Therapists in Alexandria, VA

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Photo of Jennifer Forbes, LPC, Licensed Professional Counselor
Jennifer Forbes
Licensed Professional Counselor, LPC
Verified Verified
4 Endorsed
Alexandria, VA 22314
I have extensive experience working with clients who struggle with eating disorders, addiction, depressive disorders, and anxiety disorders. I have worked in a variety of settings, including: general mental health inpatient; an eating disorder residential treatment center; in-home services; outpatient services where I helped clients facing homelessness, clients experiencing crises including suicidality, and clients with severe mental health diagnoses.
I have extensive experience working with clients who struggle with eating disorders, addiction, depressive disorders, and anxiety disorders. I have worked in a variety of settings, including: general mental health inpatient; an eating disorder residential treatment center; in-home services; outpatient services where I helped clients facing homelessness, clients experiencing crises including suicidality, and clients with severe mental health diagnoses.
(571) 497-4702 View (571) 497-4702
Photo of Susan L Miller, MSW, LCSW, BCD, Clinical Social Work/Therapist
Susan L Miller
Clinical Social Work/Therapist, MSW, LCSW, BCD
Verified Verified
Online Only
Not accepting new clients
"Entering therapy can be a humbling experience. It takes courage and strength to ask for help. I'm a seasoned therapist with over forty years of clinical practice. I bring wisdom, maturity, compassion, and life experience which inform and deepen my work with individuals and couples. I seek to create a safe, respectful, empathic, and collaborative enviornment which maximizes individual's strengths and facilitates problem solving and growth. My style is one of being active, flexible, and fully engaged.
"Entering therapy can be a humbling experience. It takes courage and strength to ask for help. I'm a seasoned therapist with over forty years of clinical practice. I bring wisdom, maturity, compassion, and life experience which inform and deepen my work with individuals and couples. I seek to create a safe, respectful, empathic, and collaborative enviornment which maximizes individual's strengths and facilitates problem solving and growth. My style is one of being active, flexible, and fully engaged.
(540) 491-4500 View (540) 491-4500
Photo of Brian Marvin, LCSW, Clinical Social Work/Therapist
Brian Marvin
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Online Only
***I AM ONLY SEEING TELEHEALTH CLIENTS ** Welcome to my practice! I have over 25 years of experience. I see pre-teens, adolescents and adults. If your youth struggles with school or friends, substance abuse, bullying, negative behaviors or self-confidence, I can help. If they worry too much or experience depression, I can help. I also work a lot with parents and children around divorce, blended family issues. In addition I can help you with job-stress, anxiety, panic attacks, feeling overwhelmed, mood changes, grief issues, relationship challenges or feelings related to unwanted sexual experiences in the past.
***I AM ONLY SEEING TELEHEALTH CLIENTS ** Welcome to my practice! I have over 25 years of experience. I see pre-teens, adolescents and adults. If your youth struggles with school or friends, substance abuse, bullying, negative behaviors or self-confidence, I can help. If they worry too much or experience depression, I can help. I also work a lot with parents and children around divorce, blended family issues. In addition I can help you with job-stress, anxiety, panic attacks, feeling overwhelmed, mood changes, grief issues, relationship challenges or feelings related to unwanted sexual experiences in the past.
(703) 935-1517 View (703) 935-1517
Photo of Vanessa Cushing, LPC, NCC, MS, Licensed Professional Counselor
Vanessa Cushing
Licensed Professional Counselor, LPC, NCC, MS
Verified Verified
1 Endorsed
Online Only
As a counselor I compassionately support and challenge those I work with to grow, reflect, and flourish in order to meet their treatment goals. My collective aim is to help clients eliminate distress, build more adaptive coping skills, gain insight into unhealthy patterns, and most importantly facilitate growth and healing. I am committed to creating a safe and trusting environment for all clients wherein they feel seen, affirmed, respected, and free to express themselves authentically.
As a counselor I compassionately support and challenge those I work with to grow, reflect, and flourish in order to meet their treatment goals. My collective aim is to help clients eliminate distress, build more adaptive coping skills, gain insight into unhealthy patterns, and most importantly facilitate growth and healing. I am committed to creating a safe and trusting environment for all clients wherein they feel seen, affirmed, respected, and free to express themselves authentically.
(571) 489-5419 View (571) 489-5419
Photo of Carolina Duval - Pearl Vitality Counseling, LPC, Licensed Professional Counselor
Pearl Vitality Counseling
Licensed Professional Counselor, LPC
Verified Verified
Alexandria, VA 22304
BILINGUAL (SPANISH/ENGLISH SPEAKING) THERAPIST .I believe the purpose of therapy is for you to more deeply discover who you are, what you want, and how to get it. During therapy, I will do my best to honor your personal experiences and perspective. You can count on me to provide you with honest feedback, and to offer suggestions based on my clinical training and life experiences. I encourage your active participation and collaboration as we develop our therapeutic relationship and work to meet your chosen goals.
BILINGUAL (SPANISH/ENGLISH SPEAKING) THERAPIST .I believe the purpose of therapy is for you to more deeply discover who you are, what you want, and how to get it. During therapy, I will do my best to honor your personal experiences and perspective. You can count on me to provide you with honest feedback, and to offer suggestions based on my clinical training and life experiences. I encourage your active participation and collaboration as we develop our therapeutic relationship and work to meet your chosen goals.
(703) 260-9352 View (703) 260-9352
Photo of Amanda H Kaliner, LPC-R, Pre-Licensed Professional
Amanda H Kaliner
Pre-Licensed Professional, LPC-R
Verified Verified
1 Endorsed
Alexandria, VA 22314
Amanda has extensive experience working with adolescents in school, group, and outpatient settings. Amanda currently specializes in mood disorders like anxiety and depression, self-esteem, peer relations, LGBTQIA+ issues, and life transitions for adolescents and young adults.
Amanda has extensive experience working with adolescents in school, group, and outpatient settings. Amanda currently specializes in mood disorders like anxiety and depression, self-esteem, peer relations, LGBTQIA+ issues, and life transitions for adolescents and young adults.
(540) 845-6940 x1 View (540) 845-6940 x1
Photo of Madalyn Laurel Humphreys-Jeffery, MA, CSOTP, CSTS, LPC, Licensed Professional Counselor
Madalyn Laurel Humphreys-Jeffery
Licensed Professional Counselor, MA, CSOTP, CSTS, LPC
Verified Verified
1 Endorsed
Online Only
Welcome. Through the hustle and bustle of life it is often the case that we neglect to take the time for ourselves to allow for self care let alone allow time to nurture our mental health. We sometimes forget that in order to do our best for others we must first assure that we are taking care of ourselves. My mission is to assist a wide variety of clients in working through issues such as anxiety, depression, grief, self esteem issues, and general life stressors in order to allow clients to examine and explore ways in which to live their best lives.
Welcome. Through the hustle and bustle of life it is often the case that we neglect to take the time for ourselves to allow for self care let alone allow time to nurture our mental health. We sometimes forget that in order to do our best for others we must first assure that we are taking care of ourselves. My mission is to assist a wide variety of clients in working through issues such as anxiety, depression, grief, self esteem issues, and general life stressors in order to allow clients to examine and explore ways in which to live their best lives.
(571) 536-2431 View (571) 536-2431
Photo of Raven Green, MA, Pre-Licensed Professional
Raven Green
Pre-Licensed Professional, MA
Verified Verified
Alexandria, VA 22314
We understand that the decision to begin therapy may be difficult. Limited finances, perceived family rejection, lack of time, and cultural barriers are just a few reasons why individuals refrain from embarking on this life-altering journey. Regardless of the reasons, Professional Psychological Services is dedicated to helping you reach your full potential. We promise to provide a safe environment where your values will not be judged, but instead, we will work together to create a new way of living to reach your full potential and maximize your talents.
We understand that the decision to begin therapy may be difficult. Limited finances, perceived family rejection, lack of time, and cultural barriers are just a few reasons why individuals refrain from embarking on this life-altering journey. Regardless of the reasons, Professional Psychological Services is dedicated to helping you reach your full potential. We promise to provide a safe environment where your values will not be judged, but instead, we will work together to create a new way of living to reach your full potential and maximize your talents.
(571) 200-2288 View (571) 200-2288
Photo of Maggie Kappler, MA, LPC, Licensed Professional Counselor
Maggie Kappler
Licensed Professional Counselor, MA, LPC
Verified Verified
Online Only
Waitlist for new clients
Not Accepting New Patients. Please reach out and see if there is another good fit at the practice. HMT has many wonderful clinicians! I am comfortable working with many different populations with varying levels of issues. Depression, anxiety, trauma, substance use, and military specific stressors are a small cross-section of the issues I treat. I am a sex-positive, kink informed and trauma informed clinician. I am a laid-back person with a robust, and admittedly sometimes immature, sense of humor who is a big believer in radical acceptance. You can expect these things, and many more during our sessions.
Not Accepting New Patients. Please reach out and see if there is another good fit at the practice. HMT has many wonderful clinicians! I am comfortable working with many different populations with varying levels of issues. Depression, anxiety, trauma, substance use, and military specific stressors are a small cross-section of the issues I treat. I am a sex-positive, kink informed and trauma informed clinician. I am a laid-back person with a robust, and admittedly sometimes immature, sense of humor who is a big believer in radical acceptance. You can expect these things, and many more during our sessions.
(540) 845-6940 View (540) 845-6940
Photo of Antonio White, LPC-R, NCC
Antonio White
Resident in Counseling, LPC-R, NCC
Verified Verified
1 Endorsed
Alexandria, VA 22314
Feeling like you’re stuck in a loop of “Why is my life such a mess?” and don’t know where to turn? Taking the leap to ask for help is difficult, but trust me, it’s worth it. As someone who’s navigated my own share of life’s messiness, I totally get it. The good news? You don’t have to tackle this alone—I’m here to help you figure it out!
Feeling like you’re stuck in a loop of “Why is my life such a mess?” and don’t know where to turn? Taking the leap to ask for help is difficult, but trust me, it’s worth it. As someone who’s navigated my own share of life’s messiness, I totally get it. The good news? You don’t have to tackle this alone—I’m here to help you figure it out!
(571) 946-8070 x1 View (571) 946-8070 x1
Photo of Kieran Evans, MHS, MSW, LCSW, Clinical Social Work/Therapist
Kieran Evans
Clinical Social Work/Therapist, MHS, MSW, LCSW
Verified Verified
1 Endorsed
Online Only
Sometimes we think of our life as a story with a beginning, middle and end. But life rarely feels this simple and linear. Our experiences change the way we view ourselves and the world around us especially when we endure pain and loss; our identity shifts, and the story we've told gets tangled up. It is normal to become disoriented and scared when we feel ourselves changing. Maybe we seem more lonely, less fulfilled, or lost. I see it as my responsibility to be a partner/guide for you so you feel more oriented, less alone, more able to recognize your innate strengths and ability to heal and to ultimately author a story of growth.
Sometimes we think of our life as a story with a beginning, middle and end. But life rarely feels this simple and linear. Our experiences change the way we view ourselves and the world around us especially when we endure pain and loss; our identity shifts, and the story we've told gets tangled up. It is normal to become disoriented and scared when we feel ourselves changing. Maybe we seem more lonely, less fulfilled, or lost. I see it as my responsibility to be a partner/guide for you so you feel more oriented, less alone, more able to recognize your innate strengths and ability to heal and to ultimately author a story of growth.
(571) 601-4130 View (571) 601-4130
Photo of Amanda E. Thompson, LCSW, LICSW, RYT, Clinical Social Work/Therapist
Amanda E. Thompson
Clinical Social Work/Therapist, LCSW, LICSW, RYT
Verified Verified
1 Endorsed
Alexandria, VA 22314
Do you question whether it is safe to prioritize your own healing? Maybe you’ve been feeling caught in the undertow of people pleasing patterns in your relationships, unsure of how to find your way to shore. Perhaps the negative load you carry around feels heavy, while trying to keep your head above water. You seek a sense of self-empowerment and confidence to make decisions, without consulting several friends or family members first. You want to be familiar with various ways to soothe anxiety. You’d like to be able to offer yourself that darn self-compassion, without cringing or feeling discomfort in the process.
Do you question whether it is safe to prioritize your own healing? Maybe you’ve been feeling caught in the undertow of people pleasing patterns in your relationships, unsure of how to find your way to shore. Perhaps the negative load you carry around feels heavy, while trying to keep your head above water. You seek a sense of self-empowerment and confidence to make decisions, without consulting several friends or family members first. You want to be familiar with various ways to soothe anxiety. You’d like to be able to offer yourself that darn self-compassion, without cringing or feeling discomfort in the process.
(571) 556-8238 View (571) 556-8238
Photo of Maureen Allen, LCSW, CCTP, Clinical Social Work/Therapist
Maureen Allen
Clinical Social Work/Therapist, LCSW, CCTP
Verified Verified
Online Only
With more than twenty-five years of experience, I have had the opportunity and privilege to participate in the hard work that individuals, couples and families have done to lead fuller and more satisfying lives. I work with adults dealing with anxiety, depression, adoption, trauma, divorce, deployment, grief and loss. I am a Certified Clinical Trauma Practitioner. In addition to therapy, I provide individual and group Clinical Supervision for Licensure.
With more than twenty-five years of experience, I have had the opportunity and privilege to participate in the hard work that individuals, couples and families have done to lead fuller and more satisfying lives. I work with adults dealing with anxiety, depression, adoption, trauma, divorce, deployment, grief and loss. I am a Certified Clinical Trauma Practitioner. In addition to therapy, I provide individual and group Clinical Supervision for Licensure.
(703) 349-4538 View (703) 349-4538
Photo of Lisa Swann, LPC, NCC, Licensed Professional Counselor
Lisa Swann
Licensed Professional Counselor, LPC, NCC
Verified Verified
Alexandria, VA 22310
I am Lisa Swann, a Licensed Professional Counselor (LPC) in the state of Virginia, and I have been a Licensed Professional Counselor and Certified Addiction Counselor II in the District of Columbia for the last 9 years. I am also a National Certified Counselor (NCC) through the National Board for Certified Counselors (NBCC). My specialties include depression, suicidal ideation, anxiety, complex trauma, PTSD, sexual trauma, substance abuse, support recovery, grief and loss, low self-esteem, chronic pain, and more. I hold a Bachelor’s in Human Development & Psychology and a Master’s in Counseling.
I am Lisa Swann, a Licensed Professional Counselor (LPC) in the state of Virginia, and I have been a Licensed Professional Counselor and Certified Addiction Counselor II in the District of Columbia for the last 9 years. I am also a National Certified Counselor (NCC) through the National Board for Certified Counselors (NBCC). My specialties include depression, suicidal ideation, anxiety, complex trauma, PTSD, sexual trauma, substance abuse, support recovery, grief and loss, low self-esteem, chronic pain, and more. I hold a Bachelor’s in Human Development & Psychology and a Master’s in Counseling.
(703) 420-7021 View (703) 420-7021
Photo of Kendra Burton, Pre-Licensed Professional
Kendra Burton
Pre-Licensed Professional
Verified Verified
Alexandria, VA 22314
I am a Resident in Counseling with 10 years of experience in the mental health field. I have worked in inpatient hospitals, group homes, and case management. For the past 2 years, I have served as a therapist, helping people who are struggling with trauma, depression, and anxiety. I am LGBT- and neurodiverse-affirming.
I am a Resident in Counseling with 10 years of experience in the mental health field. I have worked in inpatient hospitals, group homes, and case management. For the past 2 years, I have served as a therapist, helping people who are struggling with trauma, depression, and anxiety. I am LGBT- and neurodiverse-affirming.
(339) 244-7023 View (339) 244-7023
Photo of Allie Dwight, ATR, LPC, Licensed Professional Counselor
Allie Dwight
Licensed Professional Counselor, ATR, LPC
Verified Verified
Alexandria, VA 22314
Waitlist for new clients
Through a caring and collaborative relationship, I aim to hold a safe space in which you can develop new coping skills and perspectives, safely process trauma at your own pace, and improve overall well-being. As a licensed professional counselor and art therapist, I specialize in working with adults and teenagers experiencing depression, anxiety, PTSD, relationship conflicts, and members of the LGBTQ+ community. I have a deep capacity to support clients who have been told that their story is "too much" for others to hold, as well as those who feel they are "not enough."
Through a caring and collaborative relationship, I aim to hold a safe space in which you can develop new coping skills and perspectives, safely process trauma at your own pace, and improve overall well-being. As a licensed professional counselor and art therapist, I specialize in working with adults and teenagers experiencing depression, anxiety, PTSD, relationship conflicts, and members of the LGBTQ+ community. I have a deep capacity to support clients who have been told that their story is "too much" for others to hold, as well as those who feel they are "not enough."
(571) 583-5891 View (571) 583-5891
Photo of Alessandra Maria Cava, MSW, LMSW
Alessandra Maria Cava
Licensed Master Social Worker, MSW, LMSW
Verified Verified
Alexandria, VA 22314
Choosing to begin therapy is deeply brave, and I love working with anyone who is deciding to show up for themselves. I specialize in treating adults and children struggling with depression, anxiety, and/or trauma. No matter what your goals are, if you are ready to start working towards them, I will be there every step of the way.
Choosing to begin therapy is deeply brave, and I love working with anyone who is deciding to show up for themselves. I specialize in treating adults and children struggling with depression, anxiety, and/or trauma. No matter what your goals are, if you are ready to start working towards them, I will be there every step of the way.
(571) 946-8306 View (571) 946-8306
Photo of John Newmark - John Newmark, LPC, MS, LPC, Licensed Professional Counselor
John Newmark, LPC
Licensed Professional Counselor, MS, LPC
Verified Verified
Alexandria, VA 22314
I am a dedicated, warm, culturally-sensitive & committed licensed psychotherapist with 20+ years experience as a counselor in public/private settings. I use a cognitive, holistic approach which is highly-effective with most clients. I work with individuals, & couples in a collaborative style that is both challenging & compassionate. In brief or long-term counseling tailored to the client's unique needs, I assist people to learn new ways of thinking/believing about problems in daily living. This requires commitment & patience.
I am a dedicated, warm, culturally-sensitive & committed licensed psychotherapist with 20+ years experience as a counselor in public/private settings. I use a cognitive, holistic approach which is highly-effective with most clients. I work with individuals, & couples in a collaborative style that is both challenging & compassionate. In brief or long-term counseling tailored to the client's unique needs, I assist people to learn new ways of thinking/believing about problems in daily living. This requires commitment & patience.
(305) 834-4220 View (305) 834-4220
Photo of Bernadette Schmitt, MA, LPC, Licensed Professional Counselor
Bernadette Schmitt
Licensed Professional Counselor, MA, LPC
Verified Verified
Online Only
Not accepting new clients
I am passionate about bringing healing to all aspects of a person. I specialize in trauma, complex trauma, PTSD, anxiety, and depression. I take an eclectic approach in my counseling practice and use the techniques that work for each individual in order to bring harmony to all parts of a person’s internal system. Trauma causes deep and lasting effects on the survivor's thought processes, nervous system, and physical body. Behaviors and reactions of trauma survivors can be seemingly unpredictable, confusing, contradictory and lead to pathologizing diagnosis.
I am passionate about bringing healing to all aspects of a person. I specialize in trauma, complex trauma, PTSD, anxiety, and depression. I take an eclectic approach in my counseling practice and use the techniques that work for each individual in order to bring harmony to all parts of a person’s internal system. Trauma causes deep and lasting effects on the survivor's thought processes, nervous system, and physical body. Behaviors and reactions of trauma survivors can be seemingly unpredictable, confusing, contradictory and lead to pathologizing diagnosis.
(540) 517-6607 View (540) 517-6607
Photo of Monica Robb, PhD, PCC, Psychologist
Monica Robb
Psychologist, PhD, PCC
Verified Verified
Alexandria, VA 22314
Not accepting new clients
I am a licensed Clinical Psychologist working with children, adolescents, and adults who suffer from Traumatic Brain Injury (TBI), stress, Obsessive-Compulsive and anxiety-related problems, including: Social Anxiety, Specific Phobias and Fears, Panic Attacks, Obsessive Compulsive Disorder (OCD), & Trichotillomania (hair pulling). As a Clinical Psychologist and Certified Professional Coach, I can help you unlock the power of your mind to make your goals and dreams a reality.
I am a licensed Clinical Psychologist working with children, adolescents, and adults who suffer from Traumatic Brain Injury (TBI), stress, Obsessive-Compulsive and anxiety-related problems, including: Social Anxiety, Specific Phobias and Fears, Panic Attacks, Obsessive Compulsive Disorder (OCD), & Trichotillomania (hair pulling). As a Clinical Psychologist and Certified Professional Coach, I can help you unlock the power of your mind to make your goals and dreams a reality.
(703) 468-4496 View (703) 468-4496
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How does your Therapist compare?

Number of Therapists in Alexandria, VA

1,000+

Average cost per session

$160

Therapists in Alexandria, VA who prioritize treating:

94% Anxiety
90% Depression
77% Stress
76% Self Esteem
72% Relationship Issues
70% Trauma and PTSD
70% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

73% BlueCross and BlueShield
72% Cigna and Evernorth
69% Aetna

How Therapists in Alexandria, VA see their clients

54% In Person and Online
46% Online Only

Gender breakdown

86% Female
13% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Alexandria?

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.