Therapists in Columbia, MD

Photo of Crystal Waters Counseling Centers, LLC, Licensed Clinical Professional Counselor in Columbia, MD
Crystal Waters Counseling Centers, LLC
Licensed Clinical Professional Counselor, MEd, NCC, LCPC-S
Verified Verified
Columbia, MD 21046
My name is Diane Brumfield and I am a psychotherapist and owner of Crystal Waters Counseling Centers, LLC in Columbia, Maryland. I am a licensed clinical professional counselor and a nationally certified school counselor with over 20 years of experience. I provide counseling for adults, children, adolescents, and families. Throughout my career, I have worked in private practice and school settings providing individual, group and family therapy. I also offer educational consulting services for families in need of assistance through the IEP process or are in need of behavioral and academic support from their school system.
My name is Diane Brumfield and I am a psychotherapist and owner of Crystal Waters Counseling Centers, LLC in Columbia, Maryland. I am a licensed clinical professional counselor and a nationally certified school counselor with over 20 years of experience. I provide counseling for adults, children, adolescents, and families. Throughout my career, I have worked in private practice and school settings providing individual, group and family therapy. I also offer educational consulting services for families in need of assistance through the IEP process or are in need of behavioral and academic support from their school system.
(443) 251-4280 View (443) 251-4280
Photo of Dr. Matthew Mason, Psychologist in Columbia, MD
Dr. Matthew Mason
Psychologist, PhD, BCBA-D, LBA
Verified Verified
1 Endorsed
Columbia, MD 21044
I specializing in neurodevelopmental disorders, and have conducted over 1,000 assessments. I identify each person's strengths and support needs, and focus on helping each person be the most independent and healthy version of themselves.
I specializing in neurodevelopmental disorders, and have conducted over 1,000 assessments. I identify each person's strengths and support needs, and focus on helping each person be the most independent and healthy version of themselves.
(240) 384-5277 View (240) 384-5277
Photo of John A Robertson, Clinical Social Work/Therapist in Columbia, MD
John A Robertson
Clinical Social Work/Therapist, LMSW
Verified Verified
Columbia, MD 21044
I believe that, much like an ancient stucco statue concealing a core of pure gold, our true selves are often obscured by life's challenges and experiences. In my three decades as an educator, mentor, and therapist, I've witnessed the transformative power of unveiling one's authentic potential. I believe in the inherent resilience and brilliance within each individual, waiting to be discovered beneath the layers of physical, social, and mental tribulations. My mission, passionately pursued throughout my career, is to guide others toward their goals and help them actualize their full potential.
I believe that, much like an ancient stucco statue concealing a core of pure gold, our true selves are often obscured by life's challenges and experiences. In my three decades as an educator, mentor, and therapist, I've witnessed the transformative power of unveiling one's authentic potential. I believe in the inherent resilience and brilliance within each individual, waiting to be discovered beneath the layers of physical, social, and mental tribulations. My mission, passionately pursued throughout my career, is to guide others toward their goals and help them actualize their full potential.
(240) 628-7096 View (240) 628-7096
Photo of Elise Smithmyer, Clinical Social Work/Therapist in Columbia, MD
Elise Smithmyer
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Columbia, MD 21046
Not accepting new clients
Are you struggling with feelings of sadness or worry? Perhaps you are seeking clarity about your identity, adjusting to a transition, or wish to change behaviors that are not serving you. Sometimes it may feel like you can't improve things on your own. It shows strength and resilience to reach out for help needed. Through personal empowerment we will address the struggles you experience and find sustainable ways for you to achieve a happy and healthy life. Our work together will help you see that the most influential assets lie in your own personal strengths and resilience.
Are you struggling with feelings of sadness or worry? Perhaps you are seeking clarity about your identity, adjusting to a transition, or wish to change behaviors that are not serving you. Sometimes it may feel like you can't improve things on your own. It shows strength and resilience to reach out for help needed. Through personal empowerment we will address the struggles you experience and find sustainable ways for you to achieve a happy and healthy life. Our work together will help you see that the most influential assets lie in your own personal strengths and resilience.
(410) 941-3408 View (410) 941-3408
Photo of Mingxin Wei, Counselor in Columbia, MD
Mingxin Wei
Counselor, LGPC, NCC, MS
Verified Verified
Columbia, MD 21046  (Online Only)
Mingxin(Ming) is passionate about providing a safe, supportive, and non-judgmental environment where you can express yourself openly and freely. She believes that each individual's therapeutic journey is unique, and each individual is the expert on their own experiences. Therefore, Ming works collaboratively with clients and customizes her approach to meet your unique needs and preferences.
Mingxin(Ming) is passionate about providing a safe, supportive, and non-judgmental environment where you can express yourself openly and freely. She believes that each individual's therapeutic journey is unique, and each individual is the expert on their own experiences. Therefore, Ming works collaboratively with clients and customizes her approach to meet your unique needs and preferences.
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Photo of Kathleen Van Meter, Clinical Social Work/Therapist in Columbia, MD
Kathleen Van Meter
Clinical Social Work/Therapist, LCSW-C, C-DBT
Verified Verified
Columbia, MD 21044
I am currently licensed at the clinical level (LCSW-C) to practice social work in Maryland. I utilize a direct, yet warm and affirming approach in therapy. Each client is unique and I work hard to assist clients in achieving his or her treatment goals through Dialectical Behavioral Therapy, Cognitive Behavioral Therapy, and Solution- Focused Therapy. Much of my work focuses on Mindfulness and supportive therapies.
I am currently licensed at the clinical level (LCSW-C) to practice social work in Maryland. I utilize a direct, yet warm and affirming approach in therapy. Each client is unique and I work hard to assist clients in achieving his or her treatment goals through Dialectical Behavioral Therapy, Cognitive Behavioral Therapy, and Solution- Focused Therapy. Much of my work focuses on Mindfulness and supportive therapies.
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Photo of Esther Linette Lowery, Marriage & Family Therapist in Columbia, MD
Esther Linette Lowery
Marriage & Family Therapist, MA, LCMFT
Verified Verified
Columbia, MD 21046
My ideal client would be those male/female between the ages of 21-75 yo, struggling with anxiety, depression and relational issues that negatively impact daily functioning. I specialize in facilitating couples therapy as well as individuals who just want to develop healthier coping skills to manage life cycle changes and stressors
My ideal client would be those male/female between the ages of 21-75 yo, struggling with anxiety, depression and relational issues that negatively impact daily functioning. I specialize in facilitating couples therapy as well as individuals who just want to develop healthier coping skills to manage life cycle changes and stressors
(443) 241-9356 View (443) 241-9356
Photo of Naquita Gross, Clinical Social Work/Therapist in Columbia, MD
Naquita Gross
Clinical Social Work/Therapist, LMSW, CTP, CGP
Verified Verified
1 Endorsed
Columbia, MD 21044  (Online Only)
My ideal client is an everyday person that knows life is hard. My clients are people who are hoping to alleviate some of the burdens life has handed them and feel joy again. My goal is to help you awaken to a softer side of life. I work with people to overcome depression, anxiety, mood disorders, grief, trauma, sexuality and identity issues, and social injustice.
My ideal client is an everyday person that knows life is hard. My clients are people who are hoping to alleviate some of the burdens life has handed them and feel joy again. My goal is to help you awaken to a softer side of life. I work with people to overcome depression, anxiety, mood disorders, grief, trauma, sexuality and identity issues, and social injustice.
(410) 724-1135 View (410) 724-1135
Photo of Halcyon Clinical Services, LLC, Clinical Social Work/Therapist in Columbia, MD
Halcyon Clinical Services, LLC
Clinical Social Work/Therapist, PhD, LCSW-C
Verified Verified
2 Endorsed
Columbia, MD 21045
Halcyon Clinical a multi-disciplinary practice, is currently accepting new clients via the teletherapy platform and at our location in Howard County. Sessions are structured using evidence-based interventions, and our proprietary Care Measured tool examines a client's progress during treatment.
Halcyon Clinical a multi-disciplinary practice, is currently accepting new clients via the teletherapy platform and at our location in Howard County. Sessions are structured using evidence-based interventions, and our proprietary Care Measured tool examines a client's progress during treatment.
(443) 400-7503 View (443) 400-7503
Photo of Carol A. Levine, Licensed Clinical Professional Counselor in Columbia, MD
Carol A. Levine
Licensed Clinical Professional Counselor, MS, LCPC, LLC
Verified Verified
Columbia, MD 21044  (Online Only)
Do you experience anxiety, including social fear and avoidance? Do you feel anxious in romantic relationships or just want to feel less worried and depressed? I get it! Does your angst leave you feeling empty, angry and irritable? Life can be absolutely overwhelming and actually scary, at times, especially when stress piles up and we’re trying to juggle a career, a marriage and parenting. Unhealed wounds and traumatic experiences from our past wreak havoc on our present and we don’t know how to repair the damage. But there are answers!
Do you experience anxiety, including social fear and avoidance? Do you feel anxious in romantic relationships or just want to feel less worried and depressed? I get it! Does your angst leave you feeling empty, angry and irritable? Life can be absolutely overwhelming and actually scary, at times, especially when stress piles up and we’re trying to juggle a career, a marriage and parenting. Unhealed wounds and traumatic experiences from our past wreak havoc on our present and we don’t know how to repair the damage. But there are answers!
(240) 557-3739 View (240) 557-3739
Photo of Laurie McGuire, Clinical Social Work/Therapist in Columbia, MD
Laurie McGuire
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21044  (Online Only)
Hi there, I'm Laurie! Do you wish providers would look at you through a whole person lens instead of discussing health and mental health separately? Do you want a provider for your child who is playful and skilled at engaging children? Are you an adult who likes a more personal, connected approach to therapy? Do you have a teen who has had difficulty connecting to other providers? Well look no further! I enjoy using storytelling, videos, and conversation to help clients of all ages improve self-esteem, self-worth and gain a better understanding of sense of self.
Hi there, I'm Laurie! Do you wish providers would look at you through a whole person lens instead of discussing health and mental health separately? Do you want a provider for your child who is playful and skilled at engaging children? Are you an adult who likes a more personal, connected approach to therapy? Do you have a teen who has had difficulty connecting to other providers? Well look no further! I enjoy using storytelling, videos, and conversation to help clients of all ages improve self-esteem, self-worth and gain a better understanding of sense of self.
(410) 680-3750 View (410) 680-3750
Photo of Santokh Singh, Licensed Clinical Professional Counselor in Columbia, MD
Santokh Singh
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Columbia, MD 21045
** TAKING NEW CLIENTS ** Are you struggling? Do you need support? I’ll work to meet you where you are, no matter what stage of life you’re experiencing. I have experience working with children/adolescents/teens, and I also worked with adults experiencing trauma and a variety of other mental health challenges such as relationship problems, anxiety, and depression. Whatever challenge you’re troubled with, I will work with you by creating a SAFE SPACE. I collaborate with you, assisting you towards your goals. My approach is to listen and understand, and I will work to support you unconditionally, without judgement, and with empathy.
** TAKING NEW CLIENTS ** Are you struggling? Do you need support? I’ll work to meet you where you are, no matter what stage of life you’re experiencing. I have experience working with children/adolescents/teens, and I also worked with adults experiencing trauma and a variety of other mental health challenges such as relationship problems, anxiety, and depression. Whatever challenge you’re troubled with, I will work with you by creating a SAFE SPACE. I collaborate with you, assisting you towards your goals. My approach is to listen and understand, and I will work to support you unconditionally, without judgement, and with empathy.
(410) 724-1255 View (410) 724-1255
Photo of Wellbrook Therapy Services, Clinical Social Work/Therapist in Columbia, MD
Wellbrook Therapy Services
Clinical Social Work/Therapist, DSW, LCSW-C
Verified Verified
Columbia, MD 21045  (Online Only)
Dr. Kimberly Waibogha. received her BSW and MSW from West Virginia University, and her DSW from Rutgers University. Dr. Waibogha has twenty-seven years of professional post-masters experience. She has provided mental health therapy in the in-home setting, inpatient setting, partial inpatient setting, and outpatient setting, Dr. Waibogha has taught in academia, has experience working with addictions, trauma survivors, adults, children, and clients diagnosed with psychosis.
Dr. Kimberly Waibogha. received her BSW and MSW from West Virginia University, and her DSW from Rutgers University. Dr. Waibogha has twenty-seven years of professional post-masters experience. She has provided mental health therapy in the in-home setting, inpatient setting, partial inpatient setting, and outpatient setting, Dr. Waibogha has taught in academia, has experience working with addictions, trauma survivors, adults, children, and clients diagnosed with psychosis.
(443) 241-2375 View (443) 241-2375
Photo of Lauren Robbins, Counselor in Columbia, MD
Lauren Robbins
Counselor, LCPC
Verified Verified
Columbia, MD 21044  (Online Only)
My starting point is simple: you matter. Your story matters, your experience matters, your desire to heal, grow, and thrive matters. In all of our lives, however, there are times where we need help making sense of our stories. Whether it is trauma, anxiety, or general life transitions, I can support you in gaining a deeper sense of wholeness. I work with children ages 5+, teens, and adults. I take an eclectic approach to meeting you where you are at and I am EMDR trained in order to help you process past traumatic events that are causing you distress. You are not alone. Together we can help you take back control over your story.
My starting point is simple: you matter. Your story matters, your experience matters, your desire to heal, grow, and thrive matters. In all of our lives, however, there are times where we need help making sense of our stories. Whether it is trauma, anxiety, or general life transitions, I can support you in gaining a deeper sense of wholeness. I work with children ages 5+, teens, and adults. I take an eclectic approach to meeting you where you are at and I am EMDR trained in order to help you process past traumatic events that are causing you distress. You are not alone. Together we can help you take back control over your story.
(240) 512-6284 View (240) 512-6284
Photo of Courtney P. Keeton, Psychologist in Columbia, MD
Courtney P. Keeton
Psychologist, PhD
Verified Verified
4 Endorsed
Columbia, MD 21045
Not accepting new clients
**I am NOT currently accepting new patients ** I am a licensed clinical psychologist specializing in cognitive and behavioral treatment for child and adolescent anxiety-related disorders including selective mutism. I also am a part-time faculty member at The Johns Hopkins University School of Medicine, Division of Child & Adolescent Psychiatry.
**I am NOT currently accepting new patients ** I am a licensed clinical psychologist specializing in cognitive and behavioral treatment for child and adolescent anxiety-related disorders including selective mutism. I also am a part-time faculty member at The Johns Hopkins University School of Medicine, Division of Child & Adolescent Psychiatry.
(410) 346-5430 View (410) 346-5430
Photo of Kim Flyr, Licensed Clinical Professional Counselor in Columbia, MD
Kim Flyr
Licensed Clinical Professional Counselor, LCPC, MEd
Verified Verified
1 Endorsed
Columbia, MD 21044
If you are feeling overwhelmed, don't suffer alone! Everyone can use support sometimes, and I love finding ways to help clients feel comforted, supported, and encouraged. I work primarily with women, although that work can extend into couples and families. I work on many different issues, but have special interest in anxiety, life transitions, grief, and parenting work. I offer an integrated model for counseling and wellness including a holistic approach, practical ideas for change, a beautiful setting, and yoga and retreat offerings. Good counseling can create a connection where change, and growth are possible and even likely.
If you are feeling overwhelmed, don't suffer alone! Everyone can use support sometimes, and I love finding ways to help clients feel comforted, supported, and encouraged. I work primarily with women, although that work can extend into couples and families. I work on many different issues, but have special interest in anxiety, life transitions, grief, and parenting work. I offer an integrated model for counseling and wellness including a holistic approach, practical ideas for change, a beautiful setting, and yoga and retreat offerings. Good counseling can create a connection where change, and growth are possible and even likely.
(240) 561-7440 View (240) 561-7440
Photo of Cynthia Lengrand, Clinical Social Work/Therapist in Columbia, MD
Cynthia Lengrand
Clinical Social Work/Therapist, MSW, LCSW-C, LLC
Verified Verified
Columbia, MD 21045
What keeps me growing as a professional and drives me to do what I do, are the individuals and families that I have the privilege to work with everyday. There are times in all of our lives when we need to reach out for support and encouragement and to know that we are not alone. I have extensive experience in the field of trauma, in particular with survivors of childhood sexual abuse, child abuse, and child neglect. When working with this population, I have treated issues ranging from but not limited to PTSD, depression, anxiety, attachment, and anger.
What keeps me growing as a professional and drives me to do what I do, are the individuals and families that I have the privilege to work with everyday. There are times in all of our lives when we need to reach out for support and encouragement and to know that we are not alone. I have extensive experience in the field of trauma, in particular with survivors of childhood sexual abuse, child abuse, and child neglect. When working with this population, I have treated issues ranging from but not limited to PTSD, depression, anxiety, attachment, and anger.
(410) 656-4272 View (410) 656-4272
Photo of Nana Daining Board Approved Supervisor, Clinical Social Work/Therapist in Columbia, MD
Nana Daining Board Approved Supervisor
Clinical Social Work/Therapist, LCSW-C, CCTP, CIMHP
Verified Verified
2 Endorsed
Columbia, MD 21044  (Online Only)
I am a Certified Trauma Specialist who treats both Single and Complex trauma. I also see clients with Anxiety, Depression, Bipolar Disorder, OCD, Relationship issues, Grief and loss counseling, and adjustment related issues. I am Certified in Cognitive Behavioral , and Dialectical Behavioral Therapies, and trained in Motivational Interviewing, Functional and Nutritional Medicine. My therapy style is Strength-based, Person-Centered, combining the above listed treatment modalities with psycho-education, and engagement. Creating a safe and healing environment for my clients.
I am a Certified Trauma Specialist who treats both Single and Complex trauma. I also see clients with Anxiety, Depression, Bipolar Disorder, OCD, Relationship issues, Grief and loss counseling, and adjustment related issues. I am Certified in Cognitive Behavioral , and Dialectical Behavioral Therapies, and trained in Motivational Interviewing, Functional and Nutritional Medicine. My therapy style is Strength-based, Person-Centered, combining the above listed treatment modalities with psycho-education, and engagement. Creating a safe and healing environment for my clients.
(240) 213-4440 View (240) 213-4440
Photo of Ashleigh Roberts, Clinical Social Work/Therapist in Columbia, MD
Ashleigh Roberts
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Columbia, MD 21045  (Online Only)
You are so brave for stepping up to the plate to improve your life; to attain greater balance, achieve your goals, enhance your self-assurance, learn your strengths, and to feel empowered to live fully! I love working with adults who struggle with trying to manage it all. Between work, parenting, relationships, socializing with friends, and maintaining a meaningful spiritual life, many adults are just plain exhausted. You desire to feel greater peace with it all and to start enjoying life again. I see you and I hear you, and I cannot wait for us to work together so you can discover your needs and finally meet your goals.
You are so brave for stepping up to the plate to improve your life; to attain greater balance, achieve your goals, enhance your self-assurance, learn your strengths, and to feel empowered to live fully! I love working with adults who struggle with trying to manage it all. Between work, parenting, relationships, socializing with friends, and maintaining a meaningful spiritual life, many adults are just plain exhausted. You desire to feel greater peace with it all and to start enjoying life again. I see you and I hear you, and I cannot wait for us to work together so you can discover your needs and finally meet your goals.
(410) 417-8228 View (410) 417-8228
Photo of Charonne M Randall, Clinical Social Work/Therapist in Columbia, MD
Charonne M Randall
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21046  (Online Only)
My name is Charonne, and I am the owner and founder of Cultivating Unstoppable You, LLC. I am dedicated to meeting the unique needs of individuals and couples seeking a Christian and holistic approach to mental health care. My goal is to provide a compassionate and respectful therapeutic environment where clients can set and reach their fullest potential. Together, let's embark on a transformative journey of self-discovery and empowerment that destroys feeling stuck and challenges anxiety, depression, grief/loss, relationship conflict, childhood wounds and life transitions. Together we can make this the best season of your life!
My name is Charonne, and I am the owner and founder of Cultivating Unstoppable You, LLC. I am dedicated to meeting the unique needs of individuals and couples seeking a Christian and holistic approach to mental health care. My goal is to provide a compassionate and respectful therapeutic environment where clients can set and reach their fullest potential. Together, let's embark on a transformative journey of self-discovery and empowerment that destroys feeling stuck and challenges anxiety, depression, grief/loss, relationship conflict, childhood wounds and life transitions. Together we can make this the best season of your life!
(443) 234-9088 View (443) 234-9088

How does your Therapist compare?

Number of Therapists in Columbia, MD

800+

Average cost per session

$150

Therapists in Columbia, MD who prioritize treating:

93% Anxiety
88% Depression
76% Self Esteem
75% Relationship Issues
70% Coping Skills
68% Stress
62% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

77% BlueCross and BlueShield
77% CareFirst
72% Cigna and Evernorth

How Therapists in Columbia, MD see their clients

56% In Person and Online
44% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Columbia?

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.