Therapists in Honokaa, HI

Photo of Nani Waddoups, MA, NCC, LPC, Licensed Professional Counselor
Nani Waddoups
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
2 Endorsed
Honokaa, HI 96727  (Online Only)
Waitlist for new clients
I believe we navigate the waters of life by constantly adjusting to subtle and profound changes, much like tacking a sailboat or steering a kayak in order to keep moving ahead. How we experience those changes -- as loss or opportunity, with sadness or joy -- determines the course we will follow. While each of us must make the individual choice of how to move forward, I believe we are all in this together. No one need navigate alone. The process of counseling is to support the planning of the trip ahead, and to help navigate the waters of life.
I believe we navigate the waters of life by constantly adjusting to subtle and profound changes, much like tacking a sailboat or steering a kayak in order to keep moving ahead. How we experience those changes -- as loss or opportunity, with sadness or joy -- determines the course we will follow. While each of us must make the individual choice of how to move forward, I believe we are all in this together. No one need navigate alone. The process of counseling is to support the planning of the trip ahead, and to help navigate the waters of life.
(562) 620-3997 View (562) 620-3997
Photo of Candace Uilani Kauahi - Hamakua Kohala Health, CSAC, Drug & Alcohol Counselor
Hamakua Kohala Health
Drug & Alcohol Counselor, CSAC
Verified Verified
Honokaa, HI 96727
Healing starts with each individual discovering their strengths and understanding it lies within. Let the healing is an intention...
Healing starts with each individual discovering their strengths and understanding it lies within. Let the healing is an intention...
(808) 731-1732 View (808) 731-1732
Photo of Janet Puanani Eblen, LMFT, Marriage & Family Therapist
Janet Puanani Eblen
Marriage & Family Therapist, LMFT
Verified Verified
Honokaa, HI 96727  (Online Only)
Do you find yourself fighting back tears at work? Do you feel like you have to lie and pretend when people ask you how you're doing? Are you starting to question your decisions, maybe even losing trust in yourself? When you notice that "small" things are causing "overreactions," you may feel like there's something wrong with you, and spiral deeper into confusion and self-doubt. These feelings are often connected to older issues that we try to shut away and pretend aren't affecting us. We can usually get by using denial and avoidance for awhile, but it almost always catches up with us.
Do you find yourself fighting back tears at work? Do you feel like you have to lie and pretend when people ask you how you're doing? Are you starting to question your decisions, maybe even losing trust in yourself? When you notice that "small" things are causing "overreactions," you may feel like there's something wrong with you, and spiral deeper into confusion and self-doubt. These feelings are often connected to older issues that we try to shut away and pretend aren't affecting us. We can usually get by using denial and avoidance for awhile, but it almost always catches up with us.
(808) 825-6382 View (808) 825-6382
Photo of Ashley Aaron, MA , LMHC, Counselor
Ashley Aaron
Counselor, MA , LMHC
Verified Verified
2 Endorsed
Honokaa, HI 96727
Greetings! Chances are, if you're reading this, you are stuck in some form of suffering from which you cannot find a way out. The fact that you've made it here means that you have already taken the bravest, hardest steps on the journey toward change; recognizing that you need help, and finding the willingness to ask for it. I firmly believe that the answers you need are already within you; in my role as therapist, I act as a mirror through which you are able to connect to your own strengths, heal, and create a life worth living.
Greetings! Chances are, if you're reading this, you are stuck in some form of suffering from which you cannot find a way out. The fact that you've made it here means that you have already taken the bravest, hardest steps on the journey toward change; recognizing that you need help, and finding the willingness to ask for it. I firmly believe that the answers you need are already within you; in my role as therapist, I act as a mirror through which you are able to connect to your own strengths, heal, and create a life worth living.
(808) 201-7093 View (808) 201-7093
Photo of Mary Kay Lowe, LMFT, Marriage & Family Therapist
Mary Kay Lowe
Marriage & Family Therapist, LMFT
Verified Verified
Honokaa, HI 96727
My name is Mary Kay. I am a seasoned Licensed Marriage and Family Therapist, who is passionate about helping my clients overcome, heal and grow from experiences and challenges they face. This provider resides in Hawaii. I typically work with clients motivated to work on areas they identify when entering therapy. These areas might include anxiety, depression, trauma-related experiences, verbal, physical, and or sexual abuse, spirituality, family issues, and building relationships with others. I work best with clients who prefer to work with a seasoned female therapist.
My name is Mary Kay. I am a seasoned Licensed Marriage and Family Therapist, who is passionate about helping my clients overcome, heal and grow from experiences and challenges they face. This provider resides in Hawaii. I typically work with clients motivated to work on areas they identify when entering therapy. These areas might include anxiety, depression, trauma-related experiences, verbal, physical, and or sexual abuse, spirituality, family issues, and building relationships with others. I work best with clients who prefer to work with a seasoned female therapist.
(606) 357-2175 View (606) 357-2175
Photo of Christina McKay, LMFT, Marriage & Family Therapist
Christina McKay
Marriage & Family Therapist, LMFT
Verified Verified
Honokaa, HI 96727
I believe one of the bravest things you can do is begin to understand your own story. We all face challenges throughout our lives, whether in family conflicts, relationships, life transitions, or difficulties in managing our emotions. Seeking help can be the first step in making a change in your life. Because each client / client system is unique, I believe in providing a thorough assessment process before creating an individualized treatment plan. I am rooted in person centered therapy and believe that the client is the expert of their own life. I am trained in family systems, CBT, DBT, and Internal Family Systems.
I believe one of the bravest things you can do is begin to understand your own story. We all face challenges throughout our lives, whether in family conflicts, relationships, life transitions, or difficulties in managing our emotions. Seeking help can be the first step in making a change in your life. Because each client / client system is unique, I believe in providing a thorough assessment process before creating an individualized treatment plan. I am rooted in person centered therapy and believe that the client is the expert of their own life. I am trained in family systems, CBT, DBT, and Internal Family Systems.
(516) 689-7626 View (516) 689-7626
Photo of Sophia Bullard, MS, Pre-Licensed Professional
Sophia Bullard
Pre-Licensed Professional, MS
Verified Verified
Honokaa, HI 96727
Sophia Bullard studied at Thomas Jefferson University in Philadelphia, receiving her Bachelors of Science in Psychology in 2021 and her Masters of Science in Community and Trauma Counseling in May of 2022. Sophia is currently working towards the LMHC (Licensed Mental Health Counselor) credential in the state of Hawaii. Additionally, she has future goals of becoming a Registered Play Therapist and Certified Yoga Therapist. Sophia’s clinical experience stems from working as a counseling intern at various public elementary and middle schools in the Greater Philadelphia area.
Sophia Bullard studied at Thomas Jefferson University in Philadelphia, receiving her Bachelors of Science in Psychology in 2021 and her Masters of Science in Community and Trauma Counseling in May of 2022. Sophia is currently working towards the LMHC (Licensed Mental Health Counselor) credential in the state of Hawaii. Additionally, she has future goals of becoming a Registered Play Therapist and Certified Yoga Therapist. Sophia’s clinical experience stems from working as a counseling intern at various public elementary and middle schools in the Greater Philadelphia area.
(808) 758-5390 View (808) 758-5390
Photo of Lisa Marcelino, LMFT, Marriage & Family Therapist
Lisa Marcelino
Marriage & Family Therapist, LMFT
Verified Verified
Honokaa, HI 96727
My name is Lisa Marcelino, PhD, LMFT. I am a Certified Clinical Trauma Professional (CCTP). I primarily use solution-focused and emotion-focused modalities to help clients suffering from trauma, depression, anxiety, OCD, PTSD, and bipolar disorder. I love helping others and making a difference. I have extensive experience working with individuals, couples, and families suffering from trauma, depression, anxiety, OCD, PTSD, Bipolar Disorder, and relational issues.
My name is Lisa Marcelino, PhD, LMFT. I am a Certified Clinical Trauma Professional (CCTP). I primarily use solution-focused and emotion-focused modalities to help clients suffering from trauma, depression, anxiety, OCD, PTSD, and bipolar disorder. I love helping others and making a difference. I have extensive experience working with individuals, couples, and families suffering from trauma, depression, anxiety, OCD, PTSD, Bipolar Disorder, and relational issues.
(754) 208-0260 View (754) 208-0260
Photo of Sze Nga Lam, LMFT, Marriage & Family Therapist
Sze Nga Lam
Marriage & Family Therapist, LMFT
Verified Verified
Honokaa, HI 96727
I work with clients statewide via telehealth and have had over 15 years of clinical experience working with adults, couples, families, and adolescents. I specialize in depression, anxiety, stress, life-cycle transitions, trauma, and grief. I strive to create a safe, non-judgmental, and nurturing space where my clients can explore and embrace their authentic selves.
I work with clients statewide via telehealth and have had over 15 years of clinical experience working with adults, couples, families, and adolescents. I specialize in depression, anxiety, stress, life-cycle transitions, trauma, and grief. I strive to create a safe, non-judgmental, and nurturing space where my clients can explore and embrace their authentic selves.
(567) 280-5995 View (567) 280-5995
Photo of Meriah Nichols, MA, Pre-Licensed Professional
Meriah Nichols
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Honokaa, HI 96727
Meriah is a person-centered counselor who believes in the power of listening. She believes that you know what’s best for yourself; she can help you figure out some pieces and process through therapeutic tools. Meriah specializes in working with people who have an intersection with disability (- autism, neurodiverse, Down syndrome, deaf, blind, intellectual, or developmental disability, traumatic brain injury, PTSD, physical disability, chronic illness, mental illness). “Intersection” with disability being either an acquired disability, disabled through life, a child or loved one with a disability or a recently acquired disability.
Meriah is a person-centered counselor who believes in the power of listening. She believes that you know what’s best for yourself; she can help you figure out some pieces and process through therapeutic tools. Meriah specializes in working with people who have an intersection with disability (- autism, neurodiverse, Down syndrome, deaf, blind, intellectual, or developmental disability, traumatic brain injury, PTSD, physical disability, chronic illness, mental illness). “Intersection” with disability being either an acquired disability, disabled through life, a child or loved one with a disability or a recently acquired disability.
(808) 563-4191 View (808) 563-4191
Photo of Megan Denes, LCSW, Clinical Social Work/Therapist
Megan Denes
Clinical Social Work/Therapist, LCSW
Verified Verified
Honokaa, HI 96727
I am a Licensed Clinical Social Worker in Hawaii and Florida. I completed my degree in social work at the University of Central Florida. My goal is to create a trusting therapeutic relationship, built on mutual respect and confidentiality, where individuals feel heard, validated, and supported. My approach is rooted in a person-centered therapy, where I believe that each person has unique strengths and abilities to overcome their difficulties. By fostering a non-judgmental and empathetic environment, I work collaboratively with my clients to explore their thoughts, feelings, and behaviors.
I am a Licensed Clinical Social Worker in Hawaii and Florida. I completed my degree in social work at the University of Central Florida. My goal is to create a trusting therapeutic relationship, built on mutual respect and confidentiality, where individuals feel heard, validated, and supported. My approach is rooted in a person-centered therapy, where I believe that each person has unique strengths and abilities to overcome their difficulties. By fostering a non-judgmental and empathetic environment, I work collaboratively with my clients to explore their thoughts, feelings, and behaviors.
(315) 840-1004 View (315) 840-1004
Photo of Mariana Sampaio, LMHC, MSW, Counselor
Mariana Sampaio
Counselor, LMHC, MSW
Verified Verified
2 Endorsed
Honokaa, HI 96727  (Online Only)
Our goal is to walk the path of personal growth with you. We focus on supporting teens and adults to explore their lives' experiences and to become the version of themselves they most desire. Every human being is unique and worthy, hence, we draw from different Evidence-Based Treatment modalities to best fit the needs of each client. These include Cognitive Behavioral Therapy (CBT) and Trauma-Focused CBT, Radically Open Dialectical Behavioral Therapy (RO-DBT), Dialectical Behavioral Therapy (DBT), among other modalities.
Our goal is to walk the path of personal growth with you. We focus on supporting teens and adults to explore their lives' experiences and to become the version of themselves they most desire. Every human being is unique and worthy, hence, we draw from different Evidence-Based Treatment modalities to best fit the needs of each client. These include Cognitive Behavioral Therapy (CBT) and Trauma-Focused CBT, Radically Open Dialectical Behavioral Therapy (RO-DBT), Dialectical Behavioral Therapy (DBT), among other modalities.
(808) 556-5541 View (808) 556-5541
Photo of Scott Ginoza, LMHC, Counselor
Scott Ginoza
Counselor, LMHC
Verified Verified
Honokaa, HI 96727
I was born and raised on Oahu. I studied psychology at the University of Hawaii at Manoa and received my master’s in counseling from Chaminade University. I been licensed as a counselor in the state of Hawaii since 2011. I realize that no two people are the same and as such I tailor my therapy to meet the specific needs of my clients. Whether you are struggling with anxiety, depression or another issue, I hope to help clients find a healthier way of living.
I was born and raised on Oahu. I studied psychology at the University of Hawaii at Manoa and received my master’s in counseling from Chaminade University. I been licensed as a counselor in the state of Hawaii since 2011. I realize that no two people are the same and as such I tailor my therapy to meet the specific needs of my clients. Whether you are struggling with anxiety, depression or another issue, I hope to help clients find a healthier way of living.
(516) 689-7774 View (516) 689-7774
Photo of Sophia Hoskins, LMFT, Marriage & Family Therapist
Sophia Hoskins
Marriage & Family Therapist, LMFT
Verified Verified
Honokaa, HI 96727
Hi. My name is Sophia Hoskins, and I'm a licensed Marriage and Family Therapist. My counseling style is pretty laid-back. I have been described as supportive, caring, and compassionate, with a pretty good sense of humor. I like to focus on identifying your strengths and helping you to maximize them to overcome your obstacles. I'm here to help you sort through the things that may be difficult right now and offer you a safe place to be open and honest without fear of judgment. I believe therapy is just support and everyone deserves support at some point in their lives.
Hi. My name is Sophia Hoskins, and I'm a licensed Marriage and Family Therapist. My counseling style is pretty laid-back. I have been described as supportive, caring, and compassionate, with a pretty good sense of humor. I like to focus on identifying your strengths and helping you to maximize them to overcome your obstacles. I'm here to help you sort through the things that may be difficult right now and offer you a safe place to be open and honest without fear of judgment. I believe therapy is just support and everyone deserves support at some point in their lives.
(564) 333-0050 View (564) 333-0050
Photo of Julius Phillip Jones, LCMHC, Counselor
Julius Phillip Jones
Counselor, LCMHC
Verified Verified
Honokaa, HI 96727
Aloha, I'm Phillip My name is Phillip Jones and I'm a licensed mental health counselor in the state of Hawaii. Over the years I've worked with young adults, couples, middle-aged and our elders going through life transitions, amidst the crises and opportunities of life. My passion is helping people to find their calm and strong inner identity and move into the next phase of their life, career, or relationships with confidence in themselves and their personal strengths. I find that depression and anxiety are very prevalent in our society, and often are the foundation for other emotional and behavioral health issues that arise.
Aloha, I'm Phillip My name is Phillip Jones and I'm a licensed mental health counselor in the state of Hawaii. Over the years I've worked with young adults, couples, middle-aged and our elders going through life transitions, amidst the crises and opportunities of life. My passion is helping people to find their calm and strong inner identity and move into the next phase of their life, career, or relationships with confidence in themselves and their personal strengths. I find that depression and anxiety are very prevalent in our society, and often are the foundation for other emotional and behavioral health issues that arise.
(618) 621-2077 View (618) 621-2077
Photo of Cassandra J Castillo, LCSW, Clinical Social Work/Therapist
Cassandra J Castillo
Clinical Social Work/Therapist, LCSW
Verified Verified
Honokaa, HI 96727
Hello! My name is Cassandra "Cassie" Castillo and I am a Licensed Clinical Social Worker who's goal is to create a space where you can feel heard and validated. I use a person-centered approach that looks at you as a whole person. I believe healing starts first and foremost with yourself. Using collaboration within the therapeutic relationship, my approach helps to guide you to becoming more aware of the best version that you can be.
Hello! My name is Cassandra "Cassie" Castillo and I am a Licensed Clinical Social Worker who's goal is to create a space where you can feel heard and validated. I use a person-centered approach that looks at you as a whole person. I believe healing starts first and foremost with yourself. Using collaboration within the therapeutic relationship, my approach helps to guide you to becoming more aware of the best version that you can be.
(516) 973-0768 View (516) 973-0768
Photo of Keala Zane, LMFT, Marriage & Family Therapist
Keala Zane
Marriage & Family Therapist, LMFT
Verified Verified
Honokaa, HI 96727
Hi everyone, my name is Keala Zane, and I am a Licensed Marriage and Family Therapist in the state of Hawaii. I work with individuals including adolescents and young adults specializing in anxiety, depression, stress, peer and family-related issues, and relationships utilizing Cognitive Behavioral Therapy techniques incorporated with a client-centered approach to address stressors and life challenges. My approach to therapy varies depending on each individual's needs. I frequently use Cognitive Behavioral Therapy techniques to begin to address automatic negative thoughts and identify ongoing challenges.
Hi everyone, my name is Keala Zane, and I am a Licensed Marriage and Family Therapist in the state of Hawaii. I work with individuals including adolescents and young adults specializing in anxiety, depression, stress, peer and family-related issues, and relationships utilizing Cognitive Behavioral Therapy techniques incorporated with a client-centered approach to address stressors and life challenges. My approach to therapy varies depending on each individual's needs. I frequently use Cognitive Behavioral Therapy techniques to begin to address automatic negative thoughts and identify ongoing challenges.
(659) 766-0066 View (659) 766-0066
Photo of Michael Yadao-Evans, LMFT, Marriage & Family Therapist
Michael Yadao-Evans
Marriage & Family Therapist, LMFT
Verified Verified
Honokaa, HI 96727
Hello, my name is Michael Yadao-Evans, and I am a licensed Marriage and Family Therapist from the state of Hawaii. My approach to therapy is very collaborative because I think change is a process we all go through together. I have worked mostly with children from infants to high school, neurodevelopmental disorders (ADHD, Autism), and various substance abuse disorders.
Hello, my name is Michael Yadao-Evans, and I am a licensed Marriage and Family Therapist from the state of Hawaii. My approach to therapy is very collaborative because I think change is a process we all go through together. I have worked mostly with children from infants to high school, neurodevelopmental disorders (ADHD, Autism), and various substance abuse disorders.
(858) 771-2954 View (858) 771-2954

Online Therapists

Photo of Audrey Fraychineaud, MA, LMHC, Counselor
Audrey Fraychineaud
Counselor, MA, LMHC
Verified Verified
Kihei, HI 96753  (Online Only)
My approach is centered around Mindfulness, Self-compassion, and Empowerment, helping clients to make positive changes in their lives. I’d love to help support you to live your most vibrant and fulfilling life. I’m passionate about helping clients to take the best possible care of themselves, clearing limiting beliefs and healing traumatic wounds. Together we will focus on practicing self-love, unconditional acceptance, and non-judgment to move toward what matters to you!
My approach is centered around Mindfulness, Self-compassion, and Empowerment, helping clients to make positive changes in their lives. I’d love to help support you to live your most vibrant and fulfilling life. I’m passionate about helping clients to take the best possible care of themselves, clearing limiting beliefs and healing traumatic wounds. Together we will focus on practicing self-love, unconditional acceptance, and non-judgment to move toward what matters to you!
(808) 215-4759 View (808) 215-4759
Photo of Petra Parvati Meedt, MA, MS, Marriage & Family Therapist Intern
Petra Parvati Meedt
Marriage & Family Therapist Intern, MA, MS
Verified Verified
Hilo, HI 96720
Petra Parvati Meedt, MS, MA is a Marriage and Family Therapy Intern offering telehealth therapy for individuals, couples, and families in English and Spanish. Additionally, to being a Marriage and Family Therapy Intern in Hawaii, she is a licensed psychologist in Puerto Rico, Licensed Psychological Associate (LPA) in Texas, and a Clinical Hypnotherapist and certified Yoga Teacher. Her professional training includes a master’s degree in Counseling Psychology from the Interamerican University, Puerto Rico, specialized in Family therapy and a second master’s degree in Cultural Anthropology from the University of Freiburg in Germany.
Petra Parvati Meedt, MS, MA is a Marriage and Family Therapy Intern offering telehealth therapy for individuals, couples, and families in English and Spanish. Additionally, to being a Marriage and Family Therapy Intern in Hawaii, she is a licensed psychologist in Puerto Rico, Licensed Psychological Associate (LPA) in Texas, and a Clinical Hypnotherapist and certified Yoga Teacher. Her professional training includes a master’s degree in Counseling Psychology from the Interamerican University, Puerto Rico, specialized in Family therapy and a second master’s degree in Cultural Anthropology from the University of Freiburg in Germany.
(808) 698-5858 View (808) 698-5858

See more therapy options for Honokaa

How does your Therapist compare?

Number of Therapists in Honokaa, HI

10+

Average cost per session

$150

Therapists in Honokaa, HI who prioritize treating:

94% Anxiety
83% Coping Skills
83% Life Transitions
67% Depression
67% Family Conflict
56% Grief
56% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

81% Cigna and Evernorth
75% UnitedHealthcare UHC | UBH
69% Aetna

How Therapists in Honokaa, HI see their clients

84% In Person and Online
16% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Honokaa?

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.