Therapists in Columbia, MD

Photo of Charonne M Randall - Cultivating Unstoppable You, LLC, LCSW-C, Clinical Social Work/Therapist
Cultivating Unstoppable You, LLC
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Columbia, MD 21046  (Online Only)
My approach begins with offering you a safe, supportive space in which you can feel free to heal, grow, and evolve. By examining your life experiences, we can process your habitual reactions, limitations, and outdated stories that prevent you from feeling the full richness of life. Engaging your moment to moment experiences will allow you to develop a full appreciation of who you are, and move toward a life you want to live. Together, we will embark on a transformative journey of self-discovery and empowerment that destroys feeling stuck and challenges anxiety, depression, grief/loss, relationship conflict, and childhood wounds.
My approach begins with offering you a safe, supportive space in which you can feel free to heal, grow, and evolve. By examining your life experiences, we can process your habitual reactions, limitations, and outdated stories that prevent you from feeling the full richness of life. Engaging your moment to moment experiences will allow you to develop a full appreciation of who you are, and move toward a life you want to live. Together, we will embark on a transformative journey of self-discovery and empowerment that destroys feeling stuck and challenges anxiety, depression, grief/loss, relationship conflict, and childhood wounds.
(443) 234-9088 View (443) 234-9088
Photo of Laurie McGuire, LCSW-C, Clinical Social Work/Therapist
Laurie McGuire
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21044  (Online Only)
Hi there, I'm Laurie! Do you wish providers would look at you through a whole person lens instead of discussing health and mental health separately? Do you want a provider for your child who is playful and skilled at engaging children? Are you an adult who likes a more personal, connected approach to therapy? Do you have a teen who has had difficulty connecting to other providers? Well look no further! I enjoy using storytelling, videos, and conversation to help clients of all ages improve self-esteem, self-worth and gain a better understanding of sense of self.
Hi there, I'm Laurie! Do you wish providers would look at you through a whole person lens instead of discussing health and mental health separately? Do you want a provider for your child who is playful and skilled at engaging children? Are you an adult who likes a more personal, connected approach to therapy? Do you have a teen who has had difficulty connecting to other providers? Well look no further! I enjoy using storytelling, videos, and conversation to help clients of all ages improve self-esteem, self-worth and gain a better understanding of sense of self.
(410) 680-3750 View (410) 680-3750
Photo of Ann Pemberton, LCSWC, Clinical Social Work/Therapist
Ann Pemberton
Clinical Social Work/Therapist, LCSWC
Verified Verified
1 Endorsed
Columbia, MD 21045  (Online Only)
The choice to seek therapy takes courage and is the first step to finding ways to improve your quality of life. We’ve all needed to reach out for support and encouragement at some point in our lives. Therapy can offer an opportunity to reflect on feelings, experiences, and relationships that can contribute to anxiety, depression, and low self-worth. I have worked for over 25 years and within a variety of settings, helping others manage and resolve anxiety, depression and maintain healthier relationships. I am grateful to have the privilege of being witness to client courage, growth, and healing in the therapy room.
The choice to seek therapy takes courage and is the first step to finding ways to improve your quality of life. We’ve all needed to reach out for support and encouragement at some point in our lives. Therapy can offer an opportunity to reflect on feelings, experiences, and relationships that can contribute to anxiety, depression, and low self-worth. I have worked for over 25 years and within a variety of settings, helping others manage and resolve anxiety, depression and maintain healthier relationships. I am grateful to have the privilege of being witness to client courage, growth, and healing in the therapy room.
(410) 680-3065 View (410) 680-3065
Photo of Diane Brumfield - Crystal Waters Counseling Centers, LLC, MEd, NCC, LCPC-S
Crystal Waters Counseling Centers, LLC
Licensed Clinical Professional Counselor, MEd, NCC, LCPC-S
Verified Verified
1 Endorsed
Columbia, MD 21046
My name is Diane Brumfield and I am a psychotherapist and owner of Crystal Waters Counseling Centers, LLC in Columbia, Maryland. I am a licensed clinical professional counselor and a nationally certified school counselor with over 20 years of experience. I provide counseling for adults, children, adolescents, and families. Throughout my career, I have worked in private practice and school settings providing individual, group and family therapy. I also offer educational consulting services for families in need of assistance through the IEP process or are in need of behavioral and academic support from their school system.
My name is Diane Brumfield and I am a psychotherapist and owner of Crystal Waters Counseling Centers, LLC in Columbia, Maryland. I am a licensed clinical professional counselor and a nationally certified school counselor with over 20 years of experience. I provide counseling for adults, children, adolescents, and families. Throughout my career, I have worked in private practice and school settings providing individual, group and family therapy. I also offer educational consulting services for families in need of assistance through the IEP process or are in need of behavioral and academic support from their school system.
(443) 251-4280 View (443) 251-4280
Photo of Asha Brown, LCSW-C, Clinical Social Work/Therapist
Asha Brown
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21046  (Online Only)
Let's be honest. Most of us have something that we could use additional help navigating. I'm passionate about providing support to teens and adults looking to gain awareness, understanding, and skills to manage life changes, interpersonal relationships, mood disorders, anxiety disorders, grief, and PTSD. My clients describe wanting to see sustainable change in their lives and are open to challenging their beliefs and disrupting current behavioral patterns to achieve that change. Additionally, I have a special interest in working with populations who are marginalized including racial/ethnic, sexual, and gender minorities.
Let's be honest. Most of us have something that we could use additional help navigating. I'm passionate about providing support to teens and adults looking to gain awareness, understanding, and skills to manage life changes, interpersonal relationships, mood disorders, anxiety disorders, grief, and PTSD. My clients describe wanting to see sustainable change in their lives and are open to challenging their beliefs and disrupting current behavioral patterns to achieve that change. Additionally, I have a special interest in working with populations who are marginalized including racial/ethnic, sexual, and gender minorities.
(443) 960-7757 View (443) 960-7757
Photo of Risa Ganel, LCMFT, Marriage & Family Therapist
Risa Ganel
Marriage & Family Therapist, LCMFT
Verified Verified
8 Endorsed
Columbia, MD 21045
You love each other, and you want to work through the problems, but so far, nothing you've tried has helped long-term - including couples therapy. You feel like roommates; you argue about the same thing repeatedly, and you struggle to feel heard and understood by the person most important to you. It's brave of you to search for help, whether this is your first or fourth time. You both deserve to be in a cherishing relationship. It is possible to be happy together again. If you are ready to do the work, I can help.
You love each other, and you want to work through the problems, but so far, nothing you've tried has helped long-term - including couples therapy. You feel like roommates; you argue about the same thing repeatedly, and you struggle to feel heard and understood by the person most important to you. It's brave of you to search for help, whether this is your first or fourth time. You both deserve to be in a cherishing relationship. It is possible to be happy together again. If you are ready to do the work, I can help.
(443) 333-1729 View (443) 333-1729
Photo of Erik N Hadden, MA, LCPC, LPC, Counselor
Erik N Hadden
Counselor, MA, LCPC, LPC
Verified Verified
2 Endorsed
Columbia, MD 21045
I specialize in adult individuals struggling with all types of issues: life transitions, depression and anxiety, addiction, bi-polar, OCD, and more. I enjoy working with people from a variety of cultures and backgrounds. I employ a psychodynamic framework with most of my clients, however, I utilizes many cognitive-behavioral techniques and principles, as well. I especially enjoy the integration of Christian spirituality and psychology, though I welcome any one from any background. I believe that who we are is formed in relationship, so healing comes through (the therapeutic) relationship.
I specialize in adult individuals struggling with all types of issues: life transitions, depression and anxiety, addiction, bi-polar, OCD, and more. I enjoy working with people from a variety of cultures and backgrounds. I employ a psychodynamic framework with most of my clients, however, I utilizes many cognitive-behavioral techniques and principles, as well. I especially enjoy the integration of Christian spirituality and psychology, though I welcome any one from any background. I believe that who we are is formed in relationship, so healing comes through (the therapeutic) relationship.
(301) 259-3621 View (301) 259-3621
Photo of Deana Albert, MSW, LCSW-C, Clinical Social Work/Therapist
Deana Albert
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
2 Endorsed
Columbia, MD 21044  (Online Only)
Are you in a difficult relationship? Are you sad or do you worry a lot of the time? Do you wonder how you'll ever get through the day? It takes strength to face your worries and I can help. I treat older children, adolescents, and adults with various concerns. I specialize in: mood issues, abuse, relationships, and addictions. Together we can work towards your happiness and fulfillment!
Are you in a difficult relationship? Are you sad or do you worry a lot of the time? Do you wonder how you'll ever get through the day? It takes strength to face your worries and I can help. I treat older children, adolescents, and adults with various concerns. I specialize in: mood issues, abuse, relationships, and addictions. Together we can work towards your happiness and fulfillment!
(443) 422-3892 View (443) 422-3892
Photo of Brittany Cephas, MEd, LCPC, NCC, PhD, Student
Brittany Cephas
Licensed Clinical Professional Counselor, MEd, LCPC, NCC, PhD, Student
Verified Verified
1 Endorsed
Columbia, MD 21046  (Online Only)
Thank you for choosing Growing Young Minds Counseling, a private mental health service for children and adolescents. Have you noticed a change in your child's mood or behavior? Is your child isolating themselves from others, including you? Have you witnessed them crying at times, and it seem to have come out of nowhere? We are here to help! We have lots of experience helping children and adolescents develop solid coping skills that will address what they are going through. We offer family counseling services and parent coaching, because we believe that a strong family support system is KEY to the success of my clients.
Thank you for choosing Growing Young Minds Counseling, a private mental health service for children and adolescents. Have you noticed a change in your child's mood or behavior? Is your child isolating themselves from others, including you? Have you witnessed them crying at times, and it seem to have come out of nowhere? We are here to help! We have lots of experience helping children and adolescents develop solid coping skills that will address what they are going through. We offer family counseling services and parent coaching, because we believe that a strong family support system is KEY to the success of my clients.
(240) 897-0305 View (240) 897-0305
Photo of Maria Miranda, LCPC, Hablo, Español, Counselor
Maria Miranda
Counselor, LCPC, Hablo, Español
Verified Verified
Columbia, MD 21045  (Online Only)
Hi There I am Maria Miranda. I am Bilingual Spanish/English Therapist. I'm here to help. Seeking therapy can feel scary but you're making the right choice. You deserve a safe space to heal and grow. Whether you're dealing with overwhelm, relationship issues, works issues or cycles of anxiety and depression,etc. In our sessions together, I'll meet you with compassion and evidence-based techniques so you can overcome the hang-ups and habits holding you back. Let's work together! Together, we can identify what's not working and get you back to balance. We'll use a whole self approach, addressing the needs of your mind, body and spirit.
Hi There I am Maria Miranda. I am Bilingual Spanish/English Therapist. I'm here to help. Seeking therapy can feel scary but you're making the right choice. You deserve a safe space to heal and grow. Whether you're dealing with overwhelm, relationship issues, works issues or cycles of anxiety and depression,etc. In our sessions together, I'll meet you with compassion and evidence-based techniques so you can overcome the hang-ups and habits holding you back. Let's work together! Together, we can identify what's not working and get you back to balance. We'll use a whole self approach, addressing the needs of your mind, body and spirit.
(667) 200-2629 View (667) 200-2629
Photo of Mingxin Wei, LGPC, NCC, MS, Counselor
Mingxin Wei
Counselor, LGPC, NCC, MS
Verified Verified
Columbia, MD 21046  (Online Only)
Mingxin(Ming) is passionate about providing a safe, supportive, and non-judgmental environment where you can express yourself openly and freely. She believes that each individual's therapeutic journey is unique, and each individual is the expert on their own experiences. Therefore, Ming works collaboratively with clients and customizes her approach to meet your unique needs and preferences.
Mingxin(Ming) is passionate about providing a safe, supportive, and non-judgmental environment where you can express yourself openly and freely. She believes that each individual's therapeutic journey is unique, and each individual is the expert on their own experiences. Therefore, Ming works collaboratively with clients and customizes her approach to meet your unique needs and preferences.
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Photo of Kit McFarlane, LCSW-C, MSW, MEd, Clinical Social Work/Therapist
Kit McFarlane
Clinical Social Work/Therapist, LCSW-C, MSW, MEd
Verified Verified
Columbia, MD 21045  (Online Only)
All of us encounter ups and downs in living our lives whether a bump in the road or a life-long challenge in which ongoing guidance is needed. I can help you understand why you are struggling; and more importantly, guide you to changes which will lead to more pleasure and productivity in your everyday life. More today than ever, we are finding that trauma – large and small is at the core of our difficulties. I am a graduate of the Ferentz Trauma Institute out of Baltimore with experience in EMDR and EFT Tapping.
All of us encounter ups and downs in living our lives whether a bump in the road or a life-long challenge in which ongoing guidance is needed. I can help you understand why you are struggling; and more importantly, guide you to changes which will lead to more pleasure and productivity in your everyday life. More today than ever, we are finding that trauma – large and small is at the core of our difficulties. I am a graduate of the Ferentz Trauma Institute out of Baltimore with experience in EMDR and EFT Tapping.
(443) 856-6251 View (443) 856-6251
Photo of Stephanie Avinger, MSW, MPA, LCSW-C, LICSW, Clinical Social Work/Therapist
Stephanie Avinger
Clinical Social Work/Therapist, MSW, MPA, LCSW-C, LICSW
Verified Verified
Columbia, MD 21046  (Online Only)
Have the past few years felt like a never-ending rollercoaster ride and you're over it? Or maybe things are going well on the surface, but you've felt anxious for a long time. Kids, marriage, work- the responsibilities just keep piling up, and you're downright overwhelmed. You know that finding balance is important, but you often wonder what that even means. Imagine Wellness Counseling is here to help. Let's work together to see how you can get off this ride and start the journey towards living your best life.
Have the past few years felt like a never-ending rollercoaster ride and you're over it? Or maybe things are going well on the surface, but you've felt anxious for a long time. Kids, marriage, work- the responsibilities just keep piling up, and you're downright overwhelmed. You know that finding balance is important, but you often wonder what that even means. Imagine Wellness Counseling is here to help. Let's work together to see how you can get off this ride and start the journey towards living your best life.
(443) 747-7067 View (443) 747-7067
Photo of Damian Jones, LCPC
Damian Jones
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Columbia, MD 21044  (Online Only)
Do you at times feel like you are carrying the weight of the world on your shoulders or that things are so out of control that you cannot possibly change your trajectory? Life can be extremely difficult, but help is available! I am Damian Jones, the founder and owner of The Kingsmen LLC, a counseling, coaching, and consulting practice. I have worked in the mental health field for 15 years. Together we can identify, address, and begin to resolve the issues that are plaguing you from a holistic approach.
Do you at times feel like you are carrying the weight of the world on your shoulders or that things are so out of control that you cannot possibly change your trajectory? Life can be extremely difficult, but help is available! I am Damian Jones, the founder and owner of The Kingsmen LLC, a counseling, coaching, and consulting practice. I have worked in the mental health field for 15 years. Together we can identify, address, and begin to resolve the issues that are plaguing you from a holistic approach.
(410) 927-1289 View (410) 927-1289
Photo of Kristen Custer, MS, LCPC, Counselor
Kristen Custer
Counselor, MS, LCPC
Verified Verified
1 Endorsed
Columbia, MD 21046
I'm an anxious human that loves to support and empower other anxious humans. I'm a great fit for adults who are feeling overwhelmed, stuck, or frustrated by their experiences of anxiety and are seeking help to overcome these obstacles. Also, adults that are motivated to understand themselves and are open to implementing new strategies are likely to benefit from working with me in therapy.
I'm an anxious human that loves to support and empower other anxious humans. I'm a great fit for adults who are feeling overwhelmed, stuck, or frustrated by their experiences of anxiety and are seeking help to overcome these obstacles. Also, adults that are motivated to understand themselves and are open to implementing new strategies are likely to benefit from working with me in therapy.
(667) 255-1113 View (667) 255-1113
Milestones Counseling & Consulting Services
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Columbia, MD 21044
Does life seem hard? Feelings nervous and down related to current of past issues? Are you children experiencing challenges in school related to academics and/or behavior? Is the transition to college or adult life been more difficult than expected. We are here to help. Through out our lives we have expereince
Does life seem hard? Feelings nervous and down related to current of past issues? Are you children experiencing challenges in school related to academics and/or behavior? Is the transition to college or adult life been more difficult than expected. We are here to help. Through out our lives we have expereince
(240) 332-0905 View (240) 332-0905
Photo of Lisa Austin, LCSW-C, Clinical Social Work/Therapist
Lisa Austin
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21045  (Online Only)
I'm a licensed clinical social worker with 20 years experience working with adults and teens. I work with people from different backgrounds and cultures who face a variety of challenges. I've gained my experience from working in corrections, hospitals, schools, community outpatient programs, and private practice. Many people I work with experience depression, trauma, anxiety, stress, sexual disorders, racing thoughts, psychosis, and substance use. These issues often create obstacles in all areas of life including school, employment, relationships, parenting, and spirituality.
I'm a licensed clinical social worker with 20 years experience working with adults and teens. I work with people from different backgrounds and cultures who face a variety of challenges. I've gained my experience from working in corrections, hospitals, schools, community outpatient programs, and private practice. Many people I work with experience depression, trauma, anxiety, stress, sexual disorders, racing thoughts, psychosis, and substance use. These issues often create obstacles in all areas of life including school, employment, relationships, parenting, and spirituality.
(667) 218-5124 View (667) 218-5124
Photo of Arlene Paulson, LCSW-C, Clinical Social Work/Therapist
Arlene Paulson
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21045
Hi! I’m Arlene Paulson, a Licensed Clinical Social Worker (LCSW-C) and I work with individuals struggling with depression, anxiety, loneliness, relationship difficulties and parenting challenges. I work collaboratively with you to address the life challenges you are facing. With a focus on TEAM-CBT techniques, mindfulness, and creating new habits, we will find what works for you. As an immigrant, the process of figuring out my values and navigating the two cultures was especially challenging early on. I’m here to use my experience, education, tools and perspective to support you in your journey towards emotional well-being.
Hi! I’m Arlene Paulson, a Licensed Clinical Social Worker (LCSW-C) and I work with individuals struggling with depression, anxiety, loneliness, relationship difficulties and parenting challenges. I work collaboratively with you to address the life challenges you are facing. With a focus on TEAM-CBT techniques, mindfulness, and creating new habits, we will find what works for you. As an immigrant, the process of figuring out my values and navigating the two cultures was especially challenging early on. I’m here to use my experience, education, tools and perspective to support you in your journey towards emotional well-being.
(443) 594-7687 View (443) 594-7687
Photo of Teresa Marie Russell - Hanai Ohana, PsyD, LCPC, NCC, LCADC, Counselor
Hanai Ohana
Counselor, PsyD, LCPC, NCC, LCADC
Verified Verified
Columbia, MD 21044  (Online Only)
Ready to make positive changes in your life? Sick of feeling lost, alone, or overwhelmed?
Ready to make positive changes in your life? Sick of feeling lost, alone, or overwhelmed?
(240) 617-4163 View (240) 617-4163
Photo of Alejandra (Allie) Sandoval, LCPC, Counselor
Alejandra (Allie) Sandoval
Counselor, LCPC
Verified Verified
Columbia, MD 21044  (Online Only)
Therapy is an intimate journey, one that invites you into a warm, welcoming sanctuary where your feelings can breathe freely. Imagine stepping into a space bathed in soft, soothing light, the gentle scent of lavender wrapping around you like a comforting embrace. At the center of this haven stands a stunning mirror, not just any mirror, but one that reflects the depths of your emotions and thoughts. As you gaze into it, you see your true self, illuminated and vulnerable, guiding you to uncover and cherish every facet of who you are.
Therapy is an intimate journey, one that invites you into a warm, welcoming sanctuary where your feelings can breathe freely. Imagine stepping into a space bathed in soft, soothing light, the gentle scent of lavender wrapping around you like a comforting embrace. At the center of this haven stands a stunning mirror, not just any mirror, but one that reflects the depths of your emotions and thoughts. As you gaze into it, you see your true self, illuminated and vulnerable, guiding you to uncover and cherish every facet of who you are.
(240) 392-6232 View (240) 392-6232
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How does your Therapist compare?

Number of Therapists in Columbia, MD

1,000+

Average cost per session

$150

Therapists in Columbia, MD who prioritize treating:

93% Anxiety
88% Depression
73% Self Esteem
71% Relationship Issues
68% Coping Skills
67% Stress
64% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

78% Cigna and Evernorth
75% BlueCross and BlueShield
75% CareFirst

How Therapists in Columbia, MD see their clients

55% In Person and Online
45% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Columbia?

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.