Therapists in Houston, TX

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Photo of Chelsea Chang, LCSW, LCADC, ICADC, Clinical Social Work/Therapist
Chelsea Chang
Clinical Social Work/Therapist, LCSW, LCADC, ICADC
Verified Verified
Houston, TX 77074  (Online Only)
I have been a Licensed Clinical Social Worker since 2019, and I have experience supporting young adults and adults with concerns such as addictions, substance use disorders, depression, anxiety, life transitions, relationship/ family issues, and anger management. My ideal client would like to resolve these issues by empowering themselves to learn how to counter negative thoughts, regulate emotions, tolerate moments of distress, communicate effectively, and mindfully stay within the present moment. My ideal client would like to learn these skills in order to manifest their ideal life and be the best version of themselves.
I have been a Licensed Clinical Social Worker since 2019, and I have experience supporting young adults and adults with concerns such as addictions, substance use disorders, depression, anxiety, life transitions, relationship/ family issues, and anger management. My ideal client would like to resolve these issues by empowering themselves to learn how to counter negative thoughts, regulate emotions, tolerate moments of distress, communicate effectively, and mindfully stay within the present moment. My ideal client would like to learn these skills in order to manifest their ideal life and be the best version of themselves.
(609) 795-7179 View (609) 795-7179
Photo of Haydee Sierra-Santos, LCSW, Clinical Social Work/Therapist
Haydee Sierra-Santos
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77009  (Online Only)
My name is Haydee Sierra-Santos. I am a Licensed Clinical Social Worker (LCSW) with the state of Texas. I obtained my Master's degree in social work (MSW) from the University of Southern California in September 2015. I love my profession because it allows me to work closely with people. I strongly believe in the power of quality relationships, with the most important being the relationship we have with ourselves. I strive to help people realize their worth, potential, and capacity for change when change is needed.
My name is Haydee Sierra-Santos. I am a Licensed Clinical Social Worker (LCSW) with the state of Texas. I obtained my Master's degree in social work (MSW) from the University of Southern California in September 2015. I love my profession because it allows me to work closely with people. I strongly believe in the power of quality relationships, with the most important being the relationship we have with ourselves. I strive to help people realize their worth, potential, and capacity for change when change is needed.
(323) 643-8569 View (323) 643-8569
Photo of Christina Davis, LPC, Licensed Professional Counselor
Christina Davis
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Houston, TX 77002  (Online Only)
As a counselor, I will always strive to ensure I provide clients with a safe and comfortable environment in which they can explore their innermost challenges. Working to meet clients where they are and assist them in working through their concerns with comparable therapeutic approaches which align with their own values and beliefs is of the utmost importance to me as a professional counselor.
As a counselor, I will always strive to ensure I provide clients with a safe and comfortable environment in which they can explore their innermost challenges. Working to meet clients where they are and assist them in working through their concerns with comparable therapeutic approaches which align with their own values and beliefs is of the utmost importance to me as a professional counselor.
(832) 979-9003 View (832) 979-9003
Photo of Lysle Shaw Trauma Relationships Introverts Empaths, LCSW, Clinical Social Work/Therapist
Lysle Shaw Trauma Relationships Introverts Empaths
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77056  (Online Only)
Are you struggling to break free from old patterns and ways of thinking that no longer serve you? I specialize in helping individuals conquer life's roadblocks and find lasting joy and change. Many of my clients have experienced trauma and feel stuck, while others are navigating life transitions or seeking more meaning and purpose. My approach focuses on helping you gain agency and autonomy to live the life you truly want. If you're seeking authentic self-expression, deeper connections, and a more joyous life, you might resonate with my approach.
Are you struggling to break free from old patterns and ways of thinking that no longer serve you? I specialize in helping individuals conquer life's roadblocks and find lasting joy and change. Many of my clients have experienced trauma and feel stuck, while others are navigating life transitions or seeking more meaning and purpose. My approach focuses on helping you gain agency and autonomy to live the life you truly want. If you're seeking authentic self-expression, deeper connections, and a more joyous life, you might resonate with my approach.
(512) 843-8012 View (512) 843-8012
Photo of Alex Quinn, MS, LPC-A, Pre-Licensed Professional
Alex Quinn
Pre-Licensed Professional, MS, LPC-A
Verified Verified
1 Endorsed
Houston, TX 77018
I am a white, genderqueer therapist who works with LGBTQIA+ teens and adults of various relationship styles, ethnicities, and spiritual backgrounds. I specialize in navigating trauma, grief, anxiety, relational conflict, sexual identity, and gender identity. I believe that therapy is inherently political and should include discussions about a client's racial, environmental, and cultural strengths and stressors. My approach is trauma-informed, consent-based, and incorporates a social-justice framework. Additionally, I am EMDR-trained and I offer free consultations and letters for gender-affirming care.
I am a white, genderqueer therapist who works with LGBTQIA+ teens and adults of various relationship styles, ethnicities, and spiritual backgrounds. I specialize in navigating trauma, grief, anxiety, relational conflict, sexual identity, and gender identity. I believe that therapy is inherently political and should include discussions about a client's racial, environmental, and cultural strengths and stressors. My approach is trauma-informed, consent-based, and incorporates a social-justice framework. Additionally, I am EMDR-trained and I offer free consultations and letters for gender-affirming care.
(281) 623-1703 View (281) 623-1703
Photo of Nancy Stroud, LCSW, Clinical Social Work/Therapist
Nancy Stroud
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77009  (Online Only)
Nancy Stroud, LCSW. Compassionate and Experienced Therapist for Adults and Adolescents. I am a licensed therapist with over 20 years of experience in helping individuals navigate life’s challenges and improve their overall well-being. My practice is grounded in empathy and a commitment to all my clients. I provide therapy services for both adults and adolescents, tailored to meet the unique needs of each age group.
Nancy Stroud, LCSW. Compassionate and Experienced Therapist for Adults and Adolescents. I am a licensed therapist with over 20 years of experience in helping individuals navigate life’s challenges and improve their overall well-being. My practice is grounded in empathy and a commitment to all my clients. I provide therapy services for both adults and adolescents, tailored to meet the unique needs of each age group.
(323) 643-8569 View (323) 643-8569
Photo of Ghytana Williams-Soto, LPC, NCC, Licensed Professional Counselor
Ghytana Williams-Soto
Licensed Professional Counselor, LPC, NCC
Verified Verified
2 Endorsed
Houston, TX 77063
Therapy for trauma is like having a trusted guide alongside you as you navigate through a dense and tangled forest. It’s about creating a space where you’re not alone in facing the shadows of past experiences. It’s a journey we embark on together, focusing on untangling the knots of painful memories, soothing the storms of emotions, and gradually finding paths toward healing. We’ll use different approaches tailored to your unique needs. It’s like having a toolbox filled with strategies to help you regain a sense of safety, manage overwhelming feelings, and gradually piece together a new narrative that puts you back in control.
Therapy for trauma is like having a trusted guide alongside you as you navigate through a dense and tangled forest. It’s about creating a space where you’re not alone in facing the shadows of past experiences. It’s a journey we embark on together, focusing on untangling the knots of painful memories, soothing the storms of emotions, and gradually finding paths toward healing. We’ll use different approaches tailored to your unique needs. It’s like having a toolbox filled with strategies to help you regain a sense of safety, manage overwhelming feelings, and gradually piece together a new narrative that puts you back in control.
(346) 456-5837 View (346) 456-5837
Photo of Latoya C Watson, LCSW, Clinical Social Work/Therapist
Latoya C Watson
Clinical Social Work/Therapist, LCSW
Verified Verified
10 Endorsed
Houston, TX 77046  (Online Only)
Hello, I'm pleased that you are interested in taking this step to EVOLVE into the best version of yourself. Are you a leader in your church and struggling with finding a trustworthy and skilled professional to help you? Feeling overwhelmed or not yourself from day to day responsibilities?
Hello, I'm pleased that you are interested in taking this step to EVOLVE into the best version of yourself. Are you a leader in your church and struggling with finding a trustworthy and skilled professional to help you? Feeling overwhelmed or not yourself from day to day responsibilities?
(860) 430-4577 View (860) 430-4577
Photo of Estefania Ballesteros, MA, LMFT, CST, Marriage & Family Therapist
Estefania Ballesteros
Marriage & Family Therapist, MA, LMFT, CST
Verified Verified
2 Endorsed
Houston, TX 77005  (Online Only)
I am a Licensed Marriage and Family Therapist and a Certified Sex Therapist. I have extensive experience working with couples who struggle with assertive communication in their relationship and wish to learn new and healthier ways to interact. I also specialize in working with clients facing sexual/intimacy issues such as sexless marriages, low libido, and sexual shame. At my practice, I offer premarital counseling and work with clients that deal with anxiety, depression, adjustment to life transitions, stress management, grief and loss. My clients report noticing improvement in their challenges after 4-6 sessions.
I am a Licensed Marriage and Family Therapist and a Certified Sex Therapist. I have extensive experience working with couples who struggle with assertive communication in their relationship and wish to learn new and healthier ways to interact. I also specialize in working with clients facing sexual/intimacy issues such as sexless marriages, low libido, and sexual shame. At my practice, I offer premarital counseling and work with clients that deal with anxiety, depression, adjustment to life transitions, stress management, grief and loss. My clients report noticing improvement in their challenges after 4-6 sessions.
(346) 708-5984 View (346) 708-5984
Photo of Misti Rel, MA, LMFT, Marriage & Family Therapist
Misti Rel
Marriage & Family Therapist, MA, LMFT
Verified Verified
Houston, TX 77079
If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, I look forward to working with you to achieve your goals. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life.
If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, I look forward to working with you to achieve your goals. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life.
(409) 293-4527 View (409) 293-4527
Photo of Dennis Santana-Velázquez, PhD, LP, Psychologist
Dennis Santana-Velázquez
Psychologist, PhD, LP
Verified Verified
Houston, TX 77063
Each person is unique, but life can present us moments that are not particular to anyone. For example thoughts like: "I'm scared to be alone", "I'm afraid that something bad could happen", "I can't deal with this situation", "I feel like everybody judges me in a negative way or no one understands me", "I'm a failure", "a disappointment or not worth it!". You may have tried hard to handle these thoughts and feelings on your own but now you feel tired, frustrated and running out of options. It's always difficult to take the first step in requesting the help to get tools that you need to face these life challenges!
Each person is unique, but life can present us moments that are not particular to anyone. For example thoughts like: "I'm scared to be alone", "I'm afraid that something bad could happen", "I can't deal with this situation", "I feel like everybody judges me in a negative way or no one understands me", "I'm a failure", "a disappointment or not worth it!". You may have tried hard to handle these thoughts and feelings on your own but now you feel tired, frustrated and running out of options. It's always difficult to take the first step in requesting the help to get tools that you need to face these life challenges!
(281) 957-8466 View (281) 957-8466
Photo of Steve Davis, LCSW, Clinical Social Work/Therapist
Steve Davis
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77002
Hi there, I'm Steve and I've been in clinical services now for 14 years.
Hi there, I'm Steve and I've been in clinical services now for 14 years.
(346) 791-2684 View (346) 791-2684
Photo of Don Horton, LPC, Licensed Professional Counselor
Don Horton
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77040
My philosophy is one of pragmatism, based on treating each client as an individual with specific needs and empowering clients through education as well as introspection. My greatest goal is to help others develop into healthy and whole individuals, and to embrace life’s journey. In the therapeutic process, I empower the client to discover their own resolve, while at the same time directing the client into a safe path of self-discovery.
My philosophy is one of pragmatism, based on treating each client as an individual with specific needs and empowering clients through education as well as introspection. My greatest goal is to help others develop into healthy and whole individuals, and to embrace life’s journey. In the therapeutic process, I empower the client to discover their own resolve, while at the same time directing the client into a safe path of self-discovery.
(214) 377-1781 View (214) 377-1781
Photo of Jessica H. Smith, LCSW-S, Clinical Social Work/Therapist
Jessica H. Smith
Clinical Social Work/Therapist, LCSW-S
Verified Verified
1 Endorsed
Houston, TX 77018
Waitlist for new clients
The world can be a tough place for neurodivergent folks. ADHD, autism, chronic illness, trauma, disability and mental health struggles can sometimes make meeting your own basic, everyday needs feel exhausting. Keeping up with the responsibilities and demands of life might leave you feeling overwhelmed, stuck, ashamed, lonely or embarrassed. Other people don't seem to understand why it's so hard for you and sometimes neither do you! You have so many strengths, but it feels like they're buried under layers of self-doubt, frustration and burnout. You're not broken. Your needs are different. You deserve support. We SO get it.
The world can be a tough place for neurodivergent folks. ADHD, autism, chronic illness, trauma, disability and mental health struggles can sometimes make meeting your own basic, everyday needs feel exhausting. Keeping up with the responsibilities and demands of life might leave you feeling overwhelmed, stuck, ashamed, lonely or embarrassed. Other people don't seem to understand why it's so hard for you and sometimes neither do you! You have so many strengths, but it feels like they're buried under layers of self-doubt, frustration and burnout. You're not broken. Your needs are different. You deserve support. We SO get it.
(832) 400-5239 View (832) 400-5239
Photo of Charde T Walker, LCSW, CART, Clinical Social Work/Therapist
Charde T Walker
Clinical Social Work/Therapist, LCSW, CART
Verified Verified
2 Endorsed
Houston, TX 77082  (Online Only)
Hi, I’m Chardé. I’m here to remind you that our wounds are often the openings into the best and most beautiful part of us. There seems to be no one who can see it, but you’re just about ready to tap out. Your plans have been laid, and you’re ambitious and determined, but inside your motivation fades and your fears are growing. You’ve spent the last few years running the race, jumping through the hoops you thought would keep things together, yet it doesn’t seem like there is an end. You’ve given everything to others and now you are the one who feels left behind like no one understands. No more. It’s time you make a change.
Hi, I’m Chardé. I’m here to remind you that our wounds are often the openings into the best and most beautiful part of us. There seems to be no one who can see it, but you’re just about ready to tap out. Your plans have been laid, and you’re ambitious and determined, but inside your motivation fades and your fears are growing. You’ve spent the last few years running the race, jumping through the hoops you thought would keep things together, yet it doesn’t seem like there is an end. You’ve given everything to others and now you are the one who feels left behind like no one understands. No more. It’s time you make a change.
(346) 482-2566 View (346) 482-2566
Photo of Alan Rivas - Alan Rivas Therapy, LCSW, Clinical Social Work/Therapist
Alan Rivas Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77025
Feeling adrift or uncertain about your life's purpose? I specialize in providing guidance and support to adults who are grappling with anxiety and depression stemming from feeling stuck or directionless. My passion lies in aiding individuals who may be experiencing emotional turmoil because they haven't yet discovered their true calling. My primary objective is to assist you in navigating the layers of falsehoods, self-deceptions, and fears that seem to exert control over your life. Through this process, you'll gain the confidence to make decisions and embrace bold choices that lead to personal transformation.
Feeling adrift or uncertain about your life's purpose? I specialize in providing guidance and support to adults who are grappling with anxiety and depression stemming from feeling stuck or directionless. My passion lies in aiding individuals who may be experiencing emotional turmoil because they haven't yet discovered their true calling. My primary objective is to assist you in navigating the layers of falsehoods, self-deceptions, and fears that seem to exert control over your life. Through this process, you'll gain the confidence to make decisions and embrace bold choices that lead to personal transformation.
(832) 345-1925 View (832) 345-1925
Photo of Elizabeth Malcolm, MEd, LPC, Licensed Professional Counselor
Elizabeth Malcolm
Licensed Professional Counselor, MEd, LPC
Verified Verified
5 Endorsed
Houston, TX 77063  (Online Only)
Every life experience has a purpose. Nothing happens by chance. Failure, conflict or ending a relationship, isn't meant to break us, instead, it provides valuable lessons for us to learn, gain insight and grow. I will support your search for self empowerment, as you work to regain your sense of control, purpose and joy. Together we can address your self-esteem issues, destructive self sabotaging thoughts, anger, anxiety, stress, substance use and communication challenges, family conflict, and depression. Learning new skills help you gain confidence to make the change you need to enjoy a more fulfilling life.
Every life experience has a purpose. Nothing happens by chance. Failure, conflict or ending a relationship, isn't meant to break us, instead, it provides valuable lessons for us to learn, gain insight and grow. I will support your search for self empowerment, as you work to regain your sense of control, purpose and joy. Together we can address your self-esteem issues, destructive self sabotaging thoughts, anger, anxiety, stress, substance use and communication challenges, family conflict, and depression. Learning new skills help you gain confidence to make the change you need to enjoy a more fulfilling life.
(832) 415-3480 View (832) 415-3480
Photo of Calien 'cat' Choi - Nova Therapy, Licensed Professional Counselor
Nova Therapy
Licensed Professional Counselor
Verified Verified
Houston, TX 77007  (Online Only)
We totally get that starting therapy can feel intimidating which is why were giving therapy a modern makeover, making it cooler and more relatable than ever. Therapy is about understanding the self that you are and sometimes getting to know yourself is to unknow yourself. It's all about being real and feeling heard, exactly as you are in a space where you're free to be YOU. The greatest act of self-love is to no longer accept a life you are unhappy with. Happiness is not something you can chase. It is something you have to allow. If trauma can be passed down so can healing.
We totally get that starting therapy can feel intimidating which is why were giving therapy a modern makeover, making it cooler and more relatable than ever. Therapy is about understanding the self that you are and sometimes getting to know yourself is to unknow yourself. It's all about being real and feeling heard, exactly as you are in a space where you're free to be YOU. The greatest act of self-love is to no longer accept a life you are unhappy with. Happiness is not something you can chase. It is something you have to allow. If trauma can be passed down so can healing.
(281) 843-9256 View (281) 843-9256
Photo of Kimberly Gill, Pre-Licensed Professional
Kimberly Gill
Pre-Licensed Professional
Verified Verified
1 Endorsed
Houston, TX 77095
I have a passion for helping people who feel stuck in their lives and are struggling to find balance and fulfillment. I provide a culturally sensitive and supportive environment where people feel seen and heard. With me, you can openly discuss systemic racism, cultural identity, and empowerment to help foster resilience and personal growth. By providing tailored support and resources, we can work together to help you navigate life's complexities and achieve your personal and professional goals. Whether it's through couples counseling or individual therapy, I aim to guide you on a path to achieving your dreams.
I have a passion for helping people who feel stuck in their lives and are struggling to find balance and fulfillment. I provide a culturally sensitive and supportive environment where people feel seen and heard. With me, you can openly discuss systemic racism, cultural identity, and empowerment to help foster resilience and personal growth. By providing tailored support and resources, we can work together to help you navigate life's complexities and achieve your personal and professional goals. Whether it's through couples counseling or individual therapy, I aim to guide you on a path to achieving your dreams.
(346) 615-4498 View (346) 615-4498
Photo of Ruki Panjwani, MA CMHC, LPC-A, NCC
Ruki Panjwani
Licensed Professional Counselor Associate, MA CMHC, LPC-A, NCC
Verified Verified
1 Endorsed
Houston, TX 77077  (Online Only)
The quality of your life is deeply connected to the quality of your relationships. When relationships become a source of stress, they can drain your sense of joy and connection, leaving you feeling lonely, anxious, or even resentful. What you long for is connection—experiencing the peace, joy, and allyship that harmonious relationships can bring. However, this can be challenging if you or your partner never witnessed healthy relationship dynamics growing up. If your childhood didn’t involve seeing conflict resolved in loving, respectful ways, it’s easy to feel stuck repeating old patterns. But it doesn't have to be that way.
The quality of your life is deeply connected to the quality of your relationships. When relationships become a source of stress, they can drain your sense of joy and connection, leaving you feeling lonely, anxious, or even resentful. What you long for is connection—experiencing the peace, joy, and allyship that harmonious relationships can bring. However, this can be challenging if you or your partner never witnessed healthy relationship dynamics growing up. If your childhood didn’t involve seeing conflict resolved in loving, respectful ways, it’s easy to feel stuck repeating old patterns. But it doesn't have to be that way.
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How does your Therapist compare?

Number of Therapists in Houston, TX

3,000+

Average cost per session

$135

Therapists in Houston, TX who prioritize treating:

92% Anxiety
87% Depression
72% Self Esteem
71% Coping Skills
66% Relationship Issues
64% Trauma and PTSD
64% Stress

Average years in practice

9 Years

Top 3 insurances accepted

88% Aetna
82% Cigna and Evernorth
74% BlueCross and BlueShield

How Therapists in Houston, TX see their clients

51% Online Only
49% 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.