Therapists in Portsmouth, NH
![Photo of Khali Maden, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/eeae6bc0-7e68-4505-8281-1ac849159ca3/2/320x400.png)
I help families and couples recover from generational and childhood trauma. My clients are cycle-breakers who are committed to their growth and looking for support in their journey toward healing. In my practice, I support youth in healing from childhood trauma and rebuilding trust with their caregivers. I guide caregivers in developing their parenting skills and breaking unhelpful generational cycles. I work with romantic partners to improve their communication and intimacy in their relationship.
I help families and couples recover from generational and childhood trauma. My clients are cycle-breakers who are committed to their growth and looking for support in their journey toward healing. In my practice, I support youth in healing from childhood trauma and rebuilding trust with their caregivers. I guide caregivers in developing their parenting skills and breaking unhelpful generational cycles. I work with romantic partners to improve their communication and intimacy in their relationship.
![Photo of Christine Williams, LCMHC, Counselor](https://photos.psychologytoday.com/a3e545ca-6c51-477a-a948-36bbdcc804d1/1/320x400.jpeg)
Christine Williams
Counselor, LCMHC
Verified Verified
Portsmouth, NH 03801 (Online Only)
Not accepting new clients
Seeking support is a sign of strength, not weakness, and that is something to be admired. Being strong doesn't mean we have to work through everything on our own. I practice from the belief that no matter how stuck or lost you may feel, growth and healing are always possible.
Seeking support is a sign of strength, not weakness, and that is something to be admired. Being strong doesn't mean we have to work through everything on our own. I practice from the belief that no matter how stuck or lost you may feel, growth and healing are always possible.
![Photo of Philip A Meher - New England Anger Management - Rev. Philip Meher , MA, MEd, LCMHC, CAMT, Counselor](https://photos.psychologytoday.com/e114fee6-d03b-4eba-ac6c-2bd4a07eec6f/2/320x400.jpeg)
New England Anger Management - Rev. Philip Meher
Counselor, MA, MEd, LCMHC, CAMT
Verified Verified
Portsmouth, NH 03802
As a clinical mental health professional, an Army Family Life Chaplain, VA therapist, and also a Christian ordained pastoral counselor (of 30+ years) I assist individuals in the community struggling with issues related to anxiety, depression, anger, grief, and trauma (PTSD). In addition to this I do marriage/couples therapy, pre-marital counseling, and spiritual/faith related counseling.
As a clinical mental health professional, an Army Family Life Chaplain, VA therapist, and also a Christian ordained pastoral counselor (of 30+ years) I assist individuals in the community struggling with issues related to anxiety, depression, anger, grief, and trauma (PTSD). In addition to this I do marriage/couples therapy, pre-marital counseling, and spiritual/faith related counseling.
![Photo of Victor Stephen Piro, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3f6e232e-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Victor Stephen Piro
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Portsmouth, NH 03801
Not accepting new clients
I have been a practicing psychotherapist in Portsmouth for 25 years, specializing in depression, anxiety, and relationship issues. I have also successfully helped clients struggling with trauma, OCD, anger management, prolonged grief, parenting issues, and Bi-polar Disorder. I emphasize a collaborative effort with clients and believe therapy is only successful when there is a positive relationship between the client and the clinician. I have worked with numerous clients who have needed medication at some point in their treatment. I do not rush to recommend medication, but I do work closely PCP's or psychiatrists if medication is necessary.
I have been a practicing psychotherapist in Portsmouth for 25 years, specializing in depression, anxiety, and relationship issues. I have also successfully helped clients struggling with trauma, OCD, anger management, prolonged grief, parenting issues, and Bi-polar Disorder. I emphasize a collaborative effort with clients and believe therapy is only successful when there is a positive relationship between the client and the clinician. I have worked with numerous clients who have needed medication at some point in their treatment. I do not rush to recommend medication, but I do work closely PCP's or psychiatrists if medication is necessary.
![Photo of Gretchen L Estes, MEd, LCMHC, Counselor](https://photos.psychologytoday.com/3c9885a8-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Welcome to my practice. With over 18 years as a practitioner in the mental health field, I have learned that at the heart of every successful clinical relationship is a strong therapeutic connection between the therapist and client. I consider it my responsibility to create a safe and nonjudgmental space that allows you to openly explore your thoughts and feelings. My approach is collaborative, present-focused, and solution-oriented. I also believe strongly in the connection between the mind and body and support a holistic approach to emotional health and wellness.
Welcome to my practice. With over 18 years as a practitioner in the mental health field, I have learned that at the heart of every successful clinical relationship is a strong therapeutic connection between the therapist and client. I consider it my responsibility to create a safe and nonjudgmental space that allows you to openly explore your thoughts and feelings. My approach is collaborative, present-focused, and solution-oriented. I also believe strongly in the connection between the mind and body and support a holistic approach to emotional health and wellness.
![Photo of Sheila Jenkins, MS, MLADC, Drug & Alcohol Counselor](https://photos.psychologytoday.com/ca3882df-e7d8-455b-a655-1b2b16718bbb/3/320x400.jpeg)
I provide counseling to individuals on a variety of issues including depression/anxiety,anger management, substance abuse, addiction, compulsive behaviors,and stress management. Counseling sessions are tailored to your goals: either short-term, focusing on a specific issue, or longer-term, addressing ongoing personal growth. If you are looking for ways to gain a better understanding of yourself, change old behavior patterns, learn new ways to cope with stress then counseling can help you. What you can expect from counseling is compassion, and understanding, new perspectives on negative feelings and behaviors, and strategies for creating positive changes in your life.
I provide counseling to individuals on a variety of issues including depression/anxiety,anger management, substance abuse, addiction, compulsive behaviors,and stress management. Counseling sessions are tailored to your goals: either short-term, focusing on a specific issue, or longer-term, addressing ongoing personal growth. If you are looking for ways to gain a better understanding of yourself, change old behavior patterns, learn new ways to cope with stress then counseling can help you. What you can expect from counseling is compassion, and understanding, new perspectives on negative feelings and behaviors, and strategies for creating positive changes in your life.
![Photo of Brian D Wener, BA, MA, PsyD, Psychologist](https://photos.psychologytoday.com/3ee4202b-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Practicing 47 years in Seacoast Tri-state area. Portsmouth Family Institute faculty member, former Guest Lecturer, UNH Grad. Studies in Marriage/Family Therapy. PSYCHOLOGICAL TESTING for ADHD- child/adult; Presurgical evaluations; Court-Legal-School evaluations. APA Board Certified in Assessment/Treatment of Substance Use Disorders ADDICTION services to families. Individuals/couples/families undergoing life transitions/divorce. I am a former GAL. I provide psychological assessment/treatment to clients of GALs. I gladly work with ages 14 +.
Practicing 47 years in Seacoast Tri-state area. Portsmouth Family Institute faculty member, former Guest Lecturer, UNH Grad. Studies in Marriage/Family Therapy. PSYCHOLOGICAL TESTING for ADHD- child/adult; Presurgical evaluations; Court-Legal-School evaluations. APA Board Certified in Assessment/Treatment of Substance Use Disorders ADDICTION services to families. Individuals/couples/families undergoing life transitions/divorce. I am a former GAL. I provide psychological assessment/treatment to clients of GALs. I gladly work with ages 14 +.
![Photo of Dr. Cecile Gunn - Dr. Cecile Gunn at Evergreen Psychology, PLLC, MDiv, PhD, Psychologist](https://photos.psychologytoday.com/a9ca4390-8bc3-4734-b462-cbbbd06d10b5/1/320x400.png)
Dr. Cecile Gunn at Evergreen Psychology, PLLC
Psychologist, MDiv, PhD
Verified Verified
1 Endorsed
Portsmouth, NH 03801
I help clients who are coping with unresolved childhood trauma and the inevitable consequences: depression, anxiety, thwarted relationships, physical illness, and eating and sleep disorders. I have been practicing therapy for over 15 years, working with diverse (race, gender, sexual orientation, religion, class) clients who struggle with significant trauma histories. We will learn from our thoughts and emotions, as well as from our bodies' physical symptoms, in order to resolve the trauma, not just learn coping skills. I offer this work in the context of an affirming, respectful, warm and connected therapeutic relationship.
I help clients who are coping with unresolved childhood trauma and the inevitable consequences: depression, anxiety, thwarted relationships, physical illness, and eating and sleep disorders. I have been practicing therapy for over 15 years, working with diverse (race, gender, sexual orientation, religion, class) clients who struggle with significant trauma histories. We will learn from our thoughts and emotions, as well as from our bodies' physical symptoms, in order to resolve the trauma, not just learn coping skills. I offer this work in the context of an affirming, respectful, warm and connected therapeutic relationship.
![Photo of Judith Hatch-Orme, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4317efc1-8846-4326-a90c-72464eec6132/2/320x400.jpeg)
Judith Hatch-Orme
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Portsmouth, NH 03801 (Online Only)
As a parenting specialist, I help parents understand their children's behavior & emotional needs. With over 30 years of clinical and divorce mediation experience, my approach to collaborative parenting (married or divorced) is child-centered. Parents struggling to meet their children's needs during times of heightened tension, need support and guidance.
As a parenting specialist, I help parents understand their children's behavior & emotional needs. With over 30 years of clinical and divorce mediation experience, my approach to collaborative parenting (married or divorced) is child-centered. Parents struggling to meet their children's needs during times of heightened tension, need support and guidance.
![Photo of Amanda Rose Hitchings, PsyD, Psychologist](https://photos.psychologytoday.com/80aea762-18c3-45a8-b90f-6a0512e90132/1/320x400.png)
I am Rose, a licensed clinical psychologist specializing in women's health and gender affirming care. Additionally I am a doula with specific training in Birth Story Listening. My small telemedicine practice services NH, VT, and UT. My therapy style integrates modern CBT and positive psychology approaches. Together we explore the relationship between our mental health and physical health and the ways they affect each other. New meaning and acceptance will arise. My heart is in the creative consultation practice, exploring the unique way we can foster resiliency throughout our development.
I am Rose, a licensed clinical psychologist specializing in women's health and gender affirming care. Additionally I am a doula with specific training in Birth Story Listening. My small telemedicine practice services NH, VT, and UT. My therapy style integrates modern CBT and positive psychology approaches. Together we explore the relationship between our mental health and physical health and the ways they affect each other. New meaning and acceptance will arise. My heart is in the creative consultation practice, exploring the unique way we can foster resiliency throughout our development.
![Photo of Lisa Lawry, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/2a76ade2-b59e-478b-9a57-dd45d970ce75/1/320x400.jpeg)
Lisa Lawry is a Licensed Independent Clinical Social Worker in New Hampshire who has been practicing since 2004. She graduated from The University of Southern Maine with a BA in Comparative Religion Studies and from the University of New England with a Masters in Social Work (MSW) and a graduate certificate in Addiction Studies. She has provided therapy in many settings including Community Mental Health, Crisis Services, Inpatient Mental Health, and outpatient practice. Lisa believes therapy should be a safe and supportive process inspiring and challenging you to be your true self.
Lisa Lawry is a Licensed Independent Clinical Social Worker in New Hampshire who has been practicing since 2004. She graduated from The University of Southern Maine with a BA in Comparative Religion Studies and from the University of New England with a Masters in Social Work (MSW) and a graduate certificate in Addiction Studies. She has provided therapy in many settings including Community Mental Health, Crisis Services, Inpatient Mental Health, and outpatient practice. Lisa believes therapy should be a safe and supportive process inspiring and challenging you to be your true self.
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![Photo of Clare Righini, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/f06ffc64-85d1-4c64-8625-6dc2fec73567/2/320x400.jpeg)
Clare Righini
Clinical Social Work/Therapist, LICSW
Verified Verified
Portsmouth, NH 03801 (Online Only)
Everything changes, but the feeling of change. It can be hard to find the way on your own. Everyone can use a little extra support now and then. Especially if you have recently gone through a significant change in your life or you are anticipating one. By successfully working through these changes, you will not only find your way, but you will gain coping skills for future change.
Everything changes, but the feeling of change. It can be hard to find the way on your own. Everyone can use a little extra support now and then. Especially if you have recently gone through a significant change in your life or you are anticipating one. By successfully working through these changes, you will not only find your way, but you will gain coping skills for future change.
![Photo of Diane Koehler, MA, LCMHC, LMHC, LCPC, Counselor](https://photos.psychologytoday.com/7335471a-bd92-4224-9699-c2a9dd7aa26a/1/320x400.jpeg)
Sometimes in life we question where we are going or cannot seem to find a path to get to where we want to be ~ to be happy with ourselves and at peace. The world today may be creating more stressors in our life than what we are use to causing a feeling of imbalance, depression or anxiety. My goal is to create a safe, respectful and caring atmosphere where one may explore and begin to understand one's thoughts, behaviors and feelings. Together with my clients, we explore their dreams, challenges and fears. Along this journey there can be self-discovery, problem solving and self love.
Sometimes in life we question where we are going or cannot seem to find a path to get to where we want to be ~ to be happy with ourselves and at peace. The world today may be creating more stressors in our life than what we are use to causing a feeling of imbalance, depression or anxiety. My goal is to create a safe, respectful and caring atmosphere where one may explore and begin to understand one's thoughts, behaviors and feelings. Together with my clients, we explore their dreams, challenges and fears. Along this journey there can be self-discovery, problem solving and self love.
![Photo of Lesley White, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/b36e7711-8e7a-4dc0-a239-0a52c2a0fdca/2/320x400.jpeg)
As a clinical social worker, my goal is to provide a safe and trusting environment where you feel understood. My approach to therapy is centered around identifying your needs, honoring your feelings, and building on your strengths. I currently offer individual therapy to adults treating depression, anxiety, adjustment to life changes, relationship issues, and women’s issues.
As a clinical social worker, my goal is to provide a safe and trusting environment where you feel understood. My approach to therapy is centered around identifying your needs, honoring your feelings, and building on your strengths. I currently offer individual therapy to adults treating depression, anxiety, adjustment to life changes, relationship issues, and women’s issues.
![Photo of Liz Bristow, MA, LMHC, Counselor](https://photos.psychologytoday.com/3fdfaf4a-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Change is hard. And change within ourselves is even harder. Therapy can help with finding answers. It can be a place to explore barriers and challenges to living fully into the life you want. Therapy can help with identifying patterns in our lives, both good ones and bad, with recognizing our strengths, and with where we struggle. Therapy can be a place where we can find our way back to who we really are, supporting our hopes, dreams, values and strengths in living into our lives fully.
Change is hard. And change within ourselves is even harder. Therapy can help with finding answers. It can be a place to explore barriers and challenges to living fully into the life you want. Therapy can help with identifying patterns in our lives, both good ones and bad, with recognizing our strengths, and with where we struggle. Therapy can be a place where we can find our way back to who we really are, supporting our hopes, dreams, values and strengths in living into our lives fully.
![Photo of Nicole Bates, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ae32cfe4-bcad-412b-97db-b7f059a0be50/3/320x400.jpeg)
Nicole Bates
Clinical Social Work/Therapist, LICSW
Verified Verified
Portsmouth, NH 03801 (Online Only)
Waitlist for new clients
Are you going through a significant life transition or dealing with loss? Maybe you are questioning your choices and consider yourself an "overthinker". Have you found yourself not participating in activities you used to enjoy? It feels like things are going well, but you are not feeling content. These are common issues rhe individuals I work with. I want to support you in reaching your goals and increasing your ability to handle the stressors in your life. You are able to make the necessary changes and find success, allow me to help you discover and tap into your potential to create the life you want.
Are you going through a significant life transition or dealing with loss? Maybe you are questioning your choices and consider yourself an "overthinker". Have you found yourself not participating in activities you used to enjoy? It feels like things are going well, but you are not feeling content. These are common issues rhe individuals I work with. I want to support you in reaching your goals and increasing your ability to handle the stressors in your life. You are able to make the necessary changes and find success, allow me to help you discover and tap into your potential to create the life you want.
If you are a first responder or work in a high stress job that is affecting your personal or family life there is help to manage those symptoms and situations in order to enjoy life again. If you are diagnosed with PTSD there are ways to help manage and cope with those symptoms. It is my goal to help individuals and families reduce conflict, improve communication, and develop healthier relationships.
If you are a first responder or work in a high stress job that is affecting your personal or family life there is help to manage those symptoms and situations in order to enjoy life again. If you are diagnosed with PTSD there are ways to help manage and cope with those symptoms. It is my goal to help individuals and families reduce conflict, improve communication, and develop healthier relationships.
![Photo of Brianna Brickner, MA, Pre-Licensed Professional](https://photos.psychologytoday.com/278da984-9223-4e39-815f-e0c11047ad20/2/320x400.jpeg)
Are you ready to begin your path toward healing? As a pre-licensed Marriage and Family Therapist, I hold space for you to better understand yourself, where you have been, and where you are going more deeply. I believe healing is an ongoing practice instead of another task to complete. In our work together, I will use an integrative, collaborative, and client-centered approach to therapy.
Are you ready to begin your path toward healing? As a pre-licensed Marriage and Family Therapist, I hold space for you to better understand yourself, where you have been, and where you are going more deeply. I believe healing is an ongoing practice instead of another task to complete. In our work together, I will use an integrative, collaborative, and client-centered approach to therapy.
![Photo of Tara Bianchi, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/01998ff6-62bc-4dcc-ab88-5266e29458f8/1/320x400.jpeg)
Tara Bianchi
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Portsmouth, NH 03801
Welcome to Your Time Psychotherapy, where you will find a space where you can be truly heard and understood. I'm a therapist who believes in the power of connection and the potential for growth within each of us. My approach is warm, collaborative, and strengths-based. Together, we'll uncover your inner resources, navigate difficult emotions, and create a life that feels meaningful and authentic. If you're ready to embark on a journey of self-discovery and healing, I'm here to walk alongside you.
Welcome to Your Time Psychotherapy, where you will find a space where you can be truly heard and understood. I'm a therapist who believes in the power of connection and the potential for growth within each of us. My approach is warm, collaborative, and strengths-based. Together, we'll uncover your inner resources, navigate difficult emotions, and create a life that feels meaningful and authentic. If you're ready to embark on a journey of self-discovery and healing, I'm here to walk alongside you.
![Photo of Valerie Enders, LICSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9a64f0c5-2884-4d0f-a414-9431a718b1c2/3/320x400.jpeg)
I work with people who are experiencing anxiety, depression, interpersonal problems, and major life transitions, drawing on 3 decades of psychodynamic, psychoanalytic, and couples work to support people in becoming the best possible version of themselves. I'm mindful of your formative history but stay in the present, using our different kind of conversation to explore feelings and behavior patterns that have impacted your current experience.
I work with people who are experiencing anxiety, depression, interpersonal problems, and major life transitions, drawing on 3 decades of psychodynamic, psychoanalytic, and couples work to support people in becoming the best possible version of themselves. I'm mindful of your formative history but stay in the present, using our different kind of conversation to explore feelings and behavior patterns that have impacted your current experience.
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Number of Therapists in Portsmouth, NH
300+
Average cost per session
$150
Therapists in Portsmouth, NH who prioritize treating:
93% | Anxiety |
84% | Depression |
78% | Relationship Issues |
74% | Self Esteem |
67% | Coping Skills |
63% | Stress |
62% | Trauma and PTSD |
Average years in practice
14 Years
Top 3 insurances accepted
69% | BlueCross and BlueShield |
60% | Anthem | Elevance |
59% | UnitedHealthcare UHC | UBH |
How Therapists in Portsmouth, NH see their clients
69% | In Person and Online | |
31% | Online Only |
Gender breakdown
82% | Female | |
17% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Portsmouth?
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
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.
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.
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.