Therapists in Nashville, IN

Photo of Lisa Simpson - Pathways to Healing, LLC, LMHC, LCAC
Pathways to Healing, LLC
Mental Health Counselor, LMHC, LCAC
Verified Verified
Nashville, IN 47448  (Online Only)
My passion is working with adults who struggle with depression, anxiety, or the impact of having experienced trauma. These struggles can affect one or more areas of your life making it difficult to maintain healthy relationships, be your best at work, take care of responsibilities at home, and find joy in life. You may have difficulty trusting others, have sleep or eating disturbances, have difficulty concentrating, or loss of interest in things you used to enjoy. Pathways to Healing, LLC might just be the solution to helping you through these barriers that help you live your best life.
My passion is working with adults who struggle with depression, anxiety, or the impact of having experienced trauma. These struggles can affect one or more areas of your life making it difficult to maintain healthy relationships, be your best at work, take care of responsibilities at home, and find joy in life. You may have difficulty trusting others, have sleep or eating disturbances, have difficulty concentrating, or loss of interest in things you used to enjoy. Pathways to Healing, LLC might just be the solution to helping you through these barriers that help you live your best life.
(812) 389-0221 View (812) 389-0221
Photo of Emily Foister, LMHC, CISM, NCC, BC-TMH, Counselor
Emily Foister
Counselor, LMHC, CISM, NCC, BC-TMH
Verified Verified
Nashville, IN 47448  (Online Only)
Navigating through the journey of life we inevitably run into hindrances that challenge our momentum. Change is hard and can often be a sudden and unpredictable, leaving us without the proper tools to cope with these changes. We have to learn to acclimate to our surroundings. Whether it's a traumatic response, addiction, grief and loss, anxiety, loss of confidence, feeling lost and overwhelmed, feelings of depression or stagnation, there's hope. It takes courage to look into a mirror and see whose looking back, it takes strength to want to make a change and hope to inspire change.
Navigating through the journey of life we inevitably run into hindrances that challenge our momentum. Change is hard and can often be a sudden and unpredictable, leaving us without the proper tools to cope with these changes. We have to learn to acclimate to our surroundings. Whether it's a traumatic response, addiction, grief and loss, anxiety, loss of confidence, feeling lost and overwhelmed, feelings of depression or stagnation, there's hope. It takes courage to look into a mirror and see whose looking back, it takes strength to want to make a change and hope to inspire change.
(844) 300-3916 View (844) 300-3916
Nancy Rutkowski
Clinical Social Work/Therapist, LCSW, PCC
Verified Verified
Nashville, IN 47448
My work with clients hinges on creating powerful, collaborative, and respectful relationships that form the basis for your growth and development. I am skilled at helping clients see how they succeed as well as how they interrupt their own potential for success. While my focus is positive and optimistic, I’m committed to helping people remove the obstacles that have stopped them from achieving the success they seek in both their personal and professional lives.
My work with clients hinges on creating powerful, collaborative, and respectful relationships that form the basis for your growth and development. I am skilled at helping clients see how they succeed as well as how they interrupt their own potential for success. While my focus is positive and optimistic, I’m committed to helping people remove the obstacles that have stopped them from achieving the success they seek in both their personal and professional lives.
(812) 720-4242 View (812) 720-4242
Photo of Katy Kelly, MSW, LCSW, Clinical Social Work/Therapist
Katy Kelly
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Nashville, IN 47448
Not accepting new clients
My goal is to create an environment where you are safe to explore yourself and the circumstances of your life in a compassionate, non-judgemental manner. I will help you to identify your therapeutic goals and use strategies best suited to your specific needs; always looking for and developing your inherent strengths that will enable you to achieve your goals. Mine is an eclectic approach to therapy that addresses, among other issues, anxiety, depression, trauma and PTSD, grief, life transitions, relationships, gender, and sexuality.
My goal is to create an environment where you are safe to explore yourself and the circumstances of your life in a compassionate, non-judgemental manner. I will help you to identify your therapeutic goals and use strategies best suited to your specific needs; always looking for and developing your inherent strengths that will enable you to achieve your goals. Mine is an eclectic approach to therapy that addresses, among other issues, anxiety, depression, trauma and PTSD, grief, life transitions, relationships, gender, and sexuality.
(812) 864-4728 View (812) 864-4728
Photo of Matt Stanley, MS, EdS, LMHC, Counselor
Matt Stanley
Counselor, MS, EdS, LMHC
Verified Verified
Nashville, IN 47448
Life is hard. Sometimes we all need some support and guidance to get us to a healthier/happier place. In my practice, I integrate Acceptance and Commitment Therapy (ACT), among other research-based approaches, to help individuals navigate life's challenges and achieve meaningful change. By focusing on acceptance of difficult thoughts and feelings rather than their elimination, I assist clients in fostering psychological flexibility and resilience. Through compassionate exploration of values and committed action, clients learn to align their behaviors with their deepest aspirations, leading to a more fulfilling life.
Life is hard. Sometimes we all need some support and guidance to get us to a healthier/happier place. In my practice, I integrate Acceptance and Commitment Therapy (ACT), among other research-based approaches, to help individuals navigate life's challenges and achieve meaningful change. By focusing on acceptance of difficult thoughts and feelings rather than their elimination, I assist clients in fostering psychological flexibility and resilience. Through compassionate exploration of values and committed action, clients learn to align their behaviors with their deepest aspirations, leading to a more fulfilling life.
(812) 432-1353 View (812) 432-1353
Photo of Ashley Gartner, MA, LMHCA, NCC, Counselor
Ashley Gartner
Counselor, MA, LMHCA, NCC
Verified Verified
1 Endorsed
Nashville, IN 47448
Life's hurts are sometimes too hard to manage, and this pain will often show up as depression, anxiety, and dysfunctional behaviors. You are here because you are looking for help for yourself or someone else. I would love to offer the support you need. My approach is to offer validation, create a safe space of unconditional support and acceptance and maintain a balance of mindful awareness and a genuine and empathetic therapeutic relationship. For children ages 6 through 12, I am also trained in Play Therapy.
Life's hurts are sometimes too hard to manage, and this pain will often show up as depression, anxiety, and dysfunctional behaviors. You are here because you are looking for help for yourself or someone else. I would love to offer the support you need. My approach is to offer validation, create a safe space of unconditional support and acceptance and maintain a balance of mindful awareness and a genuine and empathetic therapeutic relationship. For children ages 6 through 12, I am also trained in Play Therapy.
(812) 608-3747 View (812) 608-3747
Photo of John H Brownlee, MA, Licensed Professional Counselor
John H Brownlee
Licensed Professional Counselor, MA
Verified Verified
Nashville, IN 47448  (Online Only)
Over the past 40 years I have of provided counseling and coaching in a broad range of issues. Betrayal which is a very painful experience is one of my specialities As an experienced therapist and one who has experienced betrayal I have extensive experience in counseling others in this area and recently I published a book on betrayal, The Judas Kiss, Growing Beyond Betrayal. Another speciality is Parent Alienation. Throughout my many years I have often counseled individuals who are suffering the loss of relationship with one or more of their children.
Over the past 40 years I have of provided counseling and coaching in a broad range of issues. Betrayal which is a very painful experience is one of my specialities As an experienced therapist and one who has experienced betrayal I have extensive experience in counseling others in this area and recently I published a book on betrayal, The Judas Kiss, Growing Beyond Betrayal. Another speciality is Parent Alienation. Throughout my many years I have often counseled individuals who are suffering the loss of relationship with one or more of their children.
(615) 701-6560 View (615) 701-6560
Photo of Spencer Elliott Prather, MA, LMHCA, Counselor
Spencer Elliott Prather
Counselor, MA, LMHCA
Verified Verified
Nashville, IN 47448
I provide clients with a compassionate and goals-driven counseling environment, so that we can find the best way to overcome challenges together. Whether it's anxiety, depression, grief and loss, anger, experiences of trauma, or otherwise, I hope to offer you both an active, empathetic listening ear, as well as ways to take your power back.
I provide clients with a compassionate and goals-driven counseling environment, so that we can find the best way to overcome challenges together. Whether it's anxiety, depression, grief and loss, anger, experiences of trauma, or otherwise, I hope to offer you both an active, empathetic listening ear, as well as ways to take your power back.
(812) 506-2673 View (812) 506-2673

More Therapists Nearby

Photo of Christi Ryan, LCSW, Clinical Social Work/Therapist
Christi Ryan
Clinical Social Work/Therapist, LCSW
Verified Verified
Unionville, IN 47468  (Online Only)
Not accepting new clients
Hi, I'm so glad you're looking here, welcome. I am a licensed clinical therapist with around 30 years of professional work experience. I have treated; addictions, medical and psychiatric issues, end of life issues, aging, career changes, personal development and seeking meaning, loss of faith, religious, and spiritual trauma to name a few. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Your privacy is sacred to me. Taking the first step to seeking help during a hard time, takes a lot of resolve. Congratulations for getting to this part. Doing the work
Hi, I'm so glad you're looking here, welcome. I am a licensed clinical therapist with around 30 years of professional work experience. I have treated; addictions, medical and psychiatric issues, end of life issues, aging, career changes, personal development and seeking meaning, loss of faith, religious, and spiritual trauma to name a few. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Your privacy is sacred to me. Taking the first step to seeking help during a hard time, takes a lot of resolve. Congratulations for getting to this part. Doing the work
(812) 370-5175 View (812) 370-5175

Online Therapists

Photo of Naomi Adams - Naomi Adams, LCSW , LCAC, LMSW, Clinical Social Work/Therapist
Naomi Adams
Clinical Social Work/Therapist, LCSW , LCAC, LMSW
Verified Verified
1 Endorsed
Indianapolis, IN 46256  (Online Only)
Often circumstances in our lives can rob us of the opportunity to become the person you were created to be and living our best life can be stifled. Regardless of what you have been through or are currently going through, you have the power to take back what belongs to you. Naomi is passionate about empowering women on how to survive and to regain their life back through trauma recovery. She is specifically trained to work with a variety of clients with issues related to depression, anxiety, substance abuse issues and other stress responses. Naomi also specialized in guiding women to develop skills that increase their effectiveness.
Often circumstances in our lives can rob us of the opportunity to become the person you were created to be and living our best life can be stifled. Regardless of what you have been through or are currently going through, you have the power to take back what belongs to you. Naomi is passionate about empowering women on how to survive and to regain their life back through trauma recovery. She is specifically trained to work with a variety of clients with issues related to depression, anxiety, substance abuse issues and other stress responses. Naomi also specialized in guiding women to develop skills that increase their effectiveness.
(574) 475-6996 View (574) 475-6996
Photo of Matthew A Stach, MS, LMHC, NCC, Counselor
Matthew A Stach
Counselor, MS, LMHC, NCC
Verified Verified
Noblesville, IN 46062
I am motivated by a genuine curiosity to understand each person's unique perspective, and I believed that successful therapy begins with providing individuals a space to be authentic and vulnerable. I view counseling as a conversation about your story, a process to empower you to make meaning of your experiences, challenges and ambitions. I believe that all clients have the capacity for self-discovery and problem solving. Therefore, I work collaboratively with adolescents and adults to improve emotional control, develop self-acceptance, and cultivate fulfilling relationships.
I am motivated by a genuine curiosity to understand each person's unique perspective, and I believed that successful therapy begins with providing individuals a space to be authentic and vulnerable. I view counseling as a conversation about your story, a process to empower you to make meaning of your experiences, challenges and ambitions. I believe that all clients have the capacity for self-discovery and problem solving. Therefore, I work collaboratively with adolescents and adults to improve emotional control, develop self-acceptance, and cultivate fulfilling relationships.
(317) 900-4662 View (317) 900-4662
Photo of Carrie Leak, MSW, LCSW, Clinical Social Work/Therapist
Carrie Leak
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Lafayette, IN 47905
We sometimes need a formal support to help us work through issues and guide us into our true authentic self. With more than 15 years in the social work field, I have been able to collaborate with many individuals (kids, teens and adults) to help them heal and identify solutions for life's many challenges. I have experience working with individuals who have experienced trauma, depression, anxiety and substance use. l am trained in CBT, DBT, and MET and have training in EMDR and Child Centered Play Therapy.
We sometimes need a formal support to help us work through issues and guide us into our true authentic self. With more than 15 years in the social work field, I have been able to collaborate with many individuals (kids, teens and adults) to help them heal and identify solutions for life's many challenges. I have experience working with individuals who have experienced trauma, depression, anxiety and substance use. l am trained in CBT, DBT, and MET and have training in EMDR and Child Centered Play Therapy.
(765) 946-4082 View (765) 946-4082
Photo of Eleanor Clark, MA, LMHC, Counselor
Eleanor Clark
Counselor, MA, LMHC
Verified Verified
Fishers, IN 46038
As I once desperately needed a trustworthy therapist to navigate the most difficult seasons of my life, my dream career has been fulfilled by being that person for others. My experience began by treating eating disorders in inpatient, residential and partial hospitalization, where I observed the devastation eating disorders cause - and that it's about so much more than food and weight. Now in outpatient, I especially love treating disordered eating and body image struggles! Since my Christian faith was a central piece of my own recovery, I incorporate it into my work with clients whenever they prefer it.
As I once desperately needed a trustworthy therapist to navigate the most difficult seasons of my life, my dream career has been fulfilled by being that person for others. My experience began by treating eating disorders in inpatient, residential and partial hospitalization, where I observed the devastation eating disorders cause - and that it's about so much more than food and weight. Now in outpatient, I especially love treating disordered eating and body image struggles! Since my Christian faith was a central piece of my own recovery, I incorporate it into my work with clients whenever they prefer it.
(812) 345-8928 View (812) 345-8928
Photo of Krystal Billingsley, MA, LMHC, Counselor
Krystal Billingsley
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Terre Haute, IN 47809
Overwhelmed by life? Anxious, depressed, or having difficulty in relationships? Worried about your relationship with food, body image, or self esteem? If you are 14 or older, and are struggling with disordered eating, anxiety, depression, relationships, or life transitions, I may be the therapist for you.
Overwhelmed by life? Anxious, depressed, or having difficulty in relationships? Worried about your relationship with food, body image, or self esteem? If you are 14 or older, and are struggling with disordered eating, anxiety, depression, relationships, or life transitions, I may be the therapist for you.
(812) 615-2347 View (812) 615-2347
Photo of Amanda Moore, LMHC, Counselor
Amanda Moore
Counselor, LMHC
Verified Verified
Carmel, IN 46032
My goal is to join alongside my clients in a partnership to help them find hope and healing. I believe that each person's life experiences and unique traits influences the direction and approaches taken through the counseling journey. We will work together through counseling to restore hope and healing in the challenging areas you are dealing with. Counseling children and adolescents is a specialization of mine, as I am passionate about helping them see their true potential and guiding them through the many phases of childhood. Today is the day for you to start your journey toward better days ahead!
My goal is to join alongside my clients in a partnership to help them find hope and healing. I believe that each person's life experiences and unique traits influences the direction and approaches taken through the counseling journey. We will work together through counseling to restore hope and healing in the challenging areas you are dealing with. Counseling children and adolescents is a specialization of mine, as I am passionate about helping them see their true potential and guiding them through the many phases of childhood. Today is the day for you to start your journey toward better days ahead!
(317) 406-0687 View (317) 406-0687
Photo of Dianna Stallings | Heart Space, MSW, LCSW, Clinical Social Work/Therapist
Dianna Stallings | Heart Space
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Indianapolis, IN 46220  (Online Only)
My clients often are aware that something in their current lives is no longer serving them, want to understand how that came to be, and align themselves with the vision they have for their future. This often starts by noticing repeating patterns of behavior in themselves, or those they attract, and becoming curious about the reason why. They may also find that they experience certain physical and emotional responses (anger, anxiety, people pleasing etc.) and know that their body is trying to tell them something needs to shift.
My clients often are aware that something in their current lives is no longer serving them, want to understand how that came to be, and align themselves with the vision they have for their future. This often starts by noticing repeating patterns of behavior in themselves, or those they attract, and becoming curious about the reason why. They may also find that they experience certain physical and emotional responses (anger, anxiety, people pleasing etc.) and know that their body is trying to tell them something needs to shift.
(317) 620-8778 View (317) 620-8778
Photo of Mark Graeser, DMin, LMHC, LCAC, LMFTA, Counselor
Mark Graeser
Counselor, DMin, LMHC, LCAC, LMFTA
Verified Verified
Indianapolis, IN 46203
Waitlist for new clients
I enjoy working with clients who come to me in crisis with some awareness that their existing coping resources and skills have been overwhelmed to the point they need some help to grow through the situation. Though it typically begins concretely with stress and conflict management, this work often deepens into fruitful reexamination of personal values, family dynamics, problematic relationship patterns, and existential or spiritual themes. I see individual problems as often having been forged in the crucible of one's family of origin, which has often severely limited one's ability to respond well to all of life's demands.
I enjoy working with clients who come to me in crisis with some awareness that their existing coping resources and skills have been overwhelmed to the point they need some help to grow through the situation. Though it typically begins concretely with stress and conflict management, this work often deepens into fruitful reexamination of personal values, family dynamics, problematic relationship patterns, and existential or spiritual themes. I see individual problems as often having been forged in the crucible of one's family of origin, which has often severely limited one's ability to respond well to all of life's demands.
(317) 608-1975 View (317) 608-1975
Photo of Sawyer Toll, LMHC, Counselor
Sawyer Toll
Counselor, LMHC
Verified Verified
1 Endorsed
Carmel, IN 46032
I specialize in couples counseling, divorce counseling, family therapy, trauma, and treating adolescents. Outside of these specialties, I am confident and capable of providing therapy for most presenting problems. Have you struggled to find results in therapy? If so, I have a wealth of experience and training that will help you achieve your therapeutic goals. Therapy with me is transparent, goal-oriented when applicable, and always within a comfortable therapeutic environment. I am transitioning practices at this time. I have immediate availability on Fridays and will expand my availability in the near future.
I specialize in couples counseling, divorce counseling, family therapy, trauma, and treating adolescents. Outside of these specialties, I am confident and capable of providing therapy for most presenting problems. Have you struggled to find results in therapy? If so, I have a wealth of experience and training that will help you achieve your therapeutic goals. Therapy with me is transparent, goal-oriented when applicable, and always within a comfortable therapeutic environment. I am transitioning practices at this time. I have immediate availability on Fridays and will expand my availability in the near future.
(317) 662-0082 View (317) 662-0082
Photo of Michelle Walkey-Thornburg, LMHC, ATR
Michelle Walkey-Thornburg
Mental Health Counselor, LMHC, ATR
Verified Verified
1 Endorsed
Indianapolis, IN 46250
I am a licensed mental health counselor and registered art therapist. I provide therapeutic services for children, adolescents, and adults to increase self-awareness, identify personal strengths and have a more meaningful life experience. My practice is collaborative, solution-focused and utilizes evidenced-based treatment approaches including Motivational Interviewing, Cognitive Behavioral Therapy, Trauma Informed Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Solution Focused Therapy, and Cognitive Processing Therapy. Art therapy is optional and not required to participate.
I am a licensed mental health counselor and registered art therapist. I provide therapeutic services for children, adolescents, and adults to increase self-awareness, identify personal strengths and have a more meaningful life experience. My practice is collaborative, solution-focused and utilizes evidenced-based treatment approaches including Motivational Interviewing, Cognitive Behavioral Therapy, Trauma Informed Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Solution Focused Therapy, and Cognitive Processing Therapy. Art therapy is optional and not required to participate.
(317) 820-2708 View (317) 820-2708
Photo of Destini Napier, MA, LMHC, Counselor
Destini Napier
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Clarksville, IN 47129
First and foremost, you have taken a huge step by seeking out services for your mental health. If there is one certainty, it is that life isn't always easy. Whether you are struggling with addiction, anxiety, depression, trauma, or maybe just having a hard time adjusting to your current life situation; you deserve to have someone who can help you through this time in your life. We all deserve the opportunity to be validated and supported in our journey to grow through our trials and tribulations.
First and foremost, you have taken a huge step by seeking out services for your mental health. If there is one certainty, it is that life isn't always easy. Whether you are struggling with addiction, anxiety, depression, trauma, or maybe just having a hard time adjusting to your current life situation; you deserve to have someone who can help you through this time in your life. We all deserve the opportunity to be validated and supported in our journey to grow through our trials and tribulations.
(812) 506-2609 View (812) 506-2609

See more therapy options for Nashville

How does your Therapist compare?

Number of Therapists in Nashville, IN

< 10

Therapists in Nashville, IN who prioritize treating:

100% Relationship Issues
100% Depression
88% Anxiety
88% Trauma and PTSD
88% Life Transitions
75% Grief
75% Coping Skills

Average years in practice

8 Years

Top 3 insurances accepted

100% Cigna and Evernorth
100% UnitedHealthcare UHC | UBH
100% Anthem | Elevance

How Therapists in Nashville, IN see their clients

63% In Person and Online
37% Online Only

Gender breakdown

50% Female
50% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Nashville?

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.