Therapists in Perkinsville, VT

Photo of Crissy Webster Counseling Services LLC, Counselor in Perkinsville, VT
Crissy Webster Counseling Services LLC
Counselor, MA, LCMHC, NCC
Verified Verified
Perkinsville, VT 05151
Crissy Webster Counseling Services LLC is a small private practice located in Springfield, VT. I am a Licensed Mental Health Counselor who holds licensure in the states of VT and NH, as well as nationally certified through the National Board of Certified Counselors. I see clients of all ages. We have a specialty in Juvenile Firesetting Assessments and Treatment, as well as, adult and adolescent anger management. Through my education and experiences, weI also have knowledge in the areas of Family Systems Model, Trauma Informed Education Practices, ARC, HNC, Parent Training, and perform Trauma Informed Mental Health Evaluations.
Crissy Webster Counseling Services LLC is a small private practice located in Springfield, VT. I am a Licensed Mental Health Counselor who holds licensure in the states of VT and NH, as well as nationally certified through the National Board of Certified Counselors. I see clients of all ages. We have a specialty in Juvenile Firesetting Assessments and Treatment, as well as, adult and adolescent anger management. Through my education and experiences, weI also have knowledge in the areas of Family Systems Model, Trauma Informed Education Practices, ARC, HNC, Parent Training, and perform Trauma Informed Mental Health Evaluations.
(802) 952-8671 View (802) 952-8671

More Therapists Nearby

Photo of Karen Chalom, Clinical Social Work/Therapist in Perkinsville, VT
Karen Chalom
Clinical Social Work/Therapist, LICSW
Verified Verified
Windsor, VT 05089
Ms. Karen Chalom, LICSW, utilizes traditional talk psychotherapy combined with a holistic/systems approach to the healing process. She works with the mind, body, emotions and spirit to the degree that is comfortable for each child, adult, couple, family or group. Clients can receive therapy for many life issues including trauma, anxiety, relationships, stress. anger, depression, life transitions, parenting, grief and loss.
Ms. Karen Chalom, LICSW, utilizes traditional talk psychotherapy combined with a holistic/systems approach to the healing process. She works with the mind, body, emotions and spirit to the degree that is comfortable for each child, adult, couple, family or group. Clients can receive therapy for many life issues including trauma, anxiety, relationships, stress. anger, depression, life transitions, parenting, grief and loss.
(802) 457-6191 View (802) 457-6191
Photo of Barbara Vitalis, Licensed Clinical Mental Health Counselor in Perkinsville, VT
Barbara Vitalis
Licensed Clinical Mental Health Counselor, MA, LCMHC, LADC
Verified Verified
Springfield, VT 05156
Not accepting new clients
Hi! I'm Barbara. I have nearly 20 years of experience working with adults who experience anxiety, depression, codependence, personality issues, communication difficulties, and substance use. These issues keep us from living and experiencing our lives and make our worlds smaller. We often need to process our experiences with another individual and help us make sense of our experiences and to gain a different outlook on them.
Hi! I'm Barbara. I have nearly 20 years of experience working with adults who experience anxiety, depression, codependence, personality issues, communication difficulties, and substance use. These issues keep us from living and experiencing our lives and make our worlds smaller. We often need to process our experiences with another individual and help us make sense of our experiences and to gain a different outlook on them.
(802) 424-8732 View (802) 424-8732
Photo of Kimberlee J Carpenter, Licensed Professional Counselor Associate in Perkinsville, VT
Kimberlee J Carpenter
Licensed Professional Counselor Associate, MA
Verified Verified
Springfield, VT 05156
The decision to start counseling can be difficult and overwhelming. I enjoy working with a wide range of people. I provide a supportive counseling environment where patients can feel safe to explore the challenges and begin to make the changes to live happier, healthier lives.
The decision to start counseling can be difficult and overwhelming. I enjoy working with a wide range of people. I provide a supportive counseling environment where patients can feel safe to explore the challenges and begin to make the changes to live happier, healthier lives.
(682) 223-4603 View (682) 223-4603
Photo of Glendon Scott Bemis, Drug & Alcohol Counselor in Perkinsville, VT
Glendon Scott Bemis
Drug & Alcohol Counselor, LADC, LCMHC, MA
Verified Verified
Chester, VT 05143
I am a dual licensed counselor (Licensed Alcohol and Drug Counselor AND Licensed Clinical Mental Health Counselor) with a background in Opiate addiction and working with Dual diagnosis patients. I am solution focused and believe a combination of trust, teamwork and the right information is the key to success. Specializing in depression, anxiety, addictions, relationship issues (couples counseling) AND court mandated counseling/ CRASH/DUI mandated counseling.
I am a dual licensed counselor (Licensed Alcohol and Drug Counselor AND Licensed Clinical Mental Health Counselor) with a background in Opiate addiction and working with Dual diagnosis patients. I am solution focused and believe a combination of trust, teamwork and the right information is the key to success. Specializing in depression, anxiety, addictions, relationship issues (couples counseling) AND court mandated counseling/ CRASH/DUI mandated counseling.
(802) 560-4032 View (802) 560-4032
Photo of Vincent Buckholz, Clinical Social Work/Therapist in Perkinsville, VT
Vincent Buckholz
Clinical Social Work/Therapist, LICSW
Verified Verified
Springfield, VT 05156
Now Accepting New "In Person" and "Tele-Health/ Online" Clients: We are all working as hard as we can to create a quality of life that we can enjoy and share with others. There are times however, when we can use some neutral, non-judgmental assistance with finding and cultivating the changes we need to improve that quality of life. I offer you that environment to consider your potential for change. I provide a collaborative approach to assist you with moving towards structured thinking, while developing resources and resilience to provide a pathway for improving your overall quality of life, as you envision it.
Now Accepting New "In Person" and "Tele-Health/ Online" Clients: We are all working as hard as we can to create a quality of life that we can enjoy and share with others. There are times however, when we can use some neutral, non-judgmental assistance with finding and cultivating the changes we need to improve that quality of life. I offer you that environment to consider your potential for change. I provide a collaborative approach to assist you with moving towards structured thinking, while developing resources and resilience to provide a pathway for improving your overall quality of life, as you envision it.
(802) 448-1351 View (802) 448-1351
Photo of Holiday Eames, Counselor in Perkinsville, VT
Holiday Eames
Counselor, LCMHC, NCC
Verified Verified
Springfield, VT 05156  (Online Only)
Not accepting new clients
As Annie Dillard wrote, "How we spend our days is of course how we spend our lives." Being able to find gratitude, peace and fulfillment in the present moment is more powerful than chasing a future that might be ideal. Finding joy is a practice that starts by taking the time to figure out what is getting in the way. Once these challenges are identified, you and I can make a plan together to learn and practice skills and strategies to overcome those obstacles and create change.
As Annie Dillard wrote, "How we spend our days is of course how we spend our lives." Being able to find gratitude, peace and fulfillment in the present moment is more powerful than chasing a future that might be ideal. Finding joy is a practice that starts by taking the time to figure out what is getting in the way. Once these challenges are identified, you and I can make a plan together to learn and practice skills and strategies to overcome those obstacles and create change.
(802) 289-0263 View (802) 289-0263
Photo of Dr. Frank Malone, Licensed Psychoanalyst in Perkinsville, VT
Dr. Frank Malone
Licensed Psychoanalyst, PsyD, NCPsyA, LP, LPC , LMHC
Verified Verified
Windsor, VT 05089
'Make not your thoughts your prisons' (Shakespeare). Anxiety, depression and relationship difficulties often get in the way of being at our best. Problems concerning anger, assertiveness, sexuality, spirituality and finding one's way in life are also more frequent than many realize. To be unshackled from these limiting psychological factors is to be quickened to growth and awakened to live out one's unique idiom. This results in more joyful aliveness, inspiration, and peace -- magnifying the difference you make in your life and in the world.
'Make not your thoughts your prisons' (Shakespeare). Anxiety, depression and relationship difficulties often get in the way of being at our best. Problems concerning anger, assertiveness, sexuality, spirituality and finding one's way in life are also more frequent than many realize. To be unshackled from these limiting psychological factors is to be quickened to growth and awakened to live out one's unique idiom. This results in more joyful aliveness, inspiration, and peace -- magnifying the difference you make in your life and in the world.
(484) 679-5181 View (484) 679-5181
Photo of Cynthia W Taska, Clinical Social Work/Therapist in Perkinsville, VT
Cynthia W Taska
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Windsor, VT 05089
Not accepting new clients
I enjoy working with a wide variety of people who are struggling with anxiety or depression, or having a hard time in a relationship. I think life is filled with challenges at all ages, and we can always make positive changes in our lives. As a therapist, I am very comfortable to talk with. I will listen carefully and work with you to figure out ways to deal with whatever is bothering you. Rather than specializing in one technique, I have training in several approaches and will flexibly use whatever is most helpful for you.
I enjoy working with a wide variety of people who are struggling with anxiety or depression, or having a hard time in a relationship. I think life is filled with challenges at all ages, and we can always make positive changes in our lives. As a therapist, I am very comfortable to talk with. I will listen carefully and work with you to figure out ways to deal with whatever is bothering you. Rather than specializing in one technique, I have training in several approaches and will flexibly use whatever is most helpful for you.
(603) 912-0634 View (603) 912-0634
Photo of Michael Gerhard Martin in Perkinsville, VT
Michael Gerhard Martin
MSW, MFA
Verified Verified
1 Endorsed
Springfield, VT 05156  (Online Only)
I'm a newly-minted social worker, but I have decades of experience motivating creative people to chase their dreams--writers, artists, artisans, tradespeople, farmers, and philosophers, I'm here for you!
I'm a newly-minted social worker, but I have decades of experience motivating creative people to chase their dreams--writers, artists, artisans, tradespeople, farmers, and philosophers, I'm here for you!
(802) 736-6081 View (802) 736-6081
Photo of Christine Reid, Clinical Social Work/Therapist in Perkinsville, VT
Christine Reid
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Proctorsville, VT 05153  (Online Only)
As adults, we can carry many layers of stress. Stress that can take a toll on our mental and physical wellbeing, creating tension in our personal and professional experiences, and negatively impacting our quality of life. Often, when we are in this place of limited resiliency, we can find that anxiety and/or depression can take advantage and settle in. Or we find that our relationships or parenting can seem more challenging, leaving us feeling overwhelmed, exhausted or lost. If this is your experience, you're not alone. Together we can move through the stressors, build skills and resiliency; to find a path to peace and hope.
As adults, we can carry many layers of stress. Stress that can take a toll on our mental and physical wellbeing, creating tension in our personal and professional experiences, and negatively impacting our quality of life. Often, when we are in this place of limited resiliency, we can find that anxiety and/or depression can take advantage and settle in. Or we find that our relationships or parenting can seem more challenging, leaving us feeling overwhelmed, exhausted or lost. If this is your experience, you're not alone. Together we can move through the stressors, build skills and resiliency; to find a path to peace and hope.
(802) 278-6803 View (802) 278-6803
Photo of Paula Rasanen, Registered Psychotherapist in Perkinsville, VT
Paula Rasanen
Registered Psychotherapist, MA CFT
Verified Verified
Springfield, VT 05156
We all need security, acceptance, safety and understanding in our close relationships. Developing insight into our patterns, exploring our core values, and defining what we want and need in relationships can be overwhelming, especially when we don't know how to begin this process. I love meeting clients right where they are, and supporting them through the process of rising to life's challenges, defining and achieving their personal goals within the context of their close relationships. I am especially passionate about supporting neurodivergent individuals and families.
We all need security, acceptance, safety and understanding in our close relationships. Developing insight into our patterns, exploring our core values, and defining what we want and need in relationships can be overwhelming, especially when we don't know how to begin this process. I love meeting clients right where they are, and supporting them through the process of rising to life's challenges, defining and achieving their personal goals within the context of their close relationships. I am especially passionate about supporting neurodivergent individuals and families.
(802) 659-2907 View (802) 659-2907
Photo of Wendy Stephens, Psychologist in Perkinsville, VT
Wendy Stephens
Psychologist, PsyD, MFT
Verified Verified
Springfield, VT 05156
Not accepting new clients
I work with a wide variety of people and challenges but I am specially trained in working with couples helping to improve their relationships. I have completed advanced training in Emotion Focused Therapy, the approach for couples that is the most effective longterm. With a shared commitment to work for 1 hour 30 minutes each week we can help change stuck relationship dynamics which cause distress. Additionally, I am a trauma specialist trained in EMDR helping to reducing your symptoms. I have been in private practice for the last 30 years. I am a honest empathic therapist who works hard and collaboratively with you.
I work with a wide variety of people and challenges but I am specially trained in working with couples helping to improve their relationships. I have completed advanced training in Emotion Focused Therapy, the approach for couples that is the most effective longterm. With a shared commitment to work for 1 hour 30 minutes each week we can help change stuck relationship dynamics which cause distress. Additionally, I am a trauma specialist trained in EMDR helping to reducing your symptoms. I have been in private practice for the last 30 years. I am a honest empathic therapist who works hard and collaboratively with you.
(802) 230-1203 View (802) 230-1203
Photo of Thomas Kauffmann, Clinical Social Work/Therapist in Perkinsville, VT
Thomas Kauffmann
Clinical Social Work/Therapist, LICSW, FSW
Verified Verified
Springfield, VT 05156
Are you finding yourself "sort of stuck" in your life? Maybe feeling unfulfilled in your endeavors or finding yourself anxious or saddened for apparently no reason at all? Sometimes, discussing your concerns with a non-judgmental, objective therapist can help a person break up logjams in their lives and refocus us on what we believe is important or what we hope to achieve. Or have you been afflicted with depression, anxiety or substance use issues in the past and feel the need to take a fresh look at what is happening now? If so, perhaps I can help you. And I am available to work with you on weekends and holidays, too.
Are you finding yourself "sort of stuck" in your life? Maybe feeling unfulfilled in your endeavors or finding yourself anxious or saddened for apparently no reason at all? Sometimes, discussing your concerns with a non-judgmental, objective therapist can help a person break up logjams in their lives and refocus us on what we believe is important or what we hope to achieve. Or have you been afflicted with depression, anxiety or substance use issues in the past and feel the need to take a fresh look at what is happening now? If so, perhaps I can help you. And I am available to work with you on weekends and holidays, too.
(802) 441-6677 View (802) 441-6677
Photo of Virginia Kelly, Counselor in Perkinsville, VT
Virginia Kelly
Counselor, PhD, LMHC
Verified Verified
Cavendish, VT 05142
There are many reasons you might be here. You may be feeling depressed or anxious - or you may be in the midst of a transition – or trying to process a loss or a life change. I have been in the field of Counseling for 30 + years. I have taught at universities, conducted research, written books, and presented workshops . At the heart of all of that knowledge, the most vital thing I have learned is that it is the quality of our relationships that defines our overall well-being. More importantly, it is ultimately the relationship we have with ourselves that is the key to achieving a sense of connectedness that allows us to thrive.
There are many reasons you might be here. You may be feeling depressed or anxious - or you may be in the midst of a transition – or trying to process a loss or a life change. I have been in the field of Counseling for 30 + years. I have taught at universities, conducted research, written books, and presented workshops . At the heart of all of that knowledge, the most vital thing I have learned is that it is the quality of our relationships that defines our overall well-being. More importantly, it is ultimately the relationship we have with ourselves that is the key to achieving a sense of connectedness that allows us to thrive.
(802) 548-1001 View (802) 548-1001
Photo of Dominique Rondeau, Pre-Licensed Professional in Perkinsville, VT
Dominique Rondeau
Pre-Licensed Professional, MA
Verified Verified
Springfield, VT 05156  (Online Only)
I'm a mental health clinician with a extensive background in children, youth, and families-from new moms who are struggling with postpartum mood disorders to children struggling to work through trauma and adults trying to overcome anxiety and navigate changes in relationships. Its hard to feel overwhelmed and unsure of what steps to take next. I want to be a soft landing and gentle guide as you make your way down the path of healing.
I'm a mental health clinician with a extensive background in children, youth, and families-from new moms who are struggling with postpartum mood disorders to children struggling to work through trauma and adults trying to overcome anxiety and navigate changes in relationships. Its hard to feel overwhelmed and unsure of what steps to take next. I want to be a soft landing and gentle guide as you make your way down the path of healing.
(802) 520-0137 View (802) 520-0137
Photo of Richard Crandall, Counselor in Perkinsville, VT
Richard Crandall
Counselor, LCMHC, LADC, RCST
Verified Verified
1 Endorsed
Brownsville, VT 05037  (Online Only)
Waitlist for new clients
Most folks that are having problems with drinking, drugging and stress are just regular folks trying to get through life. They are having problems with their relationships, finances and maybe their jobs. Staying in relationship seems impossible and maybe you're underemployed feeling like you are never going to find that career that makes you happy or that you really like. In today's world there is way too much stress and couples are having a very hard time staying together. Unfortunate things can happen and you may need to ask for help.
Most folks that are having problems with drinking, drugging and stress are just regular folks trying to get through life. They are having problems with their relationships, finances and maybe their jobs. Staying in relationship seems impossible and maybe you're underemployed feeling like you are never going to find that career that makes you happy or that you really like. In today's world there is way too much stress and couples are having a very hard time staying together. Unfortunate things can happen and you may need to ask for help.
(802) 210-3467 View (802) 210-3467
Photo of Matthew von Unwerth, Licensed Psychoanalyst in Perkinsville, VT
Matthew von Unwerth
Licensed Psychoanalyst, PhD, LP, FIPA
Verified Verified
1 Endorsed
Reading, VT 05062
Most mental suffering we endure (if not due to present grief and loss) arises either from our fervent attempts to resolve or answer uncomprehended emotional needs, or because we never learned to endure and adapt our unruly interior lives to the world around us. I help individuals to feel better by attending to all that they are in the moment, as a way of understanding how they have come to be themselves -- and how who they are is at odds with what they want to be and feel. I am trained both in "classical" and contemporary psychoanalysis (IPA member) and in Columbia's pioneering Program in Narrative Medicine, where I now teach.
Most mental suffering we endure (if not due to present grief and loss) arises either from our fervent attempts to resolve or answer uncomprehended emotional needs, or because we never learned to endure and adapt our unruly interior lives to the world around us. I help individuals to feel better by attending to all that they are in the moment, as a way of understanding how they have come to be themselves -- and how who they are is at odds with what they want to be and feel. I am trained both in "classical" and contemporary psychoanalysis (IPA member) and in Columbia's pioneering Program in Narrative Medicine, where I now teach.
(917) 512-5260 View (917) 512-5260
Photo of Michelle Golden, LCMHC, CIMHP, Licensed Clinical Mental Health Counselor in Perkinsville, VT
Michelle Golden, LCMHC, CIMHP
Licensed Clinical Mental Health Counselor, LCMHC, CIMHP
Verified Verified
Chester, VT 05143  (Online Only)
Not accepting new clients
Are you feeling overwhelmed, confused, stuck, unsure of what you need? I can help you navigate conflicting feelings, thoughts, and process negative beliefs and experiences which may be holding you back from reaching your true, full potential. I will work to understand all parts of who you are, openly and honestly challenge you, and encourage you to grow. My approach is direct, and transparency is critical in my practice. I will meet you where you are, and walk with you through the "stuff." I take into consideration your environment, social/emotional supports, history, and current coping skills.
Are you feeling overwhelmed, confused, stuck, unsure of what you need? I can help you navigate conflicting feelings, thoughts, and process negative beliefs and experiences which may be holding you back from reaching your true, full potential. I will work to understand all parts of who you are, openly and honestly challenge you, and encourage you to grow. My approach is direct, and transparency is critical in my practice. I will meet you where you are, and walk with you through the "stuff." I take into consideration your environment, social/emotional supports, history, and current coping skills.
(802) 523-3429 View (802) 523-3429
Photo of Coleen Lawlor, Clinical Social Work/Therapist in Perkinsville, VT
Coleen Lawlor
Clinical Social Work/Therapist, LICSW, SPP, EMDR
Verified Verified
Springfield, VT 05156
Not accepting new clients
In my practice I see people dealing with a wide variety of challenges. I have a practice of general psychotherapy with a focus on trauma. I have been certified in EMDR therapy and have additional training and experience in adapting EMDR therapy for the treatment of a wide range of issues including: first responders, anxiety, dissociative disorders, and complex post-traumatic stress. My basic understanding is that people have an innate capacity to grow and heal. As a therapist I see my job as helping to create a safe space in which a person can explore their challenge & choose the interventions that help them achieve their goals.
In my practice I see people dealing with a wide variety of challenges. I have a practice of general psychotherapy with a focus on trauma. I have been certified in EMDR therapy and have additional training and experience in adapting EMDR therapy for the treatment of a wide range of issues including: first responders, anxiety, dissociative disorders, and complex post-traumatic stress. My basic understanding is that people have an innate capacity to grow and heal. As a therapist I see my job as helping to create a safe space in which a person can explore their challenge & choose the interventions that help them achieve their goals.
(802) 473-3266 View (802) 473-3266

How does your Therapist compare?

Number of Therapists in Perkinsville, VT

< 10

Therapists in Perkinsville, VT who prioritize treating:

100% Relationship Issues
100% Depression
100% Child
100% Trauma and PTSD
100% Other
100% Divorce
100% Anger Management

Top 3 insurances accepted

100% Aetna
100% AmeriHealth
100% BlueCross and BlueShield

How Therapists in Perkinsville, VT see their clients

100% In Person and Online

Gender breakdown

100% Female

FAQs - About Therapy and Counseling

How can I find a therapist in Perkinsville?

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.