Photo of K Karuna Fluhart-Negrete, MA, LMFT, CHT, NCC, LPCC, Marriage & Family Therapist
K Karuna Fluhart-Negrete
Marriage & Family Therapist, MA, LMFT, CHT, NCC, LPCC
Verified Verified
Santa Fe, NM 87500
Maybe it's time to get the support and compassionate care you want, need and deserve! Feeling anxious, depressed or dealing with loss, grief, trauma or transition? Perhaps you've just been feeling a little down or disconnected from yourself or a primary relationship. Are you wanting to heal on deeper levels?
Maybe it's time to get the support and compassionate care you want, need and deserve! Feeling anxious, depressed or dealing with loss, grief, trauma or transition? Perhaps you've just been feeling a little down or disconnected from yourself or a primary relationship. Are you wanting to heal on deeper levels?
(505) 405-2400 View (505) 405-2400
Photo of Melanie Smith, MACP, LMFT, Marriage & Family Therapist
Melanie Smith
Marriage & Family Therapist, MACP, LMFT
Verified Verified
Santa Fe, NM 87500  (Online Only)
A warm hello to you. I work with relationships and with individuals. My emphasis is on becoming more conscious, peaceful, and satisfied as you move through life. This applies whether you want to work on relationship issues, or on your own individual circumstances. By “conscious” I mean becoming truly present to the currents that are within and around you and your relationship(s). Conscious living is a lifelong practice; it harmonizes your interior processes with your exterior actions. We will support this through surfacing your internal wisdom right along with developing more skillful communication and behavioral choices.
A warm hello to you. I work with relationships and with individuals. My emphasis is on becoming more conscious, peaceful, and satisfied as you move through life. This applies whether you want to work on relationship issues, or on your own individual circumstances. By “conscious” I mean becoming truly present to the currents that are within and around you and your relationship(s). Conscious living is a lifelong practice; it harmonizes your interior processes with your exterior actions. We will support this through surfacing your internal wisdom right along with developing more skillful communication and behavioral choices.
(505) 273-2852 View (505) 273-2852
Photo of Karly Kothmann, MA, LPC, BTTI, Licensed Professional Counselor
Karly Kothmann
Licensed Professional Counselor, MA, LPC, BTTI
Verified Verified
Santa Fe, NM 87500
Are the events, situations, and feelings in your life leaving you overwhelmed? Are you unhappy and feel alone? Or are you struggling with OCD? Life can be challenging, overwhelming, and difficult. If you have tried to "fix" the problem and are still at a loss, I want to help you find clarity and happiness. I am here to walk alongside you through each of your worries and obstacles. And I specialize in ERP therapy for OCD. Please give me a call today! Phone and Skype sessions are available!
Are the events, situations, and feelings in your life leaving you overwhelmed? Are you unhappy and feel alone? Or are you struggling with OCD? Life can be challenging, overwhelming, and difficult. If you have tried to "fix" the problem and are still at a loss, I want to help you find clarity and happiness. I am here to walk alongside you through each of your worries and obstacles. And I specialize in ERP therapy for OCD. Please give me a call today! Phone and Skype sessions are available!
(210) 750-4327 View (210) 750-4327
Photo of Katowitz Jeff, LMFT, Marriage & Family Therapist
Katowitz Jeff
Marriage & Family Therapist, LMFT
Verified Verified
Santa Fe, NM 87500
My ideal clients are those who are experiencing difficulties with blended family issues, adolescent development, trauma, grief and loss, separation and divorce. My role as a therapist is to facilitate a process of healing by partnering with each client. I believe it is essential to listen carefully to an individual, couple or family and develop a partnership that combines my training and experience as a practitioner with each persons unique capacity for healing and growth. Most importantly, the objective of intervention and caring is promoting the family's ability to support the passions and interests that exist in each individual.
My ideal clients are those who are experiencing difficulties with blended family issues, adolescent development, trauma, grief and loss, separation and divorce. My role as a therapist is to facilitate a process of healing by partnering with each client. I believe it is essential to listen carefully to an individual, couple or family and develop a partnership that combines my training and experience as a practitioner with each persons unique capacity for healing and growth. Most importantly, the objective of intervention and caring is promoting the family's ability to support the passions and interests that exist in each individual.
(215) 977-4832 View (215) 977-4832
Photo of Kiersten Ann Figurski, MA, LPCC, Counselor
Kiersten Ann Figurski
Counselor, MA, LPCC
Verified Verified
3 Endorsed
Santa Fe, NM 87500
Waitlist for new clients
I offer deeply compassionate psychotherapy. Life is profoundly challenging at times for every single one of us. Sometimes we need a space, all our own, to explore our experiences and move forward towards a peaceful mind. I will be here with you to support your personal exploration and offer encouragement and guidance when desired. I believe we have what it takes for positive change within us and I am here to remind you of your own capabilities and strengths. I work with chronic pain sufferers using Pain Reprocessing Therapy (PRT.) Please reach out to me for more info about PRT. We can explore whether PRT is right for you.
I offer deeply compassionate psychotherapy. Life is profoundly challenging at times for every single one of us. Sometimes we need a space, all our own, to explore our experiences and move forward towards a peaceful mind. I will be here with you to support your personal exploration and offer encouragement and guidance when desired. I believe we have what it takes for positive change within us and I am here to remind you of your own capabilities and strengths. I work with chronic pain sufferers using Pain Reprocessing Therapy (PRT.) Please reach out to me for more info about PRT. We can explore whether PRT is right for you.
(575) 205-4261 View (575) 205-4261
Photo of Krystalyn Madden, MA, LPCC, LPC, Counselor
Krystalyn Madden
Counselor, MA, LPCC, LPC
Verified Verified
Santa Fe, NM 87500  (Online Only)
The three main ingredients for a helpful therapeutic relationship are unconditional positive regard, non-judgment, and empathy. I am a believer that you are the world’s leading expert in what it is like to be you. My role as your therapist is to help you navigate your journey, pointing out mile markers and other signs, while your role is to be in the driver’s seat as the expert of your own world. My goal as a therapist is to integrate a variety of therapeutic approaches that best suit clients on an individual, case-to-case basis.
The three main ingredients for a helpful therapeutic relationship are unconditional positive regard, non-judgment, and empathy. I am a believer that you are the world’s leading expert in what it is like to be you. My role as your therapist is to help you navigate your journey, pointing out mile markers and other signs, while your role is to be in the driver’s seat as the expert of your own world. My goal as a therapist is to integrate a variety of therapeutic approaches that best suit clients on an individual, case-to-case basis.
(505) 302-2740 View (505) 302-2740
Photo of Kerri L Payne - Yin Yang Counseling, LPCC, Counselor
Yin Yang Counseling
Counselor, LPCC
Verified Verified
Santa Fe, NM 87500  (Online Only)
I will keep this short and simple. I have always been fascinated with how the mind can heal the brain! My focus in the counseling profession has always been with trauma and how to heal oneself through different therapy models. I am trained in Eye Movement Desensitization and Reprocessing (EMDR) , Brain Spotting, Mindfulness Based Emotional Processing, Dialectical behavior and Cognitive Behavioral Therapies. My main focus in therapy is "YOU." I will use whatever skills I have and incorporate them into your treatment. I am open minded therapist; therefore nothing you tell me is too big or small!
I will keep this short and simple. I have always been fascinated with how the mind can heal the brain! My focus in the counseling profession has always been with trauma and how to heal oneself through different therapy models. I am trained in Eye Movement Desensitization and Reprocessing (EMDR) , Brain Spotting, Mindfulness Based Emotional Processing, Dialectical behavior and Cognitive Behavioral Therapies. My main focus in therapy is "YOU." I will use whatever skills I have and incorporate them into your treatment. I am open minded therapist; therefore nothing you tell me is too big or small!
(505) 657-2223 View (505) 657-2223
Photo of Savannah Lujan, LMHC, Counselor
Savannah Lujan
Counselor, LMHC
Verified Verified
6 Endorsed
Santa Fe, NM 87500
Hi there! First, I want to commend you on taking the first step to seeking the right fit for therapy services. I have a great passion to help individuals who are experiencing a variety of difficulties that life may bring. I strive to help my clients find healthy perceptions of themselves and mutually develop goals for therapy. I want my clients to feel complete, empowered and safe.
Hi there! First, I want to commend you on taking the first step to seeking the right fit for therapy services. I have a great passion to help individuals who are experiencing a variety of difficulties that life may bring. I strive to help my clients find healthy perceptions of themselves and mutually develop goals for therapy. I want my clients to feel complete, empowered and safe.
(505) 591-0664 View (505) 591-0664
Photo of Sheena Garrard, LPC, TA, Licensed Professional Counselor
Sheena Garrard
Licensed Professional Counselor, LPC, TA
Verified Verified
1 Endorsed
Santa Fe, NM 87500  (Online Only)
Overwhelmed. Numb. Hopeless. Shame. Frustrated. Life is always throwing us curve balls — it’s how we respond that determines how we feel. We’ll work on practical ways to manage your grief, depression, and anger in the midst of the unknown. You’ll learn how to listen to what your body is telling you and feel more confident and at ease in difficult situations. I work with clients to identify their goals and develop personalized treatment plans that incorporates a variety of techniques, including mindfulness, cognitive-behavioral therapy, and solution-focused therapy. Begin the process, learn the skills, and make a permanent change.
Overwhelmed. Numb. Hopeless. Shame. Frustrated. Life is always throwing us curve balls — it’s how we respond that determines how we feel. We’ll work on practical ways to manage your grief, depression, and anger in the midst of the unknown. You’ll learn how to listen to what your body is telling you and feel more confident and at ease in difficult situations. I work with clients to identify their goals and develop personalized treatment plans that incorporates a variety of techniques, including mindfulness, cognitive-behavioral therapy, and solution-focused therapy. Begin the process, learn the skills, and make a permanent change.
(870) 539-9583 View (870) 539-9583
Photo of Joni Maccracken, LCSW, LISW, Clinical Social Work/Therapist
Joni Maccracken
Clinical Social Work/Therapist, LCSW, LISW
Verified Verified
Santa Fe, NM 87500
Are you a woman who has had a life disruption due to differing circumstances (divorce, loss, relationship, transitions, etc).? Are you feeling lost and uncertain about what to do next and need help navigating this life change? Are you looking to find your footing, rebuild your confidence, and figure out what they want next in life? I help you find these things so that you can move forward in your life and create the life you have always wanted.
Are you a woman who has had a life disruption due to differing circumstances (divorce, loss, relationship, transitions, etc).? Are you feeling lost and uncertain about what to do next and need help navigating this life change? Are you looking to find your footing, rebuild your confidence, and figure out what they want next in life? I help you find these things so that you can move forward in your life and create the life you have always wanted.
(575) 613-7920 View (575) 613-7920
Photo of Isaac Penner, MA, LMHC, Counselor
Isaac Penner
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Santa Fe, NM 87500
My name is Isaac Penner, MA, LMHC. I was born and raised in New Mexico and am a proud Veteran. I am a board-certified Licensed Mental Health Counselor with skills in Cognitive Behavioral Therapy (CBT) and Emotion-Focused Therapy (EFT). My work is trauma-informed and I am educated on brain organization and dysfunction and how this can play out in daily life. I understand that making the decision to pursue therapy can be extremely difficult; therefore, my goal is to provide a safe place to allow my patients to explore their inner experience of thoughts, emotions, and bodily sensations.
My name is Isaac Penner, MA, LMHC. I was born and raised in New Mexico and am a proud Veteran. I am a board-certified Licensed Mental Health Counselor with skills in Cognitive Behavioral Therapy (CBT) and Emotion-Focused Therapy (EFT). My work is trauma-informed and I am educated on brain organization and dysfunction and how this can play out in daily life. I understand that making the decision to pursue therapy can be extremely difficult; therefore, my goal is to provide a safe place to allow my patients to explore their inner experience of thoughts, emotions, and bodily sensations.
(505) 591-4337 View (505) 591-4337
Photo of Walsh Counseling Services - Walsh Counseling Services, Clinical Social Work/Therapist
Walsh Counseling Services
Clinical Social Work/Therapist
Verified Verified
5 Endorsed
Santa Fe, NM 87500
Friends and family aren't always the best place to turn when life gets difficult. That's where we come in. No matter what might be going on in your life, call us and we'll connect you to a caring mental health provider. Or if you'd prefer, fill out our Client Contact Form on our website, and one of our staff will contact you by the end of the next business day.
Friends and family aren't always the best place to turn when life gets difficult. That's where we come in. No matter what might be going on in your life, call us and we'll connect you to a caring mental health provider. Or if you'd prefer, fill out our Client Contact Form on our website, and one of our staff will contact you by the end of the next business day.
(505) 404-0814 View (505) 404-0814
Photo of Jeffrey Mark Koenigsberg, LCSW, Clinical Social Work/Therapist
Jeffrey Mark Koenigsberg
Clinical Social Work/Therapist, LCSW
Verified Verified
Santa Fe, NM 87500  (Online Only)
I am available to be of service to virtually anyone that is struggling to enjoy their lives, who feel that there are barriers standing in the way of reaching their goals and fulfilling their potential. Anxiety is a significant challenge and interferes with day-to-day life in many ways. These challenges may come from any number of situations—family, jobs, trauma (physical, sexual, or situational),  poor self-image, feelings of inadequacy, fear of any number of daily situations, and the horrible feeling of powerlessness. I have considerable experience working with individuals with substance abuse challenges.
I am available to be of service to virtually anyone that is struggling to enjoy their lives, who feel that there are barriers standing in the way of reaching their goals and fulfilling their potential. Anxiety is a significant challenge and interferes with day-to-day life in many ways. These challenges may come from any number of situations—family, jobs, trauma (physical, sexual, or situational),  poor self-image, feelings of inadequacy, fear of any number of daily situations, and the horrible feeling of powerlessness. I have considerable experience working with individuals with substance abuse challenges.
(505) 657-8720 View (505) 657-8720
Photo of Elina Alekperova, LMSW, Clinical Social Work/Therapist
Elina Alekperova
Clinical Social Work/Therapist, LMSW
Verified Verified
11 Endorsed
Santa Fe, NM 87500  (Online Only)
Starting therapy can be a challenging yet very empowering step to uncovering your true self. My goal in treatment is to empower my clients, provide unconditional positive regard and teach that healing can lead to a more fulfilling and meaningful life. I believe that every client is on their own unique journey. A person-centered approach is a modality I find not only beneficial but necessary to helping individuals thrive and be all they can be.
Starting therapy can be a challenging yet very empowering step to uncovering your true self. My goal in treatment is to empower my clients, provide unconditional positive regard and teach that healing can lead to a more fulfilling and meaningful life. I believe that every client is on their own unique journey. A person-centered approach is a modality I find not only beneficial but necessary to helping individuals thrive and be all they can be.
(505) 605-2059 View (505) 605-2059
Photo of Jehan A Layne-Chavez, LCSW, DSW-C, Clinical Social Work/Therapist
Jehan A Layne-Chavez
Clinical Social Work/Therapist, LCSW, DSW-C
Verified Verified
1 Endorsed
Santa Fe, NM 87500
Waitlist for new clients
I am a licensed clinical social worker, with expertise in treating adolescents and adults struggling with trauma, depression, anxiety, substance use, and attachment disorders. I have a collaborative practice with clients. I believe that clients are the experts of their own lives, and my job is to support them in achieving their self-determined goals and objectives.
I am a licensed clinical social worker, with expertise in treating adolescents and adults struggling with trauma, depression, anxiety, substance use, and attachment disorders. I have a collaborative practice with clients. I believe that clients are the experts of their own lives, and my job is to support them in achieving their self-determined goals and objectives.
(575) 579-3764 View (575) 579-3764
Photo of Katherine Tessler, LICSW, Clinical Social Work/Therapist
Katherine Tessler
Clinical Social Work/Therapist, LICSW
Verified Verified
12 Endorsed
Santa Fe, NM 87500  (Online Only)
My clients bring in a range of issues and have varying ideas of what they would like to change about themselves and/or their lives -- but they all have one thing in common, and that is motivation for change. Therapy can, and should, be a place for self-reflection and self-improvement and I am here to support that process. While a lot of my experience has been with children/adolescents and mood disorders, I approach every client with an open mind and heart, and strive to always create a safe and inviting space.
My clients bring in a range of issues and have varying ideas of what they would like to change about themselves and/or their lives -- but they all have one thing in common, and that is motivation for change. Therapy can, and should, be a place for self-reflection and self-improvement and I am here to support that process. While a lot of my experience has been with children/adolescents and mood disorders, I approach every client with an open mind and heart, and strive to always create a safe and inviting space.
(505) 636-3972 View (505) 636-3972
Photo of Lora Blazina - Lora Blazina, LPCC, Licensed Professional Counselor
Lora Blazina
Licensed Professional Counselor, LPCC
Verified Verified
1 Endorsed
Santa Fe, NM 87500
I am trained and experienced using in using somatic mindfulness interventions, EMDR, and hypnotherapy. I specialize in working with adults who survived childhood abuse and neglect. The emotional aspects of childhood abuse and neglect show up in our most important relationships, creating frustrating blocks to healthy intimacy and resilient self-esteem. I can help you understand your symptoms, root causes, and learn the skills to dramatically improve your quality of life.
I am trained and experienced using in using somatic mindfulness interventions, EMDR, and hypnotherapy. I specialize in working with adults who survived childhood abuse and neglect. The emotional aspects of childhood abuse and neglect show up in our most important relationships, creating frustrating blocks to healthy intimacy and resilient self-esteem. I can help you understand your symptoms, root causes, and learn the skills to dramatically improve your quality of life.
(505) 985-7226 View (505) 985-7226
Photo of Kuldeep Kaur, LCSW, Clinical Social Work/Therapist
Kuldeep Kaur
Clinical Social Work/Therapist, LCSW
Verified Verified
Santa Fe, NM 87500  (Online Only)
From all over New Mexico, clients call me when they are struggling with grief and loss, depression, trauma, anxiety, low self-esteem, loneliness, work-related stress, and relationship issues. I help older teenagers, adults, and couples overcome their emotional and behavioral problems. The three main outcomes I help you achieve are quick relief from unhappy feelings, positive behavior change, and success in reaching your long-term goals. My approach goes beyond just coping with problems; I help you build your strengths so you can thrive in all parts of life.
From all over New Mexico, clients call me when they are struggling with grief and loss, depression, trauma, anxiety, low self-esteem, loneliness, work-related stress, and relationship issues. I help older teenagers, adults, and couples overcome their emotional and behavioral problems. The three main outcomes I help you achieve are quick relief from unhappy feelings, positive behavior change, and success in reaching your long-term goals. My approach goes beyond just coping with problems; I help you build your strengths so you can thrive in all parts of life.
(505) 392-5402 View (505) 392-5402
Photo of Paige Pierson - Desert Sky Therapy Services, LLC-Paige Pierson, MS, LPC, LPCC, Licensed Professional Counselor
Desert Sky Therapy Services, LLC-Paige Pierson
Licensed Professional Counselor, MS, LPC, LPCC
Verified Verified
1 Endorsed
Santa Fe, NM 87500
Waitlist for new clients
Hello! Thank you for reaching out and taking the first step. It’s my goal to assist my clients while they're working toward a healthier, happier life. I work with my clients to find a mindful approach through the acceptance of patterns of thoughts and beliefs. I feel it's important to provide support while trying to answer life's big questions. A person's thoughts, beliefs, and attitudes can directly affect their feelings and behaviors whether that be a result of learned responses or a trauma response. I'm happy you've decided to reach out! Please visit my waitlist to add your info; www.desertskytherapy.com
Hello! Thank you for reaching out and taking the first step. It’s my goal to assist my clients while they're working toward a healthier, happier life. I work with my clients to find a mindful approach through the acceptance of patterns of thoughts and beliefs. I feel it's important to provide support while trying to answer life's big questions. A person's thoughts, beliefs, and attitudes can directly affect their feelings and behaviors whether that be a result of learned responses or a trauma response. I'm happy you've decided to reach out! Please visit my waitlist to add your info; www.desertskytherapy.com
(505) 309-3266 View (505) 309-3266
Photo of Connie Cox, LCSW, MSW, Clinical Social Work/Therapist
Connie Cox
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Santa Fe, NM 87500
Are you seeking emotional, cognitive, physical, and spiritual balance in an increasingly black and white world? Do you feel past or present challenges are impacting you now, or is it challenging to stay in the present? Are you happy with the path you have followed or are on? Are you interested in discovering better ways of helping yourself based on the strengths you already have? Answering yes to any or all the above questions could mean you are ready to grow!
Are you seeking emotional, cognitive, physical, and spiritual balance in an increasingly black and white world? Do you feel past or present challenges are impacting you now, or is it challenging to stay in the present? Are you happy with the path you have followed or are on? Are you interested in discovering better ways of helping yourself based on the strengths you already have? Answering yes to any or all the above questions could mean you are ready to grow!
(505) 805-2774 View (505) 805-2774
1

See more therapy options for 87500

How does your Therapist compare?

Number of Therapists in 87500

40+

Average cost per session

$125

Therapists in 87500 who prioritize treating:

88% Anxiety
80% Depression
78% Self Esteem
73% Trauma and PTSD
70% Grief
65% Stress
57% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

79% BlueCross and BlueShield
70% Presbyterian
67% Medicaid

How Therapists in 87500 see their clients

55% In Person and Online
45% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 87500?

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.