Therapists in Silver Spring, MD

Photo of Martina E. Efodzi, Counselor in Silver Spring, MD
Martina E. Efodzi
Counselor, MDiv, MA, ATR-BC, LCPAT, LCPC
Verified Verified
5 Endorsed
Silver Spring, MD 20910  (Online Only)
Are you feeling overwhelmed by life's challenges? Are your emotions, or a complicated relationship, weighing you down? Are you interested in finding creative solutions to your problems? If so, then perhaps counseling, art therapy, or some combination of the two, might be right for you! I offer a supportive and non-judgmental space where you will learn how to take charge of your thoughts, emotions and actions while practicing better self-care and improving insight. My areas of expertise include: trauma, HIV/AIDS, diabetes, depression, anxiety, multicultural and LGBTQ+ concerns, existential dilemmas, spirituality and grief and loss.
Are you feeling overwhelmed by life's challenges? Are your emotions, or a complicated relationship, weighing you down? Are you interested in finding creative solutions to your problems? If so, then perhaps counseling, art therapy, or some combination of the two, might be right for you! I offer a supportive and non-judgmental space where you will learn how to take charge of your thoughts, emotions and actions while practicing better self-care and improving insight. My areas of expertise include: trauma, HIV/AIDS, diabetes, depression, anxiety, multicultural and LGBTQ+ concerns, existential dilemmas, spirituality and grief and loss.
(202) 759-2328 View (202) 759-2328
Photo of Robyn Weiner, Clinical Social Work/Therapist in Silver Spring, MD
Robyn Weiner
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Silver Spring, MD 20910
Hi, my name is Robyn. I am a Licensed Clinical Social Worker with over 20 years of experience working with children, adolescents, young adults and their families. Whether you or your child "just need someone to talk to" or are dealing with more serious issues significantly impacting behaviors at home, school, work, or in the community I am here for you.
Hi, my name is Robyn. I am a Licensed Clinical Social Worker with over 20 years of experience working with children, adolescents, young adults and their families. Whether you or your child "just need someone to talk to" or are dealing with more serious issues significantly impacting behaviors at home, school, work, or in the community I am here for you.
(240) 221-7971 View (240) 221-7971
Photo of Rina Phillips, Clinical Social Work/Therapist in Silver Spring, MD
Rina Phillips
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Silver Spring, MD 20901
Life can be tedious and overwhelming, especially when we do it with kids, work, and family. Even if we look around and see that “nothing is actually wrong in our lives”, we may still feel sad, lonely, anxious, and overwhelmed. Therapy can be very helpful in gaining the internal tools needed to cope better with our lives.
Life can be tedious and overwhelming, especially when we do it with kids, work, and family. Even if we look around and see that “nothing is actually wrong in our lives”, we may still feel sad, lonely, anxious, and overwhelmed. Therapy can be very helpful in gaining the internal tools needed to cope better with our lives.
(240) 847-3841 View (240) 847-3841
Photo of Lizzie Liu, Licensed Clinical Professional Counselor in Silver Spring, MD
Lizzie Liu
Licensed Clinical Professional Counselor, MEd(s), LCPC, NCC, CSTIP
Verified Verified
4 Endorsed
Silver Spring, MD 20910  (Online Only)
Are you tired of fighting with your partner constantly without finding a path to move forward? Are you from a culture that is different from your partner's culture? Do you feel like the intimacy and passion have escaped your relationship? Your relationship doesn't have to suffer through those conflicts in the dark, nor does it have to be a battleground for your differences; it can be a rich soil for meeting your unmet needs. Therapy is the right place for you and your partner to explore complex emotions. If you are not sure what you are experiencing, therapy also allows you to get closer to the unknown.
Are you tired of fighting with your partner constantly without finding a path to move forward? Are you from a culture that is different from your partner's culture? Do you feel like the intimacy and passion have escaped your relationship? Your relationship doesn't have to suffer through those conflicts in the dark, nor does it have to be a battleground for your differences; it can be a rich soil for meeting your unmet needs. Therapy is the right place for you and your partner to explore complex emotions. If you are not sure what you are experiencing, therapy also allows you to get closer to the unknown.
(240) 209-9592 View (240) 209-9592
Photo of Emilia Henry, Counselor in Silver Spring, MD
Emilia Henry
Counselor, LGPC, NBCC
Verified Verified
Silver Spring, MD 20910
Trauma’s impact can be extensive and diverse, often leaving individuals overwhelmed. As a trauma specialist, I prioritize building a foundation of safety for each client before delving into the processing of traumatic experiences. My expertise spans trauma across various stages of life, and extends into Marriage and Family therapy. With over a decade of experience as a helping professional, I employ integrative therapeutic approaches such as neuro-informed, narrative-focused, somatic, polyvagal, gottman, and attachment therapy, with a specific focus on BIPOC communities.
Trauma’s impact can be extensive and diverse, often leaving individuals overwhelmed. As a trauma specialist, I prioritize building a foundation of safety for each client before delving into the processing of traumatic experiences. My expertise spans trauma across various stages of life, and extends into Marriage and Family therapy. With over a decade of experience as a helping professional, I employ integrative therapeutic approaches such as neuro-informed, narrative-focused, somatic, polyvagal, gottman, and attachment therapy, with a specific focus on BIPOC communities.
(240) 851-4050 View (240) 851-4050
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 Tali Elitzur, Counselor in Silver Spring, MD
Tali Elitzur
Counselor, MA, LPC, LCPC
Verified Verified
16 Endorsed
Silver Spring, MD 20910  (Online Only)
Available for in-person and telehealth appointments. Relationships with ourselves and others can be tough, and they often affect our daily lives. Recent or past traumas may intensify challenging feelings, and can lead to feeling stuck, confused, or overwhelmed. You are not alone! Collaborative therapy can help establish a sense of clarity, balance, joy, and hope. Our work together is meant to carry over into your daily life, and help you feel more secure, connected, and assertive. We will process and practice applying new skills into your life. I provide a safe space and support as you navigate your life journey.
Available for in-person and telehealth appointments. Relationships with ourselves and others can be tough, and they often affect our daily lives. Recent or past traumas may intensify challenging feelings, and can lead to feeling stuck, confused, or overwhelmed. You are not alone! Collaborative therapy can help establish a sense of clarity, balance, joy, and hope. Our work together is meant to carry over into your daily life, and help you feel more secure, connected, and assertive. We will process and practice applying new skills into your life. I provide a safe space and support as you navigate your life journey.
(240) 698-2546 View (240) 698-2546
Photo of Esther Ungar, Clinical Social Work/Therapist in Silver Spring, MD
Esther Ungar
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Silver Spring, MD 20902
Are there aspects of your life that you are unhappy with? Are you feeling anxious, struggling to follow your dreams or having difficulties in your relationships with others? Are you struggling with the impact of past traumatic experiences? Are you dealing with chronic pain? If so, therapy can be helpful to you! My approach centers on fostering connection and healing. I prioritize a trauma-informed perspective, shifting the question from 'what's wrong with you?' to 'what happened to you?'. This approach is particularly empowering for trauma survivors, who may have received multiple diagnoses in the past.
Are there aspects of your life that you are unhappy with? Are you feeling anxious, struggling to follow your dreams or having difficulties in your relationships with others? Are you struggling with the impact of past traumatic experiences? Are you dealing with chronic pain? If so, therapy can be helpful to you! My approach centers on fostering connection and healing. I prioritize a trauma-informed perspective, shifting the question from 'what's wrong with you?' to 'what happened to you?'. This approach is particularly empowering for trauma survivors, who may have received multiple diagnoses in the past.
(301) 781-7120 View (301) 781-7120
Photo of Albena Tzaneff, Counselor in Silver Spring, MD
Albena Tzaneff
Counselor, MA, LPC, CCM
Verified Verified
Silver Spring, MD 20906  (Online Only)
As a foreign-born immigrant from Bulgaria, I work especially well with people from collectivistic cultures like my own. If you desire a transformation in your life, I offer supportive skills balanced with authentic and collaborative techniques aimed at identifying patterns that keep you from showing up as your best self. I offer a fresh take on therapy that balances evidence-based strategies with grounding mind/body approaches.
As a foreign-born immigrant from Bulgaria, I work especially well with people from collectivistic cultures like my own. If you desire a transformation in your life, I offer supportive skills balanced with authentic and collaborative techniques aimed at identifying patterns that keep you from showing up as your best self. I offer a fresh take on therapy that balances evidence-based strategies with grounding mind/body approaches.
(301) 265-3116 View (301) 265-3116
Photo of Rachael Stern, Clinical Social Work/Therapist in Silver Spring, MD
Rachael Stern
Clinical Social Work/Therapist, LMSW
Verified Verified
Silver Spring, MD 20910
The status quo tells us we can’t trust ourselves, our knowing, or our bodies. Rachael believes that our innate knowing - when we can access it, is not only the gold we seek, but the light we shine for ourselves and in the world around us. From experience with eating disorders, self-injury, trauma, chronic pain, couples and larger family systems and the LGBTQIA umbrella to professional work in issue focused non-profits/campaigns (and even performing), Rachael is deeply in tune with the political and social ecosystems that our intersectional identities transverse on a moment to moment basis
The status quo tells us we can’t trust ourselves, our knowing, or our bodies. Rachael believes that our innate knowing - when we can access it, is not only the gold we seek, but the light we shine for ourselves and in the world around us. From experience with eating disorders, self-injury, trauma, chronic pain, couples and larger family systems and the LGBTQIA umbrella to professional work in issue focused non-profits/campaigns (and even performing), Rachael is deeply in tune with the political and social ecosystems that our intersectional identities transverse on a moment to moment basis
(301) 591-6283 View (301) 591-6283
Photo of Ayushi Tibrewala, Counselor in Silver Spring, MD
Ayushi Tibrewala
Counselor, LGPC
Verified Verified
2 Endorsed
Silver Spring, MD 20910
Are you struggling with a big change in your life? Do you feel like you can't bring your authentic self into the world? Do you feel stressed, disconnected, or ashamed? Then you've come to the right place! We'll collaborate on a plan to build skills and generate insight so that you can foster authentic connections with yourself and others. I work with individuals adults.
Are you struggling with a big change in your life? Do you feel like you can't bring your authentic self into the world? Do you feel stressed, disconnected, or ashamed? Then you've come to the right place! We'll collaborate on a plan to build skills and generate insight so that you can foster authentic connections with yourself and others. I work with individuals adults.
(240) 377-0042 View (240) 377-0042
Photo of Speak Healing Therapy, LLC, Counselor in Silver Spring, MD
Speak Healing Therapy, LLC
Counselor, LCPC, CCTP
Verified Verified
Silver Spring, MD 20910  (Online Only)
Overwhelmed. Overstimulated. Drained. Unmotivated. Unrecognizable yet functioning. You know those feelings oh too well and at times question the point of it all. You frequently question yourself about what changes need to be made and/or how to make those changes yet you have no idea where to begin. You truly desire to live a life that excites, motivates and inspires you to be authentically yourself. You crave to know and understand "that thing" that holds you back from showing up as the version of yourself you've always wanted to be and tired of living the life that no longer suits you.
Overwhelmed. Overstimulated. Drained. Unmotivated. Unrecognizable yet functioning. You know those feelings oh too well and at times question the point of it all. You frequently question yourself about what changes need to be made and/or how to make those changes yet you have no idea where to begin. You truly desire to live a life that excites, motivates and inspires you to be authentically yourself. You crave to know and understand "that thing" that holds you back from showing up as the version of yourself you've always wanted to be and tired of living the life that no longer suits you.
(240) 219-3374 View (240) 219-3374
Photo of Dr Savage PsyD LLC, Psychologist in Silver Spring, MD
Dr Savage PsyD LLC
Psychologist, PsyD, RPCV
Verified Verified
Silver Spring, MD 20906  (Online Only)
Not accepting new clients
Life is a journey. At any moment, we can face struggles in our relationships, work, health and wellbeing; or witness these struggles in loved ones. During such times, we may feel unequipped, lost, and alone. I work with adults struggling with issues of adjustment, anxiety, depression, grief, health, identity, relationships, trauma, and work/life balance. Additionally, I help diverse clients navigate issues related to intersectionality, culture-shock, and re-entry.
Life is a journey. At any moment, we can face struggles in our relationships, work, health and wellbeing; or witness these struggles in loved ones. During such times, we may feel unequipped, lost, and alone. I work with adults struggling with issues of adjustment, anxiety, depression, grief, health, identity, relationships, trauma, and work/life balance. Additionally, I help diverse clients navigate issues related to intersectionality, culture-shock, and re-entry.
(240) 226-1656 View (240) 226-1656
Photo of Jasmine B., Counselor in Silver Spring, MD
Jasmine B.
Counselor, MA, LGPC
Verified Verified
Silver Spring, MD 20910
I am a Licensed Graduate Professional Counselor (LGPC) and have experience supporting individuals who experience affective disorders, anxiety, depression, intellectual and developmental disabilities, trauma, and recovering from substance use. I utilize person-centered therapy, cognitive behavioral therapy, dialectical behavioral therapy, and motivational interviewing to support clients in obtaining their goals. I have experience in supporting clients and facilitating groups focusing on anger management, women’s trauma, mood regulation, and mindfulness.
I am a Licensed Graduate Professional Counselor (LGPC) and have experience supporting individuals who experience affective disorders, anxiety, depression, intellectual and developmental disabilities, trauma, and recovering from substance use. I utilize person-centered therapy, cognitive behavioral therapy, dialectical behavioral therapy, and motivational interviewing to support clients in obtaining their goals. I have experience in supporting clients and facilitating groups focusing on anger management, women’s trauma, mood regulation, and mindfulness.
(240) 332-5116 View (240) 332-5116
Photo of Kathryn Rickard, Psychologist in Silver Spring, MD
Kathryn Rickard
Psychologist, PsyD
Verified Verified
Silver Spring, MD 20910
Not accepting new clients
I work with adults of any age, and have specialized training/experience with families and with children/adolescents, including play therapy for pre-school and young children. My clients find relief from painful symptoms (e.g., depression, anxiety); address troublesome behavioral problems (e.g., anger management; school/work performance); improve family/ interpersonal relationships; and access greater creative and spiritual potential to fulfill life goals. I work with many clients who have been exposed to trauma, violence, abuse, or loss, and with adoptive and foster children/families. My clients often address issues of ethnic, cultural or sexual identity, and challenging life transitions.
I work with adults of any age, and have specialized training/experience with families and with children/adolescents, including play therapy for pre-school and young children. My clients find relief from painful symptoms (e.g., depression, anxiety); address troublesome behavioral problems (e.g., anger management; school/work performance); improve family/ interpersonal relationships; and access greater creative and spiritual potential to fulfill life goals. I work with many clients who have been exposed to trauma, violence, abuse, or loss, and with adoptive and foster children/families. My clients often address issues of ethnic, cultural or sexual identity, and challenging life transitions.
(202) 609-8905 View (202) 609-8905
Photo of Julie Bulitt, Clinical Social Work/Therapist in Silver Spring, MD
Julie Bulitt
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Silver Spring, MD 20906  (Online Only)
I am committed to offering the very best in individual, couples and family therapy. Specialties include ADHD and executive function coaching, with an expertise in adoption, anxiety and learning disabilities. I use a strength based approach to helping people find life balance. I work with my clients to find strategies that help them improve their lives.
I am committed to offering the very best in individual, couples and family therapy. Specialties include ADHD and executive function coaching, with an expertise in adoption, anxiety and learning disabilities. I use a strength based approach to helping people find life balance. I work with my clients to find strategies that help them improve their lives.
(240) 724-2528 View (240) 724-2528
Photo of Rachel Phillips-Anderson, Clinical Social Work/Therapist in Silver Spring, MD
Rachel Phillips-Anderson
Clinical Social Work/Therapist, LCSW-C
Verified Verified
3 Endorsed
Silver Spring, MD 20901
Is anxiety or OCD getting in the way of the life you want to lead? I use evidenced-based Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Exposure and Response Prevention (ERP) - the "gold standard" of anxiety treatment - to help people overcome panic, worry, phobias, and OCD. In therapy with me, you will learn how anxiety hijacks your brain and body and how you can stop it from getting the upper hand. Learn more at rpaTherapy.com.
Is anxiety or OCD getting in the way of the life you want to lead? I use evidenced-based Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Exposure and Response Prevention (ERP) - the "gold standard" of anxiety treatment - to help people overcome panic, worry, phobias, and OCD. In therapy with me, you will learn how anxiety hijacks your brain and body and how you can stop it from getting the upper hand. Learn more at rpaTherapy.com.
(301) 273-1382 View (301) 273-1382
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 Anne-Marie James-Henry, Marriage & Family Therapist in Silver Spring, MD
Anne-Marie James-Henry
Marriage & Family Therapist, LGMFT
Verified Verified
4 Endorsed
Silver Spring, MD 20901  (Online Only)
I have over 20 years of experience providing behavioral and life skills coaching, crisis counseling, and pastoral counseling. I experienced and navigated grief, loss, and trauma. I assist individuals and couples in successfully navigating life transition issues in relationships and careers. I'm also passionate about helping clients improve their sexual health and intimacy in relationships. As a military spouse and a therapist of Caribbean descent, I am uniquely skilled in understanding and working with clients from various cultural backgrounds, and using various clinical models to help you implement skills for improving your life.
I have over 20 years of experience providing behavioral and life skills coaching, crisis counseling, and pastoral counseling. I experienced and navigated grief, loss, and trauma. I assist individuals and couples in successfully navigating life transition issues in relationships and careers. I'm also passionate about helping clients improve their sexual health and intimacy in relationships. As a military spouse and a therapist of Caribbean descent, I am uniquely skilled in understanding and working with clients from various cultural backgrounds, and using various clinical models to help you implement skills for improving your life.
(410) 994-5975 View (410) 994-5975
Photo of Philip B Callahan, Clinical Social Work/Therapist in Silver Spring, MD
Philip B Callahan
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Silver Spring, MD 20910
I am trained in a psychodynamic and relational approach that includes the use of play therapy, art, music, cognitive behavioral therapy, and mindfulness. I have spent the last 20 years working clinically with children and adolescents in school settings in Baltimore City, Montgomery County and Prince Georges County. I currently combine my work as a school counselor in a special education facility with private practice.
I am trained in a psychodynamic and relational approach that includes the use of play therapy, art, music, cognitive behavioral therapy, and mindfulness. I have spent the last 20 years working clinically with children and adolescents in school settings in Baltimore City, Montgomery County and Prince Georges County. I currently combine my work as a school counselor in a special education facility with private practice.
(240) 560-5252 View (240) 560-5252

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.