Therapists in Houston, TX

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Photo of Barbara Johnson, LPC, Licensed Professional Counselor
Barbara Johnson
Licensed Professional Counselor, LPC
Verified Verified
Online Only
Hi there, I’m Barbara! My name is Barbara Johnson, LPC-Supervisor. I am a Licensed Professional Counselor who loves helping people to experience more joy and less suffering in their lives. I am based in Lubbock, Texas, and work with clients statewide via telehealth. I work with adults and specialize in anxiety, depression, mood disorders, stress, anger, and various other issues using Cognitive Behavioral Therapy and Rational Living Therapy along with other evidence-based treatments.
Hi there, I’m Barbara! My name is Barbara Johnson, LPC-Supervisor. I am a Licensed Professional Counselor who loves helping people to experience more joy and less suffering in their lives. I am based in Lubbock, Texas, and work with clients statewide via telehealth. I work with adults and specialize in anxiety, depression, mood disorders, stress, anger, and various other issues using Cognitive Behavioral Therapy and Rational Living Therapy along with other evidence-based treatments.
(323) 643-8569 View (323) 643-8569
Photo of Erika Simon, MA, LMFT, Marriage & Family Therapist
Erika Simon
Marriage & Family Therapist, MA, LMFT
Verified Verified
7 Endorsed
Houston, TX 77018
I have a passion for working with clients of diverse ethnicity, age, and gender, my clients include children, individuals, couples and families. My therapeutic approach is collaborative, family therapy-based, culturally sensitive, and client-centered. I base my approach on the belief that the client is the expert on his or her life circumstances and that my job as a therapist, is not to dictate treatment, but to shape the process using the values, desires and needs of my clients.
I have a passion for working with clients of diverse ethnicity, age, and gender, my clients include children, individuals, couples and families. My therapeutic approach is collaborative, family therapy-based, culturally sensitive, and client-centered. I base my approach on the belief that the client is the expert on his or her life circumstances and that my job as a therapist, is not to dictate treatment, but to shape the process using the values, desires and needs of my clients.
(713) 678-0350 View (713) 678-0350
Photo of Emily Hoelscher, LPC, Licensed Professional Counselor
Emily Hoelscher
Licensed Professional Counselor, LPC
Verified Verified
Online Only
Hi, I'm Emily Hoelscher, a Licensed Professional Counselor with twenty one years of experience in the state of Texas. I have experience working with adults, adolescents, and children both in individual and group settings. In addition, I specialize in working with couples and families.
Hi, I'm Emily Hoelscher, a Licensed Professional Counselor with twenty one years of experience in the state of Texas. I have experience working with adults, adolescents, and children both in individual and group settings. In addition, I specialize in working with couples and families.
(832) 669-5765 View (832) 669-5765
Photo of Denise Rhew, MA, LPC, LMFT, Marriage & Family Therapist
Denise Rhew
Marriage & Family Therapist, MA, LPC, LMFT
Verified Verified
Houston, TX 77024
Making the decision to seek counseling is often the most difficult step in this process. It takes courage to face your pain or relationship struggles and reach out for help. To assist in this journey, I offer my clients acceptance, compassion, and hope in a warm and relaxed environment. I create a safe and supportive space for you to explore difficulties and loss, as well as opportunities for you to develop new understanding and tools to improve your life and relationships. I enjoy working with individuals, couples, and families on a variety of issues.
Making the decision to seek counseling is often the most difficult step in this process. It takes courage to face your pain or relationship struggles and reach out for help. To assist in this journey, I offer my clients acceptance, compassion, and hope in a warm and relaxed environment. I create a safe and supportive space for you to explore difficulties and loss, as well as opportunities for you to develop new understanding and tools to improve your life and relationships. I enjoy working with individuals, couples, and families on a variety of issues.
(713) 581-9100 x3 View (713) 581-9100 x3
Photo of Jen Chenette, LCSW, Clinical Social Work/Therapist
Jen Chenette
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77070
Victor Frankl: “In between the stimulus and response there is a space. In that space is our power and freedom.” When we are anxious we can think 100,000 thoughts a day. Usually negative ones. But thoughts are not FACTS. What you do with those thoughts is what matters. If you can change the way you think, you can change the way you feel - it's that simple. Daily gratitude, mindfulness & humor are excellent tools to help you. Things come together and things fall apart. Life is like a boat ride in the ocean - let me help you find your sea legs and your life vest. And if you can learn to pause - you will catch the sunrises and sunsets.
Victor Frankl: “In between the stimulus and response there is a space. In that space is our power and freedom.” When we are anxious we can think 100,000 thoughts a day. Usually negative ones. But thoughts are not FACTS. What you do with those thoughts is what matters. If you can change the way you think, you can change the way you feel - it's that simple. Daily gratitude, mindfulness & humor are excellent tools to help you. Things come together and things fall apart. Life is like a boat ride in the ocean - let me help you find your sea legs and your life vest. And if you can learn to pause - you will catch the sunrises and sunsets.
(281) 214-6760 View (281) 214-6760
Photo of Ellen Tuffly, MA, NCC
Ellen Tuffly
Licensed Professional Counselor Associate , MA, NCC
Verified Verified
Online Only
You’ve been reading the books and listening to the mental health podcasts. You’re creative and see the world uniquely. You're filled with ideas and want to thrive in a new season. Maybe, you want to reignite your passion for life. Perhaps, you need support to transition through some major milestones. You’ve probably been seeking to make changes on your own, and you've finally decided you want to collaborate with a counselor to focus on your goals. But it's hard to find the right fit with a counselor who understands you. (I get it.) Your story is unique, and you have the potential for growth, self-awareness, and positive change.
You’ve been reading the books and listening to the mental health podcasts. You’re creative and see the world uniquely. You're filled with ideas and want to thrive in a new season. Maybe, you want to reignite your passion for life. Perhaps, you need support to transition through some major milestones. You’ve probably been seeking to make changes on your own, and you've finally decided you want to collaborate with a counselor to focus on your goals. But it's hard to find the right fit with a counselor who understands you. (I get it.) Your story is unique, and you have the potential for growth, self-awareness, and positive change.
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Photo of James Williams, LPC , Licensed Professional Counselor
James Williams
Licensed Professional Counselor, LPC
Verified Verified
Online Only
My name is James E Williams Jr but call me James. I graduated with a master's degree in clinical Mental Health Counseling from Texas A&M University. I’ve been trained in various types of therapy, so I use different approaches to assist you in meeting your therapeutic goals. Cognitive Behavioral Therapy, Cognitive Processing Therapy, Gottman Method of Couples Therapy, Dialectical Behavioral Therapy, and Solution Focused Therapy are the main approaches to therapy I use for challenges such as trauma, couples therapy, anxiety, depression, and life challenges.
My name is James E Williams Jr but call me James. I graduated with a master's degree in clinical Mental Health Counseling from Texas A&M University. I’ve been trained in various types of therapy, so I use different approaches to assist you in meeting your therapeutic goals. Cognitive Behavioral Therapy, Cognitive Processing Therapy, Gottman Method of Couples Therapy, Dialectical Behavioral Therapy, and Solution Focused Therapy are the main approaches to therapy I use for challenges such as trauma, couples therapy, anxiety, depression, and life challenges.
(323) 643-8569 View (323) 643-8569
Photo of Margaret Magness
Margaret Magness
LPC-Associate
Verified Verified
Houston, TX 77024
I am a Play Therapist passionate about working with children experiencing behavioral issues, oppositional tendencies, anxiety, depression, and life transitions. I use a variety of therapies including Adlerian Play Therapy, Child-Centered Play Therapy, and Parent Child Interaction Therapy. In addition, I am currently pursuing my Registered Play Therapy License to further enhance my skills as a therapist.
I am a Play Therapist passionate about working with children experiencing behavioral issues, oppositional tendencies, anxiety, depression, and life transitions. I use a variety of therapies including Adlerian Play Therapy, Child-Centered Play Therapy, and Parent Child Interaction Therapy. In addition, I am currently pursuing my Registered Play Therapy License to further enhance my skills as a therapist.
(346) 472-5967 View (346) 472-5967
Photo of Ashlee Knight, LPC, LMHC, MA, Counselor
Ashlee Knight
Counselor, LPC, LMHC, MA
Verified Verified
2 Endorsed
Houston, TX 77006
Are you frustrated by the quality of the relationships in your life? I help individuals and couples seeking reconnection, conflict management, communication skills, deeper intimacy, and a general sense of understanding how their past impacts their current relational patterns. Relational healing and emotional connectivity makes our experience of partnership much more fulfilling, which impacts every other area of our lives. Utilizing Emotionally Focused Therapy and trauma-informed & attachment based techniques, our work together can transform your understanding of each other as well as the quality of your life together.
Are you frustrated by the quality of the relationships in your life? I help individuals and couples seeking reconnection, conflict management, communication skills, deeper intimacy, and a general sense of understanding how their past impacts their current relational patterns. Relational healing and emotional connectivity makes our experience of partnership much more fulfilling, which impacts every other area of our lives. Utilizing Emotionally Focused Therapy and trauma-informed & attachment based techniques, our work together can transform your understanding of each other as well as the quality of your life together.
(206) 457-1478 View (206) 457-1478
Photo of Toni Caldwell - Resilient Mind Counseling, LLC, MA, LPC, Licensed Professional Counselor
Resilient Mind Counseling, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Online Only
I am a licensed professional counselor from Houston, TX. I am very passionate about my role as a counselor. I have been counseling students in a high school setting for the past six years and I have experience working in a private practice as well. I have experience in working with teens, adolescents, and adults with a wide range of concerns including alcoholism, domestic violence, drug abuse, self-harming, depression, stress, and relationship/marital issues.
I am a licensed professional counselor from Houston, TX. I am very passionate about my role as a counselor. I have been counseling students in a high school setting for the past six years and I have experience working in a private practice as well. I have experience in working with teens, adolescents, and adults with a wide range of concerns including alcoholism, domestic violence, drug abuse, self-harming, depression, stress, and relationship/marital issues.
(346) 815-2490 View (346) 815-2490
Photo of Jorge Rodriguez, LPC , Licensed Professional Counselor
Jorge Rodriguez
Licensed Professional Counselor, LPC
Verified Verified
Online Only
I am a licensed professional counselor parentheses LPC parentheses based in Houston Texas working with clients statewide via telehealth. I work with adults and specialize in anxiety, ADHD, and depression, using cognitive behavioral therapy and dialectical behavioral therapy to help my clients make progress and start feeling better.
I am a licensed professional counselor parentheses LPC parentheses based in Houston Texas working with clients statewide via telehealth. I work with adults and specialize in anxiety, ADHD, and depression, using cognitive behavioral therapy and dialectical behavioral therapy to help my clients make progress and start feeling better.
(323) 643-8569 View (323) 643-8569
Photo of Almeyra Gutierrez, MEd, LPC-S, Licensed Professional Counselor
Almeyra Gutierrez
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
Houston, TX 77096
I offer therapy to couples, families, adults, adolescents, and children. I enjoy working with diverse individuals and helping people grow and heal. I also offer parent/guardian consultation services to help children receive the appropriate services and accommodations in school. I specialize in working with children (4 years and up), adolescents, at-risk youth, groups, adults, couples and families with an array of psychosocial needs. ​My counseling approach to therapy is an Eclectic approach. I selectively apply techniques from a variety of approaches to best fit your individual and family needs.
I offer therapy to couples, families, adults, adolescents, and children. I enjoy working with diverse individuals and helping people grow and heal. I also offer parent/guardian consultation services to help children receive the appropriate services and accommodations in school. I specialize in working with children (4 years and up), adolescents, at-risk youth, groups, adults, couples and families with an array of psychosocial needs. ​My counseling approach to therapy is an Eclectic approach. I selectively apply techniques from a variety of approaches to best fit your individual and family needs.
(713) 205-3167 View (713) 205-3167
Photo of Carrie Halley Lium, MS, NCC, LPC-A
Carrie Halley Lium
Licensed Professional Counselor Associate, MS, NCC, LPC-A
Verified Verified
1 Endorsed
Houston, TX 77027
I am a former high school teacher and high school/middle school counselor. I recently earned my LPC-A to broaden my reach and work with adults of all ages. My previous work in a school setting has given me great insight on the vast stressors and emotions experienced by adolescents and young adults. Through compassionate counseling, I enjoy helping others discover their own strengths and abilities. I strive to see people of all ages break through fears and anxieties and discover their true potential in a safe and judgment-free environment. I love to walk clients through difficult transitions and discover joy on the other side.
I am a former high school teacher and high school/middle school counselor. I recently earned my LPC-A to broaden my reach and work with adults of all ages. My previous work in a school setting has given me great insight on the vast stressors and emotions experienced by adolescents and young adults. Through compassionate counseling, I enjoy helping others discover their own strengths and abilities. I strive to see people of all ages break through fears and anxieties and discover their true potential in a safe and judgment-free environment. I love to walk clients through difficult transitions and discover joy on the other side.
(346) 263-0757 View (346) 263-0757
Photo of Kristine Cross, LPC , Licensed Professional Counselor
Kristine Cross
Licensed Professional Counselor, LPC
Verified Verified
Online Only
Kristine Cross, TX LPC 64150. My approach to therapy is a combination of Cognitive Behavioral Therapy and Mindfulness. The heart of your struggle is most likely relationship- with yourself or with others. I am a welcoming and warm, open-minded, encouraging, non-judgmental, but direct therapist, I combine my education, years of experience, creativity, and down-to-earth sense of humor to tailor a realistic approach to counseling. I combine cognitive behavioral therapy and mindfulness in order to assist clients in reducing stress and employing positive coping skills. I enjoy traveling, playing the piano, reading, pets and knitting.
Kristine Cross, TX LPC 64150. My approach to therapy is a combination of Cognitive Behavioral Therapy and Mindfulness. The heart of your struggle is most likely relationship- with yourself or with others. I am a welcoming and warm, open-minded, encouraging, non-judgmental, but direct therapist, I combine my education, years of experience, creativity, and down-to-earth sense of humor to tailor a realistic approach to counseling. I combine cognitive behavioral therapy and mindfulness in order to assist clients in reducing stress and employing positive coping skills. I enjoy traveling, playing the piano, reading, pets and knitting.
(323) 643-8569 View (323) 643-8569
Photo of Rebekah Yigael, LCSW, Clinical Social Work/Therapist
Rebekah Yigael
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Online Only
I know how difficult it can be to not let the stress and struggle of life consume you. If it feels like self-doubt, anxiety, or missed opportunities are holding you back from living your healthiest, most vibrant life, you are not alone. I've been there and know how to help. My job is to help you heal and access your inner badass to tackle life's demands with confidence. You'll learn strategies and tools along the way to help you reach your goals in a way that feels natural for you. Find comfort in knowing that my relaxed approach will give you the space to share your story without the concern of being labelled or judged.
I know how difficult it can be to not let the stress and struggle of life consume you. If it feels like self-doubt, anxiety, or missed opportunities are holding you back from living your healthiest, most vibrant life, you are not alone. I've been there and know how to help. My job is to help you heal and access your inner badass to tackle life's demands with confidence. You'll learn strategies and tools along the way to help you reach your goals in a way that feels natural for you. Find comfort in knowing that my relaxed approach will give you the space to share your story without the concern of being labelled or judged.
(713) 346-9280 View (713) 346-9280
Photo of Christian David Clem, MEd, LPC Intern
Christian David Clem
LPC Intern, MEd
Verified Verified
Houston, TX 77058
My ideal client is someone who is struggling with their mental health and life choices. Whether it is stress, depression, or career choices, I am looking for clients who want to find answers rather than being given answers. My clients have goals to better themselves and to deal with their issues head-on.
My ideal client is someone who is struggling with their mental health and life choices. Whether it is stress, depression, or career choices, I am looking for clients who want to find answers rather than being given answers. My clients have goals to better themselves and to deal with their issues head-on.
(832) 906-3591 View (832) 906-3591
Photo of Taylor Jones, MS, LPC, NCC, Licensed Professional Counselor
Taylor Jones
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
Online Only
I may be a tad bit biased, but I believe therapy to be one of the most monumental and beneficial experiences a person can be a part of. Therapy creates a safe and warm environment for one to learn how to be compassionate towards their younger self, empower their current self, and also fight for their future self. Because of this, therapy has long-lasting impacts on your self-identity, interpersonal relationships, cultural aspects, professional endeavors, and most importantly, your ability to withstand adversity and grow through hardships.
I may be a tad bit biased, but I believe therapy to be one of the most monumental and beneficial experiences a person can be a part of. Therapy creates a safe and warm environment for one to learn how to be compassionate towards their younger self, empower their current self, and also fight for their future self. Because of this, therapy has long-lasting impacts on your self-identity, interpersonal relationships, cultural aspects, professional endeavors, and most importantly, your ability to withstand adversity and grow through hardships.
(281) 524-3779 View (281) 524-3779
Photo of Kathy P Wu, PhD, Psychologist
Kathy P Wu
Psychologist, PhD
Verified Verified
Online Only
My clients often share that they feel heard, seen, and celebrated as individuals throughout therapy. I apply research-backed, trauma-informed, multi-culturally competent individual therapy to instill hope, self-compassion, and empowerment in young people. Through gentle guidance, developmentally appropriate psychoeducation, and empathic listening, my clients are able to tap into their inner strengths and vulnerabilities, and learn to tolerate discomforts and-- once and for all-- conquer their fears and insecurities.
My clients often share that they feel heard, seen, and celebrated as individuals throughout therapy. I apply research-backed, trauma-informed, multi-culturally competent individual therapy to instill hope, self-compassion, and empowerment in young people. Through gentle guidance, developmentally appropriate psychoeducation, and empathic listening, my clients are able to tap into their inner strengths and vulnerabilities, and learn to tolerate discomforts and-- once and for all-- conquer their fears and insecurities.
(215) 515-8355 View (215) 515-8355
Photo of Kenisha Graves-Drayton - Oasis of Life Counseling, MA, LPC-S, CART, CTMH, CCTP, Licensed Professional Counselor
Oasis of Life Counseling
Licensed Professional Counselor, MA, LPC-S, CART, CTMH, CCTP
Verified Verified
1 Endorsed
Houston, TX 77069
My name is Kenisha Graves, LPC-S, CART, CTMH, CCTP the owner of Oasis of Life Counseling. Here, you may explore coping skills and learn how to overcome life challenges from all walks of life. I have openings for tele-therapy (video) and would be honored to support you during this time of uncertainty. Extended hours are available upon request. Therapeutic services are available for other therapists and other professionals outside of mental health. LPC-Associates are also accepted at this time, as Supervision is provided as new counselors earn their direct and non-direct hours.
My name is Kenisha Graves, LPC-S, CART, CTMH, CCTP the owner of Oasis of Life Counseling. Here, you may explore coping skills and learn how to overcome life challenges from all walks of life. I have openings for tele-therapy (video) and would be honored to support you during this time of uncertainty. Extended hours are available upon request. Therapeutic services are available for other therapists and other professionals outside of mental health. LPC-Associates are also accepted at this time, as Supervision is provided as new counselors earn their direct and non-direct hours.
(281) 942-4410 View (281) 942-4410
Photo of Arrione Clarke, MSW, LCSW, Clinical Social Work/Therapist
Arrione Clarke
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Online Only
Hello! I'm Arrione. Has there ever been a time in your life when you felt disconnected from yourself or from your life’s purpose? Perhaps you were in a hard place where it seemed like dark clouds followed you everywhere you went-and you just couldn’t find inner peace. I have been working with hurting individuals for nearly 10 years, helping them overcome personal challenges and awaken to the calm that internal harmony brings the mind and spirit. I am a multi-state Licensed Clinical Social Worker, holding a master’s degree in Social Work, and a baccalaureate in Psychology from the University of Central Florida.
Hello! I'm Arrione. Has there ever been a time in your life when you felt disconnected from yourself or from your life’s purpose? Perhaps you were in a hard place where it seemed like dark clouds followed you everywhere you went-and you just couldn’t find inner peace. I have been working with hurting individuals for nearly 10 years, helping them overcome personal challenges and awaken to the calm that internal harmony brings the mind and spirit. I am a multi-state Licensed Clinical Social Worker, holding a master’s degree in Social Work, and a baccalaureate in Psychology from the University of Central Florida.
(832) 558-2594 View (832) 558-2594
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How does your Therapist compare?

Number of Therapists in Houston, TX

3,000+

Average cost per session

$136

Therapists in Houston, TX who prioritize treating:

92% Anxiety
87% Depression
72% Self Esteem
71% Coping Skills
65% Relationship Issues
64% Trauma and PTSD
64% Stress

Average years in practice

10 Years

Top 3 insurances accepted

88% Aetna
83% Cigna and Evernorth
74% BlueCross and BlueShield

How Therapists in Houston, TX see their clients

52% Online Only
48% In Person and Online

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Houston?

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.