Photo of Cara Irene Swanson - Pink House Counseling, MA, LPC, Licensed Professional Counselor
Pink House Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Milliken, CO 80543  (Online Only)
Why the name Pink House Counseling? I have worked with children and families for over a decade. I was working with a neuro divergent kiddo who saw lots of different therapists, a speech therapist, occupational therapists, etc. I had a pink dollhouse in my office, and I was dubbed the "pink house counselor." What creativity on their part! I love working with kids and am passionate about creating a safe, warm, and empathetic environment where we can work on struggles in school, parent child relationships, behaviors, early child childhood trauma, grief and loss, or anxiety and depression; and parents we won't leave you out!
Why the name Pink House Counseling? I have worked with children and families for over a decade. I was working with a neuro divergent kiddo who saw lots of different therapists, a speech therapist, occupational therapists, etc. I had a pink dollhouse in my office, and I was dubbed the "pink house counselor." What creativity on their part! I love working with kids and am passionate about creating a safe, warm, and empathetic environment where we can work on struggles in school, parent child relationships, behaviors, early child childhood trauma, grief and loss, or anxiety and depression; and parents we won't leave you out!
(720) 340-8147 View (720) 340-8147
Photo of Pedar Herom, LPC, Licensed Professional Counselor
Pedar Herom
Licensed Professional Counselor, LPC
Verified Verified
Milliken, CO 80543
Pedar Herom has been licensed as a Professional Counselor since 2014, but has been a student of the human condition for most of his 68 years. He graduated from Saybrook University, with a degree in Psychology, Counseling . and previously studied Applied Behavioral Science with Robert Crosby and coached life skills for Context Associated. Pedar believes in therapy as a genuine dialogue, using Cognitive Behavioral Therapy and his background in applied behavioral science to support clients to identify areas of need.
Pedar Herom has been licensed as a Professional Counselor since 2014, but has been a student of the human condition for most of his 68 years. He graduated from Saybrook University, with a degree in Psychology, Counseling . and previously studied Applied Behavioral Science with Robert Crosby and coached life skills for Context Associated. Pedar believes in therapy as a genuine dialogue, using Cognitive Behavioral Therapy and his background in applied behavioral science to support clients to identify areas of need.
(970) 696-8753 View (970) 696-8753
Photo of Sheryl Schwartz, LPC, Licensed Professional Counselor
Sheryl Schwartz
Licensed Professional Counselor, LPC
Verified Verified
Milliken, CO 80543
Sheryl Schwartz is a Licensed Professional Counselor in Colorado who has been practicing since 2005. She received her Bachelor's in Psychology in 1993 at Colorado State University Pueblo and worked with at risk youth till she returned to school and obtained her Master of Counseling at Adams State University in 2005. Sheryl spent the next 10 years working in Residential Treatment with youth and their families where she helped developed a Native American program and sexual trafficked youth program.
Sheryl Schwartz is a Licensed Professional Counselor in Colorado who has been practicing since 2005. She received her Bachelor's in Psychology in 1993 at Colorado State University Pueblo and worked with at risk youth till she returned to school and obtained her Master of Counseling at Adams State University in 2005. Sheryl spent the next 10 years working in Residential Treatment with youth and their families where she helped developed a Native American program and sexual trafficked youth program.
(970) 458-7979 View (970) 458-7979
Photo of Madison Farrell, Licensed Professional Counselor
Madison Farrell
Licensed Professional Counselor
Verified Verified
Milliken, CO 80543
You'll experience a calming, empathetic presence when you meet with Madison. You'll be seen and validated. Your boundaries will be respected in the safe environment she provides. You'll be able to make it your own space in which you can heal. Madison earned a Bachelor's degree in Psychology at Indiana University and a Master's degree at the University of Denver specializing in International Disaster Psychology.
You'll experience a calming, empathetic presence when you meet with Madison. You'll be seen and validated. Your boundaries will be respected in the safe environment she provides. You'll be able to make it your own space in which you can heal. Madison earned a Bachelor's degree in Psychology at Indiana University and a Master's degree at the University of Denver specializing in International Disaster Psychology.
(970) 507-4262 View (970) 507-4262
Photo of Steve Scifres, LPC, Licensed Professional Counselor
Steve Scifres
Licensed Professional Counselor, LPC
Verified Verified
Milliken, CO 80543
Steve Scifres is a Licensed Professional Counselor in the state of Colorado. He completed his Master of Arts degree in Marriage, Couple, and Family Counseling/Therapy at UNC in May of 2019. Steve strives to provide a collaborative environment where people are free to be themselves. He primarily works with people from an emotionally focused orientation. Life is fast paced, and Steve wants to provide an atmosphere where clients can "slow-down," and better understand what is happening for them in their lives. His desire is to help people develop new "pathways" in their lives, and to recover "lost territory.
Steve Scifres is a Licensed Professional Counselor in the state of Colorado. He completed his Master of Arts degree in Marriage, Couple, and Family Counseling/Therapy at UNC in May of 2019. Steve strives to provide a collaborative environment where people are free to be themselves. He primarily works with people from an emotionally focused orientation. Life is fast paced, and Steve wants to provide an atmosphere where clients can "slow-down," and better understand what is happening for them in their lives. His desire is to help people develop new "pathways" in their lives, and to recover "lost territory.
(970) 535-8179 View (970) 535-8179
Photo of Matthew Russell, MA,  LPCC, Pre-Licensed Professional
Matthew Russell
Pre-Licensed Professional, MA, LPCC
Verified Verified
Milliken, CO 80543
Matthew Russell, LPCC Matthew Russell is a Licensed Professional Clinical Counselor in Colorado who has been practicing since 2023. He has an MA in Clinical Mental Health Counseling from University of Northern Colorado. Matthew is compassionate, relatable, and effective and has experience in individual psychotherapy, group therapy, marriage/couples work, and at-risk youth, utilizing evidenced-based practices via the structured lenses of CBT, CPT, and DBT.
Matthew Russell, LPCC Matthew Russell is a Licensed Professional Clinical Counselor in Colorado who has been practicing since 2023. He has an MA in Clinical Mental Health Counseling from University of Northern Colorado. Matthew is compassionate, relatable, and effective and has experience in individual psychotherapy, group therapy, marriage/couples work, and at-risk youth, utilizing evidenced-based practices via the structured lenses of CBT, CPT, and DBT.
(970) 517-2275 View (970) 517-2275
Photo of Kathryn Hughey, LPC, Licensed Professional Counselor
Kathryn Hughey
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Milliken, CO 80543
Kathryn Hughey is a Licensed Professional Counselor in Colorado who has been practicing since 2015. Kathryn recognizes the courage it takes to make the incredible first step to find someone who feels safe enough to walk the path to living your best life. Kathryn's hope is that you find that powerful partnership with her, so you can overcome your past and thrive in your present. Kathryn approaches her clients with non-judgmental compassion with the intent to empower them to take the next steps on their courageous journeys to own their "stuff. " Kathryn is a straight shooter who cares deeply about her clients.
Kathryn Hughey is a Licensed Professional Counselor in Colorado who has been practicing since 2015. Kathryn recognizes the courage it takes to make the incredible first step to find someone who feels safe enough to walk the path to living your best life. Kathryn's hope is that you find that powerful partnership with her, so you can overcome your past and thrive in your present. Kathryn approaches her clients with non-judgmental compassion with the intent to empower them to take the next steps on their courageous journeys to own their "stuff. " Kathryn is a straight shooter who cares deeply about her clients.
(970) 627-4140 View (970) 627-4140
Photo of Teri Heines, PsyD, Psychologist
Teri Heines
Psychologist, PsyD
Verified Verified
Milliken, CO 80543
Teri Heines is a Licensed Clinical Psychologist and Social Worker, who has been practicing since 1991. She graduated with a Doctorate in Professional Psychology from the University of Denver and a Master of Social Work from the Loyola University of Chicago. Teri practices an Integrative Approach to therapy, using primarily Cognitive Behavioral Therapy, Psychodynamic Therapy, and Systems. Her main areas of focus include relationship issues, transitions, and self-care/emotional regulation. In her free time, Teri likes to spend time with her family or in the outdoors hiking or running.
Teri Heines is a Licensed Clinical Psychologist and Social Worker, who has been practicing since 1991. She graduated with a Doctorate in Professional Psychology from the University of Denver and a Master of Social Work from the Loyola University of Chicago. Teri practices an Integrative Approach to therapy, using primarily Cognitive Behavioral Therapy, Psychodynamic Therapy, and Systems. Her main areas of focus include relationship issues, transitions, and self-care/emotional regulation. In her free time, Teri likes to spend time with her family or in the outdoors hiking or running.
(970) 500-3172 View (970) 500-3172
Photo of Andrew Meil, MFTC, Pre-Licensed Professional
Andrew Meil
Pre-Licensed Professional, MFTC
Verified Verified
Milliken, CO 80543
You'll feel comfortable during sessions with Andrew in the non-judgmental, friendly space he provides. You'll be welcomed into a therapeutic relationship regardless of age, race, sexuality, or ethnicity. You'll feel heard and be positively and appropriately challenged to increase your own insight and ability to think, act, and speak independently. Understanding that therapy takes time and is not a quick fix, you'll journey toward improving your reality. Andrew welcomes his client to bring to session whatever they wish to focus on; no concern is too big or small.
You'll feel comfortable during sessions with Andrew in the non-judgmental, friendly space he provides. You'll be welcomed into a therapeutic relationship regardless of age, race, sexuality, or ethnicity. You'll feel heard and be positively and appropriately challenged to increase your own insight and ability to think, act, and speak independently. Understanding that therapy takes time and is not a quick fix, you'll journey toward improving your reality. Andrew welcomes his client to bring to session whatever they wish to focus on; no concern is too big or small.
(970) 601-7444 View (970) 601-7444
Photo of Brenda Marquardt, Clinical Social Work/Therapist
Brenda Marquardt
Clinical Social Work/Therapist
Verified Verified
Milliken, CO 80543
Brenda Marquardt is a Licensed Clinical Social Worker, Licensed Addiction Counselor and EMDR trained therapist, who has been practicing since 2016. She graduated from Metropolitan State University of Denver with a Master of Social Work degree. Brenda is passionate about meeting people where they are through trauma responsive and harm reduction interventions. Brenda can help clients to overcome, stress, anxiety, depression, relational struggles, and to understand how the mind and body are connected.
Brenda Marquardt is a Licensed Clinical Social Worker, Licensed Addiction Counselor and EMDR trained therapist, who has been practicing since 2016. She graduated from Metropolitan State University of Denver with a Master of Social Work degree. Brenda is passionate about meeting people where they are through trauma responsive and harm reduction interventions. Brenda can help clients to overcome, stress, anxiety, depression, relational struggles, and to understand how the mind and body are connected.
(970) 425-8674 View (970) 425-8674
Photo of Meghan Ruich, LCSW, Clinical Social Work/Therapist
Meghan Ruich
Clinical Social Work/Therapist, LCSW
Verified Verified
Milliken, CO 80543
My ther­a­peu­tic approach is one based on dia­logue, mutu­al respect and per­son­al growth. My goal is to wel­come you into a calm­ing space where togeth­er we can focus on your strengths and resilien­cy to rewrite any dis­tort­ed self-nar­ra­tives, unlearn habit­u­al thoughts and pat­terns that no longer serve you to find heal­ing for your mind, body and spir­it. I look for­ward to guid­ing you on your jour­ney towards wellness.
My ther­a­peu­tic approach is one based on dia­logue, mutu­al respect and per­son­al growth. My goal is to wel­come you into a calm­ing space where togeth­er we can focus on your strengths and resilien­cy to rewrite any dis­tort­ed self-nar­ra­tives, unlearn habit­u­al thoughts and pat­terns that no longer serve you to find heal­ing for your mind, body and spir­it. I look for­ward to guid­ing you on your jour­ney towards wellness.
(970) 329-7948 View (970) 329-7948
Photo of Elizabeth Poulin, LMFT, Marriage & Family Therapist
Elizabeth Poulin
Marriage & Family Therapist, LMFT
Verified Verified
Milliken, CO 80543
Libby works with individuals and couples (including LGBTQ+ individuals and couples) who are looking to gain insight into themselves and improve their quality of life and relationships. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Libby believes that establishing a strong alliance with her clients is essential to getting the most out of therapy and creating lasting change.
Libby works with individuals and couples (including LGBTQ+ individuals and couples) who are looking to gain insight into themselves and improve their quality of life and relationships. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Libby believes that establishing a strong alliance with her clients is essential to getting the most out of therapy and creating lasting change.
(970) 866-0270 View (970) 866-0270
Photo of Brian Collison, LPCC
Brian Collison
Licensed Professional Counselor Candidate, LPCC
Verified Verified
Milliken, CO 80543
Brian Collison is a Licensed Professional Clinical Counselor in Colorado who has been practicing since 2021. He received his Master's degree in Clinical Mental Health Counseling from Denver Seminary. Brian is passionate about seeing people move towards hope and healing. He approaches therapy from a place of curiosity and compassion towards every part of you. Brian provides a non-judgmental space for you to be real about the hurts and pains from your past as well as your experiences in the present. He believes that you are the expert of your own life and considers it a privilege to walk alongside you on your healing journey.
Brian Collison is a Licensed Professional Clinical Counselor in Colorado who has been practicing since 2021. He received his Master's degree in Clinical Mental Health Counseling from Denver Seminary. Brian is passionate about seeing people move towards hope and healing. He approaches therapy from a place of curiosity and compassion towards every part of you. Brian provides a non-judgmental space for you to be real about the hurts and pains from your past as well as your experiences in the present. He believes that you are the expert of your own life and considers it a privilege to walk alongside you on your healing journey.
(970) 438-2873 View (970) 438-2873
Photo of Timothy Woodworth, LCSW, Clinical Social Work/Therapist
Timothy Woodworth
Clinical Social Work/Therapist, LCSW
Verified Verified
Milliken, CO 80543
Tim will create a meaningful partnership with you through understanding, empathy and a warm sense of humor. He'll bring his 20 years of direct clinical experience to help you. His style is very interactive and he'll proactively work side-by-side with you to make sure your life is headed in the right direction. Tim has experience in a broad range of areas and sees adults of all ages, late teens, and couples. He can help with whatever aches, including struggles with depression, anxiety, grief, loss, and anger (and its potential impact on relationships).
Tim will create a meaningful partnership with you through understanding, empathy and a warm sense of humor. He'll bring his 20 years of direct clinical experience to help you. His style is very interactive and he'll proactively work side-by-side with you to make sure your life is headed in the right direction. Tim has experience in a broad range of areas and sees adults of all ages, late teens, and couples. He can help with whatever aches, including struggles with depression, anxiety, grief, loss, and anger (and its potential impact on relationships).
(970) 716-4236 View (970) 716-4236
Photo of Alex Post, LPC, Licensed Professional Counselor
Alex Post
Licensed Professional Counselor, LPC
Verified Verified
Milliken, CO 80543
Alex Post is a Licensed Professional Counselor in Colorado who has been practicing since 2019. She has a BS in Philosophy from California State University of Stanislaus and an MS in Clinical Mental Health from Walden University. While she is well-versed in a variety of counseling approaches and methods, Alex tends to approach counseling from a cognitive and behavioral as well as emotion-focused manner. Our thoughts, behaviors, and reactions can be used as powerful tools to enhance our quality of life.
Alex Post is a Licensed Professional Counselor in Colorado who has been practicing since 2019. She has a BS in Philosophy from California State University of Stanislaus and an MS in Clinical Mental Health from Walden University. While she is well-versed in a variety of counseling approaches and methods, Alex tends to approach counseling from a cognitive and behavioral as well as emotion-focused manner. Our thoughts, behaviors, and reactions can be used as powerful tools to enhance our quality of life.
(970) 293-3765 View (970) 293-3765
Photo of Michele Marostica, LPC, Licensed Professional Counselor
Michele Marostica
Licensed Professional Counselor, LPC
Verified Verified
Milliken, CO 80543
Michele works with individuals who are looking to gain insight into themselves and improve their quality of life. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Michele believes that establishing a strong alliance with her clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, she partners with her clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
Michele works with individuals who are looking to gain insight into themselves and improve their quality of life. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Michele believes that establishing a strong alliance with her clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, she partners with her clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
(970) 507-4522 View (970) 507-4522
Photo of Erica Peteja, LPC, Licensed Professional Counselor
Erica Peteja
Licensed Professional Counselor, LPC
Verified Verified
Milliken, CO 80543
Erica welcomes you into a caring atmosphere where you can feel comfortable being yourself without judgment. It's a space where you can speak freely to develop and increase self-awareness, while also being treated with dignity, compassion, and respect. Your concerns will be taken seriously. You'll experience encouragement and laughter throughout your healing journey. You'll be considered the expert in and of your life.
Erica welcomes you into a caring atmosphere where you can feel comfortable being yourself without judgment. It's a space where you can speak freely to develop and increase self-awareness, while also being treated with dignity, compassion, and respect. Your concerns will be taken seriously. You'll experience encouragement and laughter throughout your healing journey. You'll be considered the expert in and of your life.
(970) 425-8580 View (970) 425-8580
Photo of Kelly Thoene, LCSW, Clinical Social Work/Therapist
Kelly Thoene
Clinical Social Work/Therapist, LCSW
Verified Verified
Milliken, CO 80543
Kelly Thoene is a Licensed Clinical Social Worker and Certified Addiction Specialist with more than 20 of experience specializing in trauma (PTSD), depression, anxiety, panic disorders, mood dysregulation (Bipolar), behavior management difficulties (ODD, Conduct Disorder and DBD), substance abuse, gender dysphoria and LGBQT+ issues. Kelly has a Masters in Social Work from the University of Denver in Colorado. She received a Bachelors of Arts in Elementary Education with a concentration in Psychology from Muskingum College in Ohio. In addition, Kelly had special certifications in Special Education and Early Childhood Education.
Kelly Thoene is a Licensed Clinical Social Worker and Certified Addiction Specialist with more than 20 of experience specializing in trauma (PTSD), depression, anxiety, panic disorders, mood dysregulation (Bipolar), behavior management difficulties (ODD, Conduct Disorder and DBD), substance abuse, gender dysphoria and LGBQT+ issues. Kelly has a Masters in Social Work from the University of Denver in Colorado. She received a Bachelors of Arts in Elementary Education with a concentration in Psychology from Muskingum College in Ohio. In addition, Kelly had special certifications in Special Education and Early Childhood Education.
(970) 645-8731 View (970) 645-8731
Photo of Sabrena Ness, LCMHC, Counselor
Sabrena Ness
Counselor, LCMHC
Verified Verified
Milliken, CO 80543
Sabrena understands that starting therapy is often a difficult and daunting process, and therefore works to help individuals feel more at ease at the beginning of their journey. She offers an inclusive and safe space for you to collaboratively identify steps toward improving your life. She believes you do not have to take on challenges alone and that therapy is a place where you can find support to help you build the life you want to live.
Sabrena understands that starting therapy is often a difficult and daunting process, and therefore works to help individuals feel more at ease at the beginning of their journey. She offers an inclusive and safe space for you to collaboratively identify steps toward improving your life. She believes you do not have to take on challenges alone and that therapy is a place where you can find support to help you build the life you want to live.
(970) 699-3269 View (970) 699-3269
Photo of Daniela Stich, LCSW, Clinical Social Work/Therapist
Daniela Stich
Clinical Social Work/Therapist, LCSW
Verified Verified
Milliken, CO 80543
When you meet with Daniela, you'll find that she is warm, friendly, engaging, and authentic. You'll relax in the inviting and comforting therapeutic space she creates. You'll feel respected, supported, and empowered to start your journey towards wellness. Daniela believes that it takes courage to heal and as such, it is her honor and privilege to be a part of that journey with you. Her counseling perspective is collaborative, present and person-centered, flexible, compassionate, and insight-oriented.
When you meet with Daniela, you'll find that she is warm, friendly, engaging, and authentic. You'll relax in the inviting and comforting therapeutic space she creates. You'll feel respected, supported, and empowered to start your journey towards wellness. Daniela believes that it takes courage to heal and as such, it is her honor and privilege to be a part of that journey with you. Her counseling perspective is collaborative, present and person-centered, flexible, compassionate, and insight-oriented.
(970) 647-7407 View (970) 647-7407
1

See more therapy options for 80543

How does your Therapist compare?

Number of Therapists in 80543

20+

Average cost per session

$137

Therapists in 80543 who prioritize treating:

89% Anxiety
89% Trauma and PTSD
81% Depression
74% Grief
67% ADHD
44% Life Transitions
37% Child

Average years in practice

12 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% UnitedHealthcare UHC | UBH

How Therapists in 80543 see their clients

89% In Person and Online
11% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 80543?

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.