Therapists in Silver Spring, MD

Photo of Arielle Shugoll, Psychologist in Silver Spring, MD
Arielle Shugoll
Psychologist, PsyD
Verified Verified
1 Endorsed
Silver Spring, MD 20910
Not accepting new clients
Do you find yourself feeling stuck in unhealthy patterns? Do you want to explore yourself in a deeper way? Through therapy, I will help you identify patterns in your thoughts, feelings, and behaviors, and work with you towards making meaningful changes. By learning to respond to your thoughts and feelings in a new way, you will experience less suffering. We will also focus on how your emotions are experienced within the body, as these felt sensations are often overlooked sources of useful information.
Do you find yourself feeling stuck in unhealthy patterns? Do you want to explore yourself in a deeper way? Through therapy, I will help you identify patterns in your thoughts, feelings, and behaviors, and work with you towards making meaningful changes. By learning to respond to your thoughts and feelings in a new way, you will experience less suffering. We will also focus on how your emotions are experienced within the body, as these felt sensations are often overlooked sources of useful information.
(240) 685-9071 View (240) 685-9071
Photo of Constance E. Cannon, Psychologist in Silver Spring, MD
Constance E. Cannon
Psychologist, PhD
Verified Verified
Silver Spring, MD 20910
In a space of warmth, comfort and acceptance, I offer you an experienced therapist who listens closely, actively, inquisitively- with the goal of helping you to feel heard and understood. I strive to help form the questions that need to be asked, to discern that which is in your control, to divine the source of your pain, and to use humor, laughter, tears and plain talk to make sense of your world; to motivate and help create an authentic healthier you. Over a 30 year career, I've acquired experience that includes: counseling and therapy, program management, training and consultation.
In a space of warmth, comfort and acceptance, I offer you an experienced therapist who listens closely, actively, inquisitively- with the goal of helping you to feel heard and understood. I strive to help form the questions that need to be asked, to discern that which is in your control, to divine the source of your pain, and to use humor, laughter, tears and plain talk to make sense of your world; to motivate and help create an authentic healthier you. Over a 30 year career, I've acquired experience that includes: counseling and therapy, program management, training and consultation.
(301) 456-0316 View (301) 456-0316
Photo of Natasha Deen, Counselor in Silver Spring, MD
Natasha Deen
Counselor, LCPC, NCC
Verified Verified
4 Endorsed
Silver Spring, MD 20904  (Online Only)
You’re feeling overwhelmed with life’s struggles and want to feel heard, seen, and understood. Your identities and history of marginalization impact how you move through the world and can make living an authentic, fulfilling life seemingly impossible. Your unique lived experiences can leave you feeling misunderstood, alone, and plagued with worry. You might have trouble sleeping or concentrating, and you feel guilty, shameful, and irritable. Becoming your most empowered and confident self comes with challenges, and may come with isolation and other relationship changes.
You’re feeling overwhelmed with life’s struggles and want to feel heard, seen, and understood. Your identities and history of marginalization impact how you move through the world and can make living an authentic, fulfilling life seemingly impossible. Your unique lived experiences can leave you feeling misunderstood, alone, and plagued with worry. You might have trouble sleeping or concentrating, and you feel guilty, shameful, and irritable. Becoming your most empowered and confident self comes with challenges, and may come with isolation and other relationship changes.
(301) 889-9624 View (301) 889-9624
Photo of Thuso Counseling Group, Michelle McCoy, Licensed Clinical Professional Counselor in Silver Spring, MD
Thuso Counseling Group, Michelle McCoy
Licensed Clinical Professional Counselor, LPC, LCPC
Verified Verified
Silver Spring, MD 20910  (Online Only)
As a therapist, I see myself providing a safe, non-judgmental space for people of all kinds of relationships and identities. A space where you feel comfortable sharing intimate conversations, feel supported and validated as we navigate challenges together. You are the expert on your life and will determine the pace and the progress.
As a therapist, I see myself providing a safe, non-judgmental space for people of all kinds of relationships and identities. A space where you feel comfortable sharing intimate conversations, feel supported and validated as we navigate challenges together. You are the expert on your life and will determine the pace and the progress.
(240) 201-2218 View (240) 201-2218
Photo of Mary Hewes - Walk Talk Therapy Services Llc, Clinical Social Work/Therapist in Silver Spring, MD
Mary Hewes - Walk Talk Therapy Services Llc
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
Silver Spring, MD 20910
What do you value? What is important to you? Are you showing up for yourself in those areas? You have the right to live a satisfying and rewarding life that's free of suffering. Sometimes in our journey, we can feel stuck to the point of emotional stagnation. I am committed to working with you, collaborating & following your lead, to a place of greater satisfaction. Whatever the case may be, you deserve to thrive, and I would love to partner with you through your process to a place of increased wellness and acceptance. I consider myself to be an integrative therapist grounded in psychodynamic thinking and allied with nature.
What do you value? What is important to you? Are you showing up for yourself in those areas? You have the right to live a satisfying and rewarding life that's free of suffering. Sometimes in our journey, we can feel stuck to the point of emotional stagnation. I am committed to working with you, collaborating & following your lead, to a place of greater satisfaction. Whatever the case may be, you deserve to thrive, and I would love to partner with you through your process to a place of increased wellness and acceptance. I consider myself to be an integrative therapist grounded in psychodynamic thinking and allied with nature.
(301) 918-5001 View (301) 918-5001
Photo of Jaime Fryburg, Psychologist in Silver Spring, MD
Jaime Fryburg
Psychologist, PsyD
Verified Verified
Silver Spring, MD 20910
I am a licensed clinical psychologist with The Kingsbury Wellness & Learning Group, a team of dedicated professionals working collaboratively to provide exceptional therapeutic services to children, teens, and adults. I help adults experiencing relationship challenges gain a better understanding of how their history is impacting them, so that they can break unwanted patterns and engage in more meaningful, fulfilling relationships. I also help adolescents experiencing stress at school and at home learn ways to cope with their emotions and build more self-confidence.
I am a licensed clinical psychologist with The Kingsbury Wellness & Learning Group, a team of dedicated professionals working collaboratively to provide exceptional therapeutic services to children, teens, and adults. I help adults experiencing relationship challenges gain a better understanding of how their history is impacting them, so that they can break unwanted patterns and engage in more meaningful, fulfilling relationships. I also help adolescents experiencing stress at school and at home learn ways to cope with their emotions and build more self-confidence.
(240) 858-0210 x108 View (240) 858-0210 x108
Photo of Joan Weill, Clinical Social Work/Therapist in Silver Spring, MD
Joan Weill
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Silver Spring, MD 20910  (Online Only)
If you are struggling with depression, anxiety, weight loss, eating issues and other addictions, I can help. With years of experience and many successful outcomes helping clients work through depression & anxiety, achieve weight loss and recovery from eating disorders, addictions, trauma, grief & loss, I welcome you and the opportunity to help you achieve results! With a caring approach & many effective interventions for adults & adolescents coping with personal stresses in work, school, relationships, divorce, custody & family issues, sexuality, I provide a safe environment to work through issues. I believe in you & your potential!
If you are struggling with depression, anxiety, weight loss, eating issues and other addictions, I can help. With years of experience and many successful outcomes helping clients work through depression & anxiety, achieve weight loss and recovery from eating disorders, addictions, trauma, grief & loss, I welcome you and the opportunity to help you achieve results! With a caring approach & many effective interventions for adults & adolescents coping with personal stresses in work, school, relationships, divorce, custody & family issues, sexuality, I provide a safe environment to work through issues. I believe in you & your potential!
(240) 650-8240 View (240) 650-8240
Photo of Holistic Psychotherapy by Santa, LLC., Clinical Social Work/Therapist in Silver Spring, MD
Holistic Psychotherapy by Santa, LLC.
Clinical Social Work/Therapist, LICSW, SEP
Verified Verified
2 Endorsed
Silver Spring, MD 20906
No matter how you are feeling, know that there is someone out here to support you, don't lose hope. I believe that we all have the innate ability to be well, regardless of race, sexual orientation or gender identification. Traumatic and challenging experiences in our lifes, can affect our nervous system, rendering us vulnerable, confused and at times stuck/frozen in fight and or flight responses to life. It would be an honor to assist you at recognizing and reclaiming your strength and true potential through gentle, mindful and regulated interventions that provide balance and peace.
No matter how you are feeling, know that there is someone out here to support you, don't lose hope. I believe that we all have the innate ability to be well, regardless of race, sexual orientation or gender identification. Traumatic and challenging experiences in our lifes, can affect our nervous system, rendering us vulnerable, confused and at times stuck/frozen in fight and or flight responses to life. It would be an honor to assist you at recognizing and reclaiming your strength and true potential through gentle, mindful and regulated interventions that provide balance and peace.
(202) 499-6292 View (202) 499-6292
Photo of Peter Aron, Clinical Social Work/Therapist in Silver Spring, MD
Peter Aron
Clinical Social Work/Therapist, LCSWC
Verified Verified
Silver Spring, MD 20910
I work with children and teens and their families. I address issues including problematical attachment with parents and/or caregivers, negative self-image, trauma, depression, anxiety, anger, oppositionality, poor communication and social skills, acting out behaviors, sibling problems, and difficulties in school. As a therapist, I establish a safe "container" in which to work with children and parents together in order to strengthen a child's positive sense of self, reinforce the family system and bonds of attachment, and promote behavioral and emotional regulation. I work with teachers and school administrators to help children learn and thrive in school
I work with children and teens and their families. I address issues including problematical attachment with parents and/or caregivers, negative self-image, trauma, depression, anxiety, anger, oppositionality, poor communication and social skills, acting out behaviors, sibling problems, and difficulties in school. As a therapist, I establish a safe "container" in which to work with children and parents together in order to strengthen a child's positive sense of self, reinforce the family system and bonds of attachment, and promote behavioral and emotional regulation. I work with teachers and school administrators to help children learn and thrive in school
(301) 281-4144 View (301) 281-4144
Photo of Daniel Abzug, Clinical Social Work/Therapist in Silver Spring, MD
Daniel Abzug
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
4 Endorsed
Silver Spring, MD 20910
Many of us don't know where to begin at the moment we realize we need help or simply become interested in exploring our lives and relationships. We may hear about many different treatment modalities (CBT, DBT, EMDR, etc.) and feel confused about what "type" of therapist we should meet with. I simplify all of this by being straight-forward, down-to-earth, and adept at helping you use the best and most effective components of every modality available. Within our first meeting you will have a better understanding of yourself and what you want to manifest in your life.
Many of us don't know where to begin at the moment we realize we need help or simply become interested in exploring our lives and relationships. We may hear about many different treatment modalities (CBT, DBT, EMDR, etc.) and feel confused about what "type" of therapist we should meet with. I simplify all of this by being straight-forward, down-to-earth, and adept at helping you use the best and most effective components of every modality available. Within our first meeting you will have a better understanding of yourself and what you want to manifest in your life.
(301) 683-5318 View (301) 683-5318
Photo of Rowan Blackmon in Silver Spring, MD
Rowan Blackmon
LPC, LCPC, RCT-C
Verified Verified
Silver Spring, MD 20901  (Online Only)
Waitlist for new clients
Because no two patients are alike, therapy should be tailored to each patient, rather than trying to treat everyone with the same theoretical approach. I believe that a therapist’s job is to guide the patient as they learn to change the behaviors and thinking styles that may have once been helpful, but are now getting in their way. Most importantly, I believe it is a therapist's job to teach their patients the skills necessary to eventually function independent of their therapist, allowing them to eventually leave therapy instead of being stuck with having weekly sessions for the rest of their lives!
Because no two patients are alike, therapy should be tailored to each patient, rather than trying to treat everyone with the same theoretical approach. I believe that a therapist’s job is to guide the patient as they learn to change the behaviors and thinking styles that may have once been helpful, but are now getting in their way. Most importantly, I believe it is a therapist's job to teach their patients the skills necessary to eventually function independent of their therapist, allowing them to eventually leave therapy instead of being stuck with having weekly sessions for the rest of their lives!
(240) 213-4609 View (240) 213-4609
Photo of Anne Kim, Clinical Social Work/Therapist in Silver Spring, MD
Anne Kim
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Silver Spring, MD 20904  (Online Only)
I have experience working with clients ages from 5 to 105. I have worked at elementary school working with children, middle school & high school working with teens, university students working with young adults, community mental health centers working with adults, and a hospice setting working with mostly elders, providing individual, couples, family, group-therapy including bereavement counseling. I have enjoyed working with clients at every human development stages and learn to respect every one of my clients in the process of supporting them.
I have experience working with clients ages from 5 to 105. I have worked at elementary school working with children, middle school & high school working with teens, university students working with young adults, community mental health centers working with adults, and a hospice setting working with mostly elders, providing individual, couples, family, group-therapy including bereavement counseling. I have enjoyed working with clients at every human development stages and learn to respect every one of my clients in the process of supporting them.
(301) 284-3491 View (301) 284-3491
Photo of Rosemary Moulton, Clinical Social Work/Therapist in Silver Spring, MD
Rosemary Moulton
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Silver Spring, MD 20904  (Online Only)
Have you felt misunderstood because of your sexual orientation, lifestyle, age, disability, or nonconforming body? Have you tried traditional psychotherapy and been disappointed with results? Since 2006, I have provided services to adults and seniors dealing with a wide array of issues. I help people arrive at their own answers and live their most authentic lives using the power of a therapeutic, healing relationship. I help lead people through difficult territory and highlight their successes as they align their lives with their truths. Do you want to change your life but don't know where to start?
Have you felt misunderstood because of your sexual orientation, lifestyle, age, disability, or nonconforming body? Have you tried traditional psychotherapy and been disappointed with results? Since 2006, I have provided services to adults and seniors dealing with a wide array of issues. I help people arrive at their own answers and live their most authentic lives using the power of a therapeutic, healing relationship. I help lead people through difficult territory and highlight their successes as they align their lives with their truths. Do you want to change your life but don't know where to start?
(703) 991-1034 View (703) 991-1034
Photo of Tonya Frazier, Counselor in Silver Spring, MD
Tonya Frazier
Counselor, LCPC
Verified Verified
Silver Spring, MD 20910  (Online Only)
I am now acceptig new clients as well as starting a wait list. Please email before calling and check my areas of focus and specialty before contacting me. I am currently working with clients who want to work through Trauma, Depression, Anxiety, Phobias, Grief and Loss.
I am now acceptig new clients as well as starting a wait list. Please email before calling and check my areas of focus and specialty before contacting me. I am currently working with clients who want to work through Trauma, Depression, Anxiety, Phobias, Grief and Loss.
(443) 291-7688 View (443) 291-7688
Photo of Stillness Counselling Services LLC, Clinical Social Work/Therapist in Silver Spring, MD
Stillness Counselling Services LLC
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Silver Spring, MD 20901  (Online Only)
Hana is a Clinical Licensed Social Worker (LCSW-C) and earned her Master's degree of Social Work from Salisbury University in 2015. She has extensive therapeutic experience working with children, adolescents, families and adults in a variety of settings including, public schools, pediatric offices, community sites and homes in the Maryland area.
Hana is a Clinical Licensed Social Worker (LCSW-C) and earned her Master's degree of Social Work from Salisbury University in 2015. She has extensive therapeutic experience working with children, adolescents, families and adults in a variety of settings including, public schools, pediatric offices, community sites and homes in the Maryland area.
(301) 701-5069 View (301) 701-5069
Photo of Alana Tipton, Clinical Social Work/Therapist in Silver Spring, MD
Alana Tipton
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Silver Spring, MD 20902  (Online Only)
We all deserve relief from our burdens. Beginning therapy takes motivation, courage and the desire to change and grow. Most of us wouldn’t do it unless we need real help. I create a safe and supportive environment for you to explore how to improve your quality of life and together, we explore ways for you to heal and grow. I work with clients facing a variety of challenges including family of origin stressors, life transitions, trauma, anxiety, and depression. I am a queer affirming therapist.
We all deserve relief from our burdens. Beginning therapy takes motivation, courage and the desire to change and grow. Most of us wouldn’t do it unless we need real help. I create a safe and supportive environment for you to explore how to improve your quality of life and together, we explore ways for you to heal and grow. I work with clients facing a variety of challenges including family of origin stressors, life transitions, trauma, anxiety, and depression. I am a queer affirming therapist.
(240) 652-2243 View (240) 652-2243
Photo of M Mental Health and Wellness Plus, Clinical Social Work/Therapist in Silver Spring, MD
M Mental Health and Wellness Plus
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Silver Spring, MD 20904
I believe in the inseparable aspects of mental wellness and healthy lifestyle changes as each complements the other. We offer a blend of therapeutic services aimed at integrating mental health techniques with lifestyle changes. I work with parents with children with behavioral problems and attend EIP meetings to support parents. The program offers medication management.
I believe in the inseparable aspects of mental wellness and healthy lifestyle changes as each complements the other. We offer a blend of therapeutic services aimed at integrating mental health techniques with lifestyle changes. I work with parents with children with behavioral problems and attend EIP meetings to support parents. The program offers medication management.
(301) 918-5349 View (301) 918-5349
Photo of Tanisha R Sanders, Clinical Social Work/Therapist in Silver Spring, MD
Tanisha R Sanders
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Silver Spring, MD 20906  (Online Only)
Hi, I'm a clinical social worker licensed in Maryland. For over 20 years, I’ve worked with individuals of various ages, ethnic, and socio-economic backgrounds, who have suffered from mild to severe mental health disorders. I have an eclectic and conversational treatment style. I believe treatment relies on strong therapeutic relationships. The aspect of my treatment that I believe consistently helps my clients to achieve their goals, is my ability to use humor, strength, transparency, and kindness to make it safe for them to be honest and kind with themselves about problematic patterns of behavior and thought.
Hi, I'm a clinical social worker licensed in Maryland. For over 20 years, I’ve worked with individuals of various ages, ethnic, and socio-economic backgrounds, who have suffered from mild to severe mental health disorders. I have an eclectic and conversational treatment style. I believe treatment relies on strong therapeutic relationships. The aspect of my treatment that I believe consistently helps my clients to achieve their goals, is my ability to use humor, strength, transparency, and kindness to make it safe for them to be honest and kind with themselves about problematic patterns of behavior and thought.
(240) 201-2641 View (240) 201-2641
Photo of Lorrie Ann Ness, Psychologist in Silver Spring, MD
Lorrie Ann Ness
Psychologist, PhD
Verified Verified
Silver Spring, MD 20910
In today's hurried world I strive always to listen and never to rush. Here, individuals find a safe place to "unpack" their worries and feel understood. I particularly enjoy working with families to uncover sources of academic difficulty and develop individualized solutions. With young children, parents are always in integral part of the treatment and I frequently consult with other health care professionals and educators in order to create a broad treatment team.
In today's hurried world I strive always to listen and never to rush. Here, individuals find a safe place to "unpack" their worries and feel understood. I particularly enjoy working with families to uncover sources of academic difficulty and develop individualized solutions. With young children, parents are always in integral part of the treatment and I frequently consult with other health care professionals and educators in order to create a broad treatment team.
(301) 234-6382 x3 View (301) 234-6382 x3
Photo of Myra Andres, Clinical Social Work/Therapist in Silver Spring, MD
Myra Andres
Clinical Social Work/Therapist, LCSW
Verified Verified
Silver Spring, MD 20910  (Online Only)
Hi there, I'm Myra, Life takes turns we don't expect, and sometimes we’re able to get through them. Other times we become stuck. Allow me to partner with you to help you navigate through challenging times and move forward. I will accomplish this by offering you a safe space to process, identify, and explore your goals, your hopes, and your dreams, as well as problem-solving issues and concerns that are holding you back. My professional background includes over 20 years as a Clinical Social Worker, working as a therapist and Clinical State Director, Clinical Director, and Clinical Supervisor for therapists/clinicians.
Hi there, I'm Myra, Life takes turns we don't expect, and sometimes we’re able to get through them. Other times we become stuck. Allow me to partner with you to help you navigate through challenging times and move forward. I will accomplish this by offering you a safe space to process, identify, and explore your goals, your hopes, and your dreams, as well as problem-solving issues and concerns that are holding you back. My professional background includes over 20 years as a Clinical Social Worker, working as a therapist and Clinical State Director, Clinical Director, and Clinical Supervisor for therapists/clinicians.
(240) 253-6771 View (240) 253-6771

See more therapy options for Silver Spring

How does your Therapist compare?

Number of Therapists in Silver Spring, MD

900+

Average cost per session

$160

Therapists in Silver Spring, MD who prioritize treating:

93% Anxiety
88% Depression
78% Relationship Issues
76% Self Esteem
69% Coping Skills
67% Trauma and PTSD
65% Stress

Average years in practice

13 Years

Top 3 insurances accepted

74% CareFirst
72% BlueCross and BlueShield
63% Cigna and Evernorth

How Therapists in Silver Spring, MD see their clients

54% In Person and Online
46% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Silver Spring?

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.