Therapists in Kelly, WY

Photo of Laura Santomauro, Marriage & Family Therapist in Kelly, WY
Laura Santomauro
Marriage & Family Therapist, LMFT
Verified Verified
Kelly, WY 83011
With over 25 years experience, individuals, couples and families in distress have reached out for help. If you are seeking to know yourself and your relationship dynamics on a deeper level, together we can find forward movement. We can process emotions, create flexibility behaviorally, build stronger relationships, heal past traumas and find a secure place in this world to celebrate you!
With over 25 years experience, individuals, couples and families in distress have reached out for help. If you are seeking to know yourself and your relationship dynamics on a deeper level, together we can find forward movement. We can process emotions, create flexibility behaviorally, build stronger relationships, heal past traumas and find a secure place in this world to celebrate you!
(307) 363-1186 View (307) 363-1186

Online Therapists

Photo of Jamaica Santos Moulton, Licensed Professional Counselor in Kelly, WY
Jamaica Santos Moulton
Licensed Professional Counselor, MA, LPC
Verified Verified
Cody, WY 82414
Hello! I believe counseling is a collaborative process between client and therapist. Supporting clients while they explore their issues and utilize their strengths is my first priority. I work with adults and adolescents struggling with anxiety, depression, relationships, substance misuse, adjustment to difficult life circumstances, and trauma.
Hello! I believe counseling is a collaborative process between client and therapist. Supporting clients while they explore their issues and utilize their strengths is my first priority. I work with adults and adolescents struggling with anxiety, depression, relationships, substance misuse, adjustment to difficult life circumstances, and trauma.
(307) 207-5291 View (307) 207-5291
Photo of Paul Gessford, Marriage & Family Therapist in Kelly, WY
Paul Gessford
Marriage & Family Therapist, MFT, MAC
Verified Verified
Alpine, WY 83128
Whether your 3AM questions are "Stay or go?" - "Control it or quit it?" - "How to forget it?" - or "Why am I feeling this way?" - my work is about recognizing old patterns and pathways in the neural net, how trauma of any kind can stop new learning, and how to heal with new choices. I've worked with adolescents and families since 1966, directed programs in America and England, and now practice in Wilson & Alpine, Wyoming. For information about the practice, my website is www.JacksonHoleCounseling.com or AlpineStarValleyCounseling.com
Whether your 3AM questions are "Stay or go?" - "Control it or quit it?" - "How to forget it?" - or "Why am I feeling this way?" - my work is about recognizing old patterns and pathways in the neural net, how trauma of any kind can stop new learning, and how to heal with new choices. I've worked with adolescents and families since 1966, directed programs in America and England, and now practice in Wilson & Alpine, Wyoming. For information about the practice, my website is www.JacksonHoleCounseling.com or AlpineStarValleyCounseling.com
(307) 298-5485 View (307) 298-5485
Photo of Sarah Brino, Licensed Professional Counselor in Kelly, WY
Sarah Brino
Licensed Professional Counselor, MS, LPC
Verified Verified
Jackson, WY 83001  (Online Only)
Waitlist for new clients
Usually, when we're facing challenges that feel overwhelming, we crave understanding and acceptance...someone who will listen, provide support and stand side by side with us as we navigate our way through murky waters. We also long for relief from whatever is causing us pain - from harmful behaviors or confusing situations to emotions or thoughts that feel out of control. We want to feel better and to be free - free to take pleasure in the joys and triumphs of our lives and free to live our lives with the confidence that we have the tools and resources to cope with whatever pain may appear.
Usually, when we're facing challenges that feel overwhelming, we crave understanding and acceptance...someone who will listen, provide support and stand side by side with us as we navigate our way through murky waters. We also long for relief from whatever is causing us pain - from harmful behaviors or confusing situations to emotions or thoughts that feel out of control. We want to feel better and to be free - free to take pleasure in the joys and triumphs of our lives and free to live our lives with the confidence that we have the tools and resources to cope with whatever pain may appear.
(240) 366-2721 View (240) 366-2721
Photo of Denise Christensen, Clinical Social Work/Therapist in Kelly, WY
Denise Christensen
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Afton, WY 83110
I provide a compassionate and empathetic approach to counseling with individuals, couples, families and teens. I have created a safe environment where clients can explore the changes they would like to make in their lives. My practice utilizes methods using mind-body healing in helping clients create an emotional, physical and spiritual balance in their lives. The heart of my work focuses on using client's strengths to help them overcome the challenges that they face. My therapy practice is based on a variety of approaches which I adapt to issues that meet the needs of my clients.
I provide a compassionate and empathetic approach to counseling with individuals, couples, families and teens. I have created a safe environment where clients can explore the changes they would like to make in their lives. My practice utilizes methods using mind-body healing in helping clients create an emotional, physical and spiritual balance in their lives. The heart of my work focuses on using client's strengths to help them overcome the challenges that they face. My therapy practice is based on a variety of approaches which I adapt to issues that meet the needs of my clients.
(307) 209-9835 View (307) 209-9835
Photo of Carol Bell, Counselor in Kelly, WY
Carol Bell
Counselor, MA, PLPC
Verified Verified
Cody, WY 82414
Sometimes when we are faced with difficult challenges or changes, we get stuck. I believe we get unstuck by connecting with our authentic selves. As your counselor, I’ll hold the lantern while you find the path home to yourself. I bring life experience and curiosity to my practice, and I like to partner with clients as they seek meaning, purpose, and a way around the obstacles that sometimes block their paths. I’m also interested in memory and story and collaborating with clients to create stories that help them move forward with hope.
Sometimes when we are faced with difficult challenges or changes, we get stuck. I believe we get unstuck by connecting with our authentic selves. As your counselor, I’ll hold the lantern while you find the path home to yourself. I bring life experience and curiosity to my practice, and I like to partner with clients as they seek meaning, purpose, and a way around the obstacles that sometimes block their paths. I’m also interested in memory and story and collaborating with clients to create stories that help them move forward with hope.
(307) 275-7819 View (307) 275-7819
Photo of Vista Counseling, Licensed Professional Counselor in Kelly, WY
Vista Counseling
Licensed Professional Counselor, MA, LPC, EMDR
Verified Verified
Jackson, WY 83001
Daniela Peterson is the founder and clinical director of the group practice "Vista Counseling". Our practice has a skilled team of seven therapists and a case manager. We offer an integrative approach to healing the mind, making sure to select and implement a counseling approach determined by the needs, personality traits, cultural background, and therapeutic goals of our client. We incorporate cognitive-behavioral, humanistic, systemic perspectives, EMDR within a culturally sensitive approach. We work with children, adolescents, and adults focused on providing compassionate mental health care to clients and their families.
Daniela Peterson is the founder and clinical director of the group practice "Vista Counseling". Our practice has a skilled team of seven therapists and a case manager. We offer an integrative approach to healing the mind, making sure to select and implement a counseling approach determined by the needs, personality traits, cultural background, and therapeutic goals of our client. We incorporate cognitive-behavioral, humanistic, systemic perspectives, EMDR within a culturally sensitive approach. We work with children, adolescents, and adults focused on providing compassionate mental health care to clients and their families.
(307) 522-1737 View (307) 522-1737
Photo of Jamie Espeland, Pre-Licensed Professional in Kelly, WY
Jamie Espeland
Pre-Licensed Professional, MS, LPCC
Verified Verified
1 Endorsed
Cody, WY 82414
I believe that counseling should be specific to the person and their journey, and that individualized therapy is the pathway to success. Every person should have the tools to help them be the best version of themselves. Whether you are dealing with anxiety, depression, stress, or other issues I am here to help you find peace again. I enjoy helping others through a client centered approach. I have experience counseling children, adolescents, and adults. I believe that emotional well-being is a lifelong journey that is constantly changing. I am passionate about helping others regain their strength and feel empowered again.
I believe that counseling should be specific to the person and their journey, and that individualized therapy is the pathway to success. Every person should have the tools to help them be the best version of themselves. Whether you are dealing with anxiety, depression, stress, or other issues I am here to help you find peace again. I enjoy helping others through a client centered approach. I have experience counseling children, adolescents, and adults. I believe that emotional well-being is a lifelong journey that is constantly changing. I am passionate about helping others regain their strength and feel empowered again.
(307) 254-9222 View (307) 254-9222
Photo of Fern Ridge Counseling, LLC & Wellness Center, Clinical Social Work/Therapist in Kelly, WY
Fern Ridge Counseling, LLC & Wellness Center
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Cody, WY 82414
At Fern Ridge Counseling, LLC & Wellness Center we are dedicated to providing support as you navigate through life's difficult terrain. We are here to provide integrative support and acceptance in your journey to heal from personal struggles and emotional distress. Our counselors provide individual, marriage, and family therapy, and telepsychology, allowing us to serve you remotely. We offer true Wyoming wellness from Halotherapy, chromotherapy, red light therapy, infrared therapy, and neurofeedback. Don't do this alone, call today to schedule an appointment and allow our professionals to find solutions that are right for you.
At Fern Ridge Counseling, LLC & Wellness Center we are dedicated to providing support as you navigate through life's difficult terrain. We are here to provide integrative support and acceptance in your journey to heal from personal struggles and emotional distress. Our counselors provide individual, marriage, and family therapy, and telepsychology, allowing us to serve you remotely. We offer true Wyoming wellness from Halotherapy, chromotherapy, red light therapy, infrared therapy, and neurofeedback. Don't do this alone, call today to schedule an appointment and allow our professionals to find solutions that are right for you.
(307) 209-9262 View (307) 209-9262
Photo of Precise Mind Behavioral Health, LLC, Clinical Social Work/Therapist in Kelly, WY
Precise Mind Behavioral Health, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Pinedale, WY 82941  (Online Only)
Hello! I'm part of the Precise Mind Behavioral Health family, a group of licensed clinicians passionate about guiding you on your mental health and self-discovery journey. We proudly offer a blend of online/virtual therapy sessions and bespoke counseling for both individuals and couples. And the good news? If you're in Texas, Indiana, Pennsylvania, Florida, Wyoming, Nevada, or Mississippi, we're here for you. Let's take this healing journey together. In-network with Blue Cross Blue Shield and United HealthCare
Hello! I'm part of the Precise Mind Behavioral Health family, a group of licensed clinicians passionate about guiding you on your mental health and self-discovery journey. We proudly offer a blend of online/virtual therapy sessions and bespoke counseling for both individuals and couples. And the good news? If you're in Texas, Indiana, Pennsylvania, Florida, Wyoming, Nevada, or Mississippi, we're here for you. Let's take this healing journey together. In-network with Blue Cross Blue Shield and United HealthCare
(307) 456-4421 View (307) 456-4421
Photo of Matt Lee Mumma in Kelly, WY
Matt Lee Mumma
MA, ACBC
Verified Verified
Jackson, WY 83001
Waitlist for new clients
I am a member of an internationally recognized organization Association of Certified Biblical Counselors. My desire is to equip you to meet the challenges of life by the transforming power of Jesus Christ. I offer faith-based counseling that is a biblical alternative to other mental health therapy. I believe that the Bible holds all the answers to life's challenges, so I seek to speak God's truth into your spiritual and mental psychological disorders. Whether you are dealing with depression, anxiety, eating disorders, marriage and family struggles, gender identity or a variety of other life issues, I would love to meet with you.
I am a member of an internationally recognized organization Association of Certified Biblical Counselors. My desire is to equip you to meet the challenges of life by the transforming power of Jesus Christ. I offer faith-based counseling that is a biblical alternative to other mental health therapy. I believe that the Bible holds all the answers to life's challenges, so I seek to speak God's truth into your spiritual and mental psychological disorders. Whether you are dealing with depression, anxiety, eating disorders, marriage and family struggles, gender identity or a variety of other life issues, I would love to meet with you.
(307) 298-5076 View (307) 298-5076
Photo of Teton Behavior Therapy, Clinical Social Work/Therapist in Kelly, WY
Teton Behavior Therapy
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Jackson, WY 83001
We believe that a strong, healthy community begins with individual mental health. Our ideal client is anyone seeking support for their mental health as we have a diverse base of therapists that can address every area of concern. We value supporting care of yourself, specifically as it relates to your mental health and emotional well-being. TBT is thrilled to work with you, your child, or your family on your well-being journey to manage challenges and heal. Therapy is available in English and Spanish statewide in WY and ID.
We believe that a strong, healthy community begins with individual mental health. Our ideal client is anyone seeking support for their mental health as we have a diverse base of therapists that can address every area of concern. We value supporting care of yourself, specifically as it relates to your mental health and emotional well-being. TBT is thrilled to work with you, your child, or your family on your well-being journey to manage challenges and heal. Therapy is available in English and Spanish statewide in WY and ID.
(307) 228-7506 View (307) 228-7506
Photo of Elizabeth Koutrelakos, Clinical Social Work/Therapist in Kelly, WY
Elizabeth Koutrelakos
Clinical Social Work/Therapist, LCSW, NBCHWC
Verified Verified
3 Endorsed
Jackson, WY 83001
Counseling for children, teens and adults who are seeking support to improve social and emotional wellbeing and alleviate distress. As an LCSW, I work with individuals in finding their own inner expert. I believe that people intrinsically have the strengths to lead happy and productive lives but are sometimes unable to leverage those internal resources when faced with adversities such as loss, trauma, depression or anxiety. I work with people as they understand their own struggles to help them address past issues that contribute to their present mindset and develop strategies using their internal resources.
Counseling for children, teens and adults who are seeking support to improve social and emotional wellbeing and alleviate distress. As an LCSW, I work with individuals in finding their own inner expert. I believe that people intrinsically have the strengths to lead happy and productive lives but are sometimes unable to leverage those internal resources when faced with adversities such as loss, trauma, depression or anxiety. I work with people as they understand their own struggles to help them address past issues that contribute to their present mindset and develop strategies using their internal resources.
(307) 522-1298 View (307) 522-1298
Photo of Jen McNaughton, Clinical Social Work/Therapist in Kelly, WY
Jen McNaughton
Clinical Social Work/Therapist, MS, LCSW
Verified Verified
1 Endorsed
Jackson, WY 83001
Waitlist for new clients
Jen is well-versed in treating depression, anxiety, complex trauma and co-occurring mental health diagnoses in children and adults. She works well with neurodiverse clients and those with emotional regulation issues. Jen uses many of common modalities including Internal Family Systems, DBT, CBT, and EMDR. She often incorporates art and creativity as additional support. Jen strives to help clients find what works for their goals and needs both in the short and long term.
Jen is well-versed in treating depression, anxiety, complex trauma and co-occurring mental health diagnoses in children and adults. She works well with neurodiverse clients and those with emotional regulation issues. Jen uses many of common modalities including Internal Family Systems, DBT, CBT, and EMDR. She often incorporates art and creativity as additional support. Jen strives to help clients find what works for their goals and needs both in the short and long term.
(720) 802-3016 View (720) 802-3016
Photo of Stephanie Kiser, Clinical Social Work/Therapist in Kelly, WY
Stephanie Kiser
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Jackson, WY 83001
I am a licensed clinical social worker and mental health therapist who has served the Jackson community for over ten years. Choosing to seek out therapy can be a step toward healing, health, and growth, and I'd love to partner with you in working through your struggles. I specialize in focused trauma work with children, adolescents, and adults. In addition to trauma work, I have supported clients over the years in exploring life transitions, anxiety and depression, self-esteem, self-awareness, relationship issues, grief and loss, emotional and behavioral issues, divorce, health issues, and larger life questions.
I am a licensed clinical social worker and mental health therapist who has served the Jackson community for over ten years. Choosing to seek out therapy can be a step toward healing, health, and growth, and I'd love to partner with you in working through your struggles. I specialize in focused trauma work with children, adolescents, and adults. In addition to trauma work, I have supported clients over the years in exploring life transitions, anxiety and depression, self-esteem, self-awareness, relationship issues, grief and loss, emotional and behavioral issues, divorce, health issues, and larger life questions.
(307) 312-2980 View (307) 312-2980
Photo of Leyla Dim, Licensed Professional Counselor in Kelly, WY
Leyla Dim
Licensed Professional Counselor, LPC, NCC, CCHt
Verified Verified
Cody, WY 82414  (Online Only)
I am now offering Psychedelic Assisted Therapy and Integrative Energy Therapies in Bend, Oregon. Combining years of clinical experience with the growing fields of psychedelic and vibrational medicines creates unique choices for true healing and well-being. As an integrated approach to health and well-being, these modalities help treat symptoms of anxiety, chronic pain, trauma, relational difficulties, depression, stress, post-concussion, addiction and other issues. Please submit an inquiry for virtual therapy availability.
I am now offering Psychedelic Assisted Therapy and Integrative Energy Therapies in Bend, Oregon. Combining years of clinical experience with the growing fields of psychedelic and vibrational medicines creates unique choices for true healing and well-being. As an integrated approach to health and well-being, these modalities help treat symptoms of anxiety, chronic pain, trauma, relational difficulties, depression, stress, post-concussion, addiction and other issues. Please submit an inquiry for virtual therapy availability.
(541) 283-1883 View (541) 283-1883
Photo of Marilyn Lori, Clinical Social Work/Therapist in Kelly, WY
Marilyn Lori
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Jackson, WY 83002
Do you want to be your authentic self? Discover your purpose? Heal old wounds? I am here to help. I would be honored to guide you on how to overcome your struggles and transform. My approach allows you to reflect upon your path, grow and re-think your identity in more positive ways. With coaching and practice, you can learn skills to be more calm and purposeful.
Do you want to be your authentic self? Discover your purpose? Heal old wounds? I am here to help. I would be honored to guide you on how to overcome your struggles and transform. My approach allows you to reflect upon your path, grow and re-think your identity in more positive ways. With coaching and practice, you can learn skills to be more calm and purposeful.
(307) 314-0911 View (307) 314-0911
Photo of Vanessa Fabian, Clinical Social Work/Therapist in Kelly, WY
Vanessa Fabian
Clinical Social Work/Therapist, LCSW, MS
Verified Verified
Jackson, WY 83002
I am a Licensed Clinical Social Worker in both Wyoming and Idaho, with fourteen years of experience in the mental health field. I currently offer online teletherapy with adults, teens, and their families. My therapeutic style is holistic, reality-based, experiential, and engaging. I use an integrative approach in psychotherapy, utilizing a variety of techniques to help clients achieve their goals.
I am a Licensed Clinical Social Worker in both Wyoming and Idaho, with fourteen years of experience in the mental health field. I currently offer online teletherapy with adults, teens, and their families. My therapeutic style is holistic, reality-based, experiential, and engaging. I use an integrative approach in psychotherapy, utilizing a variety of techniques to help clients achieve their goals.
(307) 336-3047 View (307) 336-3047
Photo of Lenka Cervenanova, Licensed Professional Counselor in Kelly, WY
Lenka Cervenanova
Licensed Professional Counselor, MA, LPC
Verified Verified
Jackson, WY 83001
Lenka's practice focuses on offering individual counseling for adolescent and adults. Lenka is an EMDR (Eye Movement Desensitization Reprocessing) provider trained by the EMDR International Institute, helping clients with past traumatic experiences. Her personalized and individualized methods incorporate an empathic, practical, and relational approach to psychotherapy with clients and their families. Lenka makes sure to understand the client's background and cultural beliefs at the moment of implementing a treatment plan to address the client's needs and concerns.
Lenka's practice focuses on offering individual counseling for adolescent and adults. Lenka is an EMDR (Eye Movement Desensitization Reprocessing) provider trained by the EMDR International Institute, helping clients with past traumatic experiences. Her personalized and individualized methods incorporate an empathic, practical, and relational approach to psychotherapy with clients and their families. Lenka makes sure to understand the client's background and cultural beliefs at the moment of implementing a treatment plan to address the client's needs and concerns.
(307) 227-4152 View (307) 227-4152
Photo of Just Be Community, LLC, Licensed Professional Counselor in Kelly, WY
Just Be Community, LLC
Licensed Professional Counselor, LPC, LAT
Verified Verified
Thayne, WY 83127  (Online Only)
My counseling practice, Just Be Community, provides compassionate, ethical and respectful mental health counseling services to help those suffering from any variety of life's problems that interfere with optimal health and living. My clients experience a warm counseling environment along with my passionate commitment to their well-being, rights to privacy and informed, collaborative treatment. My clients know they have my focused attention during their treatment program with my primary mission to help them feel better as soon as possible. I current work with teens, men, women, and elderly clients.
My counseling practice, Just Be Community, provides compassionate, ethical and respectful mental health counseling services to help those suffering from any variety of life's problems that interfere with optimal health and living. My clients experience a warm counseling environment along with my passionate commitment to their well-being, rights to privacy and informed, collaborative treatment. My clients know they have my focused attention during their treatment program with my primary mission to help them feel better as soon as possible. I current work with teens, men, women, and elderly clients.
(307) 269-0022 View (307) 269-0022

Nearby Searches for Kelly

How does your Therapist compare?

Number of Therapists in Kelly, WY

< 10

Therapists in Kelly, WY who prioritize treating:

100% Depression
100% Anxiety
100% Addiction
100% Parenting
100% Other
100% Divorce
100% Family Conflict

Average years in practice

28 Years

Gender breakdown

100% Female

How Therapists in Kelly, WY see their clients

100% In Person and Online

FAQs - About Therapy and Counseling

How can I find a therapist in Kelly?

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.