Therapists in Silver Spring, MD
David Kiwanuka Lubega
Clinical Social Work/Therapist, MSW, PhD, LCSW-C
Verified Verified
Silver Spring, MD 20904 (Online Only)
I am David Lubega, LCSW-C a Clinical Social Worker in Maryland and the District of Columbia. I graduated in 1991 from Indiana University, having 30 years of diverse experience, especially in Clinical Social Worker, management and as a therapist.l work with individuals and couples with Anxiety, Depression, ADHD, Marriage and Relationship issues, PTSD, and Substance Abuse. My passion is to work with you as you walk that journey towards healing. I will be your guide through the troubled sea. Please connect with me through Uplift platform. Thank you.
I am David Lubega, LCSW-C a Clinical Social Worker in Maryland and the District of Columbia. I graduated in 1991 from Indiana University, having 30 years of diverse experience, especially in Clinical Social Worker, management and as a therapist.l work with individuals and couples with Anxiety, Depression, ADHD, Marriage and Relationship issues, PTSD, and Substance Abuse. My passion is to work with you as you walk that journey towards healing. I will be your guide through the troubled sea. Please connect with me through Uplift platform. Thank you.
Daniel Veiga
Counselor, MEd, LPC
Verified Verified
2 Endorsed
Silver Spring, MD 20904 (Online Only)
I enjoy working with individuals, couples, and families. When thinking about the stages of change, I prefer to meet clients where they are; and am willing to work at a pace they feel comfortable with at the start of treatment. Individuals come to treatment with a myriad of goals and needs. Specific issues may be difficult to pinpoint. However, one of my goals in the overall process is to see clients who are open to changing their current dynamic or patterns, with the hope of a more favorable outcome.
I enjoy working with individuals, couples, and families. When thinking about the stages of change, I prefer to meet clients where they are; and am willing to work at a pace they feel comfortable with at the start of treatment. Individuals come to treatment with a myriad of goals and needs. Specific issues may be difficult to pinpoint. However, one of my goals in the overall process is to see clients who are open to changing their current dynamic or patterns, with the hope of a more favorable outcome.
Simone Walton
Clinical Social Work/Therapist, DSW, LMSW
Verified Verified
Silver Spring, MD 20906
Dr. Walton is dedicated to working with communities, organizations, and individuals to develop applied solutions to challenges affecting vulnerable and marginalized populations. Her professional experience includes working within international humanitarian organizations, the legal arena and doing this work living on every continent except Antarctica. Dr. Walton is passionate about systems and the people who function in them. She is a wife, a mother, a caregiver and a daughter of immigrants.
Dr. Walton is dedicated to working with communities, organizations, and individuals to develop applied solutions to challenges affecting vulnerable and marginalized populations. Her professional experience includes working within international humanitarian organizations, the legal arena and doing this work living on every continent except Antarctica. Dr. Walton is passionate about systems and the people who function in them. She is a wife, a mother, a caregiver and a daughter of immigrants.
Cindy Cruz
Clinical Social Work/Therapist, MSW, LCSW-C, LICSW
Verified Verified
Silver Spring, MD 20910
Life can be hard at times, I am here to heIp! I am a bilingual Clinical Social Worker/therapist with bicultural experience. I attended the University of Maryland School of Social Work where I earned my Masters in Social Work with a focus in children and families. I am also a Board Approved Supervisor in the state of MD. I’m licensed in both MD and DC and provide in person and virtual therapy services in English and Spanish. I have more than 10 years of experience working with children and families and adults in different capacities that include home visiting, mental health consultation, mental health therapy and parent coaching.
Life can be hard at times, I am here to heIp! I am a bilingual Clinical Social Worker/therapist with bicultural experience. I attended the University of Maryland School of Social Work where I earned my Masters in Social Work with a focus in children and families. I am also a Board Approved Supervisor in the state of MD. I’m licensed in both MD and DC and provide in person and virtual therapy services in English and Spanish. I have more than 10 years of experience working with children and families and adults in different capacities that include home visiting, mental health consultation, mental health therapy and parent coaching.
Gloria Yaa Mensah
Licensed Clinical Professional Counselor, LPC, LCPC
Verified Verified
1 Endorsed
Silver Spring, MD 20910 (Online Only)
Life can be challenging. Stress, interpersonal relationships, self-esteem, depression, anxiety, and identity issues can impact your functioning and ability to move forward in your life. During these times, it is important to feel empowered and confident to tackle the challenges you face and prepare for the victories ahead. Through self-exploration and an understanding of your needs in therapy, you can tap into your most authentic self to navigate your world.
Life can be challenging. Stress, interpersonal relationships, self-esteem, depression, anxiety, and identity issues can impact your functioning and ability to move forward in your life. During these times, it is important to feel empowered and confident to tackle the challenges you face and prepare for the victories ahead. Through self-exploration and an understanding of your needs in therapy, you can tap into your most authentic self to navigate your world.
Monica Rene Testa
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Silver Spring, MD 20910 (Online Only)
'What worries you, masters you.' Do worries, stress and fears cause imbalance in your life? I work with individual clients to identify and reframe core beliefs and assumptions, and shift challenging patterns and behaviors. 'Love does not dominate; it cultivates.' Relationships require openness, curiosity, and trust. Couples counseling provides a nonjudgmental, distraction-free space to share and listen. Clients explore challenges, identify strengths, and mutually gain deeper understanding of themselves and the relationship. Couples therapy is self-pay only. I am licensed to serve clients living in Maryland and Virginia.
'What worries you, masters you.' Do worries, stress and fears cause imbalance in your life? I work with individual clients to identify and reframe core beliefs and assumptions, and shift challenging patterns and behaviors. 'Love does not dominate; it cultivates.' Relationships require openness, curiosity, and trust. Couples counseling provides a nonjudgmental, distraction-free space to share and listen. Clients explore challenges, identify strengths, and mutually gain deeper understanding of themselves and the relationship. Couples therapy is self-pay only. I am licensed to serve clients living in Maryland and Virginia.
Jen K Floran
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
Silver Spring, MD 20910 (Online Only)
I believe that it is a privilege to share space with someone and truly connect. This is the type of relationship where healing can happen, patterns can be observed and you can be seen. I have worked for the past 20 years with woman around all types of life issues including life transitions, perinatal mood and anxiety, parenting, separating/divorcing and relationships. I believe we all deserve someone to understand us in the moments we need support. As a parent, I have personal experience with blending families and step-parenting and know the need to have a space to give voice to honest feelings, hurts and hopes.
I believe that it is a privilege to share space with someone and truly connect. This is the type of relationship where healing can happen, patterns can be observed and you can be seen. I have worked for the past 20 years with woman around all types of life issues including life transitions, perinatal mood and anxiety, parenting, separating/divorcing and relationships. I believe we all deserve someone to understand us in the moments we need support. As a parent, I have personal experience with blending families and step-parenting and know the need to have a space to give voice to honest feelings, hurts and hopes.
Healing HMS, LLC
Counselor, LCPC
Verified Verified
1 Endorsed
Silver Spring, MD 20902
I am Jeanne Johnson, LCPC and I am the Owner of Healing HMS (Hearts, Minds, & Souls) where we specialize in healing hearts, minds, and souls through therapeutic services. The main goals at Healing HMS, LLC are to help in assisting individuals reach their full potential, heal their deep wounds, and discover their God given abilities that will allow them to overcome their personal obstacles. Reach out to me and let’s have a free 10 minute consultation and I can connect you with the appropriate therapist.
I am Jeanne Johnson, LCPC and I am the Owner of Healing HMS (Hearts, Minds, & Souls) where we specialize in healing hearts, minds, and souls through therapeutic services. The main goals at Healing HMS, LLC are to help in assisting individuals reach their full potential, heal their deep wounds, and discover their God given abilities that will allow them to overcome their personal obstacles. Reach out to me and let’s have a free 10 minute consultation and I can connect you with the appropriate therapist.
Holley and Associates, Inc.
Clinical Social Work/Therapist, LICSW, LCSW-C, LCSW VA, LCSW IL
Verified Verified
Silver Spring, MD 20905 (Online Only)
"Let today be your best day ever” At Holley and Associates Inc., we provide mental health treatment for individuals and families. All treatment is done in the context of family...even a family of one. We will help you be the best YOU you can be. If you want to make a change, we want to help you. Call us"
"Let today be your best day ever” At Holley and Associates Inc., we provide mental health treatment for individuals and families. All treatment is done in the context of family...even a family of one. We will help you be the best YOU you can be. If you want to make a change, we want to help you. Call us"
Terry Ullman
Clinical Social Work/Therapist, LCSW-C, MSW, LICSW
Verified Verified
Silver Spring, MD 20904
Not accepting new clients
I have had over 30 years of experience helping adults develop the tools they need to overcome life's challenges and live full and meaningful lives. Having worked with individuals 18 to 104 years old, I believe that people have a tremendous capacity for growth and change at any stage of life. During the course of my career I have successfully treated people suffering from depression, anxiety and relationship difficulties. My other areas of expertise include geriatrics, dementia, caregiving, life transitions, chronic illness and grief and loss.
I have had over 30 years of experience helping adults develop the tools they need to overcome life's challenges and live full and meaningful lives. Having worked with individuals 18 to 104 years old, I believe that people have a tremendous capacity for growth and change at any stage of life. During the course of my career I have successfully treated people suffering from depression, anxiety and relationship difficulties. My other areas of expertise include geriatrics, dementia, caregiving, life transitions, chronic illness and grief and loss.
Phranci Williams
Licensed Professional Counselor, MA, LGPC
Verified Verified
1 Endorsed
Silver Spring, MD 20910 (Online Only)
The idea of going to therapy can be daunting and challenging for many…but it doesn’t have to be. (It can actually be pretty fun!) You tell me what you want, and I do what I can to help you achieve it. Sure, there may be challenging moments because I may push you out of your comfort zone at times, but I’m great at listening and understanding what my clients want and need.
The idea of going to therapy can be daunting and challenging for many…but it doesn’t have to be. (It can actually be pretty fun!) You tell me what you want, and I do what I can to help you achieve it. Sure, there may be challenging moments because I may push you out of your comfort zone at times, but I’m great at listening and understanding what my clients want and need.
15 Second Videos
Cindy Cruz
Crystal Thorpe
Moses M Kushaba
Julie Bulitt
Carla Carreira
Gabrielle Edenbaum
Bola Fanilola
Restore Tranquility, LLC
Bee Sanders
Rachel Phillips-Anderson
Intrapersonal Commitment to Wellness, LLC
Lizzie Liu
Natasha Deen
Dr Savage PsyD LLC
Richard (Pinny) Roth @ Eft Center
Sonja Harrison
Mairead Burke
Scott Levson
Cj Seitz-Brown
Teneisha McIntyre
Healing-Circle, LLC
Esther Ungar
Jeremy Mohler
Hannah Wilson
Anneke Vandenbroek Ph.d.; Abpp
Maura Mulloy
Richard Kim Davenport
Sophia Rizvi
O.R.E And Associates, LLC
Good Health Practices
Jon Mossberg
Bridges 2 LIFE, LLC
Albena Tzaneff
Braquelle Murphy Certified Emdr Therapist
Zoe Zollinger
Cynthia Kohler
Micah Saviet
Rebecca Austin
Elizabeth Gordon
Chelsea Tadesse
Restorative Focus Counseling
Jennifer L Pauk
Dr. Mitch and Lisa Marriages/Couples Workshops
Reese Reed
Kylie Stevenson
Wendy-Nia Griffin
Kal Zeryihun
Sophie Hans
Siehda Parker
Kayla Wallington
Jamila Mckinney
Licensed Professional Counselor Associate, MA, LGPC
Verified Verified
1 Endorsed
Silver Spring, MD 20910 (Online Only)
Adding to what you already have, our time will be spent doing what I call “adjusting the lens”: adding more depth—more clarity to whatever has been difficult to identify. Through the use of further psycho-educational knowledge, developing and practicing new coping skills, while having a safe non-judgmental space to process and grow. Your experiences, your story matters.
Adding to what you already have, our time will be spent doing what I call “adjusting the lens”: adding more depth—more clarity to whatever has been difficult to identify. Through the use of further psycho-educational knowledge, developing and practicing new coping skills, while having a safe non-judgmental space to process and grow. Your experiences, your story matters.
Stacey Jackson-Roberts
Clinical Social Work/Therapist, MSW, LCSW, LCSW-C
Verified Verified
14 Endorsed
Silver Spring, MD 20910 (Online Only)
Are you seeking a therapist who specializes in major life transitions, including gender, sexuality, faith, and career transitions? Do you need a therapist with experience meeting the unique needs of women, transgender, and LGBTQ individuals? Are you seeking an affirming therapist with a focus on centering you as expert over your own identity and empowering you to reach your fullest potential? Are you seeking a therapist with experience working with high-profile (i.e., political, executive, and entertainment) individuals and their unique needs?
Are you seeking a therapist who specializes in major life transitions, including gender, sexuality, faith, and career transitions? Do you need a therapist with experience meeting the unique needs of women, transgender, and LGBTQ individuals? Are you seeking an affirming therapist with a focus on centering you as expert over your own identity and empowering you to reach your fullest potential? Are you seeking a therapist with experience working with high-profile (i.e., political, executive, and entertainment) individuals and their unique needs?
Vicki Lynn Allen
Clinical Social Work/Therapist, LCSW-C, EFTcert
Verified Verified
1 Endorsed
Silver Spring, MD 20910 (Online Only)
Is emotional baggage weighing you down? Traumatic events are usually the source of depression, anxiety, anger and weight issues. Overcome your pain from past child abuse, sexual assault, emotional neglect, abandonment, divorce, or other maltreatment. My Trauma Relief Program effectively heals my clients' emotional wounds. This gentle process can effectively help you to relieve the burden of your emotional distress and leave the past behind you. Your pain will be deeply understood, and gently released. Depression, anxiety and anger lift. You will be able to move forward in your work and personal life as you will have gained emotional freedom,
Is emotional baggage weighing you down? Traumatic events are usually the source of depression, anxiety, anger and weight issues. Overcome your pain from past child abuse, sexual assault, emotional neglect, abandonment, divorce, or other maltreatment. My Trauma Relief Program effectively heals my clients' emotional wounds. This gentle process can effectively help you to relieve the burden of your emotional distress and leave the past behind you. Your pain will be deeply understood, and gently released. Depression, anxiety and anger lift. You will be able to move forward in your work and personal life as you will have gained emotional freedom,
Chris Haugen
Clinical Social Work/Therapist, LCSW-C, EdM
Verified Verified
Silver Spring, MD 20905
It's hard to know how to choose a counselor. I'm happy to meet for an hour or two at no charge to make sure it is a good match. Be aware that I accept Maryland and Federal Workers' Compensation. It starts with feeling at ease with someone, and feeling understood. I'm willing to be helpful for people who struggle with addiction, but I may need people to see an additional counselor for more focused help on this. One's thinking and beliefs are important, and certainly there is an emotional component. I find that people feel a lot better when they feel their lives are moving forward.
It's hard to know how to choose a counselor. I'm happy to meet for an hour or two at no charge to make sure it is a good match. Be aware that I accept Maryland and Federal Workers' Compensation. It starts with feeling at ease with someone, and feeling understood. I'm willing to be helpful for people who struggle with addiction, but I may need people to see an additional counselor for more focused help on this. One's thinking and beliefs are important, and certainly there is an emotional component. I find that people feel a lot better when they feel their lives are moving forward.
Jim Smith
Clinical Social Work/Therapist
Verified Verified
Silver Spring, MD 20910 (Online Only)
I'm a results-oriented Cognitive Therapist (CBT): with pragmatic solutions for ADHD, Anxiety, Depression and Career Issues. Let's assess your situation, agree on attainable goals. then work together to achieve them.. We focus on change, not talk.
I'm a results-oriented Cognitive Therapist (CBT): with pragmatic solutions for ADHD, Anxiety, Depression and Career Issues. Let's assess your situation, agree on attainable goals. then work together to achieve them.. We focus on change, not talk.
Roger S. Friedman, PhD
Psychologist, PhD, LCSW-C
Verified Verified
Silver Spring, MD 20910
Not accepting new clients
I am a Clinical Psychologist and Organizational Consultant. In private practice for 32 years, I see adolescents, adults, couples, and families. My therapeutic style combines family systems, psycho-dynamic theory, and brain-based/cognitive behavioral therapy to promote change. To be effective, I believe a therapist must build trusting relationships and see each client as a unique person in their own complex environment. I provide training and staff development to child welfare and mental health programs, teach Family Therapy and Clinical Assessment at The University of Maryland School of Social Work, and serve on the editorial board of the Journal of Family Strengths.
I am a Clinical Psychologist and Organizational Consultant. In private practice for 32 years, I see adolescents, adults, couples, and families. My therapeutic style combines family systems, psycho-dynamic theory, and brain-based/cognitive behavioral therapy to promote change. To be effective, I believe a therapist must build trusting relationships and see each client as a unique person in their own complex environment. I provide training and staff development to child welfare and mental health programs, teach Family Therapy and Clinical Assessment at The University of Maryland School of Social Work, and serve on the editorial board of the Journal of Family Strengths.
Andrew Price
Marriage & Family Therapist, MS, LCMFT
Verified Verified
1 Endorsed
Silver Spring, MD 20910
Your decision to evaluate therapists today is a strong sign change is underway. I work to help individual adults and teens, couples, and families navigate relationship difficulties, behavioral issues, and unresolved emotional needs. My office is a place where clients can speak openly about their hopes, needs, and fears - with warmth, care, and authentic feedback in return. Our work can treat symptoms of grief, depression, anxiety, trauma, and addiction. Emotionally focused repair, cognitive insight, and concrete skills development can each play a role. My training emphasizes clients' experience in family, work, and other systems.
Your decision to evaluate therapists today is a strong sign change is underway. I work to help individual adults and teens, couples, and families navigate relationship difficulties, behavioral issues, and unresolved emotional needs. My office is a place where clients can speak openly about their hopes, needs, and fears - with warmth, care, and authentic feedback in return. Our work can treat symptoms of grief, depression, anxiety, trauma, and addiction. Emotionally focused repair, cognitive insight, and concrete skills development can each play a role. My training emphasizes clients' experience in family, work, and other systems.
Tariiq Omari Walton
Marriage & Family Therapist, LCMFT
Verified Verified
Silver Spring, MD 20910
The ancient adage, "It Takes A Village...", applies to more than just raising children. We are not always meant to do things on our own. Sometimes, we need the insight of others to help us along our collective paths. I would like to be a part of your village. I am a Licensed Clinical Marriage and Family Therapist (LCMFT) and the proprietor of iNisight Marriage & Family Therapists, LLC, private mental health practice, currently with an offices in downtown Silver Spring, MD and Largo, MD.
The ancient adage, "It Takes A Village...", applies to more than just raising children. We are not always meant to do things on our own. Sometimes, we need the insight of others to help us along our collective paths. I would like to be a part of your village. I am a Licensed Clinical Marriage and Family Therapist (LCMFT) and the proprietor of iNisight Marriage & Family Therapists, LLC, private mental health practice, currently with an offices in downtown Silver Spring, MD and Largo, MD.
Varda Makovsky
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Silver Spring, MD 20902
Whether you struggle with anxiety, depression, low self-esteem and/or are navigating life transitions, my goal is to create a safe and supportive space for exploration and growth. My approach to therapy is client-centered and collaborative. I work with clients to gain enhanced self-understanding, address challenges, build resilience, adopt new coping skills and affect meaningful change. Special areas of focus include: anxiety, depression, fertility and family-building, grief/loss, adult ADHD, family dynamics, and life transitions.
Whether you struggle with anxiety, depression, low self-esteem and/or are navigating life transitions, my goal is to create a safe and supportive space for exploration and growth. My approach to therapy is client-centered and collaborative. I work with clients to gain enhanced self-understanding, address challenges, build resilience, adopt new coping skills and affect meaningful change. Special areas of focus include: anxiety, depression, fertility and family-building, grief/loss, adult ADHD, family dynamics, and life transitions.
See more therapy options for Silver Spring
Nearby Searches 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
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.
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.
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.