Therapists in Wichita Falls, TX

Photo of Kenda F Finn, Licensed Professional Counselor, MEd, LPC, NCC
Kenda F Finn
Licensed Professional Counselor, MEd, LPC, NCC
2 Endorsed
Wichita Falls, TX 76308
Not accepting new clients
I am a Licensed Professional Counselor who is currently seeing children and adolescents, ages 0-20. Areas of focus include behavior management, anxiety, depression, trauma, individual and family counseling, stress management, and related behaviors. I have been trained in Child Centered Play Therapy at the UNT Center for Play. I have completed 18 hours of doctoral level education through Liberty University with a focus on trauma. Additionally, I have completed all three phases to become a Registered Play Therapist! I am anxiously awaiting my certification.
I am a Licensed Professional Counselor who is currently seeing children and adolescents, ages 0-20. Areas of focus include behavior management, anxiety, depression, trauma, individual and family counseling, stress management, and related behaviors. I have been trained in Child Centered Play Therapy at the UNT Center for Play. I have completed 18 hours of doctoral level education through Liberty University with a focus on trauma. Additionally, I have completed all three phases to become a Registered Play Therapist! I am anxiously awaiting my certification.
(940) 293-2510 View (940) 293-2510
Photo of Jennifer Twilley, Marriage & Family Therapist, MEd, LMFT
Jennifer Twilley
Marriage & Family Therapist, MEd, LMFT
2 Endorsed
Online Only
Sometimes the hardest realization is that what we thought we knew, thought would work, thought would "fix it" just... isn't working - and sometimes it gets worse! So many of us are Curse Busters - those that want something different than how we grew up, and are questioning e-v-e-r-y-t-h-i-n-g. It's tough, honestly, to live out something that you've never seen done before, like putting together a puzzle without the box lid. I'm so excited to help you on your journey to finding You again! Bring your dark sense of humor, metaphors, memes, and snacks if you need 'em.
Sometimes the hardest realization is that what we thought we knew, thought would work, thought would "fix it" just... isn't working - and sometimes it gets worse! So many of us are Curse Busters - those that want something different than how we grew up, and are questioning e-v-e-r-y-t-h-i-n-g. It's tough, honestly, to live out something that you've never seen done before, like putting together a puzzle without the box lid. I'm so excited to help you on your journey to finding You again! Bring your dark sense of humor, metaphors, memes, and snacks if you need 'em.
(940) 204-6429 View (940) 204-6429
Photo of Gates Lambeth, Licensed Master Social Worker, LMSW
Gates Lambeth
Licensed Master Social Worker, LMSW
1 Endorsed
Wichita Falls, TX 76301
You’re holding a lot—and it’s starting to feel like too much. Maybe you’re constantly stressed, stretched thin, and struggling to balance work, relationships, and your own needs. We humans tend to neglect or abuse ourselves because Saying “yes” is easy—but setting boundaries feels hard. As part of a trauma-focused practice, I help people understand how past experiences and behaviors shape current stress, communication, and confidence. Together, we’ll shift patterns like overcommitting, people-pleasing and addictive into healthier, more sustainable ways of living. You don’t have to keep running on empty. Change starts here.
You’re holding a lot—and it’s starting to feel like too much. Maybe you’re constantly stressed, stretched thin, and struggling to balance work, relationships, and your own needs. We humans tend to neglect or abuse ourselves because Saying “yes” is easy—but setting boundaries feels hard. As part of a trauma-focused practice, I help people understand how past experiences and behaviors shape current stress, communication, and confidence. Together, we’ll shift patterns like overcommitting, people-pleasing and addictive into healthier, more sustainable ways of living. You don’t have to keep running on empty. Change starts here.
(940) 531-3309 View (940) 531-3309
Photo of Bianca Sanchez - Bianca Sanchez, LPC at Evolve Psychiatry, Licensed Professional Counselor, LPC
Bianca Sanchez, LPC at Evolve Psychiatry
Licensed Professional Counselor, LPC
Wichita Falls, TX 76308
Are emotional highs and lows leaving you drained, disconnected, or at odds with the people you care about most? Whether you're navigating mood swings, negative self-talk, disrupted sleep, or relationship strain, sometimes all it takes is one honest outside perspective to start making sense of it. You don't have to carry this alone — and you don't have to have it all figured out before you reach out.
Are emotional highs and lows leaving you drained, disconnected, or at odds with the people you care about most? Whether you're navigating mood swings, negative self-talk, disrupted sleep, or relationship strain, sometimes all it takes is one honest outside perspective to start making sense of it. You don't have to carry this alone — and you don't have to have it all figured out before you reach out.
(940) 340-5298 View (940) 340-5298
Photo of Charlotte Marsh, Marriage & Family Therapist
Charlotte Marsh
Marriage & Family Therapist
Online Only
Hello! I'm glad to meet you! My goal is to help you uncover your true potential and lead a life that is worth celebrating. 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.
Hello! I'm glad to meet you! My goal is to help you uncover your true potential and lead a life that is worth celebrating. 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.
Photo of Kristin Pappas, Licensed Professional Counselor, MEd, MA, LPC
Kristin Pappas
Licensed Professional Counselor, MEd, MA, LPC
1 Endorsed
Online Only
Welcome! I’m Kristin Pappas, a board- certified therapist dedicated to helping individuals navigate life’s challenges. Whether you’re facing anxiety, grief, stress, relationship difficulties, past traumas, or exploring your sexual orientation, I’m here to support you on your journey toward healing and growth. With master’s degrees in Educational Psychology and Clinical Counseling, I bring 20+ years of experience working in various educational settings as well as clinical expertise in both inpatient and outpatient environments. My passion lies in helping people of all ages find their voice and regain a sense of empowerment.
Welcome! I’m Kristin Pappas, a board- certified therapist dedicated to helping individuals navigate life’s challenges. Whether you’re facing anxiety, grief, stress, relationship difficulties, past traumas, or exploring your sexual orientation, I’m here to support you on your journey toward healing and growth. With master’s degrees in Educational Psychology and Clinical Counseling, I bring 20+ years of experience working in various educational settings as well as clinical expertise in both inpatient and outpatient environments. My passion lies in helping people of all ages find their voice and regain a sense of empowerment.
(940) 902-8318 View (940) 902-8318
Photo of Katherine Conley, Marriage & Family Therapist, MA, LMFT
Katherine Conley
Marriage & Family Therapist, MA, LMFT
2 Endorsed
Wichita Falls, TX 76301
Waitlist for new clients
Are you feeling alone in your relationships? Maybe you've noticed that staying married gets harder each day. Or the trauma you've experienced is making it hard to connect with the people you care about. When we experience betrayals and trauma it becomes harder and harder to form the relationships we deserve. This becomes even more challenging when we have Autism or ADHD. My goal is to help you understand your mental health, heal your trauma, and find your way back to your relationships through individual, couples, or family work. I love working with couples, adults, parents, adolescents, and families.
Are you feeling alone in your relationships? Maybe you've noticed that staying married gets harder each day. Or the trauma you've experienced is making it hard to connect with the people you care about. When we experience betrayals and trauma it becomes harder and harder to form the relationships we deserve. This becomes even more challenging when we have Autism or ADHD. My goal is to help you understand your mental health, heal your trauma, and find your way back to your relationships through individual, couples, or family work. I love working with couples, adults, parents, adolescents, and families.
(940) 468-1649 View (940) 468-1649
Photo of Margory (Margie) A Cantrell - Margory A Cantrell Ma Lpc PLLC, Licensed Professional Counselor, MA, LPC
Margory A Cantrell Ma Lpc PLLC
Licensed Professional Counselor, MA, LPC
Wichita Falls, TX 76301
Our lives are more complicated today than ever before. We are pulled in so many different directions - work, home, children who are dealing with lockdowns and bullying, and financial insecurity to name a few. And those emotions! They begin to overwhelm and contribute to heightened anxiety, depression, trauma, and exhaustion. Having someone to talk with and process thoughts and emotions helps - being able to learn to recognize unhealthy coping skills and replace with positive coping skills becomes a healing process. I am honored when someone invites me into their lives in this deeply personal way.
Our lives are more complicated today than ever before. We are pulled in so many different directions - work, home, children who are dealing with lockdowns and bullying, and financial insecurity to name a few. And those emotions! They begin to overwhelm and contribute to heightened anxiety, depression, trauma, and exhaustion. Having someone to talk with and process thoughts and emotions helps - being able to learn to recognize unhealthy coping skills and replace with positive coping skills becomes a healing process. I am honored when someone invites me into their lives in this deeply personal way.
(940) 291-9648 View (940) 291-9648
Photo of Elizabeth Hope Marshall, Pre-Licensed Professional, Intern
Elizabeth Hope Marshall
Pre-Licensed Professional, Intern
Wichita Falls, TX 76301
If you’re feeling overwhelmed, stuck in your head, or just trying to get through the day without falling apart, you are not alone. As a Gen Z therapist, I bring a fresh perspective that values authenticity, inclusivity, and collaboration while maintaining the clinical expertise needed to help you navigate challenges and build valuable insight. También hablo español a nivel conversacional. Tengo una licenciatura en Psicología y Español y he estudiado el idioma durante más de seis años. Aunque actualmente no ofrezco terapia completamente en español, esta experiencia me ayuda a conectar mejor con clientes y familias hispanohablantes.
If you’re feeling overwhelmed, stuck in your head, or just trying to get through the day without falling apart, you are not alone. As a Gen Z therapist, I bring a fresh perspective that values authenticity, inclusivity, and collaboration while maintaining the clinical expertise needed to help you navigate challenges and build valuable insight. También hablo español a nivel conversacional. Tengo una licenciatura en Psicología y Español y he estudiado el idioma durante más de seis años. Aunque actualmente no ofrezco terapia completamente en español, esta experiencia me ayuda a conectar mejor con clientes y familias hispanohablantes.
(940) 263-3347 View (940) 263-3347
Photo of Angela Kaiser, Marriage & Family Therapist, LMFT
Angela Kaiser
Marriage & Family Therapist, LMFT
Wichita Falls, TX 76301
My name is Angela Kaiser and I landed in Marriage and Family Therapy because I see the world through a systemic lens. Basically, the people we are surrounded by influence us and we have an influence on the people around us. I am a firm believer that you are never stuck, that you don’t have to live life feeling exhausted, that you are capable of overcoming the thing that’s keeping you down. You are not broken. What I have to offer you as a therapist is a safe space to be heard, a place to heal, and help you reach your goals. I approach therapy believing you are the expert in your own life, and I get to offer an outside perspective.
My name is Angela Kaiser and I landed in Marriage and Family Therapy because I see the world through a systemic lens. Basically, the people we are surrounded by influence us and we have an influence on the people around us. I am a firm believer that you are never stuck, that you don’t have to live life feeling exhausted, that you are capable of overcoming the thing that’s keeping you down. You are not broken. What I have to offer you as a therapist is a safe space to be heard, a place to heal, and help you reach your goals. I approach therapy believing you are the expert in your own life, and I get to offer an outside perspective.
(940) 716-3947 View (940) 716-3947
Photo of Patrick Faircloth, Licensed Professional Counselor, PhD, LPC, NCC
Patrick Faircloth
Licensed Professional Counselor, PhD, LPC, NCC
2 Endorsed
Online Only
I am committed to recognizing each individual's capacity for growth and change. By employing empathetic and non-judgmental approaches, I support clients in their development and problem-solving processes. Together, we will establish objectives and address challenges through a tailored plan that prioritizes trust and continuous progress.
I am committed to recognizing each individual's capacity for growth and change. By employing empathetic and non-judgmental approaches, I support clients in their development and problem-solving processes. Together, we will establish objectives and address challenges through a tailored plan that prioritizes trust and continuous progress.
(214) 731-4834 View (214) 731-4834
Photo of Michelle Hall, Licensed Professional Counselor, PhD, FT, LPC-S
Michelle Hall
Licensed Professional Counselor, PhD, FT, LPC-S
Wichita Falls, TX 76301
Waitlist for new clients
Have you had enough of dealing with issues that aren't getting better? Have you tried various solutions and not receiving results? It could be time to focus on effective interventions that could help your overall well-being. I can help you address various issues that you are dealing with in life. I'm passionate about helping those struggling with various areas in life that could stem from parenting issues, grief, adhd, trauma, to autism.
Have you had enough of dealing with issues that aren't getting better? Have you tried various solutions and not receiving results? It could be time to focus on effective interventions that could help your overall well-being. I can help you address various issues that you are dealing with in life. I'm passionate about helping those struggling with various areas in life that could stem from parenting issues, grief, adhd, trauma, to autism.
(940) 228-2951 View (940) 228-2951
Photo of Amanda R McCormick, LPC-Associate, MA, LPC, Assoc
Amanda R McCormick
LPC-Associate, MA, LPC, Assoc
Wichita Falls, TX 76301
Life can be difficult, and it's okay to seek help. I'm here to support you in navigating your challenges, finding balance, and reconnecting with your inner strength. As a licensed professional associate counselor, supervised by Dr. Michelle Hall, PhD, FT, LPC-S. I provide a safe, nonjudgmental space for you to explore your thoughts, emotions, and experiences. I work with adults, teens, and couples dealing with anxiety, depression, trauma, relationship issues, life transitions, and more. My approach is warm, collaborative, and rooted in evidence-based practices such as Cognitive Behavioral Therapy and Person Centered.
Life can be difficult, and it's okay to seek help. I'm here to support you in navigating your challenges, finding balance, and reconnecting with your inner strength. As a licensed professional associate counselor, supervised by Dr. Michelle Hall, PhD, FT, LPC-S. I provide a safe, nonjudgmental space for you to explore your thoughts, emotions, and experiences. I work with adults, teens, and couples dealing with anxiety, depression, trauma, relationship issues, life transitions, and more. My approach is warm, collaborative, and rooted in evidence-based practices such as Cognitive Behavioral Therapy and Person Centered.
(940) 291-2867 View (940) 291-2867
Photo of Rebecca Bass, Licensed Professional Counselor, MA, LPC
Rebecca Bass
Licensed Professional Counselor, MA, LPC
1 Endorsed
Wichita Falls, TX 76301
Not accepting new clients
I am a Licensed Professional Therapist who enjoys working with children ages 3–10 and their families. I have experience supporting children in private practice, inpatient, and school settings, and I use developmentally appropriate, child-centered approaches to help children feel safe, understood, and confident. I value partnering with parents through periodic consultations to support growth and progress beyond the therapy room.
I am a Licensed Professional Therapist who enjoys working with children ages 3–10 and their families. I have experience supporting children in private practice, inpatient, and school settings, and I use developmentally appropriate, child-centered approaches to help children feel safe, understood, and confident. I value partnering with parents through periodic consultations to support growth and progress beyond the therapy room.
(940) 310-5728 View (940) 310-5728
Photo of Martin Trevino, Clinical Social Work/Therapist, LCSW, LCDC
Martin Trevino
Clinical Social Work/Therapist, LCSW, LCDC
Online Only
I am a Licensed Clinical Social Worker (LCSW) and Licensed Chemical Dependency Counselor (LCDC) in the state of Texas. I can provide on-line therapy with client's that reside in Texas (only). My method for therapy is Cognitive Behavioral Therapy (CBT). I work with a diverse range of clients, including couples (married/dating), individuals, and the LGBTQ+ community. I bring a comprehensive and compassionate approach to mental health and addiction counseling. My experience includes delivering therapeutic interventions, assessing mental health and substance use disorders, and developing treatment plans based on the client’s goals.
I am a Licensed Clinical Social Worker (LCSW) and Licensed Chemical Dependency Counselor (LCDC) in the state of Texas. I can provide on-line therapy with client's that reside in Texas (only). My method for therapy is Cognitive Behavioral Therapy (CBT). I work with a diverse range of clients, including couples (married/dating), individuals, and the LGBTQ+ community. I bring a comprehensive and compassionate approach to mental health and addiction counseling. My experience includes delivering therapeutic interventions, assessing mental health and substance use disorders, and developing treatment plans based on the client’s goals.
(940) 267-3486 View (940) 267-3486
Photo of Stephanie Kramer, Licensed Professional Counselor, LPC
Stephanie Kramer
Licensed Professional Counselor, LPC
Online Only
I currently live in Texas and am licensed in Texas and Wisconsin. I have been licensed for over a decade with a great deal of experience with treating trauma, grief, eating disorders, co-occurring disorders, ADHD, anxiety disorders and marriage/relationship conflict. In addition to my work in private practice, I also worked for a crisis unit and provided consultation for care as well as intervened to provide direct treatment in more complex situations.
I currently live in Texas and am licensed in Texas and Wisconsin. I have been licensed for over a decade with a great deal of experience with treating trauma, grief, eating disorders, co-occurring disorders, ADHD, anxiety disorders and marriage/relationship conflict. In addition to my work in private practice, I also worked for a crisis unit and provided consultation for care as well as intervened to provide direct treatment in more complex situations.
(940) 290-8871 View (940) 290-8871
Photo of Becky Bell, Licensed Professional Counselor, LBSW, LPC
Becky Bell
Licensed Professional Counselor, LBSW, LPC
Wichita Falls, TX 76301
No matter how "together" you may appear on the outside, it can feel overwhelming when you are hurting on the inside. I understand how challenging it can be to face stubborn and worn-out patterns and dynamics. I aim to create a warm, welcoming, and nurturing environment where you can feel safe and protected. I meet you where you are in your life, recognizing that you are the expert of your own story. We will move at your pace, and there is no judgment or expectation for you to share or perform. This journey is yours—focused on greater self-awareness, growth, and healing.
No matter how "together" you may appear on the outside, it can feel overwhelming when you are hurting on the inside. I understand how challenging it can be to face stubborn and worn-out patterns and dynamics. I aim to create a warm, welcoming, and nurturing environment where you can feel safe and protected. I meet you where you are in your life, recognizing that you are the expert of your own story. We will move at your pace, and there is no judgment or expectation for you to share or perform. This journey is yours—focused on greater self-awareness, growth, and healing.
(940) 386-9041 View (940) 386-9041
Photo of Brittani Vaughn, Licensed Professional Counselor, MA, LPC
Brittani Vaughn
Licensed Professional Counselor, MA, LPC
2 Endorsed
Wichita Falls, TX 76301
Do you find yourself struggling with motivation to complete small tasks or lack interest in previously enjoyable activities? Maybe you find it difficult to reach your goals due to feeling overwhelmed or unsure of yourself? Even with support from family and friends, you may not be able to move past these feelings. Together we can explore your strengths, learn how to cope with negative feelings, and identify goals to help you succeed and thrive in all aspects of your life.
Do you find yourself struggling with motivation to complete small tasks or lack interest in previously enjoyable activities? Maybe you find it difficult to reach your goals due to feeling overwhelmed or unsure of yourself? Even with support from family and friends, you may not be able to move past these feelings. Together we can explore your strengths, learn how to cope with negative feelings, and identify goals to help you succeed and thrive in all aspects of your life.
(940) 427-7485 View (940) 427-7485
Photo of Kevin Hollemans, Counselor, MA, LPC
Kevin Hollemans
Counselor, MA, LPC
Wichita Falls, TX 76301
Are you struggling with Anxiety/Depression, Relationships, Loss/Grief? Are you ready to make a change in your life and need help? I believe that everyone is the hero in their own story and I am a guide to help motivate them to achieve their goals. Why wait? Schedule your Virtual or In-Person Session today! What do you do, when you don't know what to do? (In Person sessions on a limited basis)
Are you struggling with Anxiety/Depression, Relationships, Loss/Grief? Are you ready to make a change in your life and need help? I believe that everyone is the hero in their own story and I am a guide to help motivate them to achieve their goals. Why wait? Schedule your Virtual or In-Person Session today! What do you do, when you don't know what to do? (In Person sessions on a limited basis)
(940) 532-9832 View (940) 532-9832
Photo of Elizabeth 'liz' Ivey, Licensed Professional Counselor, MA, LPC
Elizabeth 'liz' Ivey
Licensed Professional Counselor, MA, LPC
Wichita Falls, TX 76301
Waitlist for new clients
I am a Licensed Professional Counselor - Supervisor specializing in domestic violence, sexual assault, trauma, anxiety, depression, and parenting skills. I use a person-centered and psychoeducation approach in sessions; meaning meeting a client where they are and tailoring the approach to meet individual needs.
I am a Licensed Professional Counselor - Supervisor specializing in domestic violence, sexual assault, trauma, anxiety, depression, and parenting skills. I use a person-centered and psychoeducation approach in sessions; meaning meeting a client where they are and tailoring the approach to meet individual needs.
(940) 400-0682 View (940) 400-0682

See more therapy options for Wichita Falls

How does your Therapist compare?

Number of Therapists in Wichita Falls, TX

100+

Average cost per session

$125

Therapists in Wichita Falls, TX who prioritize treating:

90% Anxiety
90% Social Anxiety
90% Health Anxiety
90% Driving Anxiety
86% Depression
71% Trauma and PTSD
71% Complex PTSD

Average years in practice

9 Years

Top 3 insurances accepted

97% Aetna
93% Cigna and Evernorth
81% BlueCross and BlueShield

How Therapists in Wichita Falls, TX see their clients

62% In Person and Online
38% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Wichita Falls?

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.