Therapists in Asheville, NC

Photo of Becky Singer, MA, LCMHC, NCC
Becky Singer
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
3 Endorsed
Asheville, NC 28801
You're asking yourself "why can't I stop thinking about my ex?" or "who the heck am I without my partner?" Or maybe you canNOT focus at work and get easily distracted and overwhelmed by most things. Perhaps you feel like you have lost control of your thoughts or emotions. You find yourself thinking about the breakup/how lonely you feel/how disorganized you are/that big decision you need to make...and you’re judging yourself for all of it. Sometimes you even judge your judgment, wondering how you’re ever going to break out of this cycle of acting out of your overwhelming emotions or spinning thoughts.
You're asking yourself "why can't I stop thinking about my ex?" or "who the heck am I without my partner?" Or maybe you canNOT focus at work and get easily distracted and overwhelmed by most things. Perhaps you feel like you have lost control of your thoughts or emotions. You find yourself thinking about the breakup/how lonely you feel/how disorganized you are/that big decision you need to make...and you’re judging yourself for all of it. Sometimes you even judge your judgment, wondering how you’re ever going to break out of this cycle of acting out of your overwhelming emotions or spinning thoughts.
(828) 929-1698 View (828) 929-1698
Photo of Jason Jones - Daya Mental Health and Wellness - Ketamine KAP, LCSW-A, LCAS, CSI, LCMHC, Clinical Social Work/Therapist
Daya Mental Health and Wellness - Ketamine KAP
Clinical Social Work/Therapist, LCSW-A, LCAS, CSI, LCMHC
Verified Verified
Asheville, NC 28801
Daya Mental Health and Wellness welcomes individuals suffering from addiction or mental health problems. We are an Asheville based therapy practice that offers psychotherapy sessions for treatment of addiction, trauma, eating disorders, self esteem issues, anxiety and depression. Our dedicated and experienced staff are passionate about helping people improve their lives and learn to cope with everyday problems. We serve the whole person, because integrating the mind, the body and the community are essential in optimizing a person's quality of life. Accepting New Clients
Daya Mental Health and Wellness welcomes individuals suffering from addiction or mental health problems. We are an Asheville based therapy practice that offers psychotherapy sessions for treatment of addiction, trauma, eating disorders, self esteem issues, anxiety and depression. Our dedicated and experienced staff are passionate about helping people improve their lives and learn to cope with everyday problems. We serve the whole person, because integrating the mind, the body and the community are essential in optimizing a person's quality of life. Accepting New Clients
(828) 412-3330 View (828) 412-3330
Photo of Jess Rae Otolinsky, MA, LCMHC
Jess Rae Otolinsky
Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Asheville, NC 28801
People often tell you that you are so strong and brave and appear to “have it all together” but inside that feels so far from reality. Do you have feelings of overwhelm or shame around if you are doing “it” right?- whatever “it” may be. Perhaps you feel guilty for spending too much time with the baby, or not enough time with the baby, or wanting time away from the baby. All of these are valid and deserve space to be said aloud. Maybe you feel worried all the time that something might go wrong. You have an inner voice that knows you want something to be different. You have the strength to create a life that is authentically yours.
People often tell you that you are so strong and brave and appear to “have it all together” but inside that feels so far from reality. Do you have feelings of overwhelm or shame around if you are doing “it” right?- whatever “it” may be. Perhaps you feel guilty for spending too much time with the baby, or not enough time with the baby, or wanting time away from the baby. All of these are valid and deserve space to be said aloud. Maybe you feel worried all the time that something might go wrong. You have an inner voice that knows you want something to be different. You have the strength to create a life that is authentically yours.
(828) 407-0784 View (828) 407-0784
Photo of James Stewart - Appalachian Counseling and Psychological Services, MA
Appalachian Counseling and Psychological Services
MA
Verified Verified
Asheville, NC 28801  (Online Only)
Appalachian Counseling and Psychological Services is a full service testing center providing psychological and neuropsychological testing. We provide diagnostic testing for assessments for mood disorders, anxiety, depression, personality disorders, learning disabilities, giftedness, parental fitness evaluations, assessments for cognitive functioning, and post-concussion cognitive assessments.
Appalachian Counseling and Psychological Services is a full service testing center providing psychological and neuropsychological testing. We provide diagnostic testing for assessments for mood disorders, anxiety, depression, personality disorders, learning disabilities, giftedness, parental fitness evaluations, assessments for cognitive functioning, and post-concussion cognitive assessments.
(828) 372-0432 View (828) 372-0432
Photo of Jared Hinton, MAT, MA, LCMHC, LCAS-A, Counselor
Jared Hinton
Counselor, MAT, MA, LCMHC, LCAS-A
Verified Verified
1 Endorsed
Asheville, NC 28801
Through counseling with me, you will learn how to relate differently to troubling thoughts, emotions and behaviors while cultivating greater empathy, understanding, and acceptance of yourself and others.
Through counseling with me, you will learn how to relate differently to troubling thoughts, emotions and behaviors while cultivating greater empathy, understanding, and acceptance of yourself and others.
(828) 574-6432 View (828) 574-6432
Photo of Regina McNamee, LCSW, Clinical Social Work/Therapist
Regina McNamee
Clinical Social Work/Therapist, LCSW
Verified Verified
Asheville, NC 28804
I am a contemporary, psychodynamic/analytic oriented psychotherapist, who will work with you to move through emotional obstacles to create pathways for deeply fulfilling change in your personal and/or professional life. My approach is based on understanding the combination of your past experiences, current situation and future hopes. I am both supportive and analytic in helping you move into underlying causes of distress. I work with couples, adults and pre-teens/teens who suffer from anxiety, depression, relationship difficulties, career considerations and major life transitions including fertility, parenting, sexuality, divorce, affairs, empty nest. I welcome the opportunity to discuss your situation and needs.
I am a contemporary, psychodynamic/analytic oriented psychotherapist, who will work with you to move through emotional obstacles to create pathways for deeply fulfilling change in your personal and/or professional life. My approach is based on understanding the combination of your past experiences, current situation and future hopes. I am both supportive and analytic in helping you move into underlying causes of distress. I work with couples, adults and pre-teens/teens who suffer from anxiety, depression, relationship difficulties, career considerations and major life transitions including fertility, parenting, sexuality, divorce, affairs, empty nest. I welcome the opportunity to discuss your situation and needs.
(828) 372-0397 View (828) 372-0397
Photo of Sarah Bolick, MSW, LCSW, EMDR, Clinical Social Work/Therapist
Sarah Bolick
Clinical Social Work/Therapist, MSW, LCSW, EMDR
Verified Verified
1 Endorsed
Asheville, NC 28801
Waitlist for new clients
Do you find yourself putting other's needs before your own, and then feeling resentful? Do you often feel you're not "good enough" or worthy of love and connection? You want to feel comfortable in your own skin and connected in your relationships, but find yourself getting distracted by anxious thoughts about what others think of you. Do you desperately want to embrace who you are - your unique strengths, challenges, and everything in between?
Do you find yourself putting other's needs before your own, and then feeling resentful? Do you often feel you're not "good enough" or worthy of love and connection? You want to feel comfortable in your own skin and connected in your relationships, but find yourself getting distracted by anxious thoughts about what others think of you. Do you desperately want to embrace who you are - your unique strengths, challenges, and everything in between?
(828) 547-3499 View (828) 547-3499
Photo of Jamie Siegel, LCSW, Clinical Social Work/Therapist
Jamie Siegel
Clinical Social Work/Therapist, LCSW
Verified Verified
6 Endorsed
Asheville, NC 28805  (Online Only)
Being a human is hard sometimes, and when you're in the middle of the struggle it can feel like no one gets it. If this sounds familiar, I'd love to walk side-by-side with you...not to "fix" you because you were never broken, but to remind you that there are no official rules to navigating life. The rules you've learned to follow are made up but they've kept you stuck and focused on what you feel things "should" look like for too long. Let's work together to uncover the things that matter most to you instead of all the ways you've been told you're doing life "wrong." You deserve better and the world needs you as your authentic self.
Being a human is hard sometimes, and when you're in the middle of the struggle it can feel like no one gets it. If this sounds familiar, I'd love to walk side-by-side with you...not to "fix" you because you were never broken, but to remind you that there are no official rules to navigating life. The rules you've learned to follow are made up but they've kept you stuck and focused on what you feel things "should" look like for too long. Let's work together to uncover the things that matter most to you instead of all the ways you've been told you're doing life "wrong." You deserve better and the world needs you as your authentic self.
(828) 944-4209 View (828) 944-4209
Photo of Marjorie Skwara, MA, LMFT, SEP, Marriage & Family Therapist
Marjorie Skwara
Marriage & Family Therapist, MA, LMFT, SEP
Verified Verified
Asheville, NC 28801
Not accepting new clients
Whether you have a current personal or relationship crisis, or an ongoing problem, I can help you increase your peace, satisfaction, effectiveness, and understanding of yourself and others. Want joy and satisfaction in your life, and yet circumstances, known or unknown, seem to keep getting in the way? I offer tools for changing that. We will work with both the conscious brain, and with the instinctive brain, which has a mind and a life of its own. Many who've had much therapy, made good changes but not fundamental shifts, have happily transformed their lives working this way with me.
Whether you have a current personal or relationship crisis, or an ongoing problem, I can help you increase your peace, satisfaction, effectiveness, and understanding of yourself and others. Want joy and satisfaction in your life, and yet circumstances, known or unknown, seem to keep getting in the way? I offer tools for changing that. We will work with both the conscious brain, and with the instinctive brain, which has a mind and a life of its own. Many who've had much therapy, made good changes but not fundamental shifts, have happily transformed their lives working this way with me.
(828) 527-6123 View (828) 527-6123
Photo of Matt Vest, MA, LCMHCA, NCC, Counselor
Matt Vest
Counselor, MA, LCMHCA, NCC
Verified Verified
2 Endorsed
Asheville, NC 28801
People show up to work with me because they're grappling with a new life situation, processing grief for a lost loved one, managing anxiety or depression, seeking greater connection with others, trying to heal a relationship, or just looking for a safe place to talk things through. I believe everyone has their own inner wisdom, and I want to help people recognize and attune to that wisdom, to help them reverse negative cycles and rewrite stories that create hardship and hold them back from finding meaning, fulfillment, and joy in life.
People show up to work with me because they're grappling with a new life situation, processing grief for a lost loved one, managing anxiety or depression, seeking greater connection with others, trying to heal a relationship, or just looking for a safe place to talk things through. I believe everyone has their own inner wisdom, and I want to help people recognize and attune to that wisdom, to help them reverse negative cycles and rewrite stories that create hardship and hold them back from finding meaning, fulfillment, and joy in life.
(828) 540-3801 View (828) 540-3801
Photo of Julia Popowski, LCMHC, Counselor
Julia Popowski
Counselor, LCMHC
Verified Verified
2 Endorsed
Asheville, NC 28803
It is an honor to be trusted to collaborate with my clients on their healing journey. I work diligently to empower each individual to reawaken to their innate wisdom and strengths within a stigma-free and judgment-free environment. I specialize in helping those with complex trauma, attachment wounds, and adverse life experiences resulting in toxic shame and patterns of feeling "stuck". I also work with problematic substance use, habitual problematic behaviors, anxiety, depression, and relationship issues.
It is an honor to be trusted to collaborate with my clients on their healing journey. I work diligently to empower each individual to reawaken to their innate wisdom and strengths within a stigma-free and judgment-free environment. I specialize in helping those with complex trauma, attachment wounds, and adverse life experiences resulting in toxic shame and patterns of feeling "stuck". I also work with problematic substance use, habitual problematic behaviors, anxiety, depression, and relationship issues.
(828) 373-8865 View (828) 373-8865
Photo of Rana K Jackson, LCSW, LCAS, Clinical Social Work/Therapist
Rana K Jackson
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
Asheville, NC 28801
Do you feel overwhelmed? Have you endured unbearable circumstances in the past? Do you feel like you spend your life in a rushed and hurried state, longing to slow down, only to be unable to relax when you have the chance? Do you feel a persistent aloneness or separateness, even in the midst of your acquaintances, friends, family, and colleagues? Do you feel stuck in some area of of your life, be it love, work, home, or even your spiritual life? If so, I can help!
Do you feel overwhelmed? Have you endured unbearable circumstances in the past? Do you feel like you spend your life in a rushed and hurried state, longing to slow down, only to be unable to relax when you have the chance? Do you feel a persistent aloneness or separateness, even in the midst of your acquaintances, friends, family, and colleagues? Do you feel stuck in some area of of your life, be it love, work, home, or even your spiritual life? If so, I can help!
(828) 538-2315 View (828) 538-2315
Photo of Eric J Davis, MS, LCMHC, Licensed Professional Counselor
Eric J Davis
Licensed Professional Counselor, MS, LCMHC
Verified Verified
1 Endorsed
Asheville, NC 28801
Life is a funny thing. And often terribly complicated. During our journey in this world, we often face challenges that can feel too big or ongoing. Whether it’s with chronic feelings of anxiousness, depression, emptiness, issues about sexual orientation, gender, or ethnicity, relationship conflict, sleep disturbances, substance misuse, school or work issues, or any combination of those, many of us struggle silently. But you don't have to. It can help to work with a therapist with a deep understanding of what it’s like with some of those struggles and who is passionate about helping others learn to thrive despite these adversities.
Life is a funny thing. And often terribly complicated. During our journey in this world, we often face challenges that can feel too big or ongoing. Whether it’s with chronic feelings of anxiousness, depression, emptiness, issues about sexual orientation, gender, or ethnicity, relationship conflict, sleep disturbances, substance misuse, school or work issues, or any combination of those, many of us struggle silently. But you don't have to. It can help to work with a therapist with a deep understanding of what it’s like with some of those struggles and who is passionate about helping others learn to thrive despite these adversities.
(828) 490-4137 View (828) 490-4137
Photo of Betsy Filli, MA, LPC, LCMHC, Licensed Professional Counselor
Betsy Filli
Licensed Professional Counselor, MA, LPC, LCMHC
Verified Verified
3 Endorsed
Asheville, NC 28806  (Online Only)
YOU are here for a reason and being called to pay attention to a deep desire or need in your life. Perhaps it’s healing an old wound, addressing a challenge, expressing yourself, or learning to listen to your inner voice. Ignoring that small voice won't help. Trust me, I've tried, but befriending it will. Healing takes courage and creativity. All problems in living can be thought of as a failure of the imagination, an inability to envision solutions, garner resources, or initiate movement. I'm here to help you listen, visualize, and take action again!
YOU are here for a reason and being called to pay attention to a deep desire or need in your life. Perhaps it’s healing an old wound, addressing a challenge, expressing yourself, or learning to listen to your inner voice. Ignoring that small voice won't help. Trust me, I've tried, but befriending it will. Healing takes courage and creativity. All problems in living can be thought of as a failure of the imagination, an inability to envision solutions, garner resources, or initiate movement. I'm here to help you listen, visualize, and take action again!
(828) 360-8011 View (828) 360-8011
Photo of Russell Murray, MA, LPC
Russell Murray
MA, LPC
Verified Verified
Asheville, NC 28801
Are you feeling unworthy of the life you are living or maybe incompetent in the role that you have? Maybe it feels like every thought that crosses your mind is a spiraling rabbit hole of worst-case scenarios, and it’s creating a barrier to reaching your fullest potential. Has it felt like you’ve been on an emotional roller coaster of sadness, anxiety, or confusion and you feel like the ride is never going to end? Perhaps an unsettling sense of wanting to isolate or build walls within your close relationships. You always make sure everyone else is taken care of first; however, you know it’s time for something different. Time for you.
Are you feeling unworthy of the life you are living or maybe incompetent in the role that you have? Maybe it feels like every thought that crosses your mind is a spiraling rabbit hole of worst-case scenarios, and it’s creating a barrier to reaching your fullest potential. Has it felt like you’ve been on an emotional roller coaster of sadness, anxiety, or confusion and you feel like the ride is never going to end? Perhaps an unsettling sense of wanting to isolate or build walls within your close relationships. You always make sure everyone else is taken care of first; however, you know it’s time for something different. Time for you.
(828) 548-1730 View (828) 548-1730
Photo of Donna M. Clausen, MS, LCMHC, NCC
Donna M. Clausen
Licensed Clinical Mental Health Counselor, MS, LCMHC, NCC
Verified Verified
1 Endorsed
Asheville, NC 28801
Life sometimes presents challenges that can overwhelm and disconnect us from ourselves and leave us feeling lost and alone. Whether we are adults or children, we can develop patterns that do not serve us well, as we struggle to cope. I help clients (individuals and couples) examine rather than run from their anxiety, depression, or uncomfortable feelings arising from change, whether at work, in school or at home. I believe that we all have strengths and the potential for well-being. Together we will reduce conflict and stress in your life, improve performance and seek better health.
Life sometimes presents challenges that can overwhelm and disconnect us from ourselves and leave us feeling lost and alone. Whether we are adults or children, we can develop patterns that do not serve us well, as we struggle to cope. I help clients (individuals and couples) examine rather than run from their anxiety, depression, or uncomfortable feelings arising from change, whether at work, in school or at home. I believe that we all have strengths and the potential for well-being. Together we will reduce conflict and stress in your life, improve performance and seek better health.
(828) 305-7261 View (828) 305-7261
Photo of Jessica Danielian, MSW, LCSWA, Clinical Social Work/Therapist
Jessica Danielian
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
Asheville, NC 28801
I specialize in supporting those struggling with relational challenges, anxiety, life transitions, and trauma. Maybe you are feeling unsettled or alone in your life. Perhaps you are stuck in a pattern of overthinking and questioning your decisions. Maybe you're doubting your self worth or wondering "Am I enough?" or "Am I too much?" Whatever led you here, therapy offers a valuable path towards growth and healing. As your therapist, I will support your power to change so you can step into your light and shine.
I specialize in supporting those struggling with relational challenges, anxiety, life transitions, and trauma. Maybe you are feeling unsettled or alone in your life. Perhaps you are stuck in a pattern of overthinking and questioning your decisions. Maybe you're doubting your self worth or wondering "Am I enough?" or "Am I too much?" Whatever led you here, therapy offers a valuable path towards growth and healing. As your therapist, I will support your power to change so you can step into your light and shine.
(828) 423-0529 View (828) 423-0529
Photo of Becca Odom, LCSW, E-RYT, Clinical Social Work/Therapist
Becca Odom
Clinical Social Work/Therapist, LCSW, E-RYT
Verified Verified
Asheville, NC 28801  (Online Only)
My style with clients is warm, compassionate, heart-centered, solution-focused & collaborative. As a clinical therapist & yoga teacher, my approach is rooted in somatic therapy, using the body to help us regulate & manage our emotions, symptoms and triggers more effectively in our daily life. I use embodiment practices combined with EMDR to help people heal from past experiences & live a life we love. My goal in working with clients is to help them cultivate a greater sense of compassion, connection, & mindful awareness with themselves & others.
My style with clients is warm, compassionate, heart-centered, solution-focused & collaborative. As a clinical therapist & yoga teacher, my approach is rooted in somatic therapy, using the body to help us regulate & manage our emotions, symptoms and triggers more effectively in our daily life. I use embodiment practices combined with EMDR to help people heal from past experiences & live a life we love. My goal in working with clients is to help them cultivate a greater sense of compassion, connection, & mindful awareness with themselves & others.
(828) 575-0152 View (828) 575-0152
Photo of Lisa T Perry, MEd, LCMHC, CCMHC, VMT-R, Licensed Professional Counselor
Lisa T Perry
Licensed Professional Counselor, MEd, LCMHC, CCMHC, VMT-R
Verified Verified
Asheville, NC 28801  (Online Only)
You have a voice! I will partner with you to reach meaningful goals. If you are feeling hurt or stuck or just need a safe space to sort through concerns and options, we can seriously, yet often playfully, work together to find new ways.
You have a voice! I will partner with you to reach meaningful goals. If you are feeling hurt or stuck or just need a safe space to sort through concerns and options, we can seriously, yet often playfully, work together to find new ways.
(828) 575-5021 View (828) 575-5021
Photo of Scott MacGregor, MS, LCMHC
Scott MacGregor
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
Asheville, NC 28805
As a certified Mindfulness-Based Stress Reduction (MBSR) facilitator, coach and therapist, I have trained a wide variety of individuals and professionals in beginning and growing a mindfulness practice in support of healing, meeting life's challenges and thriving.
As a certified Mindfulness-Based Stress Reduction (MBSR) facilitator, coach and therapist, I have trained a wide variety of individuals and professionals in beginning and growing a mindfulness practice in support of healing, meeting life's challenges and thriving.
(828) 731-2184 View (828) 731-2184
1
...

How does your Therapist compare?

Number of Therapists in Asheville, NC

1,000+

Average cost per session

$145

Therapists in Asheville, NC who prioritize treating:

93% Anxiety
84% Depression
77% Relationship Issues
76% Self Esteem
75% Trauma and PTSD
69% Stress
68% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
79% Aetna
49% UnitedHealthcare UHC | UBH

How Therapists in Asheville, NC see their clients

68% In Person and Online
32% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Asheville?

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.