difficulties in a relationship, I want to help. If your teenager is struggling, I can help. I have over 30 years experience in working with persons struggling with with their emotions, anger, and/or drug/alcohol problems.
(440) 331-3832 View (440) 331-3832
Photo of Lori Brady, Counselor in Rocky River, OH
Lori Brady
Counselor, MEd, LPCC
Verified Verified
Rocky River, OH 44116
Instead of describing my ideal client, I'll disclose that I tend to be the ideal therapist for Type A personalities/ perfectionists. Those who have achieved great professional/ academic success are coming to see me because those trusted skills don't deliver the same success in other areas of life, often affecting their relationships and causing distress during the early postpartum period. Suppose you value direct communication, are willing to engage in therapy on the regular, and are ready to unlearn old stuff and the story about yourself. In that case, I think you should reach out so we can further discuss our availability.
Instead of describing my ideal client, I'll disclose that I tend to be the ideal therapist for Type A personalities/ perfectionists. Those who have achieved great professional/ academic success are coming to see me because those trusted skills don't deliver the same success in other areas of life, often affecting their relationships and causing distress during the early postpartum period. Suppose you value direct communication, are willing to engage in therapy on the regular, and are ready to unlearn old stuff and the story about yourself. In that case, I think you should reach out so we can further discuss our availability.
(440) 538-1442 View (440) 538-1442
Photo of Mental Health Lifestyle LLC, Clinical Social Work/Therapist in Rocky River, OH
Mental Health Lifestyle LLC
Clinical Social Work/Therapist, MSSA, LISW-S, CYT
Verified Verified
2 Endorsed
Rocky River, OH 44116  (Online Only)
Hi I'm Alissa - a mental health therapist. I consider myself creatively frustrated with traditional mental health treatments that do not always address the whole person and their environment. I work to integrate the latest research into more effective and holistic mental health treatments for everyday people. I have a special interest in cognitive therapy, and enjoy talking over issues strategically and from many different viewpoints. I also often use mindfulness techniques to help people heal from anxiety and trauma. I am an LGBTQIA+ ally, and welcome people of diverse backgrounds to my practice.
Hi I'm Alissa - a mental health therapist. I consider myself creatively frustrated with traditional mental health treatments that do not always address the whole person and their environment. I work to integrate the latest research into more effective and holistic mental health treatments for everyday people. I have a special interest in cognitive therapy, and enjoy talking over issues strategically and from many different viewpoints. I also often use mindfulness techniques to help people heal from anxiety and trauma. I am an LGBTQIA+ ally, and welcome people of diverse backgrounds to my practice.
(440) 643-4825 View (440) 643-4825
Photo of Mark Kaplafka, Counselor in Rocky River, OH
Mark Kaplafka
Counselor, LPCC-S, CHT, NCC
Verified Verified
8 Endorsed
Rocky River, OH 44116
It's my goal to help you find happiness again. I want to help you navigate and improve the difficulties and challenges you might be facing in your personal life and in your relationships. I work with a wide range of emotional and behavioral issues to help people achieve their personal goals such as balance, peace of mind and happiness. My approach, as an integrative, heart centered therapist, draws from a diverse range of traditional and non-traditional tools and techniques. This allows us to tailor a specialized plan that meets your individual needs to work toward achieving results.
It's my goal to help you find happiness again. I want to help you navigate and improve the difficulties and challenges you might be facing in your personal life and in your relationships. I work with a wide range of emotional and behavioral issues to help people achieve their personal goals such as balance, peace of mind and happiness. My approach, as an integrative, heart centered therapist, draws from a diverse range of traditional and non-traditional tools and techniques. This allows us to tailor a specialized plan that meets your individual needs to work toward achieving results.
(440) 336-8953 View (440) 336-8953
Photo of Dean Fazekas, Clinical Social Work/Therapist in Rocky River, OH
Dean Fazekas
Clinical Social Work/Therapist, CSAT, LISW-S
Verified Verified
1 Endorsed
Rocky River, OH 44116
Men often come to me because porn or sex addiction has caused serious problems in their lives. Many of the men I see initially contact me becaue their wives or partners are forcing them. I get it! I specialize in sexual health and sexual addiction (SA). I also work with work and money disorders. My treatment modality is a task-centered approach that results in specific life competencies.
Men often come to me because porn or sex addiction has caused serious problems in their lives. Many of the men I see initially contact me becaue their wives or partners are forcing them. I get it! I specialize in sexual health and sexual addiction (SA). I also work with work and money disorders. My treatment modality is a task-centered approach that results in specific life competencies.
(216) 365-8492 View (216) 365-8492
Photo of Kelly Ferris Creech, Clinical Social Work/Therapist in Rocky River, OH
Kelly Ferris Creech
Clinical Social Work/Therapist, LISW-S, LCSW, LICDC
Verified Verified
1 Endorsed
Rocky River, OH 44116
I believe that every day should be filled with joy! But sometimes in life that is not always easy to do. I have spent the last 25 years practicing in South Carolina, Ohio, and Oregon, working to help individuals and families find their personal joy and maintain it. I tailor my treatment approach to best serve my clients and their beliefs ( I have been trained in CBT, DBT, EMDR, Solution Focused therapy, DIR/Floortime model, Motivational Interviewing, ACT, Structural Family Therapy, and parenting support.).
I believe that every day should be filled with joy! But sometimes in life that is not always easy to do. I have spent the last 25 years practicing in South Carolina, Ohio, and Oregon, working to help individuals and families find their personal joy and maintain it. I tailor my treatment approach to best serve my clients and their beliefs ( I have been trained in CBT, DBT, EMDR, Solution Focused therapy, DIR/Floortime model, Motivational Interviewing, ACT, Structural Family Therapy, and parenting support.).
(440) 271-8463 View (440) 271-8463
Photo of Laura Vajdich, Counselor in Rocky River, OH
Laura Vajdich
Counselor, PCC, ATR
Verified Verified
1 Endorsed
Rocky River, OH 44116
Not accepting new clients
I do not believe in a "one size fits all" approach and I consider myself to be a therapist who likes working with children, adolescents, and adults who are wary of therapy. I appreciate how difficult it is to seek help, and that not every problem can be solved in the same way. I value the unique qualities of each individual or family's issues and assist with finding solutions that they find achievable and worthwhile.
I do not believe in a "one size fits all" approach and I consider myself to be a therapist who likes working with children, adolescents, and adults who are wary of therapy. I appreciate how difficult it is to seek help, and that not every problem can be solved in the same way. I value the unique qualities of each individual or family's issues and assist with finding solutions that they find achievable and worthwhile.
(440) 356-0083 View (440) 356-0083
Photo of Stephanie Newrones, Licensed Professional Counselor in Rocky River, OH
Stephanie Newrones
Licensed Professional Counselor, MA, LPC, CDCA
Verified Verified
1 Endorsed
Rocky River, OH 44116
I am passionate about helping others reach their goals and navigate problems that are unique to each individual client. I graduated with a Bachelors in Psychology from John Carroll University and a Masters of Arts in Clinical Mental Health Counseling from John Carroll University. I am a Licensed Professional Counselor and am under the supervision of Anjelica Nelson, MAEd., IMFT-S, LPCC-S. I have experience working in community mental health and private practice. I recognize is not easy to come to therapy, therefore, I believe in creating a safe place for individuals where they can feel heard and respected.
I am passionate about helping others reach their goals and navigate problems that are unique to each individual client. I graduated with a Bachelors in Psychology from John Carroll University and a Masters of Arts in Clinical Mental Health Counseling from John Carroll University. I am a Licensed Professional Counselor and am under the supervision of Anjelica Nelson, MAEd., IMFT-S, LPCC-S. I have experience working in community mental health and private practice. I recognize is not easy to come to therapy, therefore, I believe in creating a safe place for individuals where they can feel heard and respected.
(440) 797-4002 View (440) 797-4002
Photo of Jeff Goad, Clinical Social Work/Therapist in Rocky River, OH
Jeff Goad
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Rocky River, OH 44116
Waitlist for new clients
I am a sex-positive and trauma-informed therapist who helps people navigate a wide range of complex issues. I believe that everyone deserves a safe and non-judgmental space to talk about the things that matter to them. Some issues I commonly work with are trauma, sex and sexuality, sexual shame, stigmatized sexual identities, fetishes and kinks, relationship communication, healing from infidelity, consensual non-monogamy, gender expression and identity, body image issues, self-esteem, and coping with anger, anxiety, and depression.
I am a sex-positive and trauma-informed therapist who helps people navigate a wide range of complex issues. I believe that everyone deserves a safe and non-judgmental space to talk about the things that matter to them. Some issues I commonly work with are trauma, sex and sexuality, sexual shame, stigmatized sexual identities, fetishes and kinks, relationship communication, healing from infidelity, consensual non-monogamy, gender expression and identity, body image issues, self-esteem, and coping with anger, anxiety, and depression.
(440) 271-8882 View (440) 271-8882
Photo of Nicole Marko, Licensed Professional Clinical Counselor in Rocky River, OH
Nicole Marko
Licensed Professional Clinical Counselor, LPCC-S
Verified Verified
Rocky River, OH 44116
Nicole Marko is a licensed professional clinical counselor and licensed independent chemical dependency counselor. She obtained her master's degree in Clinical Mental Health Counseling with a concentration in Substance Use Disorders from John Carroll University and a bachelor's degree in Psychology with a minor in Child and Family Studies from Baldwin Wallace University. "¯She"¯has experience in"¯both inpatient behavioral health and"¯outpatient"¯treatment settings providing group therapy, couples and family therapy, and individual therapy.
Nicole Marko is a licensed professional clinical counselor and licensed independent chemical dependency counselor. She obtained her master's degree in Clinical Mental Health Counseling with a concentration in Substance Use Disorders from John Carroll University and a bachelor's degree in Psychology with a minor in Child and Family Studies from Baldwin Wallace University. "¯She"¯has experience in"¯both inpatient behavioral health and"¯outpatient"¯treatment settings providing group therapy, couples and family therapy, and individual therapy.
(440) 740-3792 View (440) 740-3792
Photo of Jordan Bianco in Rocky River, OH
Jordan Bianco
MSW, LISW
Verified Verified
1 Endorsed
Rocky River, OH 44116
When we have a safe space to talk about our feelings, they can become less overwhelming and more manageable. As a therapist, I use a strengths-based and collaborative approach to partner with my clients and their caregivers to work through stressors, express emotions, and develop coping skills. With years of experience in community mental health and healthcare, I have the most extensive experience working with children, adolescents, and young adults who have experienced anger, anxiety, depression and trauma.
When we have a safe space to talk about our feelings, they can become less overwhelming and more manageable. As a therapist, I use a strengths-based and collaborative approach to partner with my clients and their caregivers to work through stressors, express emotions, and develop coping skills. With years of experience in community mental health and healthcare, I have the most extensive experience working with children, adolescents, and young adults who have experienced anger, anxiety, depression and trauma.
(440) 941-2936 View (440) 941-2936

How does your Therapist compare?

Number of Therapists in Rocky River, OH

100+

Average cost per session

$130

Therapists in Rocky River, OH who prioritize treating:

94% Anxiety
92% Depression
76% Relationship Issues
75% Self Esteem
72% Trauma and PTSD
68% Grief
66% Stress

Average years in practice

12 Years

Top 3 insurances accepted

86% Medical Mutual
85% UnitedHealthcare UHC | UBH
83% Aetna

How Therapists in Rocky River, OH see their clients

85% In Person and Online
15% Online Only

Gender breakdown

80% Female
20% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Rocky River?

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.