Therapists in North Carolina

View cities and counties in North Carolina
Photo of Niadra Blount Pratt - Passages Counseling Services, MS LCAS, CCS LPC, LCMHC
Passages Counseling Services
Licensed Clinical Mental Health Counselor, MS LCAS, CCS LPC, LCMHC
Verified Verified
Washington, NC 27889
I picture an individual who courageously seeks personal growth and transformation. This person may grapple with challenges such as anxiety, self-esteem issues, or navigating life transitions. Their needs revolve around creating a safe space to explore and understand their emotions, thoughts, and behaviors. My ideal client aspires to foster resilience, cultivate self-awareness, and build healthier coping mechanisms. Their goal is not merely to alleviate symptoms but to embark on a profound journey of self-discovery and empowerment. They yearn for a therapeutic alliance that provides empathy, validation.
I picture an individual who courageously seeks personal growth and transformation. This person may grapple with challenges such as anxiety, self-esteem issues, or navigating life transitions. Their needs revolve around creating a safe space to explore and understand their emotions, thoughts, and behaviors. My ideal client aspires to foster resilience, cultivate self-awareness, and build healthier coping mechanisms. Their goal is not merely to alleviate symptoms but to embark on a profound journey of self-discovery and empowerment. They yearn for a therapeutic alliance that provides empathy, validation.
(252) 299-5724 View (252) 299-5724
Photo of Catherine (Katie) Dunlap, MA, LCMHC, ATR
Catherine (Katie) Dunlap
Licensed Clinical Mental Health Counselor, MA, LCMHC, ATR
Verified Verified
3 Endorsed
Raleigh, NC 27615
Waitlist for new clients
Hi! I am a licensed clinical mental health counselor (LCMHC) and a registered art therapist (ATR) who has been helping children, adolescents, young adults, and their families for over 11 years. My clients' goals include building healthier relationships, decreasing symptoms of anxiety and depression, improving their focus, and finding healthier ways to communicate.
Hi! I am a licensed clinical mental health counselor (LCMHC) and a registered art therapist (ATR) who has been helping children, adolescents, young adults, and their families for over 11 years. My clients' goals include building healthier relationships, decreasing symptoms of anxiety and depression, improving their focus, and finding healthier ways to communicate.
(919) 739-4464 View (919) 739-4464
Tracy Yellin
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Raleigh, NC 27617  (Online Only)
Not accepting new clients
Tracy utilizes cognitive behavioral therapy (CBT) in addition to other treatment modalities in order to assist in decreasing concerns related to anxiety, depression, behavioral and emotional dysregulation, poor self-esteem, relationship conflict, poor stress management, and severe and persistent mental illness.
Tracy utilizes cognitive behavioral therapy (CBT) in addition to other treatment modalities in order to assist in decreasing concerns related to anxiety, depression, behavioral and emotional dysregulation, poor self-esteem, relationship conflict, poor stress management, and severe and persistent mental illness.
(984) 305-3480 x4 View (984) 305-3480 x4
Photo of Rachel Mathew, MSW, LCSW, Clinical Social Work/Therapist
Rachel Mathew
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Cary, NC 27511
Everyday life can feel incredibly heavy and often times lonesome. Talking to a mental health professional such as myself can be very helpful. There is a myth that being in therapy is a sign of weakness, when in fact, reaching out for help is an act of courage and definitely one of the first steps of this journey. It is my privilege to work with you. My deep understanding of the diverse needs of my clients helps me meet you where you are. As a compassionate listener I provide a safe and nurturing environment where you can explore your emotions, confront challenges, and embark on a journey of growth, healing and self-discovery.
Everyday life can feel incredibly heavy and often times lonesome. Talking to a mental health professional such as myself can be very helpful. There is a myth that being in therapy is a sign of weakness, when in fact, reaching out for help is an act of courage and definitely one of the first steps of this journey. It is my privilege to work with you. My deep understanding of the diverse needs of my clients helps me meet you where you are. As a compassionate listener I provide a safe and nurturing environment where you can explore your emotions, confront challenges, and embark on a journey of growth, healing and self-discovery.
(919) 348-9593 View (919) 348-9593
Photo of Theodore R Gilbert, LCSW, CYC-P, Clinical Social Work/Therapist
Theodore R Gilbert
Clinical Social Work/Therapist, LCSW, CYC-P
Verified Verified
Charlotte, NC 28278  (Online Only)
I believe that the most important factor of successful treatment starts with establishing a genuine therapeutic relationship. I have over 20 years of experience working with children, adults and families with co-occurring disorders, and the expectation is that each client is treated with dignity and respect. There is a higher calling on my life to serve people and this combines with education, training and life experience to better connect with others while assisting in the healing process.
I believe that the most important factor of successful treatment starts with establishing a genuine therapeutic relationship. I have over 20 years of experience working with children, adults and families with co-occurring disorders, and the expectation is that each client is treated with dignity and respect. There is a higher calling on my life to serve people and this combines with education, training and life experience to better connect with others while assisting in the healing process.
(704) 457-1049 View (704) 457-1049
Photo of Liz Wagner Mecham, LCMHC-A, Counselor
Liz Wagner Mecham
Counselor, LCMHC-A
Verified Verified
Winston Salem, NC 27106  (Online Only)
We are all not OK all of the time. We struggle. We all struggle, whether with mental illness or adjusting to the concerns of everyday life. Could you benefit from having someone help you sort out those issues? I approach counseling from a Person Centered perspective which means my foundation is in being genuine, regarding each client as valuable and trying to understand their view. With couples I take this foundation and focus on attachment, or our need for emotional bonding.
We are all not OK all of the time. We struggle. We all struggle, whether with mental illness or adjusting to the concerns of everyday life. Could you benefit from having someone help you sort out those issues? I approach counseling from a Person Centered perspective which means my foundation is in being genuine, regarding each client as valuable and trying to understand their view. With couples I take this foundation and focus on attachment, or our need for emotional bonding.
(919) 624-5274 View (919) 624-5274
Photo of Erin L Joyner
Erin L Joyner
Verified Verified
1 Endorsed
High Point, NC 27265  (Online Only)
My name is Erin Joyner, and I am a Master’s Intern Therapist at Breaking Cycles Counseling. I have experience working with depression, anxiety, trauma, interpersonal relationships, life changes, and grief. I also specialize in helping clients living with chronic pain, illness, and disability. I can happily provide for a broad spectrum of needs for individual adults, seniors, teens, couples, and families, via telehealth. I always aim to help people by tailoring my approach to your individual needs. I have a nonjudgmental perspective on everyone and have yet to meet anyone from whom I can’t learn something, too!
My name is Erin Joyner, and I am a Master’s Intern Therapist at Breaking Cycles Counseling. I have experience working with depression, anxiety, trauma, interpersonal relationships, life changes, and grief. I also specialize in helping clients living with chronic pain, illness, and disability. I can happily provide for a broad spectrum of needs for individual adults, seniors, teens, couples, and families, via telehealth. I always aim to help people by tailoring my approach to your individual needs. I have a nonjudgmental perspective on everyone and have yet to meet anyone from whom I can’t learn something, too!
(336) 715-0047 x102 View (336) 715-0047 x102
Photo of Marlo Sell, MS, LCMCH, Licensed Professional Counselor
Marlo Sell
Licensed Professional Counselor, MS, LCMCH
Verified Verified
Raleigh, NC 27615
Marlo Sell is a Licensed Professional Counselor located in North Carolina, and she works with adults. Many of Marlo’s clients experience depression, and anxiety, fatigue, negative emotions, and overall dissatisfaction in life, and they seek a way to manage these emotions rather than ignore them. Marlo teaches them helpful coping strategies to try when they begin to feel overwhelmed. Clients learn skills from DBT, CBT, EFT, and mindfulness. Marlo is a collaborative therapist who promotes self-compassion and and self-understanding. Marlo also offers Ketamine Assisted Psychotherapy in office as another modality to reduce symptoms.
Marlo Sell is a Licensed Professional Counselor located in North Carolina, and she works with adults. Many of Marlo’s clients experience depression, and anxiety, fatigue, negative emotions, and overall dissatisfaction in life, and they seek a way to manage these emotions rather than ignore them. Marlo teaches them helpful coping strategies to try when they begin to feel overwhelmed. Clients learn skills from DBT, CBT, EFT, and mindfulness. Marlo is a collaborative therapist who promotes self-compassion and and self-understanding. Marlo also offers Ketamine Assisted Psychotherapy in office as another modality to reduce symptoms.
(984) 223-8762 View (984) 223-8762
Photo of Gabrielle Eryn Hazan, LCMHC, LMHC, LPC, Counselor
Gabrielle Eryn Hazan
Counselor, LCMHC, LMHC, LPC
Verified Verified
Charlotte, NC 28212  (Online Only)
At an early age, I knew that my path in life was to become a therapist. This goal has driven both my education and clinical experiences over the past decade. Over the years, I have worked in clinics serving children, adolescents, adults, and families struggling with depression, anxiety, trauma, substance misuse, ADHD, parenting challenges, and life transitions. My experiences have shaped who I am as an individual and has directly impacted my therapeutic style.
At an early age, I knew that my path in life was to become a therapist. This goal has driven both my education and clinical experiences over the past decade. Over the years, I have worked in clinics serving children, adolescents, adults, and families struggling with depression, anxiety, trauma, substance misuse, ADHD, parenting challenges, and life transitions. My experiences have shaped who I am as an individual and has directly impacted my therapeutic style.
(585) 378-4108 View (585) 378-4108
Photo of Elizabeth Vaughan, MA, LCMHC
Elizabeth Vaughan
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Statesville, NC 28625
Elizabeth Vaughan holds a Bachelor of Arts degree in Spanish from Messiah College. Once her three children were grown, she furthered her education by obtaining a Master's degree in Professional Counseling from Liberty University. Elizabeth is a Licensed Clinical Mental Health Counselor who enjoys working with children, young adults and women and has previous work experience as a high school Spanish Teacher and a Homeschooling mom as well as 20 years of combined experience as a Children's Ministry Leader and Youth Pastor.
Elizabeth Vaughan holds a Bachelor of Arts degree in Spanish from Messiah College. Once her three children were grown, she furthered her education by obtaining a Master's degree in Professional Counseling from Liberty University. Elizabeth is a Licensed Clinical Mental Health Counselor who enjoys working with children, young adults and women and has previous work experience as a high school Spanish Teacher and a Homeschooling mom as well as 20 years of combined experience as a Children's Ministry Leader and Youth Pastor.
(704) 859-0662 View (704) 859-0662
Photo of Kennedy Brown Porter, MSW, LCSW, Clinical Social Work/Therapist
Kennedy Brown Porter
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Greenville, NC 27858
Waitlist for new clients
My goal as a therapist is to create a safe space for clients to enhance the most important relationship they have, the one with themselves. I work with clients to enhance their self-awareness by identifying limiting beliefs and patterns of behavior that prevent satisfaction and peace in their lives.
My goal as a therapist is to create a safe space for clients to enhance the most important relationship they have, the one with themselves. I work with clients to enhance their self-awareness by identifying limiting beliefs and patterns of behavior that prevent satisfaction and peace in their lives.
(252) 591-3262 View (252) 591-3262
Photo of Mickela Rutledge, LCMHC
Mickela Rutledge
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Greensboro, NC 27410
Life can be filled with so much beauty but depression, anxiety and just negative life experiences can blind us from it all. I get it, but don't forfeit hope. I know some days feel empty and fogged. Maybe you're uncontrollably worried or fearful? Maybe you feel like you can't escape your past or truly love yourself. Whatever it may be, I am here to help you pierce through the darkness. There is peace, purpose, joy and wonder on the other side of this.
Life can be filled with so much beauty but depression, anxiety and just negative life experiences can blind us from it all. I get it, but don't forfeit hope. I know some days feel empty and fogged. Maybe you're uncontrollably worried or fearful? Maybe you feel like you can't escape your past or truly love yourself. Whatever it may be, I am here to help you pierce through the darkness. There is peace, purpose, joy and wonder on the other side of this.
(336) 763-7342 View (336) 763-7342
Photo of Rebecca Johnson, LCSW, Clinical Social Work/Therapist
Rebecca Johnson
Clinical Social Work/Therapist, LCSW
Verified Verified
Lexington, NC 27295
Rebecca holds a Master’s Degree in Social Work from Florida State University and has been a Licensed Clinical Social Worker (LCSW) since 2001. She has a special interest in anxiety and trauma and offers a wide range of interventions including EMDR, EFT (acupressure), sand tray therapy, art, story-telling and yoga. Rebecca also offers Trauma-focused CBT and DBT for families who want a more structured approach to therapy. She provides a compassionate, fun and trusting environment while supporting adolescents, young adults and families experiencing various mental health or behavioral challenges.
Rebecca holds a Master’s Degree in Social Work from Florida State University and has been a Licensed Clinical Social Worker (LCSW) since 2001. She has a special interest in anxiety and trauma and offers a wide range of interventions including EMDR, EFT (acupressure), sand tray therapy, art, story-telling and yoga. Rebecca also offers Trauma-focused CBT and DBT for families who want a more structured approach to therapy. She provides a compassionate, fun and trusting environment while supporting adolescents, young adults and families experiencing various mental health or behavioral challenges.
(336) 628-8646 View (336) 628-8646
Photo of Amanda Turlington, MSW, LCSW, LCAS, Clinical Social Work/Therapist
Amanda Turlington
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
1 Endorsed
Asheville, NC 28804
Have you noticed yourself looking around at your life and wondering, “how the hell did I end up here?” Things may feel chaotic, misaligned, or imbalanced right now. You might feel like you are at the end of your rope and desperately need something to change. It might feel like a lot is changing right now, and it’s happening all at once. You have stronger feelings about things than you once did. You want to spend your time differently. It feels like there is an itch; a drive for something more, different, better. You want things to feel more easeful, more balanced, and more aligned with who you are NOW, not who you have been.
Have you noticed yourself looking around at your life and wondering, “how the hell did I end up here?” Things may feel chaotic, misaligned, or imbalanced right now. You might feel like you are at the end of your rope and desperately need something to change. It might feel like a lot is changing right now, and it’s happening all at once. You have stronger feelings about things than you once did. You want to spend your time differently. It feels like there is an itch; a drive for something more, different, better. You want things to feel more easeful, more balanced, and more aligned with who you are NOW, not who you have been.
(828) 415-5434 View (828) 415-5434
Photo of Judiann Tobin, MA, MEd, LCMHCA, NCC
Judiann Tobin
Lic Clinical Mental Health Counselor Associate, MA, MEd, LCMHCA, NCC
Verified Verified
High Point, NC 27265
Are you feeling overwhelmed? I am here to help. I am glad you are here today. I hope we can work together to reach your goals and dreams while working through any roadblocks. As your counselor, my focus is to help you to move forward. I have experience with individuals encountering stressors and many of life’s transitions. My experience has been working with clients with anxiety, depression, relationship issues, trauma, and assisting individuals to reach their full potential. Together we will focus on your goals, identifying any barriers, and sustaining your progress. Sessions will involve a wellness approach that is a fit for you.
Are you feeling overwhelmed? I am here to help. I am glad you are here today. I hope we can work together to reach your goals and dreams while working through any roadblocks. As your counselor, my focus is to help you to move forward. I have experience with individuals encountering stressors and many of life’s transitions. My experience has been working with clients with anxiety, depression, relationship issues, trauma, and assisting individuals to reach their full potential. Together we will focus on your goals, identifying any barriers, and sustaining your progress. Sessions will involve a wellness approach that is a fit for you.
(336) 920-3941 View (336) 920-3941
Photo of Larry T. Waxman, MA, LCMHC, QS, Licensed Professional Counselor
Larry T. Waxman
Licensed Professional Counselor, MA, LCMHC, QS
Verified Verified
1 Endorsed
Cary, NC 27513
I work with clients to help unlock their potential and achieve their goals. Change is one of the hardest things to do, and I am here to help facilitate that. I work with children, adolescents, adults, couples, families as well as run groups using a variety of therapeutic approaches that include: cognitive-behavioral therapy, client-centered therapy, solution-focused therapy, family-systems therapy, meditation and mindfulness therapy. I specialize in helping those with issues pertaining to ADHD, anxiety, depression, self-esteem, male issues, anger management, vulnerability, relationship issues, and work/life balance.
I work with clients to help unlock their potential and achieve their goals. Change is one of the hardest things to do, and I am here to help facilitate that. I work with children, adolescents, adults, couples, families as well as run groups using a variety of therapeutic approaches that include: cognitive-behavioral therapy, client-centered therapy, solution-focused therapy, family-systems therapy, meditation and mindfulness therapy. I specialize in helping those with issues pertaining to ADHD, anxiety, depression, self-esteem, male issues, anger management, vulnerability, relationship issues, and work/life balance.
(919) 694-4726 View (919) 694-4726
Photo of Kenan Dawson Durham, MSW, LCSWA, Clinical Social Work/Therapist
Kenan Dawson Durham
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
2 Endorsed
High Point, NC 27265
I graduated from UNC-Greensboro in 2015 with my Bachelor’s in Psychology, while researching the development of children’s knowledge as a part of graduate level study. I then graduated with my Masters in Social Work at the Joint Master of Social Work program at North Carolina A &T State University and UNC-Greensboro in 2021. Throughout my career and educational background I have been honored to work with children and adults from various backgrounds as a teacher assistant, clinician, and social worker.
I graduated from UNC-Greensboro in 2015 with my Bachelor’s in Psychology, while researching the development of children’s knowledge as a part of graduate level study. I then graduated with my Masters in Social Work at the Joint Master of Social Work program at North Carolina A &T State University and UNC-Greensboro in 2021. Throughout my career and educational background I have been honored to work with children and adults from various backgrounds as a teacher assistant, clinician, and social worker.
(336) 606-3611 View (336) 606-3611
Photo of Tami Grossens, LCSW, ACSW, RPT, Clinical Social Work/Therapist
Tami Grossens
Clinical Social Work/Therapist, LCSW, ACSW, RPT
Verified Verified
1 Endorsed
Morganton, NC 28655
Every situation presents us with the opportunity to view things from 2 perspectives. My goal is to help each client find their own clear perspective. I work with the person's own strengths and abilities to help each person achieve their fullest potential. I have experience working with and enjoy treating a variety of symptoms and issues including depression and other mood disorders, anxiety, victims of abuse, PTSD, stress management, phase of life issues, grief and loss, relationship stressors, academic and vocational issues.
Every situation presents us with the opportunity to view things from 2 perspectives. My goal is to help each client find their own clear perspective. I work with the person's own strengths and abilities to help each person achieve their fullest potential. I have experience working with and enjoy treating a variety of symptoms and issues including depression and other mood disorders, anxiety, victims of abuse, PTSD, stress management, phase of life issues, grief and loss, relationship stressors, academic and vocational issues.
(828) 615-4074 View (828) 615-4074
Photo of Sarah Elizabeth Holmes, PhD, LMFT, Marriage & Family Therapist
Sarah Elizabeth Holmes
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Boone, NC 28607
Do you just want to feel closer to your partner yet find yourself in another argument? Even though you love each other, do you find yourself having the same argument over and over - repeating the same unhealthy patterns that may include blame, avoidance, criticism, etc? Are you ready to try something different? I take great joy in helping clients develop healthier ways of connecting with their significant others.
Do you just want to feel closer to your partner yet find yourself in another argument? Even though you love each other, do you find yourself having the same argument over and over - repeating the same unhealthy patterns that may include blame, avoidance, criticism, etc? Are you ready to try something different? I take great joy in helping clients develop healthier ways of connecting with their significant others.
(828) 382-8527 View (828) 382-8527
Photo of Anita Lynette Hagans, MSW, MSIHS, LCSWA, RMT
Anita Lynette Hagans
LCSW Associate, MSW, MSIHS, LCSWA, RMT
Verified Verified
Garner, NC 27529
I am excited to connect and partner with you in coming back to self. When working with me to establish change and growth in your life, you can expect to have open and authentic interaction with me. I am a Licensed Clinical Social Work Associate (LCSWA) with 15+ years’ experience in mental health, social services, healthcare and I use my expertise to help guide you in the direction you aspire to go in your healing journey.
I am excited to connect and partner with you in coming back to self. When working with me to establish change and growth in your life, you can expect to have open and authentic interaction with me. I am a Licensed Clinical Social Work Associate (LCSWA) with 15+ years’ experience in mental health, social services, healthcare and I use my expertise to help guide you in the direction you aspire to go in your healing journey.
(984) 646-2018 View (984) 646-2018

See more therapy options for North Carolina

How does your Therapist compare?

Average cost per session

$139

Therapists in North Carolina who prioritize treating:

92% Anxiety
86% Depression
75% Self Esteem
73% Relationship Issues
71% Coping Skills
69% Stress
67% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
74% Aetna
54% Cigna and Evernorth

How Therapists in North Carolina see their clients

71% In Person and Online
29% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in North Carolina?

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.