Photo of Durand Miller, MA, LPC, Counselor
Durand Miller
Counselor, MA, LPC
Verified Verified
Troy, MI 48007
Thank you for visiting my page. I have been providing counseling services to individuals and families for over 10 years. My expertise includes working with adolescents on personal growth and positive mental health. I also offers individual and group sessions for teens on issues such as life planning, anger management, college counseling and communication skills. When working with adult clients, we generally focus on grief/depression, family relationships, divorce, careers as well as parenting issues.
Thank you for visiting my page. I have been providing counseling services to individuals and families for over 10 years. My expertise includes working with adolescents on personal growth and positive mental health. I also offers individual and group sessions for teens on issues such as life planning, anger management, college counseling and communication skills. When working with adult clients, we generally focus on grief/depression, family relationships, divorce, careers as well as parenting issues.
(248) 900-3166 View (248) 900-3166
Photo of Anne Marie Yurik - Anne M. Yurik, Ph.D., P.C., PhD, Psychologist
Anne M. Yurik, Ph.D., P.C.
Psychologist, PhD
Verified Verified
Troy, MI 48007
Hello! I am a fully licensed psychologist who has been in practice for over 25 years. I have provided individual and family therapy for a wide range of issues, including anxiety and depression to issues involving loss and transition (e.g. grief, divorce, college transition).
Hello! I am a fully licensed psychologist who has been in practice for over 25 years. I have provided individual and family therapy for a wide range of issues, including anxiety and depression to issues involving loss and transition (e.g. grief, divorce, college transition).
(248) 243-4868 View (248) 243-4868
Photo of Lisa Barber, MA, LPC, Licensed Professional Counselor
Lisa Barber
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Troy, MI 48007  (Online Only)
I specialize in anxiety, depression and phase of life issues. "The struggle you're in today is developing the strength you need for tomorrow." I'm passionate about working with adults and couples who are seeking to overcome life challenges and live a fulfilling life. I strive to create a supportive, safe, and non-judgmental environment that encourages insight and self-awareness and enhances the self-discovery process. I will empower you to make positive changes in your life that increase personal connections and help you to feel hopeful about the future.
I specialize in anxiety, depression and phase of life issues. "The struggle you're in today is developing the strength you need for tomorrow." I'm passionate about working with adults and couples who are seeking to overcome life challenges and live a fulfilling life. I strive to create a supportive, safe, and non-judgmental environment that encourages insight and self-awareness and enhances the self-discovery process. I will empower you to make positive changes in your life that increase personal connections and help you to feel hopeful about the future.
(248) 595-7730 View (248) 595-7730
Photo of Lisa Kent, LMSW, LCSW, Clinical Social Work/Therapist
Lisa Kent
Clinical Social Work/Therapist, LMSW, LCSW
Verified Verified
1 Endorsed
Troy, MI 48007  (Online Only)
You spend the majority of your days just going through the motions in your life; feeling disconnected, unmotivated, or unfulfilled at work, at home, or in your relationships. You watch time pass and wish that you could have a life filled with more peace, fulfillment, joy or security...but you don’t know where to start. To the outside world, your life might appear to be okay, but for you, something just doesn’t feel right. You push yourself to do better, be better, but inside, you battle with a voice in your head that tells you it's not enough. At times, you feel like you’re barely holding it all together.
You spend the majority of your days just going through the motions in your life; feeling disconnected, unmotivated, or unfulfilled at work, at home, or in your relationships. You watch time pass and wish that you could have a life filled with more peace, fulfillment, joy or security...but you don’t know where to start. To the outside world, your life might appear to be okay, but for you, something just doesn’t feel right. You push yourself to do better, be better, but inside, you battle with a voice in your head that tells you it's not enough. At times, you feel like you’re barely holding it all together.
(248) 265-3402 View (248) 265-3402
Photo of Jasmine Knight (Accepting New Clients), LMSW, Clinical Social Work/Therapist
Jasmine Knight (Accepting New Clients)
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Troy, MI 48007  (Online Only)
I have worked with a variety of clients with various concerns, including stress, anxiety disorders, mood disorders, psychotic/delusional disorders, substance use disorders, personality disorders, and survivors of trauma. I enjoy working with all sorts of clients but I have a particular interest in working with young women ages 16-35, members of the LGBTQ+ community, and individuals who are pre or post bariatric surgery.
I have worked with a variety of clients with various concerns, including stress, anxiety disorders, mood disorders, psychotic/delusional disorders, substance use disorders, personality disorders, and survivors of trauma. I enjoy working with all sorts of clients but I have a particular interest in working with young women ages 16-35, members of the LGBTQ+ community, and individuals who are pre or post bariatric surgery.
(248) 962-3329 View (248) 962-3329
Photo of Cassiann Procenko, MSW, LCSW, Clinical Social Work/Therapist
Cassiann Procenko
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Troy, MI 48007
Are you or your child feeling overwhelmed by anxiety and worry? Are you nervous about college or your career? Imagine a world where you have the tools to manage frustration, reduce stress, and find peace amidst life's chaos (and your messy room.) I am a licensed clinician with 10+ years of experience working with children, teens and adults in various settings. I offer a compassionate and understanding space where we can work together to restore your sense of peace, confidence, and resilience. I specialize in anxiety, stress, ADHD, school issues, grief and loss, divorce, family/relationship issues, behavior concerns, and more.
Are you or your child feeling overwhelmed by anxiety and worry? Are you nervous about college or your career? Imagine a world where you have the tools to manage frustration, reduce stress, and find peace amidst life's chaos (and your messy room.) I am a licensed clinician with 10+ years of experience working with children, teens and adults in various settings. I offer a compassionate and understanding space where we can work together to restore your sense of peace, confidence, and resilience. I specialize in anxiety, stress, ADHD, school issues, grief and loss, divorce, family/relationship issues, behavior concerns, and more.
(248) 988-0790 View (248) 988-0790
Photo of Justin Smyly, LMFT, CEFTCT, CEFTS, Marriage & Family Therapist
Justin Smyly
Marriage & Family Therapist, LMFT, CEFTCT, CEFTS
Verified Verified
Troy, MI 48007
I’m an EFT certified supervisor & therapist working tirelessly to be a leading expert in the world of couples therapy. I am honored by couples who invite me into their journey, and am grateful for the privilege of walking with them through painful and difficult moments. I admire the courage it takes to intentionally move towards growth, and through the stuck places we find ourselves in.
I’m an EFT certified supervisor & therapist working tirelessly to be a leading expert in the world of couples therapy. I am honored by couples who invite me into their journey, and am grateful for the privilege of walking with them through painful and difficult moments. I admire the courage it takes to intentionally move towards growth, and through the stuck places we find ourselves in.
(616) 580-1648 View (616) 580-1648
Photo of Rachel Shango, LLMSW, Clinical Social Work/Therapist
Rachel Shango
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Troy, MI 48007
What does therapy mean to you? I believe that therapy begins by first focusing on the individual and their needs. Specifically, I seek to support clients in cultivating healthier thought patterns and behaviors through a combination of cognitive and dialectic behavioral techniques. I enjoy working with children to seniors who may be leery about seeking help, feel pressured into therapy or have had bad experiences in the past. Others have mentioned that they have been simply drawn to my genuineness and non-judgmental personality, feeling a sense of ease while sitting and talking with me.
What does therapy mean to you? I believe that therapy begins by first focusing on the individual and their needs. Specifically, I seek to support clients in cultivating healthier thought patterns and behaviors through a combination of cognitive and dialectic behavioral techniques. I enjoy working with children to seniors who may be leery about seeking help, feel pressured into therapy or have had bad experiences in the past. Others have mentioned that they have been simply drawn to my genuineness and non-judgmental personality, feeling a sense of ease while sitting and talking with me.
(248) 621-9418 View (248) 621-9418
Photo of Jesica Bassett, LMSW, Clinical Social Work/Therapist
Jesica Bassett
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Troy, MI 48007
Do you feel overwhelmed, anxious or hopeless? Like you aren't sure what to do or who to turn to? Like your thoughts are ping-ponging around your head, like your stuck in a rut? That's okay. Life is messy and sometimes, we find ourselves overwhelmed and needing some help. That's where I come in. My main focus to help process difficult feelings when they feel too big, to create lasting coping skills, and empower you to see your undeniable strength. I strive to make sure you feel safe, empowered and strengthened during every session. I work with adult 18 years old and older & am currently accepting insurances as noted below.
Do you feel overwhelmed, anxious or hopeless? Like you aren't sure what to do or who to turn to? Like your thoughts are ping-ponging around your head, like your stuck in a rut? That's okay. Life is messy and sometimes, we find ourselves overwhelmed and needing some help. That's where I come in. My main focus to help process difficult feelings when they feel too big, to create lasting coping skills, and empower you to see your undeniable strength. I strive to make sure you feel safe, empowered and strengthened during every session. I work with adult 18 years old and older & am currently accepting insurances as noted below.
(248) 440-7673 View (248) 440-7673
Photo of Sidney Bohanen, MA, LLPC, CTP, Licensed Professional Counselor
Sidney Bohanen
Licensed Professional Counselor, MA, LLPC, CTP
Verified Verified
4 Endorsed
Troy, MI 48007
My focus is guiding clients to a fulfilling life. At A Better Future, we improve mental well-being, building stronger, more resilient individuals. Addressing career change and fit, stress, anxiety, grief, depression, and self-esteem struggles in relationships is daunting. We promote personal growth by confronting emotions like anger, shame, guilt, and insecurity. Embracing this chance to alleviate psychological distress is crucial for transformative change. Effective coping and addressing challenges cultivate resilience, fostering healthier relationships and self-worth. I offer unbiased authentic insight into masculine perspectives.
My focus is guiding clients to a fulfilling life. At A Better Future, we improve mental well-being, building stronger, more resilient individuals. Addressing career change and fit, stress, anxiety, grief, depression, and self-esteem struggles in relationships is daunting. We promote personal growth by confronting emotions like anger, shame, guilt, and insecurity. Embracing this chance to alleviate psychological distress is crucial for transformative change. Effective coping and addressing challenges cultivate resilience, fostering healthier relationships and self-worth. I offer unbiased authentic insight into masculine perspectives.
(248) 780-1198 View (248) 780-1198
Photo of Karyn Skiba, LMSW, Clinical Social Work/Therapist
Karyn Skiba
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Troy, MI 48007  (Online Only)
Hi! My name is Karyn. I have been a Licensed Master Social Worker since 2016. I am really passionate about helping individuals find their way forward. I have experience working with kids through after school programs, school social work and in the clinical setting doing talk therapy. I have worked with kids from 4-18 years of age. I have worked with couples and adults in community mental health sector, CPS, and now private practice. Now I mainly work with individuals 16+. I help a lot of parents navigate parenting concerns as well as school related questions.
Hi! My name is Karyn. I have been a Licensed Master Social Worker since 2016. I am really passionate about helping individuals find their way forward. I have experience working with kids through after school programs, school social work and in the clinical setting doing talk therapy. I have worked with kids from 4-18 years of age. I have worked with couples and adults in community mental health sector, CPS, and now private practice. Now I mainly work with individuals 16+. I help a lot of parents navigate parenting concerns as well as school related questions.
(586) 238-3072 View (586) 238-3072
Photo of Lindzy Sienkowski, LPC, NCC, CCTP, Counselor
Lindzy Sienkowski
Counselor, LPC, NCC, CCTP
Verified Verified
Troy, MI 48007
Waitlist for new clients
Hello! My name is Lindzy Sienkowski, and I am a fully Licensed Professional Counselor in the state of Michigan. I hold a Bachelor of Arts in Psychology and a Master of Science in Mental Health Counseling from the University of Tennessee-Knoxville. I am also recognized as a National Certified Counselor and a Certified Clinical Trauma Professional. I currently work with adolescents (ages 13 & up) & adults and offer individual therapy services both in-person & via telehealth. My clinical experience lends expertise in the areas of eating disorders, trauma, anxiety and depression.
Hello! My name is Lindzy Sienkowski, and I am a fully Licensed Professional Counselor in the state of Michigan. I hold a Bachelor of Arts in Psychology and a Master of Science in Mental Health Counseling from the University of Tennessee-Knoxville. I am also recognized as a National Certified Counselor and a Certified Clinical Trauma Professional. I currently work with adolescents (ages 13 & up) & adults and offer individual therapy services both in-person & via telehealth. My clinical experience lends expertise in the areas of eating disorders, trauma, anxiety and depression.
(947) 333-8442 View (947) 333-8442
Photo of Josh Jostock, MA, LPC, NCC, Counselor
Josh Jostock
Counselor, MA, LPC, NCC
Not Verified Not Verified
4 Endorsed
Troy, MI 48007
I offer a very personalized approach to counseling. I believe in the power of a person's story and how that story has brought them to where they are at presently. I work from an integrated person-centered approach. One size/technique does NOT fit all in counseling. Moreover, I'm a believer in the therapeutic relationship being the key ingredient to effective therapy. I work with issues such as: grief, depression, anxiety, chronic-pain, panic, school issues and much more. Counseling is not the easy way through a life concern; it takes work and commitment. I promise to offer a safe, non-judgmental space for self-exploration.
I offer a very personalized approach to counseling. I believe in the power of a person's story and how that story has brought them to where they are at presently. I work from an integrated person-centered approach. One size/technique does NOT fit all in counseling. Moreover, I'm a believer in the therapeutic relationship being the key ingredient to effective therapy. I work with issues such as: grief, depression, anxiety, chronic-pain, panic, school issues and much more. Counseling is not the easy way through a life concern; it takes work and commitment. I promise to offer a safe, non-judgmental space for self-exploration.
(947) 282-9818 View (947) 282-9818
Photo of Nini A Green, PhD, LPC, Licensed Professional Counselor
Nini A Green
Licensed Professional Counselor, PhD, LPC
Verified Verified
1 Endorsed
Troy, MI 48007  (Online Only)
We are all humans with human experiences and challenges. Are you finding yourself sometimes feeling misunderstood by others and feeling like you have to wear a mask to hide who you really are? Having trouble getting along with others, while feeling a deep sense of loneliness and life is against you and not going your way. Are you sick of feeling sick and tired? If so, it sounds like it’s time to focus on your overall wellbeing!
We are all humans with human experiences and challenges. Are you finding yourself sometimes feeling misunderstood by others and feeling like you have to wear a mask to hide who you really are? Having trouble getting along with others, while feeling a deep sense of loneliness and life is against you and not going your way. Are you sick of feeling sick and tired? If so, it sounds like it’s time to focus on your overall wellbeing!
(313) 497-5733 View (313) 497-5733
Photo of Laurea Marshall, MA, LLPC, Licensed Professional Counselor
Laurea Marshall
Licensed Professional Counselor, MA, LLPC
Verified Verified
1 Endorsed
Troy, MI 48007
Do you find yourself feeling fearful, anxious, or hopeless about your future? Do you feel stagnant? Do you feel stressed, burned out, or unsure about where to go next in your career or relationship? I provide a safe space for adults (21+) to identify their concerns and create a course of action to work through them. I provide clients with tools to establish balance, peace and healing in their life journey.
Do you find yourself feeling fearful, anxious, or hopeless about your future? Do you feel stagnant? Do you feel stressed, burned out, or unsure about where to go next in your career or relationship? I provide a safe space for adults (21+) to identify their concerns and create a course of action to work through them. I provide clients with tools to establish balance, peace and healing in their life journey.
(248) 617-8776 View (248) 617-8776
Photo of Kelsey Drew, LMSW, Clinical Social Work/Therapist
Kelsey Drew
Clinical Social Work/Therapist, LMSW
Verified Verified
Troy, MI 48007
I use an integrated approach tailoring different therapeutic theories and tools to the specific needs of my individual clients. Starting therapy often feels intimidating, uncomfortable and vulnerable. I understand this and offer a non-judgemental and validating space to process your thoughts, emotions, and behaviors. My clients have described me as easy to talk to, authentic, and validating. I help clients to explore past ways they've coped and survived, the inherent strengths they already have within them, and to identify patterns they might not be aware of. I practice and preach self-compassion and acceptance.
I use an integrated approach tailoring different therapeutic theories and tools to the specific needs of my individual clients. Starting therapy often feels intimidating, uncomfortable and vulnerable. I understand this and offer a non-judgemental and validating space to process your thoughts, emotions, and behaviors. My clients have described me as easy to talk to, authentic, and validating. I help clients to explore past ways they've coped and survived, the inherent strengths they already have within them, and to identify patterns they might not be aware of. I practice and preach self-compassion and acceptance.
(586) 371-5369 View (586) 371-5369
Photo of Claire McGinn, LICSW, LMSW, Clinical Social Work/Therapist
Claire McGinn
Clinical Social Work/Therapist, LICSW, LMSW
Verified Verified
9 Endorsed
Troy, MI 48007
I have been a clinical social worker for over a decade & specialize in working individuals who have been diagnosed with schizophrenia or bipolar disorder & their family members. In addition, I work with individuals struggling with chronic suicidality & those working to cope with major life changes including recent mental health diagnoses, loss of autonomy due to aging, physical ailments, & caregiver fatigue.
I have been a clinical social worker for over a decade & specialize in working individuals who have been diagnosed with schizophrenia or bipolar disorder & their family members. In addition, I work with individuals struggling with chronic suicidality & those working to cope with major life changes including recent mental health diagnoses, loss of autonomy due to aging, physical ailments, & caregiver fatigue.
(248) 780-8352 View (248) 780-8352
Photo of Ramzi Hasson - Michigan Center for Neuropsychology, PhD, LP, Psychologist
Michigan Center for Neuropsychology
Psychologist, PhD, LP
Verified Verified
1 Endorsed
Troy, MI 48007
Do you have questions or concerns related to development, learning, or behavior? Then we are the center for you. We specialize in the assessment of very young children to very young adults. We provide testing for ADHD, autism, learning disabilities, brain injury or other neurological complaints. Are you wondering "what is the best treatment for my child?" "How will my child best learn?" or you may not even know where to begin, then this is a good first step that has no obligations and complete confidentiality. We also provide specialized treatment for a select of neurodevelopmental and mood conditions.
Do you have questions or concerns related to development, learning, or behavior? Then we are the center for you. We specialize in the assessment of very young children to very young adults. We provide testing for ADHD, autism, learning disabilities, brain injury or other neurological complaints. Are you wondering "what is the best treatment for my child?" "How will my child best learn?" or you may not even know where to begin, then this is a good first step that has no obligations and complete confidentiality. We also provide specialized treatment for a select of neurodevelopmental and mood conditions.
(734) 212-8908 View (734) 212-8908
Photo of Ellie Mental Health Birmingham - Ellie Mental Health Birmingham, LMSW, LICSW, LPC, LPC-S
Ellie Mental Health Birmingham
LMSW, LICSW, LPC, LPC-S
Verified Verified
1 Endorsed
Troy, MI 48007
We currently have immediate openings-NO waitlist! Our therapists at the Birmingham, Michigan location are skilled at treating people throughout the lifespan with an array of diagnoses. These include postpartum depression, trauma, anxiety, depression, life transitions including divorce, career changes, & grief & loss. We have clinicians who love working with kids, couples, families, & individuals!
We currently have immediate openings-NO waitlist! Our therapists at the Birmingham, Michigan location are skilled at treating people throughout the lifespan with an array of diagnoses. These include postpartum depression, trauma, anxiety, depression, life transitions including divorce, career changes, & grief & loss. We have clinicians who love working with kids, couples, families, & individuals!
(248) 621-8746 View (248) 621-8746
Photo of Karen Gibson, MA,  LPC, LBSW, Counselor
Karen Gibson
Counselor, MA, LPC, LBSW
Verified Verified
Troy, MI 48007  (Online Only)
Your friends, family & coworkers are impressed with your ability to manage your life. You present as confident in all areas of your life. You’re self-motivated, dependable & the most trusted. But on the inside, you're constantly thinking of your shortcomings and never feel good enough or deserving. You've spent most of your life trying to uphold this "great life" as others view it, as well as putting everyone else's needs before your own. You've finally become exhausted & struggle to face challenges in your own life. You want to enjoy life & relax. But don't know where to start. It's time to live your best life!
Your friends, family & coworkers are impressed with your ability to manage your life. You present as confident in all areas of your life. You’re self-motivated, dependable & the most trusted. But on the inside, you're constantly thinking of your shortcomings and never feel good enough or deserving. You've spent most of your life trying to uphold this "great life" as others view it, as well as putting everyone else's needs before your own. You've finally become exhausted & struggle to face challenges in your own life. You want to enjoy life & relax. But don't know where to start. It's time to live your best life!
(586) 554-2027 View (586) 554-2027
1

See more therapy options for 48007

How does your Therapist compare?

Number of Therapists in 48007

30+

Average cost per session

$150

Therapists in 48007 who prioritize treating:

97% Depression
95% Anxiety
87% Relationship Issues
87% Coping Skills
87% Stress
82% Self Esteem
79% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
73% Aetna
73% Blue Care Network

How Therapists in 48007 see their clients

61% In Person and Online
39% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 48007?

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.