Therapists in Boston, MA
![Photo of Erin K Schaefer, MSW, LICSW, CEDS, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4a75fe2c-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Erin K Schaefer
Clinical Social Work/Therapist, MSW, LICSW, CEDS
Verified Verified
1 Endorsed
Boston, MA 02109 (Online Only)
Are you feeling stuck in a certain pattern of thoughts or behaviors that you find worrisome or troubling? Perhaps you are feeling overwhelmed in your life and are beginning to wonder if you may benefit from some additional support. I have worked and trained in a variety of mental health settings including residential, partial hospitalization, intensive outpatient, medical hospitals and college campuses. I welcome the opportunity to work with people of all gender identities and all body shapes and sizes.
Are you feeling stuck in a certain pattern of thoughts or behaviors that you find worrisome or troubling? Perhaps you are feeling overwhelmed in your life and are beginning to wonder if you may benefit from some additional support. I have worked and trained in a variety of mental health settings including residential, partial hospitalization, intensive outpatient, medical hospitals and college campuses. I welcome the opportunity to work with people of all gender identities and all body shapes and sizes.
![Photo of Adam A Tuttle, LMHC, Counselor](https://photos.psychologytoday.com/c379a22e-bcd4-4d46-a36e-310c417ccb87/3/320x400.jpeg)
Adam A Tuttle
Counselor, LMHC
Verified Verified
1 Endorsed
Boston, MA 02118 (Online Only)
Not accepting new clients
Currently taking new patients! Developing a deeper understanding of why we do the things we do is an integral part of becoming the person we desire to be. Therapy can be an important tool for self discovery and recognizing our problematic patterns. I believe that therapy should meet the individual where they are and the unique set of circumstances that they exist in. I utilize a client-centered therapeutic model and have a specialization in trauma. In addition, I have expertise in addiction, CBT, existential therapy, object relations, and navigating psychiatry systems (having run a clinic myself).
Currently taking new patients! Developing a deeper understanding of why we do the things we do is an integral part of becoming the person we desire to be. Therapy can be an important tool for self discovery and recognizing our problematic patterns. I believe that therapy should meet the individual where they are and the unique set of circumstances that they exist in. I utilize a client-centered therapeutic model and have a specialization in trauma. In addition, I have expertise in addiction, CBT, existential therapy, object relations, and navigating psychiatry systems (having run a clinic myself).
![Photo of Krissa Shakya, LMHC, Counselor](https://photos.psychologytoday.com/d6cbd29c-556a-45e1-8dee-6bafac783c45/1/320x400.jpeg)
I am a licensed mental health counselor and have experience working with adults with persistent mental illness for over 9 years. Navigating through life challenges on an ongoing basis can leave us feeling overwhelmed and at times experiencing such emotions feel permanent, with small consistent steps one can manage those challenges and achieve their identified "full life." I take a strength-based approach and meet my clients where they are at. I take a collaborative approach in achieving the client's identified goals.
I am a licensed mental health counselor and have experience working with adults with persistent mental illness for over 9 years. Navigating through life challenges on an ongoing basis can leave us feeling overwhelmed and at times experiencing such emotions feel permanent, with small consistent steps one can manage those challenges and achieve their identified "full life." I take a strength-based approach and meet my clients where they are at. I take a collaborative approach in achieving the client's identified goals.
![Photo of Doug DiBrielle, LMHC](https://photos.psychologytoday.com/429de63a-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Doug DiBrielle
Mental Health Counselor, LMHC
Verified Verified
4 Endorsed
Boston, MA 02110 (Online Only)
Whether struggling through life transition, feeling uncertainty, experiencing anxiety/worry, or wishing to feel less sadness - I offer a safe and non-judgmental space to find your ground and get back on track. You may not know what style of help you need and that is OK! Your courage to seek assistance during a difficult time is a positive sign. We all have intrinsic potential to heal and grow. We each possess the capacity to Thrive - Sometimes it just requires a little assistance learning how to listen inward and make meaning in order to find our Joy.
Whether struggling through life transition, feeling uncertainty, experiencing anxiety/worry, or wishing to feel less sadness - I offer a safe and non-judgmental space to find your ground and get back on track. You may not know what style of help you need and that is OK! Your courage to seek assistance during a difficult time is a positive sign. We all have intrinsic potential to heal and grow. We each possess the capacity to Thrive - Sometimes it just requires a little assistance learning how to listen inward and make meaning in order to find our Joy.
![Photo of Elissa Hogan, LMHC, ATR, Art Therapist](https://photos.psychologytoday.com/2b0c7742-81f2-4da5-ab58-1427af5045aa/2/320x400.jpeg)
We all have the ability to heal. I see my role as a guide who provides a safe and supportive space for your healing. I use empathy, humor, and listening to guide my practice. My approach is strengths based, holistic, and collaborative. I offer art therapy, mindfulness, and Cognitive Behavioral Therapy to help you learn to move through challenges, gain insight, and develop a deeper sense of self by following your intuition. You will learn to trust yourself.
We all have the ability to heal. I see my role as a guide who provides a safe and supportive space for your healing. I use empathy, humor, and listening to guide my practice. My approach is strengths based, holistic, and collaborative. I offer art therapy, mindfulness, and Cognitive Behavioral Therapy to help you learn to move through challenges, gain insight, and develop a deeper sense of self by following your intuition. You will learn to trust yourself.
![Photo of Charlotte Lewis, LMHC, Pre-Licensed Professional](https://photos.psychologytoday.com/38d944e8-5037-4e8f-9119-4172b74a9733/2/320x400.png)
Now Accepting New Clients! I am a provisionally licensed Mental Health Counselor and Psychotherapist at And Still We Rise, LLC. I received my B.S. in Counseling Psychology and an M.A. in Clinical Mental Health Counseling; Trauma Specialization Studies from Lesley University. I am committed to multicultural competence and anti-racist practices. I provide individual psychotherapy for a range of presenting concerns, including trauma work, grief and loss, disordered eating, and domestic violence, with additional experience in, OCD work, anxiety/depression, and substance abuse.
Now Accepting New Clients! I am a provisionally licensed Mental Health Counselor and Psychotherapist at And Still We Rise, LLC. I received my B.S. in Counseling Psychology and an M.A. in Clinical Mental Health Counseling; Trauma Specialization Studies from Lesley University. I am committed to multicultural competence and anti-racist practices. I provide individual psychotherapy for a range of presenting concerns, including trauma work, grief and loss, disordered eating, and domestic violence, with additional experience in, OCD work, anxiety/depression, and substance abuse.
![Photo of Alexander DeFelice - Positive Perceptions, LLC, MS, LMHC, Counselor](https://photos.psychologytoday.com/7b47bb90-533e-49bb-bbab-59952b8335cd/2/320x400.jpeg)
Hi there! I'm proud of you for taking the first step in your mental health journey by researching potential providers, and I'm honored that you're considering me as your therapist.
Hi there! I'm proud of you for taking the first step in your mental health journey by researching potential providers, and I'm honored that you're considering me as your therapist.
![Photo of Dorian Mintzer, PhD, LICSW, BCC, Psychologist](https://photos.psychologytoday.com/3bce7ebf-46cd-11ea-a6ad-06142c356176/6/320x400.jpeg)
Dorian Mintzer
Psychologist, PhD, LICSW, BCC
Verified Verified
Boston, MA 02116
Not accepting new clients
I have 50+ years of experience as a therapist, life/retirement transition coach/ money and relationship coach, consultant, speaker, writer and group and workshop facilitator. I work with individuals and couples who are dealing with "what's next?" and want help to develop a sense of well-being as they navigate the "second half of life." I am noted for my warmth, humor, "optimistic realism" and strong belief in the importance of living a full life with connection, engagement and purpose and meaning. I also work with college students and adults with a variety of life transition issues.
I have 50+ years of experience as a therapist, life/retirement transition coach/ money and relationship coach, consultant, speaker, writer and group and workshop facilitator. I work with individuals and couples who are dealing with "what's next?" and want help to develop a sense of well-being as they navigate the "second half of life." I am noted for my warmth, humor, "optimistic realism" and strong belief in the importance of living a full life with connection, engagement and purpose and meaning. I also work with college students and adults with a variety of life transition issues.
![Photo of Genevieve Fuller, LMHC, BC-DMT, EMDR-C, Counselor](https://photos.psychologytoday.com/da7b0b67-0a5b-49ee-bc6c-bc6fd8ee76b7/3/320x400.jpeg)
Genevieve Fuller
Counselor, LMHC, BC-DMT, EMDR-C
Verified Verified
2 Endorsed
Boston, MA 02110 (Online Only)
Do you ever find it difficult to stand on solid ground while the world is in constant motion around you? And no matter what you do, it never feels like enough? We know life’s obstacles are unlikely to go away all together, but what if you were able to navigate them from a place of curiosity and self-compassion? I offer a relaxed, trauma-informed and non-judgmental space to collaboratively expand on the strengths you already possess and shift the patterns that no longer serve you. Together we can unlock your natural potential for restoration and growth- where you can root into your authentic self with confidence and ease.
Do you ever find it difficult to stand on solid ground while the world is in constant motion around you? And no matter what you do, it never feels like enough? We know life’s obstacles are unlikely to go away all together, but what if you were able to navigate them from a place of curiosity and self-compassion? I offer a relaxed, trauma-informed and non-judgmental space to collaboratively expand on the strengths you already possess and shift the patterns that no longer serve you. Together we can unlock your natural potential for restoration and growth- where you can root into your authentic self with confidence and ease.
![Photo of Yedjhana Labady, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/fa7c378c-fe2e-4308-91de-f43fb295b025/2/320x400.png)
I have worked in different settings within the community, working with all ages and diagnoses such as depression, anxiety, Autism, PTSD, mood disorders, and ADHD. I have experience with doing individual work as well as family therapeutic work. I believe in collaboratively working with my clients and establishing a strong therapeutic alliance. My goal is to support my clients through their journeys. If you are looking to learn more about yourself and how to better navigate through current and past issues, I am here to help.
I have worked in different settings within the community, working with all ages and diagnoses such as depression, anxiety, Autism, PTSD, mood disorders, and ADHD. I have experience with doing individual work as well as family therapeutic work. I believe in collaboratively working with my clients and establishing a strong therapeutic alliance. My goal is to support my clients through their journeys. If you are looking to learn more about yourself and how to better navigate through current and past issues, I am here to help.
![Photo of Sarah Kaminshine, LICSW, LCSW, MSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4adcf09e-da42-4061-931c-9c3f058adde3/1/320x400.png)
Sarah Kaminshine
Clinical Social Work/Therapist, LICSW, LCSW, MSW
Verified Verified
Boston, MA 02130 (Online Only)
Hi, I am Sarah Kaminshine, a bilingual, (Spanish/English) Licensed Clinical Social Worker in Massachusetts and California. I specialize in parenting struggles, relationship and communication issues, processing major life changes, depression, and anxiety. I have 15 years of experience working with young children and adults in individual, group, and community settings.
Hi, I am Sarah Kaminshine, a bilingual, (Spanish/English) Licensed Clinical Social Worker in Massachusetts and California. I specialize in parenting struggles, relationship and communication issues, processing major life changes, depression, and anxiety. I have 15 years of experience working with young children and adults in individual, group, and community settings.
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My ideal client is open and receptive to change, willing to address the past, and ready to heal forward. They are persistent and committed to understanding healing as a journey. They are looking for support and guidance in a safe, trusting space that will allow them to learn how to live a more fulfilling life.
My ideal client is open and receptive to change, willing to address the past, and ready to heal forward. They are persistent and committed to understanding healing as a journey. They are looking for support and guidance in a safe, trusting space that will allow them to learn how to live a more fulfilling life.
![Photo of Garima L Menon, PhD, Psychologist](https://photos.psychologytoday.com/47a8d16a-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Most of us do the best we can with the resources we have. Sometimes we think no one understands our worries & fears. If open to it, we want to work with a therapist when our usual ways of relating aren't helping & we feel stuck, anxious, angry or depressed. Therapy often helps provide insight into our strengths & internal resources we already have to help navigate challenging times. In sessions, I focus on working with clients to unlock this strength to steer their lives in the direction they want. I bring curiosity, warmth, respect, & empathy to my sessions.
Most of us do the best we can with the resources we have. Sometimes we think no one understands our worries & fears. If open to it, we want to work with a therapist when our usual ways of relating aren't helping & we feel stuck, anxious, angry or depressed. Therapy often helps provide insight into our strengths & internal resources we already have to help navigate challenging times. In sessions, I focus on working with clients to unlock this strength to steer their lives in the direction they want. I bring curiosity, warmth, respect, & empathy to my sessions.
![Photo of Wildred Rachel Krenis, LMHC, Counselor](https://photos.psychologytoday.com/6bf4d3a0-32db-4ba4-9cfa-0626263f2bb4/2/320x400.png)
My ideal client may be struggling with depression or trauma in addition to the main issues listed. I've specialized in working with gastric bypass transitions, law enforcement professionals, people needing pet support services, those benefitting from art therapy, and interior design aesthetic supports, and reiki energy supports.
My ideal client may be struggling with depression or trauma in addition to the main issues listed. I've specialized in working with gastric bypass transitions, law enforcement professionals, people needing pet support services, those benefitting from art therapy, and interior design aesthetic supports, and reiki energy supports.
![Photo of Justine Dellaria - Justine Romano Dellaria, LICSW, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/15d8d1d9-8290-4faf-ab83-9cb44dc18451/3/320x400.jpeg)
Justine Romano Dellaria, LICSW
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Boston, MA 02110
Waitlist for new clients
My training is rooted in evidence based practices such as CBT, trauma informed care, strengths based practice and relational therapy to assist my clients with everyday life stress, life transitions, grief, relationship issues, challenging family dynamics, managing chronic illness, and past trauma. I bring a compassion, practicality and integrity in helping you to develop greater skills in coping with your emotions and in creating more satisfying lives and relationships with others. I also strive to help people better understand the patterns that contribute to ongoing suffering, often stemming from earlier life experiences.
My training is rooted in evidence based practices such as CBT, trauma informed care, strengths based practice and relational therapy to assist my clients with everyday life stress, life transitions, grief, relationship issues, challenging family dynamics, managing chronic illness, and past trauma. I bring a compassion, practicality and integrity in helping you to develop greater skills in coping with your emotions and in creating more satisfying lives and relationships with others. I also strive to help people better understand the patterns that contribute to ongoing suffering, often stemming from earlier life experiences.
![Photo of Frank Ehrenthal - Frank Ehrenthal, MEd, CAGS, LMHC, Counselor](https://photos.psychologytoday.com/48228164-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
**** CURRENTLY ACCEPTING NEW CLIENTS **** I have had over 20 years of experience providing psychotherapeutic services to individuals, couples and families in community mental health and private practice settings. I try to create a collaborative environment conducive to self exploration and growth. I see adults and adolescents and utilize psychodynamic and behavioral approaches. I help people struggling with a wide variety of issues including: depression, anxiety, anger management, school adjustment, grief and loss, and relationship issues. Call or email me to schedule an appointment.
**** CURRENTLY ACCEPTING NEW CLIENTS **** I have had over 20 years of experience providing psychotherapeutic services to individuals, couples and families in community mental health and private practice settings. I try to create a collaborative environment conducive to self exploration and growth. I see adults and adolescents and utilize psychodynamic and behavioral approaches. I help people struggling with a wide variety of issues including: depression, anxiety, anger management, school adjustment, grief and loss, and relationship issues. Call or email me to schedule an appointment.
![Photo of Cyndi Fugere, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/ef864e5b-009c-451e-8b87-1889b8c5234b/2/320x400.jpeg)
I am a licensed Marriage and Family Therapist with over 30 years of experience. I am committed to helping others with mental health struggles. I was drawn to family therapy to understand my family's dysfunction and how it impacted me growing up.
I am a licensed Marriage and Family Therapist with over 30 years of experience. I am committed to helping others with mental health struggles. I was drawn to family therapy to understand my family's dysfunction and how it impacted me growing up.
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I want to work with anyone looking to feel better. I enjoy helping others find relief from anxiety, depression, addiction, trauma and other symptoms or mental health conditions. I help clients find and address what is preventing their ability to function, grow, thrive, or just relax! I also enjoy helping people discover more about themselves and reconnect with their sense of meaning or purpose in life. Therapy takes effort and commitment and, in exchange, provides freedom from suffering. I would love to help you discover the gift I believe therapy can give to you.
I want to work with anyone looking to feel better. I enjoy helping others find relief from anxiety, depression, addiction, trauma and other symptoms or mental health conditions. I help clients find and address what is preventing their ability to function, grow, thrive, or just relax! I also enjoy helping people discover more about themselves and reconnect with their sense of meaning or purpose in life. Therapy takes effort and commitment and, in exchange, provides freedom from suffering. I would love to help you discover the gift I believe therapy can give to you.
![Photo of Caleb Brooks Licsw Mental Health For Teens, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/f27ca38e-fe32-4e4f-874b-a33ca4e05523/1/320x400.jpeg)
Caleb Brooks Licsw Mental Health For Teens
Clinical Social Work/Therapist, LICSW
Verified Verified
Boston, MA 02116 (Online Only)
Is your teen grappling with self-doubt, low self-esteem, or harsh self-criticism? These struggles, often amplified by trauma, family changes, or an absent parent, can deeply affect a teen’s well-being and self-perception. As a licensed social worker with extensive experience in adolescent therapy, I help teens reframe their negative beliefs and foster a positive self-image they can be proud of. Through personalized care, I help them build resilience and emotional strength. I also support families with parent guidance sessions, giving you the tools and strategies needed to encourage your teen’s growth and well-being.
Is your teen grappling with self-doubt, low self-esteem, or harsh self-criticism? These struggles, often amplified by trauma, family changes, or an absent parent, can deeply affect a teen’s well-being and self-perception. As a licensed social worker with extensive experience in adolescent therapy, I help teens reframe their negative beliefs and foster a positive self-image they can be proud of. Through personalized care, I help them build resilience and emotional strength. I also support families with parent guidance sessions, giving you the tools and strategies needed to encourage your teen’s growth and well-being.
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Kara Llewellyn
Clinical Social Work/Therapist, LICSW, PMH-C
Verified Verified
1 Endorsed
Boston, MA 02127 (Online Only)
Waitlist for new clients
FYI: I will be on leave starting 9/2024 and returning 2/2025. For new client inquiries, please reach out in Jan/Feb 2025 to be added to my waitlist, as I anticipate that I will have openings when I return. >.................................................................................................................< If you are experiencing symptoms of anxiety, depression, perinatal concerns (i.e. pre/postpartum depression or anxiety, high risk pregnancy, fetal diagnosis), or other life stressors or transitions, I am here to help. My goal is to provide therapeutic, non judgmental support and guidance in your time of need.
FYI: I will be on leave starting 9/2024 and returning 2/2025. For new client inquiries, please reach out in Jan/Feb 2025 to be added to my waitlist, as I anticipate that I will have openings when I return. >.................................................................................................................< If you are experiencing symptoms of anxiety, depression, perinatal concerns (i.e. pre/postpartum depression or anxiety, high risk pregnancy, fetal diagnosis), or other life stressors or transitions, I am here to help. My goal is to provide therapeutic, non judgmental support and guidance in your time of need.
See more therapy options for Boston
How does your Therapist compare?
Number of Therapists in Boston, MA
3,000+
Average cost per session
$154
Therapists in Boston, MA who prioritize treating:
93% | Anxiety |
86% | Depression |
74% | Relationship Issues |
72% | Self Esteem |
70% | Stress |
69% | Trauma and PTSD |
66% | Coping Skills |
Average years in practice
11 Years
Top 3 insurances accepted
78% | BlueCross and BlueShield |
65% | Aetna |
62% | UnitedHealthcare UHC | UBH |
How Therapists in Boston, MA see their clients
62% | Online Only | |
38% | In Person and Online |
Gender breakdown
79% | Female | |
19% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Boston?
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.