Therapists in Rochester Hills, MI

Photo of Jana Al-Nahhas, MS, LPC, Licensed Professional Counselor
Jana Al-Nahhas
Licensed Professional Counselor, MS, LPC
Verified Verified
Rochester Hills, MI 48307  (Online Only)
People often seek the support of a therapist when they are looking to make a change in their lives. They may have tried and succeeded, only to find themselves at what feels like square one days later. This cycle can be exhausting and may lead to burn out and feelings of shame. In response to this shame, symptoms such as perfectionism, procrastination, or anxiety attacks may arise. I am passionate about defusing shame in my clients’ lives and creating space for healing through acknowledging that all behaviors make sense in the context of our lives and utilizing a values-based approach to effecting change.
People often seek the support of a therapist when they are looking to make a change in their lives. They may have tried and succeeded, only to find themselves at what feels like square one days later. This cycle can be exhausting and may lead to burn out and feelings of shame. In response to this shame, symptoms such as perfectionism, procrastination, or anxiety attacks may arise. I am passionate about defusing shame in my clients’ lives and creating space for healing through acknowledging that all behaviors make sense in the context of our lives and utilizing a values-based approach to effecting change.
(248) 283-4468 View (248) 283-4468
Photo of Sara Heitman, MA, LLP, CAADC, Psychologist
Sara Heitman
Psychologist, MA, LLP, CAADC
Verified Verified
Rochester Hills, MI 48309
Waitlist for new clients
Deciding to go see a therapist is not the easiest decision, but can be the best decision you make to start to live the life you are meant to, and gain the emotional and practical life tools you need begin. I have been in practice for over 27 years, and am effective in treating addictions, substance dependence or abuse, mood disorders (depression, anxiety, bipolar etc), trauma, PTSD, anger management (individual and/or group), grief and loss, and work with psychiatry for medication assistance, if needed. I also can provide Drivers License evaluations, and treat those with addictions or who are substance dependent.
Deciding to go see a therapist is not the easiest decision, but can be the best decision you make to start to live the life you are meant to, and gain the emotional and practical life tools you need begin. I have been in practice for over 27 years, and am effective in treating addictions, substance dependence or abuse, mood disorders (depression, anxiety, bipolar etc), trauma, PTSD, anger management (individual and/or group), grief and loss, and work with psychiatry for medication assistance, if needed. I also can provide Drivers License evaluations, and treat those with addictions or who are substance dependent.
(248) 602-2979 View (248) 602-2979
Photo of Shannon Goris, MA, LPC, NCC, Counselor
Shannon Goris
Counselor, MA, LPC, NCC
Verified Verified
Rochester Hills, MI 48309
Motivated by the inherent potential of people and the mysticism of life, I'm driven to help you find what works for you. My approach is holistic, fluid, judgment-free, and individualized. To the table, I bring a perspective that we all have a light and greatness to share in this lifetime, and while sometimes we get off track or our light flickers, there’s time to reroute. Emotions can be the signals telling us we need a new way. On this therapy ride, you’re the captain and I’m the passenger helping to navigate. Wherever you're at in your journey, I'm willing to meet you there and support you in reaching your desired destination.
Motivated by the inherent potential of people and the mysticism of life, I'm driven to help you find what works for you. My approach is holistic, fluid, judgment-free, and individualized. To the table, I bring a perspective that we all have a light and greatness to share in this lifetime, and while sometimes we get off track or our light flickers, there’s time to reroute. Emotions can be the signals telling us we need a new way. On this therapy ride, you’re the captain and I’m the passenger helping to navigate. Wherever you're at in your journey, I'm willing to meet you there and support you in reaching your desired destination.
(586) 271-0339 View (586) 271-0339
Photo of Lyanna Leibert, MEd, EdS, LPC, NCC, Counselor
Lyanna Leibert
Counselor, MEd, EdS, LPC, NCC
Verified Verified
1 Endorsed
Rochester Hills, MI 48307
Caring and strength-based counseling allows families, kids, and parents to rediscover old strengths, learn and develop new ones, all of which make it possible to walk a different path, away from problems and towards new pleasures. I can help you experience greater mastery and back in control of your life. We can handle a lot, but sometimes one extra stressor or life-changing incident throws us off balance. Then we feel anger, anxiety, and/or depression. Adding insult to injury, these negative emotions further stress us out, making it harder to find solutions and regain our balance in life.
Caring and strength-based counseling allows families, kids, and parents to rediscover old strengths, learn and develop new ones, all of which make it possible to walk a different path, away from problems and towards new pleasures. I can help you experience greater mastery and back in control of your life. We can handle a lot, but sometimes one extra stressor or life-changing incident throws us off balance. Then we feel anger, anxiety, and/or depression. Adding insult to injury, these negative emotions further stress us out, making it harder to find solutions and regain our balance in life.
(248) 461-3299 View (248) 461-3299
Photo of Stacey Bieke, PsyD, LP, Psychologist
Stacey Bieke
Psychologist, PsyD, LP
Verified Verified
Rochester Hills, MI 48309
Suffering doesn't have to dominate your existence. Let me help guide you on a road to a better life! I provide a variety of counseling services, as well as psychological and neuropsychological testing evaluations. Please know that you are not alone and things can get better (and do) get better with help. My treatment approach begins with creating an environment that promotes compassion, safety, and honesty. After all, it is only after you feel truly comfortable within your treatment, that WE can do the work together in order for YOU to lead a better, happier life.
Suffering doesn't have to dominate your existence. Let me help guide you on a road to a better life! I provide a variety of counseling services, as well as psychological and neuropsychological testing evaluations. Please know that you are not alone and things can get better (and do) get better with help. My treatment approach begins with creating an environment that promotes compassion, safety, and honesty. After all, it is only after you feel truly comfortable within your treatment, that WE can do the work together in order for YOU to lead a better, happier life.
(586) 785-5830 View (586) 785-5830
Photo of Lucy Arias, Pre-Licensed Professional
Lucy Arias
Pre-Licensed Professional
Verified Verified
1 Endorsed
Rochester Hills, MI 48309
I am here to provide a safe space for you to come, let your shoulders drop and feel comfortable sharing your thoughts. As a daughter of immigrant parents, my identity has shaped how I navigate the world and I know how daunting it is to feel like you do not belong. I aim to provide a culturally sensitive space for you to reframe past experiences to heal.
I am here to provide a safe space for you to come, let your shoulders drop and feel comfortable sharing your thoughts. As a daughter of immigrant parents, my identity has shaped how I navigate the world and I know how daunting it is to feel like you do not belong. I aim to provide a culturally sensitive space for you to reframe past experiences to heal.
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Photo of Adam Hamilton - Rochester Evidence-Based Psychotherapy Clinic, LPC, LMFT, LMSW, LLMSW, NCC
Rochester Evidence-Based Psychotherapy Clinic
LPC, LMFT, LMSW, LLMSW, NCC
Verified Verified
Rochester Hills, MI 48309
At our practice, we have created an inviting and comfortable environment in which clients and professional staff can collaborate to address a number of presenting concerns. We are trained in a variety of evidence-based treatment methods that have been developed and rigorously researched by some of the world's leading experts. Our measured, thoughtful approach to assessment and treatment planning help to ensure that all clients are presented with treatment options that are well-suited to meet their needs. You and your therapist will partner to develop a customized plan to help you achieve an optimal treatment outcome.
At our practice, we have created an inviting and comfortable environment in which clients and professional staff can collaborate to address a number of presenting concerns. We are trained in a variety of evidence-based treatment methods that have been developed and rigorously researched by some of the world's leading experts. Our measured, thoughtful approach to assessment and treatment planning help to ensure that all clients are presented with treatment options that are well-suited to meet their needs. You and your therapist will partner to develop a customized plan to help you achieve an optimal treatment outcome.
(248) 710-0139 View (248) 710-0139
Photo of Rohini Kamakoti, MS, LLP, Limited Licensed Psychologist
Rohini Kamakoti
Limited Licensed Psychologist, MS, LLP
Verified Verified
Rochester Hills, MI 48309  (Online Only)
Everyone’s experiences and paths are unique. Every journey is its own struggle. My main goal is to connect with my clients as a person, help them feel understood and support them through their journey. I strive to use the therapeutic techniques most compatible with the client’s characteristics and needs. I have extensive theoretical training and practical experience in psychoanalysis, psychodynamic therapy, humanistic psychotherapy, cognitive-behavioral psychotherapy, and dialectic behavior therapy, and I can work effectively using a short term, more focused approach, as well as an open ended, exploratory approach.
Everyone’s experiences and paths are unique. Every journey is its own struggle. My main goal is to connect with my clients as a person, help them feel understood and support them through their journey. I strive to use the therapeutic techniques most compatible with the client’s characteristics and needs. I have extensive theoretical training and practical experience in psychoanalysis, psychodynamic therapy, humanistic psychotherapy, cognitive-behavioral psychotherapy, and dialectic behavior therapy, and I can work effectively using a short term, more focused approach, as well as an open ended, exploratory approach.
(947) 888-9850 View (947) 888-9850
Photo of Carrie Gleason, PsyD, LP, Psychologist
Carrie Gleason
Psychologist, PsyD, LP
Verified Verified
1 Endorsed
Rochester Hills, MI 48306
Today you are one step closer to a new you, in which you feel empowered to begin a positive path towards growth, and the establishment of meaning in your life. As a clinical psychologist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life.
Today you are one step closer to a new you, in which you feel empowered to begin a positive path towards growth, and the establishment of meaning in your life. As a clinical psychologist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life.
(248) 291-3885 View (248) 291-3885
Photo of Evan John O'Hara, Pre-Licensed Professional
Evan John O'Hara
Pre-Licensed Professional
Verified Verified
2 Endorsed
Rochester Hills, MI 48309
Meeting at the intersection of countless factors and identities, our lives are complex, multifaceted, and ever-changing, leaving us with the difficult task of navigating our lived experiences. My goal as a counselor is to help you strengthen your understanding of yourself and equip you with the tools and insight to let you live your most fulfilled life. I look to manifest this reality by holding a space for clients that offers safety and fosters growth.
Meeting at the intersection of countless factors and identities, our lives are complex, multifaceted, and ever-changing, leaving us with the difficult task of navigating our lived experiences. My goal as a counselor is to help you strengthen your understanding of yourself and equip you with the tools and insight to let you live your most fulfilled life. I look to manifest this reality by holding a space for clients that offers safety and fosters growth.
(248) 988-9433 View (248) 988-9433
Photo of Sheena Sharma, PsyD, Psychologist
Sheena Sharma
Psychologist, PsyD
Verified Verified
Rochester Hills, MI 48307
As a psychologist, I am committed to helping individuals facing both chronic and acute illnesses, including pain management, sleep disorders, weight management, trauma, relationship issues, etc. My experience involves treating patients whose physical health impacts their mental well-being. I utilize a range of therapeutic modalities from a Biopsychosocial perspective, allowing me to address the whole person and the complex interplay between biological, psychological, and social factors affecting health.
As a psychologist, I am committed to helping individuals facing both chronic and acute illnesses, including pain management, sleep disorders, weight management, trauma, relationship issues, etc. My experience involves treating patients whose physical health impacts their mental well-being. I utilize a range of therapeutic modalities from a Biopsychosocial perspective, allowing me to address the whole person and the complex interplay between biological, psychological, and social factors affecting health.
(248) 617-8280 View (248) 617-8280
Photo of Jordan Tasker - Root & Bloom Therapy PLLC, MA, LPC, Counselor
Root & Bloom Therapy PLLC
Counselor, MA, LPC
Verified Verified
1 Endorsed
Rochester Hills, MI 48309
Ever felt like you were ready for change, but you weren’t quite sure where to start? Or that you wanted to talk to someone, but you weren’t sure how? Or wondered, “has anyone else ever felt this way?” Good news, you’ve come to the right place. Welcome to Root & Bloom Therapy, a mental health practice serving Metro Detroit.
Ever felt like you were ready for change, but you weren’t quite sure where to start? Or that you wanted to talk to someone, but you weren’t sure how? Or wondered, “has anyone else ever felt this way?” Good news, you’ve come to the right place. Welcome to Root & Bloom Therapy, a mental health practice serving Metro Detroit.
(586) 684-1237 View (586) 684-1237
Photo of Carrie Pardon, MBA, MA, LPC, Counselor
Carrie Pardon
Counselor, MBA, MA, LPC
Verified Verified
3 Endorsed
Rochester Hills, MI 48309
I know the struggle is real. Every. Day. Whether you deal with trauma that is tormenting, anxiety, depression, have been in a relationship that has wounded you, or are looking to improve your emotional health, I offer a safe environment where we can build trust while we dive into what is keeping you from healing & moving toward your goals. Clients who work with me describe: decreased stress & anxiety, healing from trauma & pain, improved communication patterns & increased marital satisfaction. Together we can get to the root of your struggles to bring real change and growth!
I know the struggle is real. Every. Day. Whether you deal with trauma that is tormenting, anxiety, depression, have been in a relationship that has wounded you, or are looking to improve your emotional health, I offer a safe environment where we can build trust while we dive into what is keeping you from healing & moving toward your goals. Clients who work with me describe: decreased stress & anxiety, healing from trauma & pain, improved communication patterns & increased marital satisfaction. Together we can get to the root of your struggles to bring real change and growth!
(947) 888-5625 View (947) 888-5625
Photo of Jason R Thompson, MA, LPC, NCC, Licensed Professional Counselor
Jason R Thompson
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Rochester Hills, MI 48309  (Online Only)
Are you feeling overwhelmed by conflicting emotions or stuck in patterns you can’t break? I specialize in Internal Family Systems (IFS) therapy, a powerful approach to help you connect with and heal all parts of yourself. Whether it’s anxiety, trauma, or relationship struggles, IFS provides a safe space to explore your inner world and bring harmony to the parts that feel out of sync. Together, we can help you find clarity, self-compassion, and the peace you’re seeking on your healing journey.
Are you feeling overwhelmed by conflicting emotions or stuck in patterns you can’t break? I specialize in Internal Family Systems (IFS) therapy, a powerful approach to help you connect with and heal all parts of yourself. Whether it’s anxiety, trauma, or relationship struggles, IFS provides a safe space to explore your inner world and bring harmony to the parts that feel out of sync. Together, we can help you find clarity, self-compassion, and the peace you’re seeking on your healing journey.
(248) 306-8612 View (248) 306-8612
Photo of Mary J Keenan, MA, LMSW, ACSW, Clinical Social Work/Therapist
Mary J Keenan
Clinical Social Work/Therapist, MA, LMSW, ACSW
Verified Verified
Rochester Hills, MI 48306
If you are having difficulties in relationships, feeling overwhelmed with the stress of living, experiencing difficulties in your job, or are looking to make some changes in yourself, I offer a supportive environment and listening ear to help you figure out how to approach your problems in a new way. Frequently we know we want to do it differently but don't know how. I want to help you move forward in life and reconnect you to your own capabilities. Relationships are important. I am always here for you. Website: www.evolveconsciouscounseling.com
If you are having difficulties in relationships, feeling overwhelmed with the stress of living, experiencing difficulties in your job, or are looking to make some changes in yourself, I offer a supportive environment and listening ear to help you figure out how to approach your problems in a new way. Frequently we know we want to do it differently but don't know how. I want to help you move forward in life and reconnect you to your own capabilities. Relationships are important. I am always here for you. Website: www.evolveconsciouscounseling.com
(586) 519-6158 View (586) 519-6158
Photo of Carmelita R Samuel, LMSW, ACSW, Clinical Social Work/Therapist
Carmelita R Samuel
Clinical Social Work/Therapist, LMSW, ACSW
Verified Verified
1 Endorsed
Rochester Hills, MI 48306
I believe working closely with clients to help them reach their fullest potential through developing goals, creating healthy boundaries, and empowering you for change. I use evidence based cognitive behavioral methods to help you challenge everyday thinking that keeps you locked in self destructive or unhealthy patterns, which ultimately diminish quality of life and satisfaction of relationships. It is crucial for clients to understand their issues fully so corrective action and healing may happen. I meet my clients where they are in their lives and incorporate their culture, personal talents and strengths, religion, sexual orientation, and ethnic background into the counseling process for authentic exchange.
I believe working closely with clients to help them reach their fullest potential through developing goals, creating healthy boundaries, and empowering you for change. I use evidence based cognitive behavioral methods to help you challenge everyday thinking that keeps you locked in self destructive or unhealthy patterns, which ultimately diminish quality of life and satisfaction of relationships. It is crucial for clients to understand their issues fully so corrective action and healing may happen. I meet my clients where they are in their lives and incorporate their culture, personal talents and strengths, religion, sexual orientation, and ethnic background into the counseling process for authentic exchange.
(248) 419-1622 View (248) 419-1622
Photo of Jean Washington, MA, LPC, NCC, MBA, Counselor
Jean Washington
Counselor, MA, LPC, NCC, MBA
Verified Verified
8 Endorsed
Rochester Hills, MI 48306
Do you want more out of life? Do you have hopes and dreams that seem unattainable? You have come to the right place. Many people spend their lives wishing for more, but fear change. If you are ready to make positive changes in your life, contact me, lets get started. I look forward to meeting you. Openings for new clients: Tues & Fri 9-5pm only.
Do you want more out of life? Do you have hopes and dreams that seem unattainable? You have come to the right place. Many people spend their lives wishing for more, but fear change. If you are ready to make positive changes in your life, contact me, lets get started. I look forward to meeting you. Openings for new clients: Tues & Fri 9-5pm only.
(248) 513-8731 View (248) 513-8731
Photo of Lindzy Sienkowski, LPC, NCC, CCTP, Counselor
Lindzy Sienkowski
Counselor, LPC, NCC, CCTP
Verified Verified
Rochester Hills, MI 48307
Waitlist for new clients
Hello! My name is Lindzy Sienkowski, and I am a fully Licensed Professional Counselor in the state of Michigan. I hold a Bachelor of Arts in Psychology and a Master of Science in Mental Health Counseling from the University of Tennessee-Knoxville. I am also recognized as a National Certified Counselor and a Certified Clinical Trauma Professional. I currently work with adolescents (ages 13 & up) & adults and offer individual therapy services both in-person & via telehealth. My clinical experience lends expertise in the areas of eating disorders, trauma, anxiety and depression.
Hello! My name is Lindzy Sienkowski, and I am a fully Licensed Professional Counselor in the state of Michigan. I hold a Bachelor of Arts in Psychology and a Master of Science in Mental Health Counseling from the University of Tennessee-Knoxville. I am also recognized as a National Certified Counselor and a Certified Clinical Trauma Professional. I currently work with adolescents (ages 13 & up) & adults and offer individual therapy services both in-person & via telehealth. My clinical experience lends expertise in the areas of eating disorders, trauma, anxiety and depression.
(947) 333-8442 View (947) 333-8442
Photo of Tiffany Raye Thompson, MA, TLLP, Limited Licensed Psychologist
Tiffany Raye Thompson
Limited Licensed Psychologist, MA, TLLP
Verified Verified
Rochester Hills, MI 48307
Tiffany has experience working with adults, teens, and children with a variety of diagnoses, and offers support to parents seeking therapy for their children.
Tiffany has experience working with adults, teens, and children with a variety of diagnoses, and offers support to parents seeking therapy for their children.
(248) 453-2923 View (248) 453-2923
Photo of Nicole R. McWilliams, MA, LPC, NCC, SCL, Licensed Professional Counselor
Nicole R. McWilliams
Licensed Professional Counselor, MA, LPC, NCC, SCL
Verified Verified
Rochester Hills, MI 48309
Life has its fair share of ups and downs and despite your best efforts, the old ways of approaching life's challenges may no longer work. Seeking professional help can be difficult, but as a fully licensed and nationally certified counselor, my goal is to create an encouraging, safe, trusting, and compassionate environment where you can begin to heal. Discovering new ways to think about your past, your current challenges, and your future, can reduce stress, improve health, enhance relationships and increase self-esteem. When paired with setting goals and implementing new behavioral skills, personal growth is MORE than achievable!
Life has its fair share of ups and downs and despite your best efforts, the old ways of approaching life's challenges may no longer work. Seeking professional help can be difficult, but as a fully licensed and nationally certified counselor, my goal is to create an encouraging, safe, trusting, and compassionate environment where you can begin to heal. Discovering new ways to think about your past, your current challenges, and your future, can reduce stress, improve health, enhance relationships and increase self-esteem. When paired with setting goals and implementing new behavioral skills, personal growth is MORE than achievable!
(248) 939-5097 View (248) 939-5097
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How does your Therapist compare?

Number of Therapists in Rochester Hills, MI

200+

Average cost per session

$140

Therapists in Rochester Hills, MI who prioritize treating:

93% Anxiety
91% Depression
78% Relationship Issues
76% Self Esteem
73% Coping Skills
70% Stress
62% Grief

Average years in practice

12 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
69% Aetna
59% Blue Care Network

How Therapists in Rochester Hills, MI see their clients

79% In Person and Online
21% Online Only

Gender breakdown

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

How can I find a therapist in Rochester Hills?

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.