Therapists in Tomball, TX

Photo of Dr. Karen S Roper, Psychologist in Tomball, TX
Dr. Karen S Roper
Psychologist, PhD
Verified
Tomball, TX 77377  (Online Only)
Anxiety and symptoms of depression are insidious. They have a way of invading every aspect of our lives leading to a feeling of overwhelming confusion and despair. Often, depression and symptoms of anxiety are pushed aside in an effort to ignore their effects. Ignoring the problem leads to difficulty identifying the real issues that need focus. I work with my patients from a place of health and happiness. We start by focusing on the future and desired outcomes. After setting goals for therapy, I will teach you effective methods and tools for relaxation and grounding. Goal attainment leads to real change and good mental health.
Anxiety and symptoms of depression are insidious. They have a way of invading every aspect of our lives leading to a feeling of overwhelming confusion and despair. Often, depression and symptoms of anxiety are pushed aside in an effort to ignore their effects. Ignoring the problem leads to difficulty identifying the real issues that need focus. I work with my patients from a place of health and happiness. We start by focusing on the future and desired outcomes. After setting goals for therapy, I will teach you effective methods and tools for relaxation and grounding. Goal attainment leads to real change and good mental health.
(281) 957-1871 View (281) 957-1871
Photo of Ashley Silver, Clinical Social Work/Therapist in Tomball, TX
Ashley Silver
Clinical Social Work/Therapist, LCSW
Verified
Tomball, TX 77377
Since 2009, I have worked in mental health specializing in helping clients adjust to life stage transitions and stressors. My passion, as a generalist practitioner, is to assist clients in making connections that lead to life changing insights and breakthroughs. The broad lense approach assist clients in meeting their individual goals, and determine the best therapeutic approach to improve the client's emotional and life functioning. I am widely practiced in EMDR and CBT. I also incorporate systems-based approach as necessary for families or couples needing help with relationships or communication.
Since 2009, I have worked in mental health specializing in helping clients adjust to life stage transitions and stressors. My passion, as a generalist practitioner, is to assist clients in making connections that lead to life changing insights and breakthroughs. The broad lense approach assist clients in meeting their individual goals, and determine the best therapeutic approach to improve the client's emotional and life functioning. I am widely practiced in EMDR and CBT. I also incorporate systems-based approach as necessary for families or couples needing help with relationships or communication.
(281) 626-5484 View (281) 626-5484
Photo of Toni La'Zurs, Licensed Professional Counselor in Tomball, TX
Toni La'Zurs
Licensed Professional Counselor, MA, MEd, LPC-S
Verified
Tomball, TX 77375  (Online Only)
I am an experienced Licensed Professional Counselor Supervisor dedicated to helping children, teens/young adults and families who struggle with learning differences, attention deficit, anxiety and school avoidance concerns. Most of my clients are trying to determine “what’s next.” Specifically, whether to go to college or not, what career path to take, or whether this is the best relationship to be in at this time. And with these decisions come anxiety, leaving the parents’ nest, being independent in some ways but dependent financially, and more.
I am an experienced Licensed Professional Counselor Supervisor dedicated to helping children, teens/young adults and families who struggle with learning differences, attention deficit, anxiety and school avoidance concerns. Most of my clients are trying to determine “what’s next.” Specifically, whether to go to college or not, what career path to take, or whether this is the best relationship to be in at this time. And with these decisions come anxiety, leaving the parents’ nest, being independent in some ways but dependent financially, and more.
(281) 672-8238 View (281) 672-8238
Photo of Edwards Clinical Therapy, Clinical Social Work/Therapist in Tomball, TX
Edwards Clinical Therapy
Clinical Social Work/Therapist, MA, LCSW-S
Verified
1 Endorsed
Tomball, TX 77377  (Online Only)
Are you completely overwhelmed by life? Do you fluctuate between trying to do everything perfectly and just wanting to completely give up? Are your goals and relationships being impacted by this cycle? Many of my clients already have all the components that "should" make up a happy life and they feel guilt or shame that they struggle to be happy. They pretend to be happy and this is a struggle as well. Holding back all of those emotions can push others away and leave you feeling lonely and disconnected. After holding the emotions in, they can eventually crash down like a tidal wave on those we love most.
Are you completely overwhelmed by life? Do you fluctuate between trying to do everything perfectly and just wanting to completely give up? Are your goals and relationships being impacted by this cycle? Many of my clients already have all the components that "should" make up a happy life and they feel guilt or shame that they struggle to be happy. They pretend to be happy and this is a struggle as well. Holding back all of those emotions can push others away and leave you feeling lonely and disconnected. After holding the emotions in, they can eventually crash down like a tidal wave on those we love most.
(281) 667-0591 View (281) 667-0591
Photo of Cortnee R. White, Licensed Professional Counselor in Tomball, TX
Cortnee R. White
Licensed Professional Counselor, MEd, LPC
Verified
1 Endorsed
Tomball, TX 77375
I strongly believe the hardest opponent we will ever face as an athlete is ourselves. Do you beat yourself up with negative self-talk, hold onto losses or errors for extended periods of time? Maybe you are experiencing a mental block or the sport you love is starting to create more anxiety than enjoyment? As a former college softball player, fitness competitor, strength trainer, and women's football player I understand the demands and pressures to compete on an elite level both physically and mentally.
I strongly believe the hardest opponent we will ever face as an athlete is ourselves. Do you beat yourself up with negative self-talk, hold onto losses or errors for extended periods of time? Maybe you are experiencing a mental block or the sport you love is starting to create more anxiety than enjoyment? As a former college softball player, fitness competitor, strength trainer, and women's football player I understand the demands and pressures to compete on an elite level both physically and mentally.
(281) 602-3934 View (281) 602-3934
Photo of Sheela Pandya Trivedi, Licensed Professional Counselor in Tomball, TX
Sheela Pandya Trivedi
Licensed Professional Counselor, MA, LPC
Verified
1 Endorsed
Tomball, TX 77375
As a therapist, my goal is to work with clients to develop goals and objectives which will help them to achieve the stability through warm, accepting, non-judgmental, goal oriented therapeutic sessions. The methods used are very eclectic and inclusive considering the client’s comfort and orientation. Methods incorporated (but not limited to) are, CBT, DBT, behavioral therapy, family therapy, solution-based brief therapy, multimodal therapy, relationship counseling.
As a therapist, my goal is to work with clients to develop goals and objectives which will help them to achieve the stability through warm, accepting, non-judgmental, goal oriented therapeutic sessions. The methods used are very eclectic and inclusive considering the client’s comfort and orientation. Methods incorporated (but not limited to) are, CBT, DBT, behavioral therapy, family therapy, solution-based brief therapy, multimodal therapy, relationship counseling.
(832) 761-3522 View (832) 761-3522
Photo of Kristin Niekerk, Licensed Professional Counselor in Tomball, TX
Kristin Niekerk
Licensed Professional Counselor, MS, LPC, CEDS
Verified
3 Endorsed
Tomball, TX 77375
I am a Christian based psychotherapist who believes that Christ is the only one who can bring true and complete healing. I also believe that people can change how they feel by changing how they think, which causes them to change their responses in different situations. When people are willing to couple these two things, transformation happens in their life. For over 20 years I have had the privilege of partnering with people to bring about hope and healing in their lives. I would love the privilege to partner with you as well!
I am a Christian based psychotherapist who believes that Christ is the only one who can bring true and complete healing. I also believe that people can change how they feel by changing how they think, which causes them to change their responses in different situations. When people are willing to couple these two things, transformation happens in their life. For over 20 years I have had the privilege of partnering with people to bring about hope and healing in their lives. I would love the privilege to partner with you as well!
(281) 940-8708 View (281) 940-8708
Photo of Kimberly 'kim' Huff-Howard, Licensed Professional Counselor in Tomball, TX
Kimberly 'kim' Huff-Howard
Licensed Professional Counselor, MEd, LPC
Verified
Tomball, TX 77375
Are the waves of life drowning you? Do you need a helping hand to throw the life preserver and help you keep your head above the water? Contact me! A fresh perspective may be just what you need. I enjoy providing therapy to people of all ages in either the office or by teletherapy. I am a trauma informed counselor that provides a unique counseling experience. Having varied life experiences helps me to relate on a deeply empathetic level. Learning new tools can help you handle the waves of life as you surf above them onto the safe shore. WWW.Counselingcreations.org,
Are the waves of life drowning you? Do you need a helping hand to throw the life preserver and help you keep your head above the water? Contact me! A fresh perspective may be just what you need. I enjoy providing therapy to people of all ages in either the office or by teletherapy. I am a trauma informed counselor that provides a unique counseling experience. Having varied life experiences helps me to relate on a deeply empathetic level. Learning new tools can help you handle the waves of life as you surf above them onto the safe shore. WWW.Counselingcreations.org,
(832) 299-8863 View (832) 299-8863
Photo of Nicholas Schroeder, Licensed Professional Counselor Associate in Tomball, TX
Nicholas Schroeder
Licensed Professional Counselor Associate
Verified
1 Endorsed
Tomball, TX 77375
I am an LPC-Associate. I graduated from Florida College with a Bachelor of Arts degree in Music and minored in Biblical Studies in 2006. I achieved my Master of Science in Clinical Mental Health Counseling from Lubbock Christian University in 2023. I have worked in education and Christian ministry for over 15 years. In those 15 years I have experience working with children, adolescents, and adults in various stages of life. I currently work with clients age 11 and up. I will work with individuals, couples, families, and groups.
I am an LPC-Associate. I graduated from Florida College with a Bachelor of Arts degree in Music and minored in Biblical Studies in 2006. I achieved my Master of Science in Clinical Mental Health Counseling from Lubbock Christian University in 2023. I have worked in education and Christian ministry for over 15 years. In those 15 years I have experience working with children, adolescents, and adults in various stages of life. I currently work with clients age 11 and up. I will work with individuals, couples, families, and groups.
(832) 770-6846 View (832) 770-6846
Photo of Joy L Sumrall, Licensed Professional Counselor in Tomball, TX
Joy L Sumrall
Licensed Professional Counselor, MA, LPC-S, CCATP, EMDR-T
Verified
1 Endorsed
Tomball, TX 77377
My passion is to walk with my clients as they navigate life issues. In the process of working with my client, they learn strategies to overcome obstacles and personal challenges. By building a strong therapist-client alliance my clients see themselves in a safe and nonjudgmental environment and are able to explore their value and worth and move forward in their lives. I integrate psychology, theology and spirituality to help nurture my clients as they process through their issues.
My passion is to walk with my clients as they navigate life issues. In the process of working with my client, they learn strategies to overcome obstacles and personal challenges. By building a strong therapist-client alliance my clients see themselves in a safe and nonjudgmental environment and are able to explore their value and worth and move forward in their lives. I integrate psychology, theology and spirituality to help nurture my clients as they process through their issues.
(281) 595-9397 View (281) 595-9397
Photo of Nicole Porter, Clinical Social Work/Therapist in Tomball, TX
Nicole Porter
Clinical Social Work/Therapist, LCSW, MSW
Verified
Tomball, TX 77375  (Online Only)
Hello, I am Nicole Porter, an experienced Licensed Clinical Social Worker with over a decade of experience. I will work with you to create a non-judgmental and empowering space where you can bring your entire self into the room in order to allow healing. The foundation of my work is to build a strong and trusting therapeutic relationship with individuals, couples and families across the lifespan. I combine Person-Centered, Psychodynamic, & Cognitive-Behavioral therapy modalities to efficiently address symptoms (either on a short-term or long-term basis) & meet your needs or goals. Whether you are in pursuit of growth and change.
Hello, I am Nicole Porter, an experienced Licensed Clinical Social Worker with over a decade of experience. I will work with you to create a non-judgmental and empowering space where you can bring your entire self into the room in order to allow healing. The foundation of my work is to build a strong and trusting therapeutic relationship with individuals, couples and families across the lifespan. I combine Person-Centered, Psychodynamic, & Cognitive-Behavioral therapy modalities to efficiently address symptoms (either on a short-term or long-term basis) & meet your needs or goals. Whether you are in pursuit of growth and change.
(832) 240-7180 View (832) 240-7180
Photo of Laura Aguirre, Licensed Professional Counselor in Tomball, TX
Laura Aguirre
Licensed Professional Counselor, MA, LPC-S
Verified
2 Endorsed
Tomball, TX 77375
Life is messy. Talking about it helps. Circumstances in life can cause us to lose sight of ourselves and who we are called to be. Depression and anxiety can creep in or hit us all at once. Trauma can leave lasting wounds. Grief happens and there is no timeline for healing. Relationships with others can become complicated and confusing. Together we can figure out why you can’t escape from negative thought patterns, where your lack of self-confidence comes from, what’s at the root of your anxious feelings and worry, find freedom from the need to be perfect, process trauma from past experiences, find relief from depression, and more.
Life is messy. Talking about it helps. Circumstances in life can cause us to lose sight of ourselves and who we are called to be. Depression and anxiety can creep in or hit us all at once. Trauma can leave lasting wounds. Grief happens and there is no timeline for healing. Relationships with others can become complicated and confusing. Together we can figure out why you can’t escape from negative thought patterns, where your lack of self-confidence comes from, what’s at the root of your anxious feelings and worry, find freedom from the need to be perfect, process trauma from past experiences, find relief from depression, and more.
(346) 488-6917 View (346) 488-6917
Photo of Pamela D. Broussard, Licensed Professional Counselor in Tomball, TX
Pamela D. Broussard
Licensed Professional Counselor, MA, LPC, LCDC-I
Verified
Tomball, TX 77377  (Online Only)
Do you want more from your life? More joy? More hope? More peace? Existing can be difficult. Do you find yourself waking up each morning, following the same routines, going through the motions, simply pretending that you are fine, that life is great, and you have it all together? Meanwhile, you are struggling with fears, thoughts of feeling stuck, flashbacks of past traumas or abuse, grief, disappointments and/or relational failures. You deserve more than just to survive. Take back your power! It’s time to confront the fears, struggles, worries, stressors, and doubts that have been controlling your life. You deserve it!
Do you want more from your life? More joy? More hope? More peace? Existing can be difficult. Do you find yourself waking up each morning, following the same routines, going through the motions, simply pretending that you are fine, that life is great, and you have it all together? Meanwhile, you are struggling with fears, thoughts of feeling stuck, flashbacks of past traumas or abuse, grief, disappointments and/or relational failures. You deserve more than just to survive. Take back your power! It’s time to confront the fears, struggles, worries, stressors, and doubts that have been controlling your life. You deserve it!
(832) 400-5307 View (832) 400-5307
Photo of Julia D. Ayraud, Licensed Professional Counselor in Tomball, TX
Julia D. Ayraud
Licensed Professional Counselor, MA, LPC-S, CGRS
Verified
4 Endorsed
Tomball, TX 77377
Sometimes life sucks. Perhaps right now is one of those times. You want to move forward in your life, but you feel guilty for moving forward because you fear you'll forget about your loved ones or the losses you grieve. Know this. It is possible to move forward and let go of the pain and suffering you have endured to rise above it and be able to take back your life. Anxiety, depression, and stress can often times make you feel stuck in life. They sometimes make us feel overwhelmed and frustrated with ourselves. On top of these things, you may be struggling with your relationship and finding difficulty repairing it.
Sometimes life sucks. Perhaps right now is one of those times. You want to move forward in your life, but you feel guilty for moving forward because you fear you'll forget about your loved ones or the losses you grieve. Know this. It is possible to move forward and let go of the pain and suffering you have endured to rise above it and be able to take back your life. Anxiety, depression, and stress can often times make you feel stuck in life. They sometimes make us feel overwhelmed and frustrated with ourselves. On top of these things, you may be struggling with your relationship and finding difficulty repairing it.
(832) 937-9647 View (832) 937-9647
Photo of Laura K Eskridge, Psychologist in Tomball, TX
Laura K Eskridge
Psychologist, PhD, LSSP
Verified
Tomball, TX 77375
Do you worry about your child or wonder if his behavior is similar to other kids his age? Has she experienced trouble at school or with friends? If so, psychological evaluation may be right for your family. I specialize in evaluating children and adolescent behavioral, social, emotional and academic problems. I help parents understand their child's unique strengths and needs and I identify how to help every child succeed at school and home. As a Licensed Psychologist and a Licensed Specialist in a School Psychology, I specialize in clinical diagnosis as well as special education eligibility and intervention.
Do you worry about your child or wonder if his behavior is similar to other kids his age? Has she experienced trouble at school or with friends? If so, psychological evaluation may be right for your family. I specialize in evaluating children and adolescent behavioral, social, emotional and academic problems. I help parents understand their child's unique strengths and needs and I identify how to help every child succeed at school and home. As a Licensed Psychologist and a Licensed Specialist in a School Psychology, I specialize in clinical diagnosis as well as special education eligibility and intervention.
(281) 816-6056 View (281) 816-6056
Photo of Joseph Garza, Licensed Professional Counselor in Tomball, TX
Joseph Garza
Licensed Professional Counselor, LPC
Verified
1 Endorsed
Tomball, TX 77375
My ideal client would be someone whom is open to change. Notice I stated open, because change can be difficult but it is necessary for growth. I have been working with with all type of populations ranging from children to the elderly. I enjoy working with adolescents and adults as well with couples. I have worked with individuals and families. I have had experience with anxiety related issues, addiction issues, and relational issues. I have seen many individuals with self-esteem related issues as well.
My ideal client would be someone whom is open to change. Notice I stated open, because change can be difficult but it is necessary for growth. I have been working with with all type of populations ranging from children to the elderly. I enjoy working with adolescents and adults as well with couples. I have worked with individuals and families. I have had experience with anxiety related issues, addiction issues, and relational issues. I have seen many individuals with self-esteem related issues as well.
(281) 699-2374 View (281) 699-2374
Photo of Family Counseling Center of Cypress/Tomball, Clinical Social Work/Therapist in Tomball, TX
Family Counseling Center of Cypress/Tomball
Clinical Social Work/Therapist, MSW, LCSW, ACP
Verified
Tomball, TX 77377
Waitlist for new clients
"All of us experience challenges - relationships disappoint, families struggle, wounds from the past surface, and life's dreams disappear. It is in these moments that we need to a compassionate professional who can provide effective treatment, support, guidance, and the necessary tools to restore hope". For over 29 years, Rose Banker has been using evidence based therapies, employing therapeutic techniques, and using faith based principles to develop effective treatment is for each one of her patients. Her knowledge of the field and her commitment to her patients is what sets Rose Banker apart. Call her today for an evaluation.
"All of us experience challenges - relationships disappoint, families struggle, wounds from the past surface, and life's dreams disappear. It is in these moments that we need to a compassionate professional who can provide effective treatment, support, guidance, and the necessary tools to restore hope". For over 29 years, Rose Banker has been using evidence based therapies, employing therapeutic techniques, and using faith based principles to develop effective treatment is for each one of her patients. Her knowledge of the field and her commitment to her patients is what sets Rose Banker apart. Call her today for an evaluation.
(832) 783-9988 View (832) 783-9988
Photo of Katie Thornton, Clinical Social Work/Therapist in Tomball, TX
Katie Thornton
Clinical Social Work/Therapist, LCSW
Verified
2 Endorsed
Tomball, TX 77375  (Online Only)
I am passionate about helping people to find their voice and their power. I want to help you to build your skills so that you can get the control back in your life.
I am passionate about helping people to find their voice and their power. I want to help you to build your skills so that you can get the control back in your life.
(832) 720-6645 View (832) 720-6645
Photo of Clearhope Counseling & Wellness Center-Tomball, Licensed Professional Counselor in Tomball, TX
Clearhope Counseling & Wellness Center-Tomball
Licensed Professional Counselor, LPC, LCSW, LMFT
Verified
1 Endorsed
Tomball, TX 77375
Clearhope exists to remove access barriers to high-quality mental health services.
Clearhope exists to remove access barriers to high-quality mental health services.
(832) 400-5764 View (832) 400-5764
Photo of Dana Grammer, Clinical Social Work/Therapist in Tomball, TX
Dana Grammer
Clinical Social Work/Therapist, LCSW
Verified
Tomball, TX 77377
Life presents us with a variety of challenges. It may be a personal struggle with self-esteem, self-care and healthy boundaries. We need support and connection with others and it is sometimes not easy to find. Relationships can be frustrating, emotions difficult to deal with, and there's a need for skills to help with communication, problem solving and improved interactions. You may have tried to deal with your problems in unsuccessful ways. Issues of your past may be unresolved. There are solutions. I can provide you a safe place to support you where you are, to learn healthy skills, heal old wounds and become your best self.
Life presents us with a variety of challenges. It may be a personal struggle with self-esteem, self-care and healthy boundaries. We need support and connection with others and it is sometimes not easy to find. Relationships can be frustrating, emotions difficult to deal with, and there's a need for skills to help with communication, problem solving and improved interactions. You may have tried to deal with your problems in unsuccessful ways. Issues of your past may be unresolved. There are solutions. I can provide you a safe place to support you where you are, to learn healthy skills, heal old wounds and become your best self.
(832) 789-8916 View (832) 789-8916

See more therapy options for Tomball

How does your Therapist compare?

Number of Therapists in Tomball, TX

100+

Average cost per session

$135

Therapists in Tomball, TX who prioritize treating:

99% Anxiety
95% Depression
83% Coping Skills
81% Self Esteem
77% Stress
74% Relationship Issues
69% Grief

Average years in practice

10 Years

Top 3 insurances accepted

85% Aetna
78% Cigna and Evernorth
76% BlueCross and BlueShield

How Therapists in Tomball, TX see their clients

82% In Person and Online
18% Online Only

Gender breakdown

87% Female
12% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Tomball?

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.